Ineffective breathing pattern in children and adolescents with congenital heart disease: accuracy of defining characteristics

Aims and objectives The purpose of this study was to assess the prevalence of ineffective breathing pattern and the accuracy of its defining characteristics, among children and adolescents with congenital heart disease. Background The NANDA International nursing diagnosis, ineffective breathing patt...

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Veröffentlicht in:Journal of clinical nursing 2015-09, Vol.24 (17-18), p.2505-2513
Hauptverfasser: Beltrão, Beatriz Amorim, Herdman, Tracy Heather, Pascoal, Lívia Maia, Chaves, Daniel Bruno Resende, da Silva, Viviane Martins, de Oliveira Lopes, Marcos Venícios
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container_end_page 2513
container_issue 17-18
container_start_page 2505
container_title Journal of clinical nursing
container_volume 24
creator Beltrão, Beatriz Amorim
Herdman, Tracy Heather
Pascoal, Lívia Maia
Chaves, Daniel Bruno Resende
da Silva, Viviane Martins
de Oliveira Lopes, Marcos Venícios
description Aims and objectives The purpose of this study was to assess the prevalence of ineffective breathing pattern and the accuracy of its defining characteristics, among children and adolescents with congenital heart disease. Background The NANDA International nursing diagnosis, ineffective breathing pattern, has been noted to have high prevalence in different clinical contexts and age groups. Despite that, nurses continue to report difficulties in confirming this diagnosis. The lack of data regarding the sensitivity, specificity and predictive values of the defining characteristics contribute to decreased certainty in diagnosing ineffective breathing pattern. Design A diagnostic accuracy study. Methods This study of diagnostic accuracy was conducted with 61 children and adolescents with congenital heart disease. Two nurses were trained by the primary investigator on use of defining characteristics in the diagnostic process for ineffective breathing pattern. Results Ineffective breathing pattern was present in 26·2% of the children and adolescents sampled. When analysing the defining characteristics, alterations in depth of breathing, showed high values of sensitivity and specificity. In addition, orthopnoea, tachypnoea and use of accessory muscles to breathe, showed high values of specificity; dyspnoea showed high values of sensitivity. Finally, assumption of three‐point position, bradypnoea and increased anterior–posterior diameter were not found to be statistically significant for this sample population. Conclusion Five defining characteristics of ineffective breathing pattern presented measures of accuracy with statistically significant values in children with congenital heart disease. Relevance to clinical practice The findings can help nurses during the diagnostic process, as they identify which defining characteristics can be used to confirm or rule out the probability of occurrence of the diagnosis.
doi_str_mv 10.1111/jocn.12838
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Background The NANDA International nursing diagnosis, ineffective breathing pattern, has been noted to have high prevalence in different clinical contexts and age groups. Despite that, nurses continue to report difficulties in confirming this diagnosis. The lack of data regarding the sensitivity, specificity and predictive values of the defining characteristics contribute to decreased certainty in diagnosing ineffective breathing pattern. Design A diagnostic accuracy study. Methods This study of diagnostic accuracy was conducted with 61 children and adolescents with congenital heart disease. Two nurses were trained by the primary investigator on use of defining characteristics in the diagnostic process for ineffective breathing pattern. Results Ineffective breathing pattern was present in 26·2% of the children and adolescents sampled. When analysing the defining characteristics, alterations in depth of breathing, showed high values of sensitivity and specificity. In addition, orthopnoea, tachypnoea and use of accessory muscles to breathe, showed high values of specificity; dyspnoea showed high values of sensitivity. Finally, assumption of three‐point position, bradypnoea and increased anterior–posterior diameter were not found to be statistically significant for this sample population. Conclusion Five defining characteristics of ineffective breathing pattern presented measures of accuracy with statistically significant values in children with congenital heart disease. Relevance to clinical practice The findings can help nurses during the diagnostic process, as they identify which defining characteristics can be used to confirm or rule out the probability of occurrence of the diagnosis.