Kontakt 2015, 17(1):e24-e31 | DOI: 10.1016/j.kontakt.2015.01.009

Content validation of the diagnosis Ineffective Breathing PatternNursing - Original article

Soňa Bocková^a,*, Jana Marečková^b, Jana Zapletalová^c

^a Univerzita Palackého v Olomouci, Fakulta zdravotnických věd, DSP ošetřovatelství

^b Univerzita Palackého v Olomouci, Lékařská fakulta, Ústav sociálního lékařství a veřejného zdravotnictví

^c Univerzita Palackého v Olomouci, Lékařská fakulta, Ústav lékařské biofyziky

The goal of this study was to carry out a diagnostic content validation regarding the nursing diagnosis Ineffective Breathing Pattern - 00032, which was approved by the Taxonomy Committee of NANDA International for the years 2012-2014. A validation study, methodologically based on Fehring's Diagnostic Content Validation, was performed with 52 nurses and medical experts from four hospitals in Moravia and Bohemia who work in nursing care in adult intensive care units or on anaesthesia and resuscitation wards.
Main findings:
1. The validity of the nursing diagnosis Ineffective Breathing Pattern - 00032 has a DCV weighted ratio of 0.63.
2. The DCV weighted ratio of 0.84 of the defining characteristic "dyspnoea" ranks it among the major defining characteristics of the validated diagnosis.
3. The DCV values of 12 defining characteristics between 0.74 and 0.52 ranked as minor defining characteristics of the validated diagnosis.
4. The DCV values of three defining characteristics between 0.40 and 0.32 were considered irrelevant defining characteristics.
5. A strong positive correlation was found between minor defining characteristics "decreased expiratory pressure" and "decreased inspiratory pressure" (r = 0.831), between minor related factors "neuromuscular dysfunction" and "musculoskeletal impairment" (r = 0.710) and between minor related factors "neurological immaturity" and "neuromuscular dysfunction" (r = 0.732).

Conclusions: The experts only considered one major diagnostic characteristic significant - dyspnoea, and none of the related factors of Ineffective Breathing Pattern - 00032. Despite the limitation of this study, the overall validity of the tested nursing diagnosis is acceptable according to Fehring, without the need to remove the diagnosis from the list presented by the Taxonomy Committee of NANDA International.

Keywords: NANDA International; Ineffective Breathing Pattern; Validation; DCV model; Intensive care

Received: October 5, 2014; Revised: November 15, 2014; Accepted: January 27, 2015; Published: March 10, 2015  Show citation