Accuracy of the clinical indicators for Readiness for enhanced health management
ABSTRACT Purpose to analyze accuracy measures of the clinical indicators of Readiness for enhanced health management in patients with arterial hypertension and/or diabetes mellitus Methods prospective diagnostic accuracy study conducted with 359 patients with hypertension and/or diabetes mellitus, f...
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| Veröffentlicht in: | International journal of nursing knowledge 2022-04, Vol.33 (2), p.100-107 |
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| container_title | International journal of nursing knowledge |
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| creator | Moreira, Rafaella Pessoa Ferreira, Júlio César Vieira Morais, Huana Carolina Cândido Felício, Janiel Ferreira Oliveira Ferreira, Glauciano Rouberte, Emília Soares Chaves Rolim, Isaura Leticia Tavares Palmeira Cavalcante, Tahissa Frota |
| description | ABSTRACT
Purpose
to analyze accuracy measures of the clinical indicators of Readiness for enhanced health management in patients with arterial hypertension and/or diabetes mellitus
Methods
prospective diagnostic accuracy study conducted with 359 patients with hypertension and/or diabetes mellitus, followed up in primary healthcare. Stratified random sampling was used to recruit participants. An assessment form was applied with sociodemographic data, health conditions, and information related to the clinical indicators under investigation. Sensitivity, specificity, predictive values, and likelihood ratios were analyzed
Findings
the sample was composed of 359 participants. The prevalence of Readiness for enhanced health management was 93.8%. There was a statistically significant association between the diagnosis and age under 60 years (p < 0.001), having only one chronic condition (p < 0.001), having normal blood pressure (p = 0.017) and blood glucose (p = 0.013) values, and having a nonsedentary (p = 0.026) and nonalcoholic (p = 0.044) lifestyle. All clinical indicators had high predictive values in predicting the nursing diagnosis under investigation. The indicator expresses desire to enhance management of symptoms was the most sensitive (99.7%) and specific (100%). The indicator expresses desire to enhance management of prescribed regimens was also highly specific (100%)
Conclusion
all clinical indicators were accurate in predicting Readiness for enhanced health management
Implications for Nursing Practice
knowing which clinical indicators and sociodemographic/clinical characteristics best predict Readiness for enhanced health management, nurses in primary care can better plan nursing interventions and direct their goals. |
| doi_str_mv | 10.1111/2047-3095.12338 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2539524506</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2539524506</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3268-e664e3dc127c82e21f34d0259500a5fa8f41eed89a2ec156814258b99f312ec43</originalsourceid><addsrcrecordid>eNqFkD1PwzAQhi0Eoqgws6FILCwp_kzssar4KKoAIZgt41xoqsQpdiLUf49LSgcWbrnz6blX1oPQOcETEuuaYp6nDCsxIZQxeYBO9pvD_SzzEToLYYVj5ZjlUh2jEeMEC6nyE_Q8tbb3xm6Stky6JSS2rlxlTZ1Uroi9a31IytYnL2CKykEYXuCWxlkokiWYulsmjXHmAxpw3Sk6Kk0d4GzXx-jt9uZ1dp8unu7ms-kitYxmMoUs48AKS2huJQVKSsYLTIUSGBtRGllyAlBIZShYIjJJOBXyXamSkbjhbIyuhty1bz97CJ1uqmChro2Dtg-aCqYE5QJnEb38g67a3rv4O00znkckZypS1wNlfRuCh1KvfdUYv9EE661vvTWqt3b1j-94cbHL7d8bKPb8r90IZAPwVdWw-S9Pzx8eX4fkb65jiDQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2647506739</pqid></control><display><type>article</type><title>Accuracy of the clinical indicators for Readiness for enhanced health management</title><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Moreira, Rafaella Pessoa ; Ferreira, Júlio César Vieira ; Morais, Huana Carolina Cândido ; Felício, Janiel Ferreira ; Oliveira Ferreira, Glauciano ; Rouberte, Emília Soares Chaves ; Rolim, Isaura Leticia Tavares Palmeira ; Cavalcante, Tahissa Frota</creator><creatorcontrib>Moreira, Rafaella Pessoa ; Ferreira, Júlio César Vieira ; Morais, Huana Carolina Cândido ; Felício, Janiel Ferreira ; Oliveira Ferreira, Glauciano ; Rouberte, Emília Soares Chaves ; Rolim, Isaura Leticia Tavares Palmeira ; Cavalcante, Tahissa Frota</creatorcontrib><description>ABSTRACT
Purpose
to analyze accuracy measures of the clinical indicators of Readiness for enhanced health management in patients with arterial hypertension and/or diabetes mellitus
Methods
