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Mid-range Theory for the Nursing Diagnosis Ineffective Infant Suck-Swallow Response
Samara Calixto Gomes1, Rita de Cassia Gengo E Silva Butcher2, Lara de Almeida Rocha Vieira1
1Nursing Department, Federal University of Ceará, Fortaleza, Ceará, Brazil.
This study revises the nursing diagnosis "Ineffective Infant Suck-Swallow Response" to include breathing, enhancing accuracy for neonatal feeding interventions. The updated diagnosis aims to improve infant feeding outcomes and guide clinical practice.
Area of Science:
- Nursing Science
- Neonatal Care
- Theory Development
Background:
- The nursing diagnosis "Ineffective Infant Suck-Swallow Response" requires refinement.
- Existing etiological factors and clinical indicators lack comprehensive theoretical integration.
Purpose of the Study:
- To develop a mid-range theory for the nursing diagnosis "Ineffective Infant Suck-Swallow Response."
- To refine the diagnosis based on scientific findings and theoretical frameworks.
Main Methods:
- Conducted two systematic reviews on etiological factors and clinical indicators.
- Utilized Roy's Adaptation Model for theory construction and element categorization.
- Identified seven stimuli and fifteen defining characteristics.
Main Results:
- Findings support revising the diagnosis to "Ineffective Infant Suck-Swallow-Breathing Response."
- Reclassification under the Nutrition domain is proposed.
- A pictorial diagram and nine theoretical propositions were developed.
Conclusions:
- The developed Mid-Range Theory supports revising the nursing diagnosis to "Ineffective Infant Suck-Swallow-Breathe Response."
- Refinements aim to improve diagnostic accuracy and guide neonatal nursing interventions.
- Further validation studies are recommended to support clinical application.
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