Clinical validation of the nursing diagnosis of impaired memory in patients with a stroke.

AIM: To validate the clinical indicators for the nursing diagnosis of impaired memory among patients with a stroke. METHODS: A sample of 123 patients who had been admitted with a stroke was evaluated by using a questionnaire that was designed to identify the presence of the clinical indicators for the diagnosis of impaired memory, according to the NANDA International taxonomy. Measures of sensitivity and specificity were calculated for each clinical indicator by using random-effects latent class analysis. RESULTS: The clinical indicators that demonstrated high levels of diagnostic accuracy included the following: an inability to learn new skills and an inability to retain new skills. The inability to learn new skills and the inability to carry out previously learned skills were identified as the clinical indicators with high sensitivity and specificity in the latent class model with adjustment for age. The inability to retain new skills indicator showed better diagnostic accuracy in individuals with lower educational levels. CONCLUSION: The clinical indicators of the impaired memory diagnosis were observed frequently in patients with a stroke; in these patients, impaired memory was characterized by the inability to learn or retain new skills and was influenced by the age and educational level.

Nursing diagnoses associated with the national policy for health promotion.

OBJECTIVES: To identify the relationships between nursing diagnoses proposed by NANDA-I taxonomy II and the priority themes (PT) of the National Policy for Health Promotion (PNPS in Portuguse). METHODS: An integrative literature review was carried out in the Scopus, Cinahl and SciELO databases, using the descriptors: health promotion, food habits, traffic accidents, drugs abuse, environment and public health. The search considered scientific articles published between 2000 and 2016. RESULTS: Twelve articles were selected to identify and explore nursing actions related to PT. It was identified that although the said taxonomy offers a Domain called Health promotion, there is a need to relate the diagnoses of other domains to include the health actions described in the aforementioned Policy. It was observed that there is an attention and concern of the nursing professionals to address topics such as the training of managers and the promotion of healthy eating. In relation to the priority themes promotion of safe mobility and sustainable development, no nursing diagnoses were identified due to the scarcity of diagnoses related to them in the mentioned taxonomy. CONCLUSIONS: Although the NANDA-I taxonomy presents a specific domain on health promotion, these are not sufficient to meet the needs of the priority themes proposed by PNPS.