Banca de DEFESA: LAIS VASCONCELOS SANTOS

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : LAIS VASCONCELOS SANTOS
DATE: 29/02/2024
TIME: 08:00
LOCAL: Departamento de Enfermagem
TITLE:

Validation of the situational low self-esteem diagnosis in nursing students

KEY WORDS:

Nursing Theory. Self image. Nursing Students. Nursing diagnosis.

PAGES: 187
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

Low self-esteem can frequently occur in undergraduate nursing students, as they are a population vulnerable to mental imbalance and/or a crisis arising from stressors related to academic life. When present, low self-esteem can lead to self-destructive behavior, lower self- efficacy and course dropout. However, there are few studies on this diagnosis in this population. Thus, the present study aims to validate the nursing diagnosis of situational low self-esteem in nursing students. This is a methodological research, developed in three stages, namely: 1) theoretical-causal validation, based on the construction of a medium-range theory; 2) content analysis; and, 3) clinical validation, through a diagnostic accuracy study. Initially, the development of the middle range theory was operationalized through a scoping review. The antecedents, consequences and their respective conceptual and operational definitions were identified, as well as a pictogram, propositions and causal relationships. In the second stage, the elements of the theory were analyzed by 22 judges, with levels of expertise ranging from beginner to experienced. The data were analyzed using the content validity index, based on the collective wisdom approach. In the third stage, the research was carried out with 55 nursing students from a federal public institution, located in the city of Campina Grande- Paraíba. The research was approved by the UFRN Research Ethics Committee, through opinion number 5.632.922 and Certificate of Presentation for Ethical Assessment number 60617922.4.0000.5537. The results showed that in the first stage, 16 antecedents and 21 consequences corresponding to the diagnosis under study were identified, and their respective conceptual and operational definitions were elaborated. The analysis of these elements allowed the development of a pictogram, construction of 8 propositions and establishment of causal relationships. In the second stage, the analysis of the diagnostic content by the judges made it possible to improve the definition and elements previously developed, which resulted in a diagnostic structure consisting of 13 defining characteristics, 15 related factors, 5 associated conditions and 1 population at risk. In the third stage, the prevalence of the nursing diagnosis of situational low self-esteem was 78.18% among the students interviewed. The defining characteristics: Recalls trauma and Anxious symptoms presented the best sensitivity and specificity values. Related factors: Traumatic experiences and Individuals in psychological distress demonstrated a 13.65 times greater chance of developing the diagnosis of situational low self-esteem. It is concluded that the diagnosis Situational low self-esteem is verifiable in undergraduate nursing students and presents two defining characteristics with better accuracy values. Furthermore, it is expected to contribute to increasing the level of evidence for this diagnosis in the NANDA-I taxonomy.

COMMITTEE MEMBERS:
Externo à Instituição - ALEXSANDRO SILVA COURA - UEPB
Presidente - 1675334 - ANA LUISA BRANDAO DE CARVALHO LIRA
Externo à Instituição - MARCOS VENÍCIOS DE OLIVEIRA LOPES - UFC
Interna - 1054749 - MARIA ISABEL DA CONCEICAO DIAS FERNANDES
Externa ao Programa - 1529290 - PAULA FERNANDA BRANDAO BATISTA DOS SANTOS - null