Search

Purpose: This study aimed to establish the content validity of the proposed nursing diagnosis (ND) "Adult Disuse Syndrome" and all its components., Method: This is an exploratory descriptive study of diagnostic content validation under Fehring's proposal. Forty three expert nurses with clinical, teaching, and research experience analyzed the components of the diagnosis. The representativeness and relevance of the components of the diagnosis under study were evaluated through a Likert-type questionnaire. Data distribution analysis was carried out, and the components were validated if their content validity index (CVI) was over 0.80. The overall CVI was obtained for the clinical indicators., Findings: A total of 12 defining characteristics (DCs) were validated, 3 etiological factors were highly related, 6 risk populations were confirmed, and 11 conditions were considered associated. Most validated DCs refer to the physical dimension, but those focusing on the psychological and social dimensions were also validated. The etiological factors were related to the effects of immobility. The risk populations were validated in different contexts or situations, and associated conditions were mainly oriented toward chronic conditions., Conclusions: This study validated the content of the elements of the proposed ND "Adult Disuse Syndrome." These were considered relevant and appropriate by both academic and clinical experts., Implications for Nursing Practice: The content validation by experts of the components of the ND "Adult Disuse Syndrome" provides nurses with a tool for the identification of the phenomenon that exceeds the risk and occurs frequently in patients exposed to the effects of immobility. At the same time, it will guide the results pursued in the care plan and the application of the respective nursing and interdisciplinary interventions that favor the reduction of the complications derived from disuse., (© 2025 The Author(s). International Journal of Nursing Knowledge published by Wiley Periodicals LLC on behalf of NANDA International.)

Purpose: The aim of this paper is to develop a preliminary theory that explores in depth into understanding the experiences of women who have suffered a spontaneous perinatal loss during any trimester of their pregnancy regarding their emotional response to this loss., Design: A grounded theory approach was used, and 25 in-depth interviews were conducted with Spanish women who suffered a spontaneous perinatal loss., Methods: Theoretical sampling and constant comparative analysis were used to reach theoretical saturation. EQUATOR guidelines were followed, using the COREQ checklist., Results: The "Perinatal loss, a devastating cyclone," a situation-specific nursing theory, explains the process that a woman experiences when she loses her baby at any stage of pregnancy, drawing an analogy with tropical cyclones as natural disasters that destroy everything in their path. This situation-specific theory includes three dimensions, explaining the phases identified in the perinatal loss process (phase prior to impact [before the perinatal loss], impact phase [diagnostic moment], emergency phase [hospital care], relief or honeymoon phase [return home], disillusionment or stock-taking phase [after the first postloss days at home], reconstruction and recovery phase [grief construction process] and consequences [with an eye to the future]). Three intervention areas were described around the perinatal loss process: "rescue area" (partner, grandparents, and siblings of the deceased baby), "relief area" (healthcare professionals), and "base camp" (society)., Conclusion: The situation-specific nursing theory "Perinatal loss, a devastating cyclone" is the final product of a grounded theory study that provided an in-depth analysis of women's experiences when they suffer a spontaneous perinatal loss at any point in their pregnancy., Clinical Relevance: The situation-specific theory "Perinatal loss, a devastating cyclone" with the seven identified phases and the three areas of intervention could be used as a framework for healthcare professionals in their clinical practice as a guide to support women in this disfranchised grief., (© 2024 The Author(s). Journal of Nursing Scholarship published by Wiley Periodicals LLC on behalf of Sigma Theta Tau International.)

Purpose: To develop a nursing diagnosis proposal derived from the concept of "disuse syndrome" based on an integrative review., Methods: The conceptual derivation technique, proposed by Walker and Avant, was used in the following phases: an integrative review of the literature was carried out, applying the parameters of Whitermore and Knalf, where 43 articles were selected that covered the existence of the concept in the nursing discipline and other health sciences, the concepts were subsequently analyzed, and the new concept was redefined following the middle-range theory of causality and validation of nursing diagnoses proposed by Oliveira-Lopes et al., Findings: The proposal of the new nursing diagnosis was developed, including the following elements: diagnostic label adult disuse syndrome, the corresponding definition, 25 defining characteristics, eight related factors, eight risk populations, and 14 associated problems., Conclusions: The concept of the proposed new diagnosis describes adult disuse syndrome as a phenomenon that transcends the physiological component and should be viewed from a multidimensional view, expressing a clinical judgment related to a series of nursing diagnoses that appear together., Implications for Nursing Practice: The results of this study will help nursing professionals to identify the phenomenon of adult disuse syndrome in any setting and in turn guide optimal care interventions that decrease the consequences of adult disuse syndrome., (© 2023 NANDA International, Inc.)

Purpose: To analyze the frequency of the nursing diagnosis disturbed thought processes (DTP) (00130) in a sample of psychiatric and psychogeriatric patients in medium- and long-term units and to describe those factors associated with its presence., Methods: A secondary analysis of the data obtained in a multicentric and cross-sectional study developed in Spain was undertaken., Findings: The total sample was 624 patients, from which 39.4% (n = 246) had the nursing diagnosis DTP. A statistically significant relationship between the presence of DTP and different variables was found., Conclusions: The nursing diagnosis DTP is very frequent among psychiatric and psychogeriatric institutionalized patients., Implications for Nursing Practice: Patients with DTP may require a more complex nursing attention as its presence is associated with specific care needs., (© 2015 NANDA International, Inc.)