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/jocn.12838</identifier><identifier>PMID: 25940141</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Accuracy ; Adolescent ; Cardiovascular disease ; Child ; Child, Preschool ; Children &amp; youth ; clinical reasoning ; Female ; Heart Defects, Congenital ; Humans ; ineffective breathing pattern ; Male ; Medical diagnosis ; Nurses ; Nursing ; Nursing care ; Nursing Diagnosis ; Predictive Value of Tests ; Respiration ; Respiration Disorders - diagnosis ; Respiration Disorders - nursing ; Severity of Illness Index</subject><ispartof>Journal of clinical nursing, 2015-09, Vol.24 (17-18), p.2505-2513</ispartof><rights>2015 John Wiley &amp; Sons Ltd</rights><rights>2015 John Wiley &amp; Sons Ltd.</rights><rights>Copyright Wiley Subscription Services, Inc. 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Background The NANDA International nursing diagnosis, ineffective breathing pattern, has been noted to have high prevalence in different clinical contexts and age groups. Despite that, nurses continue to report difficulties in confirming this diagnosis. The lack of data regarding the sensitivity, specificity and predictive values of the defining characteristics contribute to decreased certainty in diagnosing ineffective breathing pattern. Design A diagnostic accuracy study. Methods This study of diagnostic accuracy was conducted with 61 children and adolescents with congenital heart disease. Two nurses were trained by the primary investigator on use of defining characteristics in the diagnostic process for ineffective breathing pattern. Results Ineffective breathing pattern was present in 26·2% of the children and adolescents sampled. When analysing the defining characteristics, alterations in depth of breathing, showed high values of sensitivity and specificity. In addition, orthopnoea, tachypnoea and use of accessory muscles to breathe, showed high values of specificity; dyspnoea showed high values of sensitivity. Finally, assumption of three‐point position, bradypnoea and increased anterior–posterior diameter were not found to be statistically significant for this sample population. Conclusion Five defining characteristics of ineffective breathing pattern presented measures of accuracy with statistically significant values in children with congenital heart disease. 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Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Beltrão, Beatriz Amorim</au><au>Herdman, Tracy Heather</au><au>Pascoal, Lívia Maia</au><au>Chaves, Daniel Bruno Resende</au><au>da Silva, Viviane Martins</au><au>de Oliveira Lopes, Marcos Venícios</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ineffective breathing pattern in children and adolescents with congenital heart disease: accuracy of defining characteristics</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2015-09</date><risdate>2015</risdate><volume>24</volume><issue>17-18</issue><spage>2505</spage><epage>2513</epage><pages>2505-2513</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aims and objectives The purpose of this study was to assess the prevalence of ineffective breathing pattern and the accuracy of its defining characteristics, among children and adolescents with congenital heart disease. 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In addition, orthopnoea, tachypnoea and use of accessory muscles to breathe, showed high values of specificity; dyspnoea showed high values of sensitivity. Finally, assumption of three‐point position, bradypnoea and increased anterior–posterior diameter were not found to be statistically significant for this sample population. Conclusion Five defining characteristics of ineffective breathing pattern presented measures of accuracy with statistically significant values in children with congenital heart disease. Relevance to clinical practice The findings can help nurses during the diagnostic process, as they identify which defining characteristics can be used to confirm or rule out the probability of occurrence of the diagnosis.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>25940141</pmid><doi>10.1111/jocn.12838</doi><tpages>9</tpages></addata></record>
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subjects Accuracy
Adolescent
Cardiovascular disease
Child
Child, Preschool
Children & youth
clinical reasoning
Female
Heart Defects, Congenital
Humans
ineffective breathing pattern
Male
Medical diagnosis
Nurses
Nursing
Nursing care
Nursing Diagnosis
Predictive Value of Tests
Respiration
Respiration Disorders - diagnosis
Respiration Disorders - nursing
Severity of Illness Index
title Ineffective breathing pattern in children and adolescents with congenital heart disease: accuracy of defining characteristics
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