The Nursing Diagnosis of risk for pressure ulcer: content validation

• Main Authors: Cássia Teixeira dos Santos, Miriam de Abreu Almeida, Amália de Fátima Lucena
• Format: Article
• Language: English
• Published: Universidade de São Paulo 2016-01-01
• Series: Revista Latino-Americana de Enfermagem
• Subjects: Úlcera por Presión; Diagnóstico de Enfermería; Procesos de Enfermería; Factores de Riesgo; Enfermería
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-11692016000100335&lng=en&tlng=en

Abstract Objective: to validate the content of the new nursing diagnosis, termed risk for pressure ulcer. Method: the content validation with a sample made up of 24 nurses who were specialists in skin care from six different hospitals in the South and Southeast of Brazil. Data collection took place electronically, through an instrument constructed using the SurveyMonkey program, containing a title, definition, and 19 risk factors for the nursing diagnosis. The data were analyzed using Fehring's method and descriptive statistics. The project was approved by a Research Ethics Committee. Results: title, definition and seven risk factors were validated as "very important": physical immobilization, pressure, surface friction, shearing forces, skin moisture, alteration in sensation and malnutrition. Among the other risk factors, 11 were validated as "important": dehydration, obesity, anemia, decrease in serum albumin level, prematurity, aging, smoking, edema, impaired circulation, and decrease in oxygenation and in tissue perfusion. The risk factor of hyperthermia was discarded. Conclusion: the content validation of these components of the nursing diagnosis corroborated the importance of the same, being able to facilitate the nurse's clinical reasoning and guiding clinical practice in the preventive care for pressure ulcers.