Nursing diagnosis of sedentary lifestyle: expert validation

Moreira, Rafaella Pessoa; Guedes, Nirla Gomes; Lopes, Marcos Venicios de Oliveira; Cavalcante, Tahissa Frota; Araújo, Thelma Leite de

doi:10.1590/0104-07072014000590013

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Original Article • Texto contexto - enferm. 23 (3) • Jul-Sep 2014 • https://doi.org/10.1590/0104-07072014000590013 copy

Nursing diagnosis of sedentary lifestyle: expert validation¹ 1 This study is part of the dissertation - Review of the nursing diagnosis Sedentary Lifestyle: concept analysis and validation by experts, defended for the Graduate Nursing Program at the Universidade Federal do Ceará (UFC) in 2011, with financial support provided by CAPES, REUNI scholarship.

DIAGNÓSTICO DE ENFERMERÍA DEL ESTILO DE VIDA SEDENTARIO: VALIDACIÓN POR EXPERTOS¹ 1 This study is part of the dissertation - Review of the nursing diagnosis Sedentary Lifestyle: concept analysis and validation by experts, defended for the Graduate Nursing Program at the Universidade Federal do Ceará (UFC) in 2011, with financial support provided by CAPES, REUNI scholarship.

Authorship SCIMAGO INSTITUTIONS RANKINGS

This study's aim was to verify with experts the appropriateness of the components (definition, defining characteristics and related factors) of the nursing diagnosis sedentary lifestyle for individuals with hypertension. The validation process took place from February to July 2011, by 48 nurse specialists in nursing terminologies and/or sedentary lifestyle and/or hypertension. Based on this study, changes in the definition of Sedentary Lifestyle and in the titles of five indicators are recommended, in addition to the addition of another six related factors and three defining characteristics to the list of the NANDA-International Taxonomy II. The process of expert validation enables improvement and more reliable and accurate identification of clinical indicators with greater diagnostic accuracy.

Nursing; Nursing diagnosis; Validation studies; Sedentary Lifestyle; Hypertension

Related factors	All the experts				Up to 10 points			Above 10 points
Related factors	CVI *	%†	p‡	CVI *	%†	p‡	CVI *	%†	p‡
Deficient knowledge concerning the benefits of exercise to health and/or the consequences of sedentariness.	0.85	81.2	0.642	0.86	84.6	0.793	0.86	77.2	0.457
Attitudes, beliefs, and health habits that hinder the practice of exercise.	0.88	81.2	0.642	0.88	76.9	0.422	0.88	86.3	0.845
Lack of motivation to exercise.	0.88	93.6	0.997	0.93	88.4	0.916	0.93	100.0	1.000
Lack of interest in exercise	0.87	91.4	0.990	0.92	84.6	0.793	0.92	100.0	1.000
Lack of social support to exercise	0.78	72.9	0.147	0.85	0.692	0.131	0.85	0.77	0.457
Lack of resources (time, money, place, safety, equipment)	0.85	75.0	0.240	0.87	73.0	0.252	0.87	0.77	0.457
Lack of confidence to exercise	0.73	61.7	0.002	0.77	61.5	0.023	0.77	61.9	0.040
Lack of preparedness to exercise	0.73	58.3	<0.001	0.78	57.6	0.007	0.78	59.1	0.020
Impaired mobility	0.92	85.4	0.871	0.93	84.6	0.793	0.93	81.8	0.668
Activity intolerance	0.91	91.6	0.992	0.92	96.1	0.997	0.92	86.3	0.845
Report of pain	0.90	91.6	0.992	0.89	92.3	0.977	0.89	90.9	0.952
Emotional responses	0.69	48.9	<0.001	0.69	42.3	<0.001	0.69	57.1	0.014

Defining characteristics	All the experts			5 to 10 points			11 to 14 points
Defining characteristics	CVI *	%†	p‡	CVI *	%†	p‡	CVI *	%†	p‡
Overweight	0.79	66.6%	0.021	0.78	73.0	0.252	0.79	59.1	0.020
Low performance in daily life activities	0.73	50.0%	<0.001	0.78	61.5	0.023	0.65	36.3	<0.001
Choose life routine without exercise	0.94	89.5%	0.975	0.97	84.6	0.793	0.96	90.9	0.952
Does not exercise during free time	0.74	66.6%	0.021	0.74	61.5	0.023	0.75	72.7	0.267
Reduced cardiorespiratory endurance	0.82	66.6%	0.021	0.82	73.0	0.252	0.80	59.1	0.020
Decreased muscle strength	0.79	56.2%	<0.001	0.79	57.6	0.007	0.77	54.5	0.006
Decreased joint flexibility	0.73	52.1%	<0.001	0.74	57.6	0.007	0.71	45.4	<0.001
Verbalizes preference for activities with little exercise	0.88	80.8%	0.615	0.83	73.0	0.252	0.94	90.4	0.942
Report of health disorders	0.58	27.1%	<0.001	0.60	30.7	<0.001	0.54	22.7	<0.001

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] Correspondence: Rafaella Pessoa Moreira Rua Júlio Azevedo, 1.520, ap. 600 60.192-310 - Cocó, Fortaleza, CE, Brazil. E-mail: rafaellapessoa@hotmail.com