Nursing Diagnosis of Patients Prone to Renal Dysfunction: The Delphi Technique

Monday, 7 July 2008
Graziela Ramos Souza, RN , Nursing, University Hospital Oswaldo Cruz, São Paulo, Brazil
Maria do Carmo Querido Avelar, RN, PhD , Post Graduation Course in Nursing, University Guarulhos, Guarulhos, Brazil

Learning Objective 1: analyze the results of the study as a possibility of use in interventions in the Nursing Assistance process.

Learning Objective 2: reflect in a critical way on the four Nursing diagnoses, which are fundamental in the orientation of interventions in patients prone to renal dysfunction.

Introduction: Renal failure is a major public health issue. It is of utmost importance to identify individuals who are under the risk of developing it. Nurses need to be trained to intervene with these patients' problems.

Objective: To identify the nursing diagnoses (ND), according to NANDA classification taxonomy II, considered fundamental in the orientation of nursing interventions with patients prone to renal dysfunction, using the Delphi Technique.

Method: A descriptive, transversal and field study, with a quantitative approach, performed in the Intensive Care Unit of a general hospital in São Paulo, in 2007. The sample was partly composed of twelve nurses, who were the judges. The Project was approved by the Ethics and Research Committee, with opinion nº 10/07. The data collection followed the guidelines proposed by the Delphi Technique, using three rounds to judge the six ND selected in previous studies.

Results: Using the three rounds, four nursing diagnoses (ND) were selected, based on the orientation of nursing interventions with patients prone to renal dysfunction. They are: Reduced Cardiac Output; Inefficient Tissular Renal Perfusion; Deficient Liquid Volume and Excessive Liquid Volume. This study was considered as a process of reaching a consensus with reliable results, in an outlook directed to the criteria that enable its use in clinical intervention.

Conclusion: The results meet the proposed objective; they are seen as a possibility of standardization for naming nursing issues and of the use of a unified language targeted to interventions, directing efforts to raise the quality of the assistance process to patients prone to renal dysfunction.


North American Nursing Diagnosis Association. Nursing Diagnoses of the NANDA: Definitions and classification 2005/2006. Porto Alegre: Artmed, 2006.

Faro ACM. The Delphi Technique to validate the nursing interventions. Rev. Esc. Enferm. USP. São Paulo: 1997, v3, n2, 299-37.