Clinical validation of the terminological subset for people with chronic kidney disease undergoing conservative treatment.
Harlon França de Menezes, Alessandra Conceição Leite Funchal Camacho, Paola Paiva Monteiro and 5 others
PMID 38358115WHAT IT FOUND
For adults with chronic kidney disease on conservative treatment, a nursing language subset matched real patient cases: nurses almost always agreed on 110 nursing problems/outcomes and 195 nursing actions.
It guides assessment and documentation, but does not show better patient outcomes.
Key findings
01In the case studies, 105 diagnoses/outcomes (90%) and 190 interventions (96%) from the original subset were clinically validated.
02Twelve original diagnoses/outcomes were not identified in any case study and were not clinically validated in this setting.
03The four specialist nurses showed near-perfect to perfect agreement, and overall agreement was excellent (0.95).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was done in one outpatient clinic in southeastern Brazil, so it may not apply to other settings or populations. The 50 patients were selected consecutively for convenience, and the four nurses were chosen for convenience, not as a defined expert panel. It validated agreement on case-study statements, not patient outcomes or the effect of using the subset in routine care. Some original diagnoses/outcomes were not identified, and new diagnoses/outcomes were added, including from unpublished academic work. Patients who lacked cognitive capacity or missed scheduled appointments were excluded.
Declared interests
No funding or conflict-of-interest declaration is reported in the supplied text.
The easy way to misread this
Do not read the high agreement as proof that this subset improves care for people with chronic kidney disease. The study only showed that four specialist nurses agreed that the statements fitted 50 case records; it did not test patient outcomes.