Banca de DEFESA: JULIANE RANGEL DANTAS

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : JULIANE RANGEL DANTAS
DATE: 29/02/2024
TIME: 14:00
LOCAL: Departamento de Enfermagem
TITLE:

Validation of the nursing diagnosis Risk-prone health behaviors in university students.

KEY WORDS:

Validation study; Nursing diagnosis;Nursing Theory; Student Health; Health Behavior.

PAGES: 280
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

The nursing diagnosis Risk-prone health behavior is present in different populations, however
research is scarce on university students. These behaviors are associated with the occurrence of
several negative consequences, in the short and long term, which can affect the quality of life of
individuals, especially young people. Given this reality, it is necessary to validate the
aforementioned nursing diagnosis for the university public. Therefore, the objective of the present
study is to validate the nursing diagnosis Risk-prone health behavior in university students. This is a
methodological study, developed in three stages, namely: theoretical-causal validation, based on the
construction of a medium-range theory; content analysis; and, clinical validation, through a
diagnostic accuracy study. The study was approved by the Research Ethics Committee of the
Federal University of Rio Grande do Norte, under opinion no. 4.953.282 and Certificate of
Presentation for Ethical Appreciation no. 48202221.6.0000.5537. In the first stage, a medium-range
theory was developed for the diagnosis under study, which was operationalized through an
integrative review in four databases. We sought to verify in the literature the essential attributes,
clinical antecedents, clinical consequences, conceptual and operational definitions, propositions and
the causal relationships between the identified concepts. The final sample consisted of 87 articles.
The following were identified: a definition, an essential attribute, 14 clinical antecedents, 11 clinical
consequences, 12 propositions and 14 causal relationships. A pictogram was also produced to
illustrate the “ComPoRis Theory”. In the second stage of the study, content analysis was carried out
by 48 judges, via an online Google Forms form, in order to judge the adequacy of the definition,
attribute, antecedents and clinical consequences. The suggestions sent by professionals were
analyzed, culminating in the readjustment of the definition of the diagnosis and essential attribute,
as well as the 13 clinical antecedents and 12 clinical consequences and their respective conceptual
and operational definitions.In the third stage, an accuracy study of the Risk-Prone Health Behavior
diagnosis was carried out with 108 nursing students from the Federal University of Rio Grande do
Norte. Data collection took place in October 2023 in the Nursing Department of that university. The
SPSS software was used to carry out the descriptive statistical analysis and the R software was used
to analyze the latent class of the clinical indicators of the diagnosis under study. The diagnosis
presented a prevalence of 78.88% in the investigated clientele. The sensitive indicators were:
Inadequate eating behaviors, Compensatory use of the internet and Excess body fat. The specific
indicators were: Abuse of legal and illegal substances, Unsafe sexual behavior and Impaired
emotional health. Thus, it is concluded that the Risk-Prone Health Behavior diagnosis is verifiable
in nursing students and presents three sensitive and three specific indicators. Through this research,
we hope to contribute to increasing the level of evidence regarding the clinical construct validity of
the aforementioned diagnosis, strengthening its relevance and permanence in the NANDA-I
taxonomy. Furthermore, it is expected to contribute to the advancement of nurses' work process,
through more reliable identification of the diagnosis in this population and by strengthening the
development of good habits and prevention of future health problems.

COMMITTEE MEMBERS:
Presidente - 1675334 - ANA LUISA BRANDAO DE CARVALHO LIRA
Externa à Instituição - JESSICA DANTAS DE SA TINOCO - UERN
Interna - 1054749 - MARIA ISABEL DA CONCEICAO DIAS FERNANDES
Externa ao Programa - 1529290 - PAULA FERNANDA BRANDAO BATISTA DOS SANTOS - nullExterna à Instituição - TAHISSA FROTA CAVALCANTE - UFC