1. Disrupted mother-fetus dyad risk in high-risk pregnancies: a Middle-Range Theory.
- Author
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Mendes RCMG, Silva GPD, Perrelli JGA, Pontes CM, Pascoal LM, Lira ALBC, Lopes MVO, Mangueira SO, and Linhares FMP
- Subjects
- Humans, Pregnancy, Adult, Risk Factors, Nursing Theory, Nursing Process, Maternal-Fetal Relations, Delphi Technique, Mothers psychology, Mothers statistics & numerical data, Pregnancy, High-Risk, Nursing Diagnosis methods
- Abstract
Objectives: to develop and evaluate a Middle-Range Theory for the nursing diagnosis "Disrupted Mother-Fetus Dyad Risk" in high-risk pregnancies., Methods: this methodological study was conducted in two stages: theory development and evaluation. Dorothea Orem's General Nursing Model was used as the theoretical-conceptual foundation. Evaluation was conducted using the Delphi method with seven judges, and consensus was achieved when the Content Validity Index of the evaluated items was ≥ 0.80., Results: the theory identified 20 elements of the nursing diagnosis "Disrupted Mother-Fetus Dyad Risk" (10 risk factors, 4 at-risk populations, and 6 associated conditions), 14 propositions, and 1 pictogram. After two rounds of evaluation, the theory was considered consistent, with consensus reached for all items, each achieving a Content Validity Index ≥ 0.80., Conclusions: the Middle-Range Theory included biopsychosocial factors explaining the nursing phenomenon "Disrupted Mother-Fetus Dyad Risk," which aids in nurses' diagnostic reasoning.
- Published
- 2024
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