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Content analysis of the nursing diagnosis of ineffective peripheral tissue perfusion in patients with diabetic foot
Aim To analyse the content of the nursing diagnosis ineffective peripheral tissue perfusion in patients with diabetic foot. Design A methodological study with a quantitative approach was performed. Methods The analysis was performed between January and May 2021 by 34 nurses with clinical/theoretical...
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| Published in: | Journal of clinical nursing 2024-10, Vol.33 (10), p.3991-4004 |
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| container_end_page | 4004 |
| container_issue | 10 |
| container_start_page | 3991 |
| container_title | Journal of clinical nursing |
| container_volume | 33 |
| creator | Fontenele Nascimento, Lorrany Maia Pascoal, Lívia de Oliveira Lopes, Marcos Venícios Santos Neto, Marcelino Arrais Sampaio Santos, Francisca Aline Pereira De Jesus Costa, Ana Cristina Stabnow Santos, Floriacy |
| description | Aim
To analyse the content of the nursing diagnosis ineffective peripheral tissue perfusion in patients with diabetic foot.
Design
A methodological study with a quantitative approach was performed.
Methods
The analysis was performed between January and May 2021 by 34 nurses with clinical/theoretical/research experience with diabetes or nursing diagnoses. These nurses evaluated the relevance, clarity and precision of 12 diagnosis‐specific etiological factors, 22 clinical indicators and their conceptual and operational definitions.
Findings
All 12 etiological factors analysed were considered relevant to diagnostic identification. However, five showed inconsistencies regarding the clarity or precision of the operational definitions, requiring adjustments. Regarding the 22 clinical indicators evaluated, all of them presented a Content Validity Index (CVI) that was statistically significant. However, in the indicators, the colour does not return to lowered limb after 1 min of leg elevation, and cold foot had Content Validity Index (CVI) |
| doi_str_mv | 10.1111/jocn.17063 |
| format | article |
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To analyse the content of the nursing diagnosis ineffective peripheral tissue perfusion in patients with diabetic foot.
Design
A methodological study with a quantitative approach was performed.
Methods
The analysis was performed between January and May 2021 by 34 nurses with clinical/theoretical/research experience with diabetes or nursing diagnoses. These nurses evaluated the relevance, clarity and precision of 12 diagnosis‐specific etiological factors, 22 clinical indicators and their conceptual and operational definitions.
Findings
All 12 etiological factors analysed were considered relevant to diagnostic identification. However, five showed inconsistencies regarding the clarity or precision of the operational definitions, requiring adjustments. Regarding the 22 clinical indicators evaluated, all of them presented a Content Validity Index (CVI) that was statistically significant. However, in the indicators, the colour does not return to lowered limb after 1 min of leg elevation, and cold foot had Content Validity Index (CVI) <0.9 regarding relevance and accuracy of operational definitions.
Conclusions
Twelve etiological factors and 22 clinical indicators were validated. Thus, this study revealed new and relevant aspects characterising peripheral perfusion in patients with diabetic foot that have not yet been clinically validated.
Implications for Nursing Practice
This study contributes to support the professional practice of nurses through the early identification of etiological factors and clinical indicators in persons with diabetic foot. As a proposal, we suggest the inclusion of new defining characteristics and related factors for the nursing diagnosis ineffective peripheral tissue perfusion in the NANDA‐I taxonomy.
Impact
The research highlights new and relevant aspects such as etiological factors and clinical indicators to characterise peripheral perfusion in patients with diabetic foot. Based on these findings, clinical validation is recommended to confirm the relevance of the proposed elements in the population studied for greater reliability and improved diagnostic assessment for the professional practice of nurses.
Reporting Method
EQUATOR guidelines were adhered to using the GRRAS checklist for reporting reliability and agreement studies.
