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- Nursing process addressing the focus “anxiety”: a scoping reviewPublication . Sampaio, Francisco; Gonçalves, Patrícia; Parola, Vítor; Sequeira, Carlos; Lluch-Canut, TeresaThe aim of this review was to map the body of literature on data, diagnoses and interventions addressing the nursing focus “anxiety.” A scoping review methodology was employed. The Joanna Briggs guidelines for scoping reviews and PRISMA checklist for scoping reviews were followed. Electronic database searches (MEDLINE, CINAHL and Web of Science) located 829 articles. From the total of articles located, 165 were included. The nursing diagnosis “anxiety” can be considered a parent diagnosis, from which other children diagnoses are derived. Data that lead to nursing diagnoses in the anxiety domain can be divided into cognitive and somatic data. Some interventions, such as educational and music-based interventions, seem to be useful to address nursing diagnoses in the anxiety domain. The findings of this review can add substantial value for systematising the nursing process related to the focus “anxiety.” Therefore, reaching consensus regarding this nursing process seems highly relevant.
- Evaluation of the Psychometric Properties of NOC Outcomes “Anxiety Level” and “Anxiety Self-Control” in a Portuguese Outpatient SamplePublication . Sampaio, Francisco; Araújo, Odete; Sequeira, Carlos; Lluch-Canut, Teresa; Martins, TeresaPURPOSE To adopt the language and to evaluate the psychometric properties of “Anxiety level” and “Anxiety self‐control” NOC outcomes in Portuguese adult patients. METHODS Methodological design. FINDINGS The final European Portuguese version of the NOC outcome “Anxiety level,” composed by 16 indicators, proved excellent internal consistency. Exploratory factor analysis (EFA) was forced to three factors. The NOC outcome “Anxiety self‐control,” composed of nine indicators, demonstrated a questionable internal consistency. EFA was forced to two factors. CONCLUSIONS European Portuguese versions of the studied NOC outcomes proved to be tools with acceptable psychometric properties for evaluating anxiety in Portuguese patients. IMPLICATIONS FOR NURSING PRACTICE This study contributed to the development of NOC language and to the enrichment of nursing's body of knowledge.
- Development of a clinical data model addressing the nursing focus “anxiety”: a consensus development studyPublication . Sampaio, Francisco; Gonçalves, Patrícia; P., Vieira-Marques; Sequeira, Carlos; Lluch-Canut, TeresaAnxiety disorders are among the most prevalent mental disorders worldwide. However, anxiety is not exclusive to anxiety disorders. In fact, the nursing discipline approaches anxiety as a human response to health conditions/life processes. Health information systems should primarily contribute to improving the quality of care, patient safety, and the effectiveness of care delivery. Nevertheless, nursing information systems still fail to incorporate evidence-based clinical data models addressing the nursing focus “anxiety.” Thus, this study aimed to obtain consensus on the data to be included in a clinical data model addressing the nursing focus “anxiety,” its organization, and its interrelationships by using a brainstorming session and a modified e-Delphi technique with a panel of nurse experts from across Portugal. Eight experts participated in the brainstorming session. A total of 59 and 54 participants completed the survey in e-Delphi rounds 1 and 2, respectively. Consensus was achieved to all data presented to the participants, and these data were later included in the clinical data model. This evidence-based clinical data model, grounded on a nursing theory and with standardized nursing language, will substantially contribute to nursing documentation and, consequently, to nursing care targeted at patients with anxiety.