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Vol. 30. Issue 6.
Pages 386-397 (November - December 2020)
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Vol. 30. Issue 6.
Pages 386-397 (November - December 2020)
Original Article
DOI: 10.1016/j.enfcle.2020.01.002
Conceptual and operational definitions for the indicators of the nursing outcome classification: Symptom control in patients with heart failure in palliative care
Definiciones conceptuales y operacionales de los indicadores del resultado Control de síntomas para pacientes con insuficiencia cardíaca en cuidados paliativos
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Beatriz Quirino Afonsoa,
Corresponding author
beatriz.afonso@usp.br

Corresponding author.
, Natany da Costa Ferreirab, Rita de Cassia Gengo e Silva Butcherc
a Instituto do Coração (InCor), Hospital das Clínicas, Sao Paulo, Brazil
b College of Nursing, University of Iowa, Iowa, United States
c The Marjory Gordon Program for Clinical Reasoning and Knowledge Development at Boston College, William F. Connell School of Nursing, MA, United States
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Figures (1)
Tables (3)
Table 1. Characteristics of the articles included in the integrative review of the literature.
Table 2. Demographic, academic and professional expert characteristics.
Table 3. Conceptual and operational definitions validated in the successive Delphi panels and their respective concordance indices after the 2 Delphi panels, Control of symptoms (1608) outcome indicators and the OD of the response magnitudes.
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Abstract
Objective

To validate conceptual and operational definitions of Symptom control (1608) indicators for patients with cardiac diseases in palliative care.

Method

Definitions were established through a literature review and were validated by consensus among expert nurses. Two rounds of the Delphi method and a meeting with experts were carried out in order to validate the definitions for the indicators and for the magnitude of response for each indicator.

Results

Conceptual and operational definitions for Symptom control (1608) indicators and for the magnitude of response for each indicator were validated.

Conclusions

All conceptual and operational definitions of 11 indicators of the nursing outcome Symptom control (1608) were validated by experts. Content and clinical validation studies remain necessary to verify the capacity of the indicators to measure the effectiveness of nursing interventions in clinical practice and research.

Keywords:
Patient outcome assessment
Symptom assessment
Standardised nursing terminology
Palliative care
Cardiology
Resumen
Objetivo

Validar las definiciones conceptuales y operacionales de los indicadores de Control de síntomas (1608) para pacientes con enfermedades cardíacas en cuidados paliativos.

Método

Las definiciones fueron establecidas por medio de revisión bibliográfica y fueron validadas por consenso entre enfermeros expertos. Se realizaron 2rondas de la metodología Delphi y un encuentro con expertos con el propósito de validar las definiciones de los indicadores y de la magnitud de respuesta para cada indicador.

Resultados

Las definiciones conceptuales y operacionales para los indicadores de Control de síntomas (1608) y para la magnitud de respuesta de cada indicador fueron validadas.

Conclusiones

Todas las definiciones conceptuales y operacionales de los 11 indicadores del resultado de enfermería Control de síntomas (1608) fueron validados por expertos. Se necesitan estudios de validación de contenido y clínica de este resultado de enfermería para verificar la capacidad de estos indicadores en medir la efectividad de las intervenciones de enfermería en la práctica clínica y pesquisa.

Palabras clave:
Evaluación de resultados del paciente
Evaluación de síntomas
Terminología de enfermería estandarizada
Cuidados paliativos
Cardiología

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