{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T16:00:53Z","timestamp":1780502453529,"version":"3.54.1"},"reference-count":43,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T00:00:00Z","timestamp":1780444800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"National Council for Scientific and Technological Development (CNPq) Brasil"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["International Journal of Nursing Knowledge"],"abstract":"<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":"10.1177\/20473087261449874","type":"journal-article","created":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T15:01:26Z","timestamp":1780498886000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"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":[{"vocabulary":"crossref","role":"author"}]},{"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":[{"vocabulary":"crossref","role":"author"}]},{"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":[{"vocabulary":"crossref","role":"author"}]},{"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":[{"vocabulary":"crossref","role":"author"}]},{"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":[{"vocabulary":"crossref","role":"author"}]},{"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":[{"vocabulary":"crossref","role":"author"}]},{"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":[{"vocabulary":"crossref","role":"author"}]},{"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":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,3]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.sapharm.2018.03.066"},{"issue":"1","key":"e_1_3_2_3_1","first-page":"79","article-title":"Critical values for Lawshe's content validity ratio: Revisiting the original methods of calculation","volume":"47","author":"Ayre C.","year":"2014","unstructured":"Ayre C., Scally A. 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