Disrupted Mother-fetus Dyad Risk in High-risk Pregnancies: a Middle-Range Theory

Overview

Journal Rev Bras Enferm

Specialty Nursing

Date 2024 Jul 31

PMID 39082549

Authors

Ryanne Carolynne Marques Gomes Mendes

Gabrielle Pessoa da Silva

Jaqueline Galdino Albuquerque Perrelli

Cleide Maria Pontes

Livia Maia Pascoal

Ana Luisa Brandao de Carvalho Lira

Marcos Venicios de Oliveira Lopes

Suzana de Oliveira Mangueira

Francisca Marcia Pereira Linhares

Affiliations

Soon will be listed here.

Abstract

Objectives: to develop and evaluate a Middle-Range Theory for the nursing diagnosis "Disrupted Mother-Fetus Dyad Risk" in high-risk pregnancies.

Methods: this methodological study was conducted in two stages: theory development and evaluation. Dorothea Orem's General Nursing Model was used as the theoretical-conceptual foundation. Evaluation was conducted using the Delphi method with seven judges, and consensus was achieved when the Content Validity Index of the evaluated items was ≥ 0.80.

Results: the theory identified 20 elements of the nursing diagnosis "Disrupted Mother-Fetus Dyad Risk" (10 risk factors, 4 at-risk populations, and 6 associated conditions), 14 propositions, and 1 pictogram. After two rounds of evaluation, the theory was considered consistent, with consensus reached for all items, each achieving a Content Validity Index ≥ 0.80.

Conclusions: the Middle-Range Theory included biopsychosocial factors explaining the nursing phenomenon "Disrupted Mother-Fetus Dyad Risk," which aids in nurses' diagnostic reasoning.

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