Abstract
Session presented on: Tuesday, July 23, 2013:
Purpose: Labor pain has different clinical evidence of the Acute Pain nursing diagnosis . Our objectives were to build the concept labor pain and to develop the content validation.
Methods: Phase A Analysis of concepts as proposed by Walker & Avant (2005). Phase B- The content validation followed the recommendations of Fehring (1986). The diagnosis was submitted to experts in the area of obstetric nursing.
Results: The concept "labor pain" should be included in the Domain 12 - Comfort and to the Class 1 - Physical Comfort. The definition presents the attributes, antecedents, consequences and empirical antecedents. The Related Factors proposed are: period of dilatation and period of expulsion. 24 Defining Characteristics (DCs) were identified in the literature. Nine of them were very indicative of the diagnosis (score >0.80): observed evidence of uterine contraction, altered muscle tone, change in respiratory rate, change in heart rate, expressive behavior, facial expression of pain, observed evidence of pain, diaphoresis and verbal or coded report. Another 12 CDs were validated (score >0,50 to = 0,80): change in blood pressure, distraction behavior, protective gestures/defensive behavior, focus on yourself, sleep disturbance, nausea, vomiting, loss of appetite, narrowed focus, antalgic position, changes in urinary function, changes in endocrine function. And 3 DCs were considered not representative.(score < or = 0,50).
Conclusion: The construction of the concept "labor pain" and the evidences observed in the process of validation justify the proposal of this new diagnosis to the NANDA-I taxonomy.
References: 1-Walker, L. O., & Avant, K. C. (2005). Strategies for theory construction in nursing (4th ed). Norwalk, CT: Appleton & Lange. 2-Fehring, R. (1986). Validating diagnostic labels: standardized methodology. Proceedings of the sixth conference: Classification of Nursing Diagnosis, St. Louis, Missouri, USA, 183-190.
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Labor Pain, Nursing Diagnosis
Recommended Citation
Carvalho, Emilia Campos and Mazoni, Simone Roque, "Labor pain as a new nursing diagnosis: Conceptual and content validation" (2013). INRC (Congress). 82.
https://www.sigmarepository.org/inrc/2013/presentations_2013/82
Conference Name
24th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Prague, Czech Republic
Conference Year
2013
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Acquisition
Proxy-submission
Labor pain as a new nursing diagnosis: Conceptual and content validation
Prague, Czech Republic
Session presented on: Tuesday, July 23, 2013:
Purpose: Labor pain has different clinical evidence of the Acute Pain nursing diagnosis . Our objectives were to build the concept labor pain and to develop the content validation.
Methods: Phase A Analysis of concepts as proposed by Walker & Avant (2005). Phase B- The content validation followed the recommendations of Fehring (1986). The diagnosis was submitted to experts in the area of obstetric nursing.
Results: The concept "labor pain" should be included in the Domain 12 - Comfort and to the Class 1 - Physical Comfort. The definition presents the attributes, antecedents, consequences and empirical antecedents. The Related Factors proposed are: period of dilatation and period of expulsion. 24 Defining Characteristics (DCs) were identified in the literature. Nine of them were very indicative of the diagnosis (score >0.80): observed evidence of uterine contraction, altered muscle tone, change in respiratory rate, change in heart rate, expressive behavior, facial expression of pain, observed evidence of pain, diaphoresis and verbal or coded report. Another 12 CDs were validated (score >0,50 to = 0,80): change in blood pressure, distraction behavior, protective gestures/defensive behavior, focus on yourself, sleep disturbance, nausea, vomiting, loss of appetite, narrowed focus, antalgic position, changes in urinary function, changes in endocrine function. And 3 DCs were considered not representative.(score < or = 0,50).
Conclusion: The construction of the concept "labor pain" and the evidences observed in the process of validation justify the proposal of this new diagnosis to the NANDA-I taxonomy.
References: 1-Walker, L. O., & Avant, K. C. (2005). Strategies for theory construction in nursing (4th ed). Norwalk, CT: Appleton & Lange. 2-Fehring, R. (1986). Validating diagnostic labels: standardized methodology. Proceedings of the sixth conference: Classification of Nursing Diagnosis, St. Louis, Missouri, USA, 183-190.