Disrupted mother-fetus dyad risk in high-risk pregnancies: a Middle-Range Theory

to develop and evaluate a Middle-Range Theory for the nursing diagnosis "Disrupted Mother-Fetus Dyad Risk" in high-risk pregnancies. this methodological study was conducted in two stages: theory development and evaluation. Dorothea Orem's General Nursing Model was used as the theoreti...

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Published inRevista Brasileira de Enfermagem Vol. 77; no. 3; pp. e20230464 - 8
Main Authors Mendes, Ryanne Carolynne Marques Gomes, Silva, Gabrielle Pessôa da, Perrelli, Jaqueline Galdino Albuquerque, Pontes, Cleide Maria, Pascoal, Lívia Maia, Lira, Ana Luisa Brandão de Carvalho, Lopes, Marcos Venícios de Oliveira, Mangueira, Suzana de Oliveira, Linhares, Francisca Márcia Pereira
Format Journal Article
LanguageEnglish
Published Brazil Associação Brasileira de Enfermagem 01.01.2024
Subjects
Adult
At risk populations
Delphi Technique
Female
Fetuses
High-Risk
Humans
Maternal-Fetal Relations
Mothers - psychology
Mothers - statistics & numerical data
Nurses
Nursing
Nursing Diagnosis
Nursing Diagnosis - methods
Nursing Process
Nursing Theory
Original
Pictographs
Pregnancy
Pregnancy complications
Pregnancy, High-Risk - psychology
Risk Factors
Taxonomy
Womens health
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Summary:to develop and evaluate a Middle-Range Theory for the nursing diagnosis "Disrupted Mother-Fetus Dyad Risk" in high-risk pregnancies. this methodological study was conducted in two stages: theory development and evaluation. Dorothea Orem's General Nursing Model was used as the theoretical-conceptual foundation. Evaluation was conducted using the Delphi method with seven judges, and consensus was achieved when the Content Validity Index of the evaluated items was ≥ 0.80. the theory identified 20 elements of the nursing diagnosis "Disrupted Mother-Fetus Dyad Risk" (10 risk factors, 4 at-risk populations, and 6 associated conditions), 14 propositions, and 1 pictogram. After two rounds of evaluation, the theory was considered consistent, with consensus reached for all items, each achieving a Content Validity Index ≥ 0.80. the Middle-Range Theory included biopsychosocial factors explaining the nursing phenomenon "Disrupted Mother-Fetus Dyad Risk," which aids in nurses' diagnostic reasoning.
Bibliography:EDITOR IN CHIEF: Antonio José de Almeida Filho
ASSOCIATE EDITOR: Marcia Cubas
ISSN:0034-7167
1984-0446
DOI:10.1590/0034-7167-2023-0464