prospective diagnostic accuracy study conducted with 359 patients with hypertension and/or diabetes mellitus, followed up in primary healthcare. Stratified random sampling was used to recruit participants. An assessment form was applied with sociodemographic data, health conditions, and information related to the clinical indicators under investigation. Sensitivity, specificity, predictive values, and likelihood ratios were analyzed
Findings
the sample was composed of 359 participants. The prevalence of Readiness for enhanced health management was 93.8%. There was a statistically significant association between the diagnosis and age under 60 years (p < 0.001), having only one chronic condition (p < 0.001), having normal blood pressure (p = 0.017) and blood glucose (p = 0.013) values, and having a nonsedentary (p = 0.026) and nonalcoholic (p = 0.044) lifestyle. All clinical indicators had high predictive values in predicting the nursing diagnosis under investigation. The indicator expresses desire to enhance management of symptoms was the most sensitive (99.7%) and specific (100%). The indicator expresses desire to enhance management of prescribed regimens was also highly specific (100%)
Conclusion
all clinical indicators were accurate in predicting Readiness for enhanced health management
Implications for Nursing Practice
knowing which clinical indicators and sociodemographic/clinical characteristics best predict Readiness for enhanced health management, nurses in primary care can better plan nursing interventions and direct their goals.</description><identifier>ISSN: 2047-3087</identifier><identifier>EISSN: 2047-3095</identifier><identifier>DOI: 10.1111/2047-3095.12338</identifier><identifier>PMID: 34105897</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Accuracy ; Blood pressure ; chronic disease ; Chronic illnesses ; Clinical indicators ; Clinical medicine ; Clinical nursing ; data accuracy ; Desire ; Diabetes ; Diabetes Mellitus - diagnosis ; Disease management ; Forms ; Glucose ; Health care ; Humans ; Hypertension ; Hypertension - diagnosis ; Medical diagnosis ; Middle Aged ; Nursing ; Nursing Diagnosis ; Patient compliance ; Primary care ; Professional practice ; Prospective Studies ; Random sampling ; Sociodemographics ; Symptom management ; Values</subject><ispartof>International journal of nursing knowledge, 2022-04, Vol.33 (2), p.100-107</ispartof><rights>2021 NANDA International, Inc.</rights><rights>2022 NANDA International, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3268-e664e3dc127c82e21f34d0259500a5fa8f41eed89a2ec156814258b99f312ec43</cites><orcidid>0000-0002-2594-2323 ; 0000-0002-3126-0169 ; 0000-0002-5601-0086 ; 0000-0002-8453-2543 ; 0000-0001-6435-1457 ; 0000-0002-5142-671X ; 0000-0001-9758-7853 ; 0000-0003-2341-7936</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F2047-3095.12338$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F2047-3095.12338$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34105897$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Moreira, Rafaella Pessoa</creatorcontrib><creatorcontrib>Ferreira, Júlio César Vieira</creatorcontrib><creatorcontrib>Morais, Huana Carolina Cândido</creatorcontrib><creatorcontrib>Felício, Janiel Ferreira</creatorcontrib><creatorcontrib>Oliveira Ferreira, Glauciano</creatorcontrib><creatorcontrib>Rouberte, Emília Soares Chaves</creatorcontrib><creatorcontrib>Rolim, Isaura Leticia Tavares Palmeira</creatorcontrib><creatorcontrib>Cavalcante, Tahissa Frota</creatorcontrib><title>Accuracy of the clinical indicators for Readiness for enhanced health management</title><title>International journal of nursing knowledge</title><addtitle>Int J Nurs Knowl</addtitle><description>ABSTRACT
Purpose
to analyze accuracy measures of the clinical indicators of Readiness for enhanced health management in patients with arterial hypertension and/or diabetes mellitus
Methods
prospective diagnostic accuracy study conducted with 359 patients with hypertension and/or diabetes mellitus, followed up in primary healthcare. Stratified random sampling was used to recruit participants. An assessment form was applied with sociodemographic data, health conditions, and information related to the clinical indicators under investigation. Sensitivity, specificity, predictive values, and likelihood ratios were analyzed
Findings
