Middle-Range Theory of Ineffective Breathing Pattern in children with Congenital Heart Disease.
Nayana Maria Gomes de Souza, Viviane Martins da Silva, Marcos Venícios Oliveira Lopes
PMID 36629731WHAT IT FOUND
A nursing framework for spotting ineffective breathing pattern in children with congenital heart disease was judged usable by expert nurses after revisions.
It guides assessment of breathing signs, but has not been tested in patients.
Key findings
01Expert nurses judged the final version of the theory to meet all evaluation criteria after revisions.
02In the first panel, experts considered all 21 behaviours relevant and nine of the 10 stimuli relevant; age less than two years old was excluded.
03Some items about whether the theory's parts fit together did not reach the 0.9 target in the second panel and were revised.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The authors say the evaluation is subjective and that clinical applicability still needs verification. The authors say the theory's concepts and propositions still need empirical testing. The authors did not report experts' proficiency levels in nursing theory, and they say three experts did not continue between panel rounds. The panel included 20 of 23 experts from the first round, and recruitment used snowball sampling and email invitations.
The easy way to misread this
Do not treat this as evidence that using the framework improves breathing outcomes in children with congenital heart disease. It was developed from literature and expert ratings, and the authors state it still needs empirical testing.