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

Area of Science:

• Pediatrics
• Developmental Psychology
• Nursing Diagnostics

Background:

• Delayed child development is a significant concern in pediatric care.
• Accurate identification of risk factors is crucial for timely intervention.
• The nursing diagnosis "Risk for delayed child development" requires clinical validation of its associated risk factors.

Purpose of the Study:

• To clinically validate the risk factors associated with the nursing diagnosis "Risk for delayed child development".

Main Methods:

• A cross-sectional quantitative study was conducted with 124 children in specialty outpatient and family health units.
• Data were collected via interviews with guardians to identify risk factors for developmental delay.
• Statistical analysis included accuracy tests (sensitivity, specificity) and odds ratios to assess risk factor impact.

Main Results:

• Validated risk factors were present in 87.1% of the evaluated children.
• High specificity (>80%) and lower sensitivity (<30%) were observed for most factors.
• Significant risk factors identified included genetic disorders (OR=38), congenital disorders (OR=4.4), and impaired parental cognitive development (OR=27).

Conclusions:

• The study successfully refined the diagnostic accuracy for "Risk for delayed child development".
• Identified risk factors, particularly genetic, congenital, and parental cognitive aspects, are key indicators for potential developmental delays.