DIAGNOSIS CONSTRUCTION DELAYS NURSING IN DEVELOPMENT
Disability in development. Growth and development. Teenager. Nursing.
The adolescence is a critical stage of human development process, marked by bio-social, cognitive and psychosocial changes. These transformations are influenced by biological and social terms. Therefore, the objective of this study, build the nursing diagnosis delay in developing during the youth ages. We conducted a concept analysis, according to the reference of Walker and Avant, which was operationalized by an integrative review. The databases used were: SCOPUS, Cumulative Index to Nursing and Allied Health Literature, National Library of Medicine and Nattional Institutes of Health, Latin American and Caribbean Health Sciences, Web of Science and Science Direct and the Journal of Human Growth and Development. The crossing of Developmental Disabilities descriptors; Growth and Development and Adolescent and keywords: Cognitive development; physical development; sexual maturation; Delay; Delay in puberty allowed to obtain an initial sample of 20 402 references that have passed thru three stages of evaluation, named:title reading and summary; consensus with the group of researchers and reading full of selected references. The final sample included a total of 51 references, which have been carefully analyzed to identify the attributes, background and concept of the consequent delay in the development of teenagers. The results show the identification of four attributes; 15 background and 16 consequential; the last one is distributed in the areas bio-social, cognitive and psychosocial. The proposed structure for the nursing diagnosis is: title - Delay in developing adolescent; dominance - 13; class - 2; definition - Development below expectations for individuals aged 10 to 19 years old, caused by delay in one or more of the following areas: cognition, behavior, social and pubertal; defining characteristics - biosocial dominance - Low self-esteem; body dissatisfaction and delayed sexual maturation; cognitive dominace - poor school performance; daily life activity harmed ; harmed verbal communication; executive function deficit and hyperactivity disorder; psychosocial dominance - externalizing behavior; internalizing behavior; difficulties expressing emotions; passive confrontation or dependence; insecurity and eating disorders; related factors -abuse of psychoactive substances , stressful home environment, maternal and neonatal obstetric conditions, malnutrition, genetic disorders, chronic illness, chronic pain, adverse effects of medication, exposure to toxic substances, infections, brain demage, social marginalization, not accepting the body changes of puberty, obesity, emotional divestment and physical trauma. Therefore, it is concluded that the delay in concept development on teenagers is extensive and involves relevant aspects that contribute for the nurses clinical practice. It is believed that further studies of this nature is an important basis for the growth of the scientific structure of nursing, supporting the development of technologies in the area.