Cent Eur J Nurs Midw 2011, 2(2):185-189

Validation of nursing diagnosis the Chronic confusion in the conditions of Slovak clinical practice

Martina Tomagová^*, Ivana Bóriková

Department of Nursing, Jessenius Medical Faculty in Martin, Comenius University in Bratislava

Aim: The aim of this study was the content validation of nursing diagnosis Chronic confusion and the identification of the defining characteristics in the conditions of Slovak clinical practice.

Methodology: For the validation we used Diagnostic Content Validity Model (model DCV) as per Fehring. We consider the experts were nurses, who achieved minimum of 4 points according to the modified Fehring's criteria. Experts assessed the importance of defining characteristics of nursing diagnosis using prepared validation worksheet. Validation worksheet contained 9 defining characteristics of nursing diagnosis, 1 neutral characteristic and two items from the tool MMSE (Folstein test, Mini-Mental State Examination). The group of experts consisted of 144 Slovak nurses.

Results: Experts consider as the most important defining characteristic (score more than 0,75) the changes in time-spatial orientation (score 0,87), clinical evidence of organic brain impairment (score 0,78), long-standing cognitive impairment (score 0,78), altered interpretations to stimuli and altered response to stimuli (score 0.76), and progressive cognitive impairment (0,76), which are same with the characteristics of the syndrome of dementia.

Conclusion: Experts did not consider all the defining characteristics of nursing diagnosis Chronic confusion as equally important. Certain proportion is the actual composition set of experts, who filled the first minimum threshold criteria for expert, an incompatibility NANDA International Taxonomy II with the list of nursing diagnoses.

Keywords: validation, nursing diagnosis, Chronic confusion, defining characteristics, dementia

Published: September 30, 2011  Show citation