Nursing diagnosis proposal "Impaired Peripheral Venous Return": concept formation.
Hanna Priscilla da Silva Medeiros, Jéssica Naiara de Medeiros Araújo, Amanda Barbosa da Silva and 3 others
PMID 38018610WHAT IT FOUND
Decreased peripheral venous flow to the heart was proposed as an impaired venous return diagnosis.
Edema, ulcer and limb pain were common consequences. The label has not been clinically validated.
Key findings
01The proposed diagnosis was defined as decreased peripheral venous flow directed to the heart.
02Peripheral edema, venous ulcer and pain in the extremity were the most common consequences.
03Studies of content and clinical validity of the diagnostic proposal are still required.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
No patients were studied, so the proposal has no clinical outcome evidence. The authors say content and clinical validity testing is still required. The review did not assess the methodological quality of the included studies. It included previous reviews, which may duplicate evidence. Search was limited to Portuguese, English or Spanish. The concept was framed for adult patients in cardiovascular conditions or units, so it may not apply to other populations.
The easy way to misread this
Do not treat the proposed diagnosis as evidence that venous return assessment improves patient outcomes. It was built from published definitions and indicators, not from a patient study, and the authors say clinical validity testing is still required.