2.50
Hdl Handle:
http://hdl.handle.net/10755/303988
Category:
Full-text
Type:
Presentation
Title:
Labor Pain as a New Nursing Diagnosis: Conceptual and Content Validation
Author(s):
Carvalho, Emilia Campos; Mazoni, Simone Roque
Lead Author STTI Affiliation:
Non-member
Author Details:
Emilia Campos Carvalho, PhD, ecdcava@usp.br; Simone Roque Mazoni, PhD;
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 edn.). 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.

Keywords:
Labor pain; Nursing diagnosis
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleLabor Pain as a New Nursing Diagnosis: Conceptual and Content Validationen
dc.contributor.authorCarvalho, Emilia Camposen
dc.contributor.authorMazoni, Simone Roqueen
dc.contributor.departmentNon-memberen
dc.author.detailsEmilia Campos Carvalho, PhD, ecdcava@usp.br; Simone Roque Mazoni, PhD;en
dc.identifier.urihttp://hdl.handle.net/10755/303988-
dc.description.abstract<p>Session presented on: Tuesday, July 23, 2013</p><b>Purpose: </b> 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. <p><b>Methods: </b>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. <p><b>Results: </b>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) . <p><b>Conclusion: </b> <p>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. <p><b>References:</b><p>1-Walker, L. O., & Avant, K. C. (2005). <i>Strategies for theory construction in nursing</i>' (4<sup>th</sup> edn.). Norwalk, CT: Appleton & Lange. <p>2-Fehring, R. (1986). Validating diagnostic labels: standardized methodology. <i>Proceedings of the sixth conference: Classification of Nursing Diagnosis</i>, St. Louis, Missouri, USA, 183-190.en
dc.subjectLabor painen
dc.subjectNursing diagnosisen
dc.date.available2013-10-22T20:27:11Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:27:11Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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