{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T14:39:07Z","timestamp":1767796747741,"version":"3.49.0"},"reference-count":43,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T00:00:00Z","timestamp":1738281600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Nursing Knowl"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>The purpose of this study was to create and assess the content validity of a tutorial guide to identify the \u201cExcessive Fluid Volume\u201d nursing diagnosis in individuals with heart failure using lung ultrasound.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The study was divided into two phases. In the first phase, a literature review was conducted with the aim of developing a tutorial guide for performing lung ultrasound (LUS) to identify the \u201cExcessive Fluid Volume\u201d nursing diagnosis. In the second phase, the developed tutorial guide was initially assessed by a group of experts to assess the stages for image acquisition. Subsequently, another group of experts assessed the tutorial guide in terms of its indications, interpretation, and management. The content validity ratio (CVR) was calculated to analyze the agreement among experts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 24 articles were included in the tutorial guide development. Initially, the guide was assessed by 10 experts, and after three rounds, a critical CVR value was obtained. In the second phase, the guide's indications, interpretation, and management were assessed by 14 nurses, achieving a CVR value of 1.0. The guide includes three indications for insonation, 17 stages related to acquiring pulmonary insonation, three possible interpretations of ultrasound images to identify the defining characteristics of pulmonary congestion and pleural effusion, and five potential nursing interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The tutorial guide for identifying the \u201cExcessive Fluid Volume\u201d diagnosis in patients with heart failure was developed and demonstrated adequate evidence of content validity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for practice<\/jats:title>\n                    <jats:p>The tutorial guide developed can be used by nurses to assess the presence of the \u201cExcessive Fluid Volume\u201d diagnosis in different nursing care scenarios for patients with heart failure.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/2047-3095.70003","type":"journal-article","created":{"date-parts":[[2025,1,31]],"date-time":"2025-01-31T03:49:24Z","timestamp":1738295364000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Development and validity of tutorial guide for using lung ultrasound to identify \u201cExcessive Fluid Volume\u201d nursing diagnosis in patients with heart failure"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3243-9889","authenticated-orcid":false,"given":"Maria Camila","family":"Rodrigues","sequence":"first","affiliation":[{"name":"Nursing Paulista School Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2885-0088","authenticated-orcid":false,"given":"Thiago Vital","family":"da Silva","sequence":"additional","affiliation":[{"name":"Nursing Paulista School Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0458-8580","authenticated-orcid":false,"given":"Hellen Caroline","family":"da Silva Teixeira","sequence":"additional","affiliation":[{"name":"Nursing Paulista School Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6243-6497","authenticated-orcid":false,"given":"Camila Takao","family":"Lopes","sequence":"additional","affiliation":[{"name":"Nursing Paulista School Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6915-6781","authenticated-orcid":false,"given":"Juliana","family":"de Lima Lopes","sequence":"additional","affiliation":[{"name":"Nursing Paulista School Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5174-112X","authenticated-orcid":false,"given":"Fernanda Raphael Escobar","family":"Gimenes","sequence":"additional","affiliation":[{"name":"Ribeir\u00e3o Preto College of Nursing University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4641-604X","authenticated-orcid":false,"given":"Fabio","family":"D'Agostino","sequence":"additional","affiliation":[{"name":"Saint Camillus International University of Health Sciences  Rome Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5130-5523","authenticated-orcid":false,"given":"Vinicius Batista","family":"Santos","sequence":"additional","affiliation":[{"name":"Nursing Paulista School Federal University of S\u00e3o Paulo  S\u00e3o Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,31]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2018.03.066"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/0748175613513808"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2012.31.2.295"},{"key":"e_1_2_12_5_1","volume-title":"NIC\u2013Nursing Intervention Classification","author":"Butcher H. K.","year":"2020"},{"key":"e_1_2_12_6_1","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.amjcard.2022.03.022","article-title":"Meta\u2010analysis of point\u2010of\u2010care lung ultrasonography versus chest radiography in adults with symptoms of acute decompensated heart failure","volume":"174","author":"Chiu L.","year":"2022","journal-title":"American Journal of Cardiology"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rec.2020.07.006"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.26355\/eurrev_202308_33267"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2024.01.008"},{"key":"e_1_2_12_10_1","volume-title":"Psychometrics: An introduction","author":"Furr R. M.","year":"2022"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjci\/jead169"},{"key":"e_1_2_12_12_1","volume-title":"Nursing Diagnoses\u2014Definition and classification 2024\u20132026","author":"Herdman T. H.","year":"2024"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14331"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1980\u2010220x2017004703286"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0000000000001779"},{"key":"e_1_2_12_16_1","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1111\/j.1744-6570.1975.tb01393.x","article-title":"A quantitative approach to content validity","volume":"28","author":"Lawshe C. H.","year":"1975","journal-title":"Personnel Psychology"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2019.0703"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab368"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurjcn\/zvad064.061"},{"issue":"2","key":"e_1_2_12_20_1","first-page":"123","article-title":"Aspects of nursing assistance for the person with heart failure","volume":"8","author":"Nascimento M. N. R.","year":"2019","journal-title":"Rev Enferm Aten\u00e7\u00e3o Sa\u00fade"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2018.0001"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054\u2010022\u201004246\u20104"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034-7167-2023-0471"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1590\/1983\u20101447.2022.20200400.en"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11061642"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00392\u2010018\u20101221\u20107"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/2047\u20103095.12467"},{"issue":"2","key":"e_1_2_12_28_1","first-page":"218","article-title":"Assessment of diagnostic accuracy in nursing: Paper versus decision support system","volume":"29","author":"Peres H. H. C.","year":"2016","journal-title":"Acta Paulista de Enfermagem"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehw164"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv745"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.839"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.3390\/arm91030017"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11739\u2010023\u201003322\u20108"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034\u20107167.202477suppl0201"},{"key":"e_1_2_12_35_1","doi-asserted-by":"crossref","unstructured":"Smit J. M. Haaksma M. E. Winkler M. H. Heldeweg M. L. A. Arts L. Lust E. J. Elbers W. G. Meijboom L. J. Girbes A. R. J. Heunks L. M. A. &Tuinman P. R.(2021).Lung ultrasound in a tertiary intensive care unit population: A diagnostic accuracy study\u2014Critical care.BioMed Central.https:\/\/ccforum.biomedcentral.com\/articles\/10.1186\/s13054\u2010021\u201003759\u20103#ref\u2010CR2","DOI":"10.1186\/s13054-021-03759-3"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.9789\/2175\u20105361.2016.v8i4.5025\u20105031"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2021.104759"},{"issue":"4","key":"e_1_2_12_38_1","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.colegn.2020.10.002","article-title":"Point of care ultrasound use by registered nurses and nurse practitioners in clinical practice: An integrative review","volume":"28","author":"Totenhofer R.","year":"2021","journal-title":"Collegian"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjdh\/ztad079"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2020.10.002"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11739\u2010023\u201003433\u20102"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2022.04.064"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.3402\/qhw.v11.32090"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1002\/ppul.24635"}],"container-title":["International Journal of Nursing Knowledge"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/2047-3095.70003","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T11:43:53Z","timestamp":1767786233000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/2047-3095.70003"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,31]]},"references-count":43,"alternative-id":["10.1111\/2047-3095.70003"],"URL":"https:\/\/doi.org\/10.1111\/2047-3095.70003","archive":["Portico"],"relation":{},"ISSN":["2047-3087","2047-3095"],"issn-type":[{"value":"2047-3087","type":"print"},{"value":"2047-3095","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,31]]},"assertion":[{"value":"2024-10-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"2047-3095.70003"}}