CLINICAL VALIDATION OF NURSING DIAGNOSIS OF ACUTE PAIN

Abstract

Aim: To verify, based on clinical validation whether NANDA I identified defining characteristics of the nursing diagnosis Acute Pain (00132) actually occurred in patients hospitalised in Intensive Care Units in Slovakia and the Czech Republic by means of the Clinical Diagnostic Validity Model. Design: Clinical validation of the nursing diagnosis can be verified if defining characteristics created on the basis of conceptual analysis and validation by experts are confirmed by clinical data. Methods: We selected Fehring’s Clinical Diagnostic Validity Model as the method of clinical validation. Results: According to the values attained for Cohen’s kappa coefficient for 18 defining characteristics of the nursing diagnosis Acute Pain (00132) for both Slovakia and the Czech Republic, we can state that the experts agreed relatively fully only on one defining characteristic: Changes in Appetite. The attained coefficient value expresses absolute agreement among Slovak experts (1.00) and good agreement among Czech experts (0.86). Conclusion: Analysis and interpretation of the data obtained provides: information on clinically valid defining characteristics of the nursing diagnosis Acute Pain (00132) for Slovakia and the Czech Republic, information on the agreement between clinical conclusions of nurse-experts from Slovakia and the Czech Republic, and a comparison of the results between Slovakia and the Czech Republic. The study also contributes to the development of nursing terminology. Keywords: acute pain, clinical validation, experts, nursing.