Article Review: “Content Validation of the NANDA-I Nursing Diagnosis Risk for Perioperative Hypothermia”

This article was recently published in the International Journal of Nursing Knowledge: “Content Validation of the NANDA-I Nursing Diagnosis Risk for Perioperative Hypothermia” by Manuel Schwanda RN, MScN, Silvia Brunner RN, PhD, Miriam de Abreu Almeida Prof., Dr., RN, FNI, PhD, Martina Koller MSc, MSc, Maria Müller Staub Prof. Dr. EdN, RN, FNI, FEANS PhD, Andre Ewers Ass.-Prof. Priv.-Doz. Dr., BScN, MScN

In this article, the authors sought to refine and validate the NANDA-I nursing diagnosis risk for perioperative hypothermia (00254) and to increase its level of evidence. 

The study began with a review of the current risk factors, at-risk populations, and associated conditions of the diagnosis by the authors, as well as potential additions from a previously conducted research study (Schwanda et al., 2021). The study incorporated the Wisdom of Crowds model (Surowiecki, 2004), which posits that the collective opinion of experts provides a better estimate than that of a single expert (Mendes et al., 2021). A purposive snowball sampling methodology was used to obtain 92 nurse experts from Austria, Brazil, Germany, Italy, Portugal, Switzerland, and the United States. Expert qualifications were based on the criteria established by Guimarães et al. (2016).

Based on Fehring’s methodology, the label, definition, 4 of the 5 risk factors, 6 of the 14 at-risk populations, and 5 of the 9 associated conditions were classified as major; none were rejected. Additional associated conditions and at-risk populations, such as low body weight, uncovered body surface area, general anesthesia, increased fluid loss, and low pre- and intra-operative core body temperature, were recommended for inclusion.

This type of work can form the basis of research that contributes to a higher level of evidence, moving beyond expert opinion into clinical validation.

Utilize Our NANDA-I Research Registry

We kindly remind all members to register their projects with the NANDA-I Research Registry. 

The NANDA International Research Registry (NANDA-I R2) is an international database of researchers who have completed, are currently engaged in, or plan to conduct research focused on NANDA-I nursing diagnoses. This encompasses all research methods, countries, clinical settings, and populations. 

By submitting your work, you not only contribute to a global repository of valuable research but also increase your project’s visibility and potential impact. NANDA-I R2 aims to map international researchers and organizations committed to this field, thereby facilitating networking and identifying expertise. 

Participation in the registry helps us build a comprehensive database that aids in identifying trends, generating new insights, and supporting the development of standardized nursing language. Registering your project is a simple yet significant way to engage with the broader nursing community and drive meaningful change in healthcare. Please ensure your innovative work is part of this essential resource!

Click here to submit your work.