Patient or Public Contribution
No patient or public contribution.</description><identifier>ISSN: 0962-1067</identifier><identifier>ISSN: 1365-2702</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/jocn.17063</identifier><identifier>PMID: 38323737</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Diabetes ; diabetic foot ; Diabetic Foot - diagnosis ; Diabetic Foot - nursing ; Etiology ; Female ; Foot diseases ; Humans ; Male ; Medical diagnosis ; Middle Aged ; Nurses ; Nursing ; Nursing care ; Nursing Diagnosis ; Patients ; Professional practice ; validation study</subject><ispartof>Journal of clinical nursing, 2024-10, Vol.33 (10), p.3991-4004</ispartof><rights>2024 John Wiley & Sons Ltd.</rights><rights>Copyright © 2024 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3163-a0888be8f8e798c026bfa38fdb37593b2b85d8c30e5d4fd848ae5a5b49a16153</cites><orcidid>0000-0002-4763-2537 ; 0000-0002-6105-1886 ; 0000-0002-3683-4969 ; 0000-0001-5867-8023 ; 0000-0003-0876-3996 ; 0000-0001-7757-8183 ; 0000-0001-7840-7642</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38323737$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fontenele Nascimento, Lorrany</creatorcontrib><creatorcontrib>Maia Pascoal, Lívia</creatorcontrib><creatorcontrib>de Oliveira Lopes, Marcos Venícios</creatorcontrib><creatorcontrib>Santos Neto, Marcelino</creatorcontrib><creatorcontrib>Arrais Sampaio Santos, Francisca Aline</creatorcontrib><creatorcontrib>Pereira De Jesus Costa, Ana Cristina</creatorcontrib><creatorcontrib>Stabnow Santos, Floriacy</creatorcontrib><title>Content analysis of the nursing diagnosis of ineffective peripheral tissue perfusion in patients with diabetic foot</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><description>Aim
To analyse the content of the nursing diagnosis ineffective peripheral tissue perfusion in patients with diabetic foot.
Design
A methodological study with a quantitative approach was performed.
Methods
The analysis was performed between January and May 2021 by 34 nurses with clinical/theoretical/research experience with diabetes or nursing diagnoses. These nurses evaluated the relevance, clarity and precision of 12 diagnosis‐specific etiological factors, 22 clinical indicators and their conceptual and operational definitions.
Findings
All 12 etiological factors analysed were considered relevant to diagnostic identification. However, five showed inconsistencies regarding the clarity or precision of the operational definitions, requiring adjustments. Regarding the 22 clinical indicators evaluated, all of them presented a Content Validity Index (CVI) that was statistically significant. However, in the indicators, the colour does not return to lowered limb after 1 min of leg elevation, and cold foot had Content Validity Index (CVI) <0.9 regarding relevance and accuracy of operational definitions.
Conclusions
Twelve etiological factors and 22 clinical indicators were validated. Thus, this study revealed new and relevant aspects characterising peripheral perfusion in patients with diabetic foot that have not yet been clinically validated.
Implications for Nursing Practice
This study contributes to support the professional practice of nurses through the early identification of etiological factors and clinical indicators in persons with diabetic foot. As a proposal, we suggest the inclusion of new defining characteristics and related factors for the nursing diagnosis ineffective peripheral tissue perfusion in the NANDA‐I taxonomy.
Impact
The research highlights new and relevant aspects such as etiological factors and clinical indicators to characterise peripheral perfusion in patients with diabetic foot. Based on these findings, clinical validation is recommended to confirm the relevance of the proposed elements in the population studied for greater reliability and improved diagnostic assessment for the professional practice of nurses.
Reporting Method
EQUATOR guidelines were adhered to using the GRRAS checklist for reporting reliability and agreement studies.
