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Accuracy in inference of nursing diagnoses in heart failure patients

ABSTRACT

Heart failure (HF) is a common cause of hospitalization and requires accuracy in clinical judgment and appropriate nursing diagnoses.

Objective:

to determine the accuracy of nursing diagnoses of fatigue, intolerance to activity and decreased cardiac output in hospitalized HF patients.

Method:

descriptive study applied to nurses with experience in NANDA-I and/or HF nursing diagnoses. Evaluation and accuracy were determined by calculating effi cacy (E), false negative (FN), false positive (FP) and trend (T) measures. Nurses who showed acceptable inspection for two diagnoses were selected.

Results:

the nursing diagnosis of fatigue was the most commonly mistaken diagnosis identifi ed by the nursing evaluators.

Discussion:

the search for improving diagnostic accuracy reaffi rms the need for continuous and specifi c training to improve the diagnosis capability of nurses.

Conclusion:

the training allowed the exercise of clinical judgment and better accuracy of nurses.

Key words:
Nursing Processes; Nursing Diagnosis; Heart Failure

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