AI Article Synopsis

  • The study aimed to create and assess a Middle-Range Theory for the nursing diagnosis "Disrupted Mother-Fetus Dyad Risk" specifically for high-risk pregnancies.
  • It followed a two-stage methodological approach: developing the theory based on Dorothea Orem's nursing model and evaluating it using the Delphi method with seven judges, ensuring a high content validity.
  • The final theory outlined 20 elements, including risk factors and conditions, and was validated through consensus, helping nurses improve their diagnostic reasoning regarding mother-fetus interactions.

Article Abstract

Objectives: to develop and evaluate a Middle-Range Theory for the nursing diagnosis "Disrupted Mother-Fetus Dyad Risk" in high-risk pregnancies.

Methods: this methodological study was conducted in two stages: theory development and evaluation. Dorothea Orem's General Nursing Model was used as the theoretical-conceptual foundation. Evaluation was conducted using the Delphi method with seven judges, and consensus was achieved when the Content Validity Index of the evaluated items was ≥ 0.80.

Results: the theory identified 20 elements of the nursing diagnosis "Disrupted Mother-Fetus Dyad Risk" (10 risk factors, 4 at-risk populations, and 6 associated conditions), 14 propositions, and 1 pictogram. After two rounds of evaluation, the theory was considered consistent, with consensus reached for all items, each achieving a Content Validity Index ≥ 0.80.

Conclusions: the Middle-Range Theory included biopsychosocial factors explaining the nursing phenomenon "Disrupted Mother-Fetus Dyad Risk," which aids in nurses' diagnostic reasoning.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11290727PMC
http://dx.doi.org/10.1590/0034-7167-2023-0464DOI Listing

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