Clinical validation of the nursing diagnosis "Risk for delayed child development"

• Published in: Revista da Escola de Enfermagem da U S P Vol. 56; p. e20220229
• Main Authors: Melo, Nádia Proença de, Souza, Juliana Martins de, Cordeiro, Samara Macedo, Veríssimo, Maria de La Ó Ramallo
• Format: Journal Article
• Language: English; Portuguese
• Published: Brazil Universidade de São Paulo, Escola de Enfermagem 2022
• Subjects: Child Development; Cross-Sectional Studies; Humans; NURSING; Nursing Diagnosis; Parents - psychology; Risk Factors; Enfermería Pediátrica; Terminology; Diagnóstico de Enfermagem; Estudio de Validación; Estudo de Validação; Desarrollo Infantil; Validation Stud; Terminologia; Terminología; Enfermagem Pediátrica; Nursing Diagnosi; Diagnóstico de Enfermería; Child Developmen; Pediatric nursin; Desenvolvimento Infantil
• ISSN: 0080-6234; 1980-220X; 1980-220X
• DOI: 10.1590/1980-220X-REEUSP-2022-0229en

To validate clinically the risk factors of the nursing diagnosis "Risk for delayed child development". Cross-sectional quantitative study carried out in a specialty outpatient clinic and in family health units with 124 children. The data was collected through interviews with the children's guardians to investigate the risk factors for delay in child development. The tested risk factors affected 108 of the evaluated children (87.1%). In the accuracy tests, most specificity values were above 80% and sensitivity values were lower than 30%. Most risk factors had odds ratio >1, three of which were noteworthy: genetic disorder (OR = 38, p < 0.05) and congenital disorder (OR = 4.4, p < 0.05), among child-related aspects, and impaired cognitive development in parents (OR = 27, p < 0.05), among caregiver-related aspects. The study contributed to a refined diagnostic accuracy, identifying potential associated factors of the evaluated diagnosis.