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Aims and Objectives: To validate clinically the nursing outcome "Swallowing status"., Methods: The adjustment of the nursing outcome was investigated according to the Classical and Item Response Theories. The models were compared regarding information loss, goodness-of-fit, and differential item functioning. Stability and internal consistency were examined., Results: The nursing outcome has the best fit in the generalized partial credit model with different discrimination parameters. Strong correlations among the scores of each indicator were observed. There was no differential item functioning of the outcome indicators. The scale presented high internal consistency (Cronbach's α = .954) and stability (and > .800)., Conclusions: This study presents a valid nursing outcome., Relevance to Clinical Practice: Most accurate monitoring of sensitivity to an intervention., Objetivo: Validar clinicamente o resultado de enefermagem "Estado da Deglutição". MÉTODOS: O ajustamento do resultado foi investigado de acordo com as teorias Clássica e de Resposta ao Item. Os modelos foram comparados assumindo parâmetros de itens cruzados de igual discriminação. Investigaram-se as propriedades de bondade do ajuste, funcionamento diferencial dos itens, estabilidade e consistência interna., Resultados: O resultado se ajustou melhor a partir do Modelo de crédito parcial generalizado, o qual demonstrou unidimensionalidade do resultado e forte correlação entre os escores de cada indicador. Não houve funcionamento diferencial dos indicadores. A consistência interna para a escala global (Cronbach's α = .954) e a estabilidade (>.800) mantiveram-se elevadas. CONCLUSÃO: O estudo apresenta um resultado de enfermagem válido. RELEVÂNCIA PARA A PRÁTICA CLÍNICA: Maior acurácia para monitorar a sensibilidade da intervenção., (© 2017 NANDA International, Inc.)

Purpose: To review the nursing outcome, Fall Prevention Behavior, and clinically validate its indicators in people with stroke., Methods: A methodological study performed with 106 patients in two outpatient clinics, from July to September of 2013. Two pairs of trained nurses applied the NOC scale, one with and one without the use of operational definitions. The internal consistency, stability and difference between the medians obtained by nurses were compared within and between pairs., Results: Most participants were men, elderly, with low education and income. Statistically significant differences were noted in twelve indicators. Five indicators had different means that were greater than the least significant difference., Conclusions: The indicators were statistically significant; the internal consistency was similar between the pairs and the intraclass correlation coefficient was more satisfactory in the pair that used the definitions. Thus, the construction of empirical referents and the clinical validation process makes the nursing indicators and outcomes more adequate for specific populations and provides an effective means to better evaluate the nursing actions., (Copyright © 2016 Elsevier Inc. All rights reserved.)

Objective: to investigate the association of risk factors with the Risk for aspiration nursing diagnosis and respiratory aspiration., Method: cross-sectional study assessing 105 patients with stroke. The instrument used to collect data addressing sociodemographic information, clinical variables and risk factors for Risk for aspiration. The clinical judgments of three expert RNs were used to establish the diagnosis. The relationship between variables and strength of association using Odds Ratio (OR) was verified both in regard to Risk for aspiration and respiratory aspiration., Results: risk for aspiration was present in 34.3% of the patients and aspiration in 30.5%. The following stood out among the risk factors: Dysphagia, Impaired or absent gag reflex, Neurological disorders, and Impaired physical mobility, all of which were statistically associated with Risk for aspiration. Note that patients who develop such a diagnosis were seven times more likely to develop respiratory aspiration., Conclusion: dysphagia, Impaired or absent gag reflex were the best predictors both for Risk for aspiration and respiratory aspiration.

Purpose: To validate the indicators of the mobility nursing outcome., Methods: This is a methodological study carried out from February to April 2011. The instrument was assessed by 23 nurses, and the data were analyzed using SPSS version 16.0., Findings: The title "physical mobility" was the most suitable. There was a statistical proportion of less than 85% of experts who agreed that the indicators running, crawling, jumping, and moves with ease were relevant to mobility nursing outcome (p < .05). However, these indicators were not associated with stroke patients., Conclusions: For stroke patients, some indicators are not adequate to their evaluation., Implications for Nursing Practice: This work supports the tools' development to assess accurate outcome measurements in specific populations., (© 2013 NANDA International.)

The purpose of this study was to evaluate the patient with a stroke in home treatment, investigating physical capacity, mental status and anthropometric analysis. This was a cross-sectional study conducted in Fortaleza/CE, from January to April of 2010. Sixty-one individuals monitored by a home care program of three tertiary hospitals were investigated, through interviews and the application of scales. The majority of individuals encountered were female (59%), elderly, bedridden, with a low educational level, a history of other stroke, a high degree of dependence for basic (73.8%) and instrumental (80.3 %) activities of daily living, and a low cognitive level (95.1%). Individuals also presented with tracheostomy, gastric feeding and urinary catheter, difficulty hearing, speaking, chewing, swallowing, and those making daily use of various medications. It was concluded that home care by nurses is an alternative for care of those individuals with a stroke.

The main objectives of this study were to investigate the prevalence of the nursing diagnosis caregiver role strain (CRS) in caregivers of patients with stroke and to identify the accuracy of this diagnosis's clinical indicators. A total of 42 stroke patient caregivers who provided in-home care services in a city in north-eastern Brazil. The sensitivity, specificity, and predictive value of clinical indicators of nursing diagnosis 'CRS' were analyzed. Study participants were mostly female, married and the daughters of stroke patients. CRS was present in 73.8% of caregivers. The presence of the clinical indicators, specifically, lack of time to meet personal needs (p = 0.011), increased emotional lability (p = 0.001), withdrawal from social life (p = 0.002), and changes in leisure activities (p = 0.002), presented high values for statistical measures of diagnostic accuracy.

