Content analysis of a technology to the nursing diagnostic
               reasoning

methodological study. Agreement and inter-rater reliability index for the criteria: relevance, adequacy, clarity, conciseness and accuracy of a technology to the nursing diagnosis reasoning for novices through an electronic form. The sample consisted of 13 raters. Data were analyzed using descriptive statistics.

Results:

high agreement and inter-rater reliability for 85 items related to data collection stage and the strategy description. Only fi ve items did not reach the validation criteria and must be rewritten.

Conclusion:

indirect assessment of the pre-encounter is relevant to the diagnostic reasoning process, being possible to develop competencies and diagnostic skills in the novice through strategies, proposals on innovative technology in the form of a diagram.

Key words:
Nursing Assessment; Nursing Diagnosis; Technology; Validation Studies

Variables	f	%
Title
Master’s in nursing, in the topic of nursing diagnosis	9	69,2
PhD in nursing, in the topic of nursing diagnosis	7	53,9
Scientific production related to the teachinglearning process of nursing diagnosis, clinical assessment or reasoning diagnosis
Dissertation	7	53,9
Thesis (PhD)	7	53,9
Publications	10	76,9
Study with relevant content in a reference journal	11	84,6
Minimum teaching experience of one year
Subject, course or training that includes the process of developing nursing diagnoses	11	84,6

Variables	NAME
Variables	Adequacy	Clarity	Conciseness	Accuracy
Median	6	6	5	5
Mode	6	6	5	5
Minimum	3	4	5	5
Maximum	6	6	6	6
CVI ^* * Índice de concordância considerando os escores 4, 5 ou 6.	0,85	1	1	1

Variables	NAME
Variables	Adequacy	Clarity	Conciseness	Accuracy
Median	6	5	5	5
Mode	6	6	5	5
Minimum	4	4	5	5
Maximum	6	6	6	6
CVI ^* * Índice de concordância considerando os escores 4, 5 ou 6.	1	1	1	1

		CVI^* * Índice de concordância considerando os escores 4, 5 ou 6.
Criteria	Nº	Adequacy	Clarity	Concisiness	Accuracy
Purposes	7	0,94	0,94	0,94	0,92
Circunstancies	2	1	1	1	1
Reason	7	0,87	0,90	0,89	0,89
Explanation	4	1	0,98	0,98	0,98

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[1] CORRESPONDING AUTHOR: Alessandra Borges Brum Cleires E-mail: alessandracleires@gmail.com

Strategies purposes	Md ^* * Md = Valores da mediana	CVI	k
Provide an overview of the client’s condition or client group (initial assessment)	6	1	1
Favor the direction of clinical care and data collection areas in the direct and general assessment	6	1	1
Collect secondary data (laboratory and imaging tests, information passed by other nurses and possible literature reviews)	6	1	1
Ensure continuity of care provided through the transmission of information between professionals	6	0,92	0,84
Offer the possibility to perceive changes in the clinical status	6	0,92	0,84
Focus on important points for further research in the encounter with the client	6	0,92	0,84
Indirect assessment of the client increases the effectiveness of information and processing of the information collected	5	0,85	0,72
Strategy circumstances	Md ^* * Md = Valores da mediana	CVI	k
Indirect assessment of the client is developed in shifts handling	6	1	1
Indirect assessment of the client is developed in chart reading	6	1	1
Strategy reasons	Md ^* * Md = Valores da mediana	CVI	k
The client may have changes in the clinical status that may be informed by indirect source	6	1	1
Data information among professionals need to be transmitted and collected	6	1	1
It is necessary to observe and process the information collected	6	0,92	0,84
Enough data is not always available to be collected by direct assessment	5	0,90	0,81
It is a reliable source of clinical assessment providing information before the direct assessment	6	0,85	0,82
Indirect assessment of the client keeps the diagnostician within the working memory capacity, reducing the cognitive effort	5	0,83	0,70
There are data already observed and processed in the indirect assessment of the client	5	0,71	0,55
Strategy explanations	Md ^* * Md = Valores da mediana	CVI	k
Using social models and shift changing to encourage the flow of information, enabling effective communication.	6	1	1
Using external sources such as assistance documents, clinical discussion encounters, talk with family members and acquaintances (family or close people).	6	1	1
Checking clinical registries, laboratory and imaging tests, data on lifestyle, ethnicity, occupation, socioeconomic status and other	6	1	1
Using effective communication strategies between the teams	6	0,94	0,88