Validation of Clinical Indicators of the Nursing Diagnosis of Ineffective Protection in Adolescents With Cancer

Journal of Pediatric Nursing
Marília Mendes NunesGabriele de Lima Ferreira

Abstract

To validate the clinical indicators of the nursing diagnosis of Ineffective protection in adolescents with cancer based on diagnostic accuracy measurements. Measurements of sensitivity and specificity for the indicators were calculated using latent class analysis with random effects in a sample of 127 adolescents between 10 and 19 years of age. The prevalence of diagnosis was estimated at 93.7%. The indicators deficient immunity and weakness showed higher sensitivity values, whereas opportunistic infections, recurrent infections, insomnia, mucosal lesions, and coughing showed high specificity. Seven indicators were clinically validated. The validation of clinical indicators provides nurses with the knowledge of useful signs and symptoms to identify early spectra of a nursing diagnosis or confirm their presence in a specific population. In clinical practice, this knowledge contributes to an accurate diagnostic inference and the planning of nursing interventions directed to the idiosyncrasies of individuals.

Citations

Oct 24, 2019·Clinical Nursing Research·Ana Railka de Souza Oliveira-KumakuraMarcos Venícios de Oliveira Lopes
Dec 28, 2019·Asia-Pacific Journal of Oncology Nursing·Leila ValizadehFang-Yu Chou

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