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

Nádia Proença de Melo1, Juliana Martins de Souza2, Samara Macedo Cordeiro3

  • 1Universidade Nove de Julho, São Paulo, SP, Brazil.

Insights

This study validated risk factors for delayed child development, finding genetic disorders, congenital disorders, and parental cognitive impairment significantly increase risk. These findings improve diagnostic accuracy for developmental delays.

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.
Abstract

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