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J Pediatr Nurs ; 39: e6-e10, 2018.
Article in English | MEDLINE | ID: mdl-29248302

ABSTRACT

PURPOSE: This study aimed to identify the defining characteristics of, and examine their association with, the nursing diagnosis (ND) of Neonatal Jaundice (00194) in sample of hospitalized newborns. DESIGN AND METHODS: A cross-sectional study developed with 100 newborns aged between 24h and ten days. Data collection was performed in a public hospital of tertiary health care between March and June of 2016. RESULTS: The ND of Neonatal jaundice was present in 31% of the sample. The most frequent defining characteristics were yellow-orange skin color (65%) and abnormal blood profile (75%). Yellow mucous membranes, yellow-orange skin color and bruised skin showed statistically significant sensitivity and specificity. Yellow mucous membranes, yellow sclera and yellow-orange skin color were statistically associated with Neonatal jaundice. Yellow mucous membranes showed the best diagnostic accuracy measurements. CONCLUSIONS: The clinical indicators that best predicted and increased the probability of developing jaundice were identified. PRACTICE IMPLICATIONS: These clinical indicators increase the ability of nurses to clinically infer nursing diagnoses. This allows nurses to identify signs and symptoms of health conditions in a sensible and definitive manner, decreasing the possibility of errors.


Subject(s)
Jaundice, Neonatal/diagnosis , Neonatal Nursing/methods , Neonatal Screening/nursing , Nursing Assessment/methods , Nursing Diagnosis/methods , Clinical Competence/standards , Cross-Sectional Studies , Female , Humans , Infant, Newborn , Jaundice, Neonatal/nursing , Male
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