the sample was composed of 359 participants. The prevalence of Readiness for enhanced health management was 93.8%. There was a statistically significant association between the diagnosis and age under 60 years (p < 0.001), having only one chronic condition (p < 0.001), having normal blood pressure (p = 0.017) and blood glucose (p = 0.013) values, and having a nonsedentary (p = 0.026) and nonalcoholic (p = 0.044) lifestyle. All clinical indicators had high predictive values in predicting the nursing diagnosis under investigation. The indicator expresses desire to enhance management of symptoms was the most sensitive (99.7%) and specific (100%). The indicator expresses desire to enhance management of prescribed regimens was also highly specific (100%)
Conclusion
all clinical indicators were accurate in predicting Readiness for enhanced health management
Implications for Nursing Practice
knowing which clinical indicators and sociodemographic/clinical characteristics best predict Readiness for enhanced health management, nurses in primary care can better plan nursing interventions and direct their goals.</description><subject>Accuracy</subject><subject>Blood pressure</subject><subject>chronic disease</subject><subject>Chronic illnesses</subject><subject>Clinical indicators</subject><subject>Clinical medicine</subject><subject>Clinical nursing</subject><subject>data accuracy</subject><subject>Desire</subject><subject>Diabetes</subject><subject>Diabetes Mellitus - diagnosis</subject><subject>Disease management</subject><subject>Forms</subject><subject>Glucose</subject><subject>Health care</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Hypertension - diagnosis</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Nursing Diagnosis</subject><subject>Patient compliance</subject><subject>Primary care</subject><subject>Professional practice</subject><subject>Prospective Studies</subject><subject>Random sampling</subject><subject>Sociodemographics</subject><subject>Symptom management</subject><subject>Values</subject><issn>2047-3087</issn><issn>2047-3095</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkD1PwzAQhi0Eoqgws6FILCwp_kzssar4KKoAIZgt41xoqsQpdiLUf49LSgcWbrnz6blX1oPQOcETEuuaYp6nDCsxIZQxeYBO9pvD_SzzEToLYYVj5ZjlUh2jEeMEC6nyE_Q8tbb3xm6Stky6JSS2rlxlTZ1Uroi9a31IytYnL2CKykEYXuCWxlkokiWYulsmjXHmAxpw3Sk6Kk0d4GzXx-jt9uZ1dp8unu7ms-kitYxmMoUs48AKS2huJQVKSsYLTIUSGBtRGllyAlBIZShYIjJJOBXyXamSkbjhbIyuhty1bz97CJ1uqmChro2Dtg-aCqYE5QJnEb38g67a3rv4O00znkckZypS1wNlfRuCh1KvfdUYv9EE661vvTWqt3b1j-94cbHL7d8bKPb8r90IZAPwVdWw-S9Pzx8eX4fkb65jiDQ</recordid><startdate>202204</startdate><enddate>202204</enddate><creator>Moreira, Rafaella Pessoa</creator><creator>Ferreira, Júlio César Vieira</creator><creator>Morais, Huana Carolina Cândido</creator><creator>Felício, Janiel Ferreira</creator><creator>Oliveira Ferreira, Glauciano</creator><creator>Rouberte, Emília Soares Chaves</creator><creator>Rolim, Isaura Leticia Tavares Palmeira</creator><creator>Cavalcante, Tahissa Frota</creator><general>Blackwell Publishing Ltd</general><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>4T-</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2594-2323</orcidid><orcidid>https://orcid.org/0000-0002-3126-0169</orcidid><orcidid>https://orcid.org/0000-0002-5601-0086</orcidid><orcidid>https://orcid.org/0000-0002-8453-2543</orcidid><orcidid>https://orcid.org/0000-0001-6435-1457</orcidid><orcidid>https://orcid.org/0000-0002-5142-671X</orcidid><orcidid>https://orcid.org/0000-0001-9758-7853</orcidid><orcidid>https://orcid.org/0000-0003-2341-7936</orcidid></search><sort><creationdate>202204</creationdate><title>Accuracy of the clinical indicators for Readiness for enhanced health management</title><author>Moreira, Rafaella Pessoa ; Ferreira, Júlio César Vieira ; Morais, Huana Carolina Cândido ; Felício, Janiel Ferreira ; Oliveira Ferreira, Glauciano ; Rouberte, Emília Soares Chaves ; Rolim, Isaura Leticia Tavares Palmeira ; Cavalcante, Tahissa Frota</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3268-e664e3dc127c82e21f34d0259500a5fa8f41eed89a2ec156814258b99f312ec43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Accuracy</topic><topic>Blood pressure</topic><topic>chronic disease</topic><topic>Chronic illnesses</topic><topic>Clinical indicators</topic><topic>Clinical medicine</topic><topic>Clinical nursing</topic><topic>data accuracy</topic><topic>Desire</topic><topic>Diabetes</topic><topic>Diabetes Mellitus - diagnosis</topic><topic>Disease management</topic><topic>Forms</topic><topic>Glucose</topic><topic>Health care</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Hypertension - diagnosis</topic><topic>Medical diagnosis</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Nursing Diagnosis</topic><topic>Patient compliance</topic><topic>Primary care</topic><topic>Professional