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Objectives: to analyze the accuracy of the clinical indicators of ineffective airway clearance in adult intensive care unit patients., Methods: diagnostic accuracy study, performed in the intensive care unit of a university hospital in northeastern Brazil. The sample consisted of 104 patients hospitalized between June and October 2019., Results: the prevalence of ineffective airway clearance was 36.54%. The indicators with high specificity included absence of cough (0.8326), orthopnea (0.6817), adventitious breath sounds (0.8175), and diminished breath sounds (0.8326). The clinical indicators with high sensitivity and specificity were alteration in respiratory rate (0.9999) and alteration in respiratory pattern (0.9999)., Conclusions: six clinical indicators provided an accurate identification of ineffective airway clearance. The clinical indicators alteration in respiratory rate and alteration in respiratory pattern were the most accurate for critical adult patients. The findings of this study contribute to accurate diagnostic inferences and to prevention of respiratory complications in these patients.

Objective: To analyze the content of the nursing diagnosis Ineffective Health Management in hemodialysis patients., Method: The Nursing Diagnoses Validation Model by Lopes, Silva and Auraújo was used in this research. A semi-structured questionnaire and evaluated the definition, location, defining characteristics, and related factors of the diagnosis Ineffective Health Management was answered by 22 experts in nursing diagnosis. The analysis was conducted from August 2014 to January 2015., Results: Experts considered the proposed definition and the current location in the taxonomy II by the NANDA-I, Domain 1 Health Promotion, Class 2 Health Control, adequate to the diagnosis. The adequacy level adopted at 85% or p > 0.05 were above 10 defining characteristics and 24 related factors. Experts also suggested that one defining characteristic should become a related factor and that three factors should turn into defining characteristics., Conclusion: A new proposal was developed for the diagnosis under study after the analysis of experts.

The present study has as its objective to learn about the perceptions of adolescent mothers, regarding maternity in this stage of their lives, the health assistance given to them by the hospital team, and their expectations in relation to this assistance during the maternity period. This is an exploratory-descriptive study with a qualitative approach, carried out with 11 puerperal adolescents during their stay an obstetric unit in a school hospital. Data were collected through semi-structured interviews and submitted to a theme analysis. The information gathered surfaced four main themes: 1) I am pregnant!, 2) Now, I have new responsibilities..., 3) Experiencing childbirth; To be mother is..., 4) We feel comfortable with the professionals here.... According to patient's reports it is feasible to have a humanistic assistance. In the specific case of the maternity analyzed the professionals were sensitive and compromised with the improvement of maternal health.