Risk for adverse reaction to iodinated contrast media: a validation study

Area of Science:

• Nursing Science
• Clinical Nursing Practice
• Patient Safety Research

Background:

• Iodinated contrast media are frequently used in medical imaging.
• Adverse reactions to these media pose a risk to patient safety.
• Standardized nursing diagnoses are crucial for consistent care and research.

Purpose of the Study:

• To validate the content of the nursing diagnosis 'Risk for adverse reaction to iodinated contrast media'.
• To confirm the relevance and accuracy of associated nursing interventions and outcomes.
• To align the diagnosis with established nursing terminologies.

Main Methods:

• Utilized Fehring's (1987) model for diagnosis content validation.
• Involved a panel of expert registered nurses and physicians.
• Assessed risk factors, nursing interventions, and nursing outcomes.

Main Results:

• Validated title, definition, and 27 risk factors (5 primary, 22 secondary) for the diagnosis.
• Diagnosis validated for NANDA International Taxonomy II, Area II - Safety/Protection, Class 2 - Physical Injury.
• Validated 8 nursing interventions (7 primary, 1 secondary) and 8 nursing outcomes (7 principal, 1 minor).

Conclusions:

• The nursing diagnosis 'Risk for adverse reaction to iodinated contrast media' is content-validated.
• Validated risk factors, interventions, and outcomes support its clinical utility.
• Findings confirm the diagnosis's suitability for integration into standardized nursing languages.