The objective of the study was to evaluate the available productions in literature about scales to measure the overload of caregivers of patients with stroke. It was carried out a bibliographical revision in three databases: LILACS, CINAHL and SCOPUS. In 23 works, 24 different scales were identified, and the most cited were: the Caregiver Strain Index, the Caregiver Burden Scale, the Caregiver Reaction Assessment, the Sense of Competence Questionnaire, the Relatives Stress Scale and the Zarit Burden Interview. The use of scales to measure the overload is an important tool to evaluate the context in which the caregiver is inserted, but is more trustworthy to use more than one measure instrument than use only one. Therefore, the validation of scales becomes important for this population.

The purpose of this study was to verify the presence of a nursing diagnosis of fall risk in elderly with stroke. Observational exploratory and cross-sectional study with descrziptive analysis. Performed in a charitable rehabilitation association in Fortaleza city, from January to March 2010, by primary source, by interviews and physical examination with elderly people who had at least one episode of stroke 37 individuals participated of which 20 (54.1%) were women, with mean age of 70.6years, and 18 (48.6%) lived with a partner and had an average of 5.2 years of study. The risk of falls was found in all elderly. Among the risk factors identified it is possible to highlight Impaired balance (100%), Age above 65 years (83.7%), and Proprioceptive deficit (83.7%). Nurses must consider the risk of falls as a nursing carefocus and implement and evaluate the results of interventions for fall prevention.

The study aimed to investigate the occurrence of Nursing Diagnosis Impaired Physical Mobility in patients with stroke. This exploratory study was developed at rehabilitation units from November 2007 to march 2008, through an interview and physical examination. Nursing diagnoses were made using NANDA Taxonomy II. A total 121 patients were evaluated. Subjects' average age was 62.1 years, 52.3% were males with an average 1.5 stroke events in 3.4 years. The diagnosis was present in 90%, with an average of 5.8 defining characteristic. Difficulty turning was the most present characteristic and there were 3.4 related factors per patient, and most reported decreased strength and endurance besides neuromuscular impairment (100%). There should be a closer look towards this diagnosis when planning interventions after a stroke with aiming at health promotion for these patients.

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Objetivo: investigar a associação dos fatores de risco com o diagnóstico de enfermagem Risco de aspiração e a aspiração respiratória. Método: estudo transversal, no qual se avaliaram 105 pacientes com acidente vascular cerebral. O instrumento utilizado para a coleta de dados continha os dados sociodemográficos, clínicos e os fatores de risco para o Risco de aspiração. Para determinação do diagnóstico, utilizou-se o julgamento clínico de três enfermeiras experts. Investigou-se a relação entre as variáveis e a sua força de associação por meio da Razão de Chance (OR) tanto para a relação com o diagnóstico de enfermagem Risco de aspiração como para aspiração respiratória. Resultados: o diagnóstico Risco de aspiração esteve presente em 34,3% dos pacientes e o de aspiração em 30,5%. Quanto aos fatores de risco, destacaram-se Disfagia, Reflexo de vômito diminuído ou ausente, Desordens neurológicas e Mobilidade corporal diminuída associados estatisticamente com o diagnóstico Risco de aspiração. Ressalta-se que os pacientes que desenvolveram tal diagnóstico aumentaram em sete vezes a chance de desenvolver aspiração respiratória. Conclusão: os fatores Disfagia, Reflexo de vômito diminuído ou ausente e Mobilidade corporal diminuída foram os melhores preditores tanto do Risco de aspiração, como da aspiração respiratória. [ABSTRACT FROM AUTHOR]

Copyright of Rev Rene is the property of Rev Rene and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The main objectives of this study were to investigate the prevalence of the nursing diagnosis caregiver role strain (CRS) in caregivers of patients with stroke and to identify the accuracy of this diagnosis's clinical indicators. A total of 42 stroke patient caregivers who provided in-home care services in a city in north-eastern Brazil. The sensitivity, specificity, and predictive value of clinical indicators of nursing diagnosis 'CRS' were analyzed. Study participants were mostly female, married and the daughters of stroke patients. CRS was present in 73.8% of caregivers. The presence of the clinical indicators, specifically, lack of time to meet personal needs (p = 0.011), increased emotional lability (p = 0.001), withdrawal from social life (p = 0.002), and changes in leisure activities (p = 0.002), presented high values for statistical measures of diagnostic accuracy. [ABSTRACT FROM AUTHOR]

Copyright of Revista Eletrônica de Enfermagem is the property of Revista Eletronica de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: to develop indicators for the nursing outcome Swallowing Status and the respective conceptual and operational definitions validated by experts and in a clinical setting among patients after having experienced a stroke. Method: methodological study with concept analysis and content and clinical validations. The Content Validation Index was verified for the scores assigned by 11 experts to indicators. Two pairs of nurses assessed 81 patients during the clinical validation: one pair used an instrument with definitions and the other used an instrument without definitions. The resulting assessments were compared using Intraclass Correlation Coefficient, Friedman's test, and Minimal Important Difference calculation. Results: All the indicators, with the exception of the indicator Ability to bring food to mouth, presented Content Validation Index above 0.80. The pair using the instrument with definitions presented an Intraclass Correlation Coefficient above 0.80 for all the indicators and similarity was found in all the assessments, according to the Minimal Important Difference calculation. The pair using the instrument without definitions presented a low coefficient (ρ<0.75) for all the indicators. Conclusion: the results showed that greater uniformity and accuracy was achieved by the pair of nurses using the conceptual and operational definitions for the indicators of the nursing outcome Swallowing Status. [ABSTRACT FROM AUTHOR]