Agradecimentos: The authors thank UNICAMP's The Writing Space, Associate Dean of Research (Espaço da Escrita, Pró-Reitoria de Pesquisa) for the language services provided. The authors also thank the Coordination of Improvement of Higher Level Personnel (Coordenação de Aperfeiçoamento de Pessoal de...

Agradecimentos: The authors thank UNICAMP's The Writing Space, Associate Dean of Research (Espaço da Escrita, Pró-Reitoria de Pesquisa) for the language services provided. The authors also thank the Coordination of Improvement of Higher Level Personnel (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior-CAPES), funded by the Brazilian government, for financial assistance provided to the doctoral student during this research

Abstract: To clinically validate indicators of the nursing outcomes "Breastfeeding establishment: Infant (1000)" and "Breastfeeding establishment: maternal (1001)", and their conceptual and operational definitions in infants admitted to a neonatal unit and their mothers. This study utilized several...

Abstract: To clinically validate indicators of the nursing outcomes "Breastfeeding establishment: Infant (1000)" and "Breastfeeding establishment: maternal (1001)", and their conceptual and operational definitions in infants admitted to a neonatal unit and their mothers. This study utilized several methods in a stepwise approach including an integrative review of the literature, content validation, and clinical validation. The content validity index was performed by eight experts, who evaluated revised content of the studied nursing outcomes. In the clinical validation, 61 mother–infant dyads were evaluated by two pairs of nurses: one pair used an instrument with developed definitions, whereas the other used an instrument without definitions. The evaluations were compared using Fleiss’ kappa and weighted kappa. The agreement between all evaluators was considered excellent for almost all nursing outcome indicators related to the mothers. The pair of evaluators using the definitions had an agreement greater than 0.80 for most indicators. For the pair that did not use the definitions, agreement was poor. There was an increase in uniformity and accuracy between the assessments when using the conceptual and operational definitions for the nursing outcome indicators related to Breastfeeding establishment. This study contributed to the development of terms within the Nursing Outcomes Classification, and enriched the body of nursing knowledge

COORDENAÇÃO DE APERFEIÇOAMENTO DE PESSOAL DE NÍVEL SUPERIOR - CAPES

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