Kontakt 2012, 14(1):30-38 | DOI: 10.32725/kont.2012.005

Contents validation of nursing diagnosis "Fear"Nursing

Renáta Zeleníková^1,*, Yvetta Vrublová¹, Darja Jarošová¹, Katarína Žiaková²

¹ Ostravská univerzita v Ostravě, Lékařská fakulta, Ústav ošetřovatelství a porodní asistence

² Univerzita Komenského v Bratislave, Jesseniova lekárska fakulta v Martine, Ústav ošetrovateľstva

In the NANDA-International classification system, the nursing diagnosis "Fear" (code 00148) is included in the Domain 9: Stress management. It is defined as an emotional reaction to a threat, which is perceived as a danger and contains 34 defining characteristics.
The target of the research was validation of the treatment diagnosis "Fear" in the Czech and Slovak Republics, i.e. determination of defining characteristics considered by Czech and Slovak nurses - experts - as principal and minor ones.
The Fehring diagnostic contents validity was chosen for the validation of the nursing diagnosis "Fear". An assessment tool was prepared for the data accumulation consisting of a list of 34 defining characteristics of the nursing diagnosis "Fear" according to the NANDA-International and identification data. The group included 90 Czech and 93 Slovak nurses, who acquired at least 4 points in accordance with modified Fehring criteria (Zeleníková et al., 2010, p. 410). The research was implemented from May to October 2010.
The group of Czech nurses considered two characters as principal features of the nursing diagnosis "Fear" among the 34 defining characteristics: expression of the fright (0.86) and expression of the horror (0.77). Twenty four characters were considered as minor features in the group of Czech nurses. Seven defining characteristics were marked by Czech experts as non-significant for the nursing diagnosis Fear: vomiting, anorexia, paleness, diarrhoea, dry mouth, reduced learning capability, fatigue. The group of Slovak nurses considered only one principal defining characteristic of the nursing diagnosis Fear: identification of the fear object (0.76). The group of Slovak nurses considers 27 characters as minor characteristics. Five characters were considered by the group of Slovak nurses as non-significant for the treatment diagnosis "Fear": impulsiveness, dry mouth, nausea, vomiting and fatigue.

Keywords: validation; nursing diagnosis; fear; expert; DCV model

Received: November 25, 2011; Accepted: February 16, 2012; Published: March 16, 2012  Show citation