Banca de DEFESA: JESSICA NAIARA DE MEDEIROS ARAUJO

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : JESSICA NAIARA DE MEDEIROS ARAUJO
DATA : 01/02/2019
HORA: 09:00
LOCAL: Departamento de Enfermagem
TÍTULO:

Construction and validation of nursing diagnosis Ocular dryness in adult patients hospitalized in an intensive care unit

PALAVRAS-CHAVES:

Nursing; Nursing Process; Dry Eye Syndromes; Eye Health; Dryness; Intensive Care Units; Validation Studies 

PÁGINAS: 120
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

 

This study aimed to construct and validate the nursing diagnosis Ocular dryness in adult patients hospitalized in an intensive care unit (ICU). This is a methodological research of validation of nursing diagnosis developed in three interrelated stages, namely: STAGE 1: Construction of the nursing diagnosis Ocular dryness in adult patients hospitalized in an ICU and construction of the definitions, based on the concept analysis framework and operationalized through Scoping Review. STAGE 2: Analysis of diagnostic content, in which the evaluators judged the adequacy of previously created concepts, through focus group. STAGE 3: Clinical validation of nursing diagnosis Ocular dryness in adult patients hospitalized in an ICU, performed by means of a study of the accuracy of clinical indicators of nursing diagnosis Ocular dryness, with a cross-sectional design and quantitative approach, performed with 206 patients hospitalized in an ICU of adults of a university hospital located in the Brazilian northeast. The data collected was organized and stored in a database built in Microsoft Office Excel 2016 and analyzed by a specific statistical program. The study obtained a favorable opinion from the Research Ethics Committee under number 918.510 and CAAE 36079814.6.0000.5537. The recommendations of Resolution nº 466/12, approved by the National Health Council of the Ministry of Health, on December 12, 2012, were obeyed. In the first stage, 169 articles were selected and two attributes, 32 antecedents and 12 consequent ones were identified. In the second stage, after discussion in the focus group, the judges obtained a consensus regarding the adequacy of each component and definition of the diagnosis. We defined 14 defining characteristics, nine related factors, two populations at risk and 22 associated conditions. In the third stage, was verified using the latent class model the prevalence of nursing diagnosis Ocular dryness in 76.22% of the sample. The clinical indicators decreased lacrimal volume and excess mucoid secretion presented high values of specificity. In addition, dilated blood vessels on the ocular surface, excess mucoid secretion, mucoid filament and chemosis presented higher values for sensitivity. It is concluded that the data obtained can contribute to a better understanding of the manifestation of the diagnosis in adults hospitalized in an ICU, as well as the most important signs for inference of Ocular dryness. Thus, the nursing diagnosis Ocular dryness is valid in adult patients admitted to the ICU.

MEMBROS DA BANCA:
Presidente - 1552864 - ALLYNE FORTES VITOR
Externa ao Programa - 3567192 - FABIANE ROCHA BOTARELI
Externa à Instituição - KALYANE KELLY DUARTE DE OLIVEIRA - UERN
Externo à Instituição - MARCOS VENÍCIOS DE OLIVEIRA LOPES - UFC
Interno - 3578073 - RODRIGO ASSIS NEVES DANTAS