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 |
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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 |
format | Article |
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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.</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 & 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 & Sons Ltd</rights><rights>2015 John Wiley & Sons Ltd.</rights><rights>Copyright Wiley Subscription Services, Inc. Sep 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4988-e255c2c41dcd52cd0ff52fb44bd5f326a9a18e9911921d4817f8cdab6a38cc2f3</citedby><cites>FETCH-LOGICAL-c4988-e255c2c41dcd52cd0ff52fb44bd5f326a9a18e9911921d4817f8cdab6a38cc2f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjocn.12838$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjocn.12838$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25940141$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Beltrão, Beatriz Amorim</creatorcontrib><creatorcontrib>Herdman, Tracy Heather</creatorcontrib><creatorcontrib>Pascoal, Lívia Maia</creatorcontrib><creatorcontrib>Chaves, Daniel Bruno Resende</creatorcontrib><creatorcontrib>da Silva, Viviane Martins</creatorcontrib><creatorcontrib>de Oliveira Lopes, Marcos Venícios</creatorcontrib><title>Ineffective breathing pattern in children and adolescents with congenital heart disease: accuracy of defining characteristics</title><title>Journal of clinical nursing</title><addtitle>J Clin Nurs</addtitle><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.</description><subject>Accuracy</subject><subject>Adolescent</subject><subject>Cardiovascular disease</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Children & youth</subject><subject>clinical reasoning</subject><subject>Female</subject><subject>Heart Defects, Congenital</subject><subject>Humans</subject><subject>ineffective breathing pattern</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Nurses</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>Nursing Diagnosis</subject><subject>Predictive Value of Tests</subject><subject>Respiration</subject><subject>Respiration Disorders - diagnosis</subject><subject>Respiration Disorders - nursing</subject><subject>Severity of Illness Index</subject><issn>0962-1067</issn><issn>1365-2702</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkcFuEzEQhlcIRNPChQdAlrigSls89trr5YYiKEVVewHam-W1x43DxhvsDSUH3h2HtD1wQPgykvXNp5n5q-oF0BMo781ytPEEmOLqUTUDLkXNWsoeVzPaSVYDle1BdZjzklLgjPGn1QETXUOhgVn16yyi92in8ANJn9BMixBvyNpME6ZIQiR2EQaXMBITHTFuHDBbjFMmt2FaEDvGG4xhMgNZoEkTcSGjyfiWGGs3ydgtGT1x6EPcee3ClL-iDnkKNj-rnngzZHx-V4-qLx_ef55_rM8vT8_m785r23RK1ciEsMw24KwTzDrqvWC-b5reCc-ZNJ0BhV0H0DFwjYLWK-tMLw1X1jLPj6rXe-86jd83mCe9CmWLYTARx03W0DLggknB_wOlCmQDkhX01V_octykWBYpFFDKyzyyUMd7yqYx54Rer1NYmbTVQPUuP73LT__Jr8Av75SbfoXuAb0PrACwB27DgNt_qPSny_nFvbTe95Sj48-HHpO-adnyVuiri1MtrplU1-qrvuK_AZRntiQ</recordid><startdate>201509</startdate><enddate>201509</enddate><creator>Beltrão, Beatriz Amorim</creator><creator>Herdman, Tracy Heather</creator><creator>Pascoal, Lívia Maia</creator><creator>Chaves, Daniel Bruno Resende</creator><creator>da Silva, Viviane Martins</creator><creator>de Oliveira Lopes, Marcos Venícios</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201509</creationdate><title>Ineffective breathing pattern in children and adolescents with congenital heart disease: accuracy of defining characteristics</title><author>Beltrão, Beatriz Amorim ; Herdman, Tracy Heather ; Pascoal, Lívia Maia ; Chaves, Daniel Bruno Resende ; da Silva, Viviane Martins ; de Oliveira Lopes, Marcos Venícios</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4988-e255c2c41dcd52cd0ff52fb44bd5f326a9a18e9911921d4817f8cdab6a38cc2f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Accuracy</topic><topic>Adolescent</topic><topic>Cardiovascular disease</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Children & youth</topic><topic>clinical reasoning</topic><topic>Female</topic><topic>Heart Defects, Congenital</topic><topic>Humans</topic><topic>ineffective breathing pattern</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Nurses</topic><topic>Nursing</topic><topic>Nursing care</topic><topic>Nursing Diagnosis</topic><topic>Predictive Value of Tests</topic><topic>Respiration</topic><topic>Respiration Disorders - diagnosis</topic><topic>Respiration Disorders - nursing</topic><topic>Severity of Illness Index</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Beltrão, Beatriz Amorim</creatorcontrib><creatorcontrib>Herdman, Tracy Heather</creatorcontrib><creatorcontrib>Pascoal, Lívia Maia</creatorcontrib><creatorcontrib>Chaves, Daniel Bruno Resende</creatorcontrib><creatorcontrib>da Silva, Viviane Martins</creatorcontrib><creatorcontrib>de Oliveira Lopes, Marcos Venícios</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & 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.
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.</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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