practice</topic><topic>Prospective Studies</topic><topic>Random sampling</topic><topic>Sociodemographics</topic><topic>Symptom management</topic><topic>Values</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Moreira, Rafaella Pessoa</creatorcontrib><creatorcontrib>Ferreira, Júlio César Vieira</creatorcontrib><creatorcontrib>Morais, Huana Carolina Cândido</creatorcontrib><creatorcontrib>Felício, Janiel Ferreira</creatorcontrib><creatorcontrib>Oliveira Ferreira, Glauciano</creatorcontrib><creatorcontrib>Rouberte, Emília Soares Chaves</creatorcontrib><creatorcontrib>Rolim, Isaura Leticia Tavares Palmeira</creatorcontrib><creatorcontrib>Cavalcante, Tahissa Frota</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Docstoc</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of nursing knowledge</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Moreira, Rafaella Pessoa</au><au>Ferreira, Júlio César Vieira</au><au>Morais, Huana Carolina Cândido</au><au>Felício, Janiel Ferreira</au><au>Oliveira Ferreira, Glauciano</au><au>Rouberte, Emília Soares Chaves</au><au>Rolim, Isaura Leticia Tavares Palmeira</au><au>Cavalcante, Tahissa Frota</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Accuracy of the clinical indicators for Readiness for enhanced health management</atitle><jtitle>International journal of nursing knowledge</jtitle><addtitle>Int J Nurs Knowl</addtitle><date>2022-04</date><risdate>2022</risdate><volume>33</volume><issue>2</issue><spage>100</spage><epage>107</epage><pages>100-107</pages><issn>2047-3087</issn><eissn>2047-3095</eissn><abstract>ABSTRACT
Purpose
to analyze accuracy measures of the clinical indicators of Readiness for enhanced health management in patients with arterial hypertension and/or diabetes mellitus
Methods
prospective diagnostic accuracy study conducted with 359 patients with hypertension and/or diabetes mellitus, followed up in primary healthcare. Stratified random sampling was used to recruit participants. An assessment form was applied with sociodemographic data, health conditions, and information related to the clinical indicators under investigation. Sensitivity, specificity, predictive values, and likelihood ratios were analyzed
Findings
the sample was composed of 359 participants. The prevalence of Readiness for enhanced health management was 93.8%. There was a statistically significant association between the diagnosis and age under 60 years (p < 0.001), having only one chronic condition (p < 0.001), having normal blood pressure (p = 0.017) and blood glucose (p = 0.013) values, and having a nonsedentary (p = 0.026) and nonalcoholic (p = 0.044) lifestyle. All clinical indicators had high predictive values in predicting the nursing diagnosis under investigation. The indicator expresses desire to enhance management of symptoms was the most sensitive (99.7%) and specific (100%). The indicator expresses desire to enhance management of prescribed regimens was also highly specific (100%)
Conclusion
all clinical indicators were accurate in predicting Readiness for enhanced health management
Implications for Nursing Practice
knowing which clinical indicators and sociodemographic/clinical characteristics best predict Readiness for enhanced health management, nurses in primary care can better plan nursing interventions and direct their goals.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>34105897</pmid><doi>10.1111/2047-3095.12338</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-2594-2323</orcidid><orcidid>https://orcid.org/0000-0002-3126-0169</orcidid><orcidid>https://orcid.org/0000-0002-5601-0086</orcidid><orcidid>https://orcid.org/0000-0002-8453-2543</orcidid><orcidid>https://orcid.org/0000-0001-6435-1457</orcidid><orcidid>https://orcid.org/0000-0002-5142-671X</orcidid><orcidid>https://orcid.org/0000-0001-9758-7853</orcidid><orcidid>https://orcid.org/0000-0003-2341-7936</orcidid></addata></record> |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Accuracy Blood pressure chronic disease Chronic illnesses Clinical indicators Clinical medicine Clinical nursing data accuracy Desire Diabetes Diabetes Mellitus - diagnosis Disease management Forms Glucose Health care Humans Hypertension Hypertension - diagnosis Medical diagnosis Middle Aged Nursing Nursing Diagnosis Patient compliance Primary care Professional practice Prospective Studies Random sampling Sociodemographics Symptom management Values |
| title | Accuracy of the clinical indicators for Readiness for enhanced health management |
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