Patient or Public Contribution
No patient or public contribution.</description><subject>Adult</subject><subject>Diabetes</subject><subject>diabetic foot</subject><subject>Diabetic Foot - diagnosis</subject><subject>Diabetic Foot - nursing</subject><subject>Etiology</subject><subject>Female</subject><subject>Foot diseases</subject><subject>Humans</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>Nursing Diagnosis</subject><subject>Patients</subject><subject>Professional practice</subject><subject>validation study</subject><issn>0962-1067</issn><issn>1365-2702</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kU1P3DAQhq2qqCy0F35AZakXhBRqe5LYOVYrPopQuXC3nGTMepW1U9sB7b8nyy49cOhcRpp59Bzel5Azzi75PD_XofOXXLIaPpEFh7oqhGTiM1mwphYFZ7U8JicprRnjIAR8IcegQIAEuSBpGXxGn6nxZtgml2iwNK-Q-ikm559o78yTD4eH82gtdtk9Ix0xunGF0Qw0u5Smt4udkgt-5uhospu9ib64vNpZWsyuozaE_JUcWTMk_HbYp-Tx-upxeVvcP9z8Xv66LzrgNRSGKaVaVFahbFTHRN1aA8r2LciqgVa0qupVBwyrvrS9KpXBylRt2Rhe8wpOyfleO8bwd8KU9calDofBeAxT0qIRAELKRs7ojw_oOkxxTiRp4LyUJWvKcqYu9lQXQ0oRrR6j25i41ZzpXRN614R-a2KGvx-UU7vB_h_6Hv0M8D3w4gbc_kel7x6Wf_bSV-jWlTI</recordid><startdate>202410</startdate><enddate>202410</enddate><creator>Fontenele Nascimento, Lorrany</creator><creator>Maia Pascoal, Lívia</creator><creator>de Oliveira Lopes, Marcos Venícios</creator><creator>Santos Neto, Marcelino</creator><creator>Arrais Sampaio Santos, Francisca Aline</creator><creator>Pereira De Jesus Costa, Ana Cristina</creator><creator>Stabnow Santos, Floriacy</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4763-2537</orcidid><orcidid>https://orcid.org/0000-0002-6105-1886</orcidid><orcidid>https://orcid.org/0000-0002-3683-4969</orcidid><orcidid>https://orcid.org/0000-0001-5867-8023</orcidid><orcidid>https://orcid.org/0000-0003-0876-3996</orcidid><orcidid>https://orcid.org/0000-0001-7757-8183</orcidid><orcidid>https://orcid.org/0000-0001-7840-7642</orcidid></search><sort><creationdate>202410</creationdate><title>Content analysis of the nursing diagnosis of ineffective peripheral tissue perfusion in patients with diabetic foot</title><author>Fontenele Nascimento, Lorrany ; Maia Pascoal, Lívia ; de Oliveira Lopes, Marcos Venícios ; Santos Neto, Marcelino ; Arrais Sampaio Santos, Francisca Aline ; Pereira De Jesus Costa, Ana Cristina ; Stabnow Santos, Floriacy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3163-a0888be8f8e798c026bfa38fdb37593b2b85d8c30e5d4fd848ae5a5b49a16153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Diabetes</topic><topic>diabetic foot</topic><topic>Diabetic Foot - diagnosis</topic><topic>Diabetic Foot - nursing</topic><topic>Etiology</topic><topic>Female</topic><topic>Foot diseases</topic><topic>Humans</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Middle Aged</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Nursing care</topic><topic>Nursing Diagnosis</topic><topic>Patients</topic><topic>Professional practice</topic><topic>validation study</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fontenele Nascimento, Lorrany</creatorcontrib><creatorcontrib>Maia Pascoal, Lívia</creatorcontrib><creatorcontrib>de Oliveira Lopes, Marcos Venícios</creatorcontrib><creatorcontrib>Santos Neto, Marcelino</creatorcontrib><creatorcontrib>Arrais Sampaio Santos, Francisca Aline</creatorcontrib><creatorcontrib>Pereira De Jesus Costa, Ana Cristina</creatorcontrib><creatorcontrib>Stabnow Santos, Floriacy</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fontenele Nascimento, Lorrany</au><au>Maia Pascoal, Lívia</au><au>de Oliveira Lopes, Marcos Venícios</au><au>Santos Neto, Marcelino</au><au>Arrais Sampaio Santos, Francisca Aline</au><au>Pereira De Jesus Costa, Ana Cristina</au><au>Stabnow Santos, Floriacy</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Content analysis of the nursing diagnosis of ineffective peripheral tissue perfusion in patients with diabetic foot</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2024-10</date><risdate>2024</risdate><volume>33</volume><issue>10</issue><spage>3991</spage><epage>4004</epage><pages>3991-4004</pages><issn>0962-1067</issn><issn>1365-2702</issn><eissn>1365-2702</eissn><abstract>Aim
To analyse the content of the nursing diagnosis ineffective peripheral tissue perfusion in patients with diabetic foot.
