Elaboração e validação do Diagnóstico de Enfermagem: Proteção ineficaz pelos anexos oculares

Resumo (EN)

Introduction – The objective of this study was to suggest the title, definition, defining characteristics and factors related to Nursing Diagnosis (ND): Ineffective protection from the ocular surroundings; validation of the title, of the definition and the defining characteristics. Material and Method – It is a descriptive and exploratory study, realized in all national territory and developed into four steps: 1 – elaboration of Nursing Diagnosis; 2 – elaboration of the concepts definitions and operational definitions of the defining characteristics, identified in step 1; 3 – validation of the Nursing Diagnosis Content Ineffective Protection from the ocular surroundings: title, defining characteristics and related factors; 4 – validation of the concepts definitions and operational definitions of the defining characteristics made by clinical nurses. The (ND) Ineffective Protection from the ocular surroundings is as follows: decrease in the capacity of protecting the eye from external and internal agents and the following related factors: surgical treatments, therapies using medicine, traumas, invasion of pathologic microorganisms, abnormal nerves functioning, muscles and nerves that are part of the ocular surroundings, characterized as: lagophthalmus, entropion, ectropion, trichiasis, blepharoptosis, madarosis, dry eye, edema, pain, sting, watery eye, hyperemia and secretion. Clinical nurses validated the concepts definitions and operational definitions and the diagnosis comprising its total structure was validated by expert nurses. Results – Some suggestions of alterations were made by the clinical nurses on the concepts definitions and operational definitions and the alterations were accepted. For the content validation, realized by the expert nurses, the selected term of qualification was the word deficient; for the definition of diagnosis it was suggested the addition of the word absence and the removal of the word internal. All the characteristics reached the necessary index; the related factors were not altered, consequently the ND was: Deficient protection from the ocular surroundings. Conclusion – It was concluded that it is necessary to have further studies for the validation of diagnosis proposed, including for clinical validation.