Clinical validation of nursing diagnosis "Willingness for improved infant development"

Flávia Paula Magalhães Monteiro Thelma Leite de Araujo Francisca Bertilia Chaves Costa Telma Alteniza Leandro Tahissa Frota Cavalcante Marcos Venícios de Oliveira Lopes About the authors



to conduct the clinical validation of nursing diagnosis "Willingness for improved infant development".


a cross-sectional study, conducted in a Centro de Saúde da Família (Family Health Care center), with 45 healthy breastfed infants. The instrument for collecting the data was prepared based on the literature and validated by nurses. It contained the following variables: sociodemographic, gestational, and obstetrical variables; breastfed infant's nutritional profile; evaluation of the defining characteristics of the proposed nursing diagnosis.


all the defining characteristics were found to have high sensitivity values (>90%), positive predictive values (>65%), negative predictive values (>66%); however, low specificity values (<32%). In this study, the defining characteristics we found to have estimates (>0.50) within the ROC curve, which provides good sensitivity and specificity.


this study verified the structural elements of the proposed nursing diagnosis to be relevant in the clinical context, which justifies the need for its being employed with children, taking into account its contribution to improving nursing care.

Growth and Development; Breastfed Infant; Nursing Diagnosis; Validation Studies; Terminology

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil