{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T23:57:46Z","timestamp":1773791866745,"version":"3.50.1"},"reference-count":30,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Texto contexto - enferm."],"abstract":"<jats:p>ABSTRACT  Objective: to clinically validate the defining characteristics of the \u201cCaregiver Role Strain\u201d Nursing diagnosis for caregivers of people in a palliative care situation.  Method: a cross-sectional, quantitative, descriptive and analytical study. It was developed based on Fehring's Clinical Validation Model and on the diagnostic accuracy measures (sensitivity, specificity, predictive values and Receiver Operating Characteristic curve). The data collection instrument used was a form, applied in 2017 by two nurses to a sample of 111 caregivers of people in a palliative care situation, in Portugal. The caregivers were divided into two groups (with and without the diagnosis), being identified by the simultaneity of three criteria, namely: Zarit Burden Interview values greater than 56; agreement of two nurses about the diagnosis; and caregiver's perception of the presence of signs and symptoms. The defining characteristics were classified as major, secondary and irrelevant, according to the models used.  Results: the prevalence of diagnosis was 42.3%. Of the 29 characteristics subjected to the validation process, 9 were considered major, 13 secondary and 7 irrelevant. Ineffective coping, depressive mood, frustration, worsening of previous diseases, stress and fatigue were the characteristics which proved to be more associated with the diagnosis in both analyses. The overall score of the diagnosis was 0.68.  Conclusion: the study results contribute to the improvement of the diagnosis, making it more accurate. In addition, they enable better clinical decision in Nursing, allowing nurses to make a diagnostic judgment supported by scientific evidence.<\/jats:p>","DOI":"10.1590\/1980-265x-tce-2020-0549","type":"journal-article","created":{"date-parts":[[2021,10,21]],"date-time":"2021-10-21T01:44:46Z","timestamp":1634780686000},"source":"Crossref","is-referenced-by-count":3,"title":["CLINICAL VALIDATION OF THE NANDA-I \"CAREGIVER ROLE STRAIN\" NURSING DIAGNOSIS IN THE CONTEXT OF PALLIATIVE CARE"],"prefix":"10.1590","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1469-7086","authenticated-orcid":false,"given":"T\u00e2nia Marlene Gon\u00e7alves","family":"Louren\u00e7o","sequence":"first","affiliation":[{"name":"Escola Superior de Enfermagem S\u00e3o Jos\u00e9 de Cluny,  Portugal; Centro de Investiga\u00e7\u00e3o em Tecnologias e Servi\u00e7os de Sa\u00fade,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1327-9533","authenticated-orcid":false,"given":"Rita Maria de Sousa","family":"Abreu-Figueiredo","sequence":"additional","affiliation":[{"name":"Escola Superior de Enfermagem S\u00e3o Jos\u00e9 de Cluny,  Portugal; Centro de Investiga\u00e7\u00e3o em Tecnologias e Servi\u00e7os de Sa\u00fade,  Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9687-413X","authenticated-orcid":false,"given":"Lu\u00eds Oct\u00e1vio","family":"S\u00e1","sequence":"additional","affiliation":[{"name":"Universidade Cat\u00f3lica Portuguesa,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2021]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1007\/s12062-015-9116-0","article-title":"Impacts of Informal Caregiving on Caregiver Employment, Health, and Family","volume":"8","author":"Bauer J","year":"2015","journal-title":"J Popul Ageing"},{"key":"ref2","article-title":"Caregiver Role Strain In Informal Caregivers for the Elderly","volume":"28","author":"Vechia ADRD","year":"2019","journal-title":"Texto Contexto Enferm"},{"issue":"5","key":"ref3","first-page":"e512","article-title":"Financial Strain, Employment, and Role Captivity and Overload Over Time Among Dementia Family Caregivers","volume":"59","author":"Liu Y","year":"2019","journal-title":"Gerontologist"},{"issue":"5","key":"ref4","doi-asserted-by":"crossref","first-page":"29036","DOI":"10.34117\/bjdv6n5-378","article-title":"Conflitos emocionais em cuidadores de pacientes com doen\u00e7a de alzheimer","volume":"6","author":"Dias ES","year":"2020","journal-title":"Braz J Dev"},{"issue":"4","key":"ref5","first-page":"48","article-title":"The impact of alzheimer\u2019s disease on the caregiver\u2019s mental health","volume":"9","author":"Silva N","year":"2020","journal-title":"Di\u00e1logos Interdisciplinares"},{"issue":"6","key":"ref6","article-title":"Burden on caregivers of patients with sequelae of cerebrovascular accident","volume":"73","author":"Costa TFD","year":"2020","journal-title":"Rev Bras Enferm"},{"issue":"3","key":"ref7","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1017\/S1478951518000160","article-title":"Exploring the associations between spiritual well-being, burden, and quality of life in family caregivers of cancer patients","volume":"17","author":"Spatuzzi R","year":"2018","journal-title":"Palliat Support Care"},{"issue":"4","key":"ref8","doi-asserted-by":"crossref","first-page":"500","DOI":"10.3109\/0284186X.2014.953254","article-title":"A prospective analysis on fatigue and experienced burden in informal caregivers of cancer patients during cancer treatment in the palliative phase","volume":"54","author":"Peters M","year":"2015","journal-title":"Acta Oncol"},{"issue":"4","key":"ref9","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1111\/hsc.12219","article-title":"Predictors of caregiver burden across the home-based palliative care trajectory in Ontario, Canada","volume":"24","author":"Guerriere D","year":"2016","journal-title":"Health Soc Care Community"},{"issue":"2","key":"ref10","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1007\/s11060-018-2800-1","article-title":"Clinical routine assessment of palliative care symptoms and concerns and caregiver burden in glioblastoma patients: an explorative field study","volume":"138","author":"Seibl-Leven M","year":"2018","journal-title":"J Neuro-oncol"},{"key":"ref11","series-title":"Diagn\u00f3stico de Enfermagem da NANDA-I: Defini\u00e7\u00f5es e classifica\u00e7\u00e3o 2018-20","author":"Herdman T","year":"2018","edition":"11"},{"key":"ref12","article-title":"Review of nursing diagnosis validation studies: caregiver role strain","volume":"41","author":"Louren\u00e7o TMG","year":"2020","journal-title":"Rev Ga\u00facha Enferm"},{"issue":"6","key":"ref13","first-page":"1","article-title":"Methods to validate nursing diagnoses","volume":"16","author":"Fehring RJ","year":"1987","journal-title":"Heart Lung"},{"key":"ref14","series-title":"Classification of Nursing Diagnoses: Proceedings of the Tenth Conference. 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