CLINICAL VALIDATION OF THE NANDA-I "CAREGIVER ROLE STRAIN" NURSING DIAGNOSIS IN THE CONTEXT OF PALLIATIVE CARE

ABSTRACT Objective: to clinically validate the defining characteristics of “Caregiver Role Strain” Nursing diagnosis for caregivers people in a palliative care situation. Method: cross-sectional, quantitative, descriptive and analytical study. It was developed based on Fehring's Clinical Validation Model diagnostic accuracy measures (sensitivity, specificity, predictive values Receiver Operating Characteristic curve). The data collection instrument used form, applied 2017 by two nurses sample 111 situation, Portugal. were divided into groups (with without diagnosis), being identified simultaneity three criteria, namely: Zarit Burden Interview greater than 56; agreement about diagnosis; caregiver's perception presence signs symptoms. classified as major, secondary irrelevant, according models used. Results: prevalence 42.3%. Of 29 subjected validation process, 9 considered 13 7 irrelevant. Ineffective coping, depressive mood, frustration, worsening previous diseases, stress fatigue which proved be more associated with both analyses. overall score 0.68. Conclusion: study results contribute improvement diagnosis, making it accurate. In addition, they enable better clinical decision Nursing, allowing make judgment supported scientific evidence.