Design
A methodological study with a quantitative approach was performed.
Methods
The analysis was performed between January and May 2021 by 34 nurses with clinical/theoretical/research experience with diabetes or nursing diagnoses. These nurses evaluated the relevance, clarity and precision of 12 diagnosis‐specific etiological factors, 22 clinical indicators and their conceptual and operational definitions.
Findings
All 12 etiological factors analysed were considered relevant to diagnostic identification. However, five showed inconsistencies regarding the clarity or precision of the operational definitions, requiring adjustments. Regarding the 22 clinical indicators evaluated, all of them presented a Content Validity Index (CVI) that was statistically significant. However, in the indicators, the colour does not return to lowered limb after 1 min of leg elevation, and cold foot had Content Validity Index (CVI) <0.9 regarding relevance and accuracy of operational definitions.
Conclusions
Twelve etiological factors and 22 clinical indicators were validated. Thus, this study revealed new and relevant aspects characterising peripheral perfusion in patients with diabetic foot that have not yet been clinically validated.
Implications for Nursing Practice
This study contributes to support the professional practice of nurses through the early identification of etiological factors and clinical indicators in persons with diabetic foot. As a proposal, we suggest the inclusion of new defining characteristics and related factors for the nursing diagnosis ineffective peripheral tissue perfusion in the NANDA‐I taxonomy.
Impact
The research highlights new and relevant aspects such as etiological factors and clinical indicators to characterise peripheral perfusion in patients with diabetic foot. Based on these findings, clinical validation is recommended to confirm the relevance of the proposed elements in the population studied for greater reliability and improved diagnostic assessment for the professional practice of nurses.
Reporting Method
EQUATOR guidelines were adhered to using the GRRAS checklist for reporting reliability and agreement studies.
Patient or Public Contribution
No patient or public contribution.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38323737</pmid><doi>10.1111/jocn.17063</doi><tpages>14</tpages><orcidid>https://orcid.org/0000-0002-4763-2537</orcidid><orcidid>https://orcid.org/0000-0002-6105-1886</orcidid><orcidid>https://orcid.org/0000-0002-3683-4969</orcidid><orcidid>https://orcid.org/0000-0001-5867-8023</orcidid><orcidid>https://orcid.org/0000-0003-0876-3996</orcidid><orcidid>https://orcid.org/0000-0001-7757-8183</orcidid><orcidid>https://orcid.org/0000-0001-7840-7642</orcidid></addata></record> |
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| identifier | ISSN: 0962-1067 |
| ispartof | Journal of clinical nursing, 2024-10, Vol.33 (10), p.3991-4004 |
| issn | 0962-1067 1365-2702 1365-2702 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2923327797 |
| source | Wiley-Blackwell Read & Publish Collection |
| subjects | Adult Diabetes diabetic foot Diabetic Foot - diagnosis Diabetic Foot - nursing Etiology Female Foot diseases Humans Male Medical diagnosis Middle Aged Nurses Nursing Nursing care Nursing Diagnosis Patients Professional practice validation study |
| title | Content analysis of the nursing diagnosis of ineffective peripheral tissue perfusion in patients with diabetic foot |
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