Abstract030Category:ResearchonnursingdiagnosisTITLE: ContentvalidationofnursingdiagnosisIneffectivebreathingpatterninchildren

withcongenitalheartdiseaseAUTHORS: Souza,N.M.G.,Silva,V.M.,Lopes,M.V.O,Pascoal,L.M.,Guedes,N.G.,Beltrão,

B.A.Introductionwithproblemstatement:Amiddlerangetheory(MRT)ofineffectivebreathingpattern(00032)inchildrenwithcongenitalheartdiseasehasevidencednewelementsthatarenotdescribedinNANDA-I1butwhichareidentified in clinical practice. Therefore, content validation is necessary to improve thediagnosis.Methods:Adescriptivestudywith23specialistswhoansweredaninstrumentthatcontainedevaluationofthedefiningcharacteristics(DC)andrelatedfactors(ReF)developedintheMRT.Acontentvalidationindex(CVI)wascalculated,withanullhypothesisofaCVIgreaterthanorequalto0.9.Resultsanddiscussion:The experts validated nine of the ten ReF: increase in airway resistance, reduction of lungcompliance,increaseincarbondioxideconcentration,increaseinhydrogenconcentration,bodypositionthatinhibitslungexpansion,chestwalldeformity,physicaleffort,anxiety,andpain.TheRFagelessthantwoyearsdidnotreachthedesiredCVI.RegardingtheDC,allwereconsideredrelevant: use of accessorymuscles to breathe, altered chest excursion, abnormal breathingpattern,bradypnea,decreaseinexpiratorypressure,decreaseininspiratorypressure,decreasein minute ventilation, dyspnea, increase in anterior-posterior chest diameter, nasal flaring,orthopnea, prolonged expiration phase, pursed-lip breathing, tachypnea, use of three-pointposition, changes in respiratory depth, hypoxia, hypoxemia, cyanosis, respiratory sleepdisorders, respiratory accessory muscle fatigue. The conceptual and operational definitionsconstructedfortheReFandDChadadiagnosticcontentvalidityindexgreaterthan0.9.Impactonthediscipline:Itisconsideredthatthevalidationprocesssubsidizedtherefinementandimprovementofthisdiagnosisanditscomponents.References:1.HERDMAN,T.H.;KAMITSURU,S.(Eds.).NANDAInternationalnursingdiagnoses:definitionsandclassification,2015-2017.Oxford:Wiley-Blackwell,2015.