Content validation of the nursing diagnosis "ineffective protection" in the context of adolescents with cancer.

Objective: To analyze the relevance of a set of clinical elements to represent the content domain of the nursing diagnosis Ineffective Protection.
Design and Methods: This study employed content validation, using expert judgment to assess the appropriateness of clinical indicators, etiological factors, and conceptual and operational definitions, integrating the collective wisdom framework, the theory of predictive diversity, and the determination of rater skill level.
Results: From the middle range theory, 28 clinical indicators and 17 etiological factors were identified, which were rated by 34 raters. The analysis showed that the clinical indicators restlessness and insomnia and the etiological factors ambient temperature and humidity were not considered relevant for the nursing diagnosis of Ineffective Protection, because the median content validity index was lower than 0.9.
Conclusions: Content validation verified that most of the components of the nursing diagnosis of Ineffective Protection were considered relevant by judges.
Practical Implications: It is believed that the data obtained can help nurses to more easily evaluate the related factors and clinical indicators of Ineffective Protection presented by adolescents with cancer, which favors the process of diagnostic inference.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
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