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Defining the key clinical indicators for ineffective breathing pattern in paediatric patients: a meta-analysis of

Vanessa Emille Carvalho de Sousa1, Marcos Venícios de Oliveira Lopes2, Viviane Martins da Silva2

  • 1Ministry of Education of Brazil, CAPES Foundation, Brasília, Brazil.

Journal of Clinical Nursing
|March 27, 2015
PubMed

Insights

This study identified key clinical indicators for ineffective breathing patterns in children. Accurate signs include slow or rapid breathing, nasal flaring, difficulty breathing, and accessory muscle use.

Area of Science:

  • Nursing
  • Pediatric Medicine
  • Respiratory Care

Background:

  • Clinical reasoning relies on specific indicators for accurate diagnosis.
  • Previous studies reported the prevalence of ineffective breathing patterns, necessitating synthesis.
  • Understanding these indicators is crucial for effective nursing interventions.

Purpose of the Study:

  • To identify key clinical indicators of ineffective breathing pattern in pediatric patients.
  • To synthesize findings from quantitative nursing studies on diagnostic accuracy.

Main Methods:

  • A meta-analysis of quantitative nursing studies was conducted.
  • Systematic literature searches were performed in CINAHL, LILACS, PubMed, and Scopus.
  • Quality assessment criteria were applied to selected studies.

Main Results:

  • Six studies involving pediatric populations met the inclusion criteria.
  • The most accurate indicators for ineffective breathing pattern in children were identified.
  • Key indicators include bradypnoea, dyspnoea, nasal flaring, orthopnoea, tachypnoea, and accessory muscle use.

Conclusions:

  • This meta-analysis offers insights into the accuracy of clinical indicators for ineffective breathing patterns in diverse pediatric populations.
  • Nurses can enhance diagnostic reasoning by recognizing these critical defining characteristics.
  • Improved understanding benefits nursing students and professionals in clinical decision-making.
Abstract

Keywords:
clinical judgementdecision-makingnursing assessmentnursing diagnosis

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