Content analysis and clinical validation of nursing diagnosis delayed growth.
Nursing Diagnosis. Validation Studies. Adolescent. Failure to Thrive. Schoolchildren.
The term growth is often conceptually confused with development. Although correlates, these are different phenomena. Growth is a complex biological phenomenon genetically determined and modulated by extrinsic factors. In the period of adolescence, the human being experiences a series of alterations and his second outbreak of growth. In view of the need to clarify this term and to analyze the factors influencing and characteristics of this delay during adolescence, this study aims to analyze the content and accuracy measures of nursing diagnosis delay in growth in adolescents. Methodological study, developed in two stages, namely: content analysis and clinical validation. In the first stage, the opinions of the specialists were requested regarding the adequacy of the components and definitions of the respective diagnosis, through the focal group with nine nurses. Three meetings took place from January to February 2017. The second stage will evaluate, in clinical practice, the most accurate defining characteristics for the diagnosis Delay in Growth in adolescents. The instrument will be applied to 385 adolescents from eight state schools located in the municipality of Natal. To analyze the data, descriptive and inferential statistics will be used. In the descriptive analysis, measures of central tendency and dispersion will be adopted. In inferential, there will be measurement of the accuracy measurements of the defining characteristics of said diagnosis. This process will happen through the latent class analysis, obtaining values of specificity and sensitivity. The research project was submitted and approved by the Research Ethics Committee under number 1,713,820 and Certificate of Presentation for Ethical Appreciation: 57945016.4.0000.5537. Partial results regarding the first stage of this study resulted in eight factors related to growth retardation and seven defining characteristics. As a definition for diagnosis, we adopted: Growth below that expected for individuals of the same sex, in the age group from 10 to 19 years. A pilot test was carried out to analyze the suitability of the instrument for performing the clinical validation step. Thus, it is hoped to contribute to the nurses' diagnostic reasoning regarding adolescent care, as well as to broaden the nursing state of the art.