Banca de DEFESA: ANA CAROLINA COSTA CARINO

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : ANA CAROLINA COSTA CARINO
DATE: 01/03/2024
TIME: 14:00
LOCAL: Departamento de Enfermagem / Google Meet
TITLE:

Validation of the nursing diagnosis Overweight in university students

KEY WORDS:

Nursing Diagnosis; Validation Studies; Overweight; Universities.

PAGES: 150
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

Intense weight gain after entering university is common among undergraduate students. In this context, the importance of empowering professional nurses in the development of health promotion strategies, based on the inference of accurate and precise diagnoses, is emphasized. Thus, the objective of the present study is to validate the nursing diagnosis of Overweight in adolescents and young adults at university. This is a methodological study, developed in two stages, namely: content analysis; and, clinical validation, through a diagnostic accuracy study. The study was developed according to the Lopes e Silva framework. It should be noted that the theoretical-causal validation stage, based on the construction of a medium-range theory, was carried out in a previous study. The project was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, under opinion number 4.953.282 and CAAE 48202221.6.0000.5537. Regarding data analysis from the content analysis stage, the collective wisdom model was followed, with the participation of 48 judges. The Content Validity Index was used, through the application of the Wilcoxon statistical test, with p-value > 0.05, to determine the proportion of judges who agreed with the items presented. For clinical validation, 108 nursing students were interviewed. The latent class analysis model was followed to establish accuracy measures, namely: sensitivity and specificity. The analysis of the association of sociodemographic, clinical and behavioral variables with the nursing diagnosis of Overweight occurred through analysis of the Pearson Chi-square Test and Fisher's Exact Test. A p-value ≤ 0.05 was considered statistically significant. Regarding the results, in the first stage of the study, all items were considered statistically valid, and a new structure for the nursing diagnosis “Overweight” was proposed, containing 06 defining characteristics, 06 related factors, 06 risk population; 03 associated conditions. In the second stage of the present study, the prevalence of the nursing diagnosis among the clientele was 38.12%. The following were identified as sensitive defining characteristics: “Excessive calorie consumption” and “Dissatisfaction with body image”. On the other hand, the specific defining characteristics were: “Negative self-perception of health”, “Inadequate eating behavior” and “Impaired emotional health”. “Personal history of being overweight” stood out as the factor with the greatest impact on the occurrence of the diagnosis in the studied clientele. It is concluded that the Overweight diagnosis is verifiable in adolescents and young adults at university and presents two sensitive and three specific characteristics. Thus, it is expected to contribute to increasing the level of evidence of the aforementioned diagnosis in the NANDA-I taxonomy, as well as to greater knowledge about the accuracy of the defining characteristics of the Overweight diagnosis in adolescents and young adults at university.

COMMITTEE MEMBERS:
Presidente - 1675334 - ANA LUISA BRANDAO DE CARVALHO LIRA
Externa ao Programa - 3221432 - CAROLINE EVELIN NASCIMENTO KLUCZYNIK - nullExterna à Instituição - KADYJINA DAIANE BATISTA LÚCIO
Externo à Instituição - MARCOS VENÍCIOS DE OLIVEIRA LOPES - UFC
Interna - 1054749 - MARIA ISABEL DA CONCEICAO DIAS FERNANDES