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- Effect of the “spiritual support” intervention on spirituality and the clinical parameters of women who have undergone mastectomy: a pilot studyPublication . Guilherme, Caroline; Ribeiro, Gabriela Roberta; Caldeira, Sílvia; Zamarioli, Cristina Mara; Oliveira-Kumakura, Ana Railka de Souza; Almeida, Ana Maria; Carvalho, Emília Campos deThis study aimed to evaluate the effect of the spiritual support intervention on spirituality and the clinical parameters of women who have undergone mastectomy. This is a pilot study of a randomized clinical trial. The spiritual support intervention was composed of meditation, guided imagery, music, and respiratory relaxation. The outcomes were: spirituality, blood pressure, heart rate, and oxygen saturation. A total of 27 patients were recruited for the study (intervention group, n = 13; control group, n = 14) (Clinical Trials: NCT 01866670/CAE: 00896312.0.0000.5393). The intervention helped patients with breast cancer to increase expression of their spirituality (p = 0.040) and it also decreased heart rate on the first (p = 0.038) and third day (p = 0.017). There was a difference in oxygen saturation on the second day in the control group (p = 0.039). Patients reported that their participation in the research was positive. This intervention had an effect on the sample of women who had undergone mastectomy.
- The contribution of the Rasch Model to the clinical validation of nursing diagnoses: integrative literature reviewPublication . Oliveira-Kumakura, Ana Railka de Souza; Caldeira, Sílvia; Simão, Talita Prado; Camargo-Figuera, Fábio Alberto; Cruz, Diná de Almeida Lopes Monteiro da; Carvalho, Emília Campos dePURPOSE: To analyze the knowledge related to the use of the Rasch model in validation of nursing diagnoses. METHODS: Integrative literature review with search in LILACS, PUBMED, CINAHL, and SCOPUS. FINDINGS: Five studies comprised the sample, which analyzed unidimensionality, local independence, item calibration, item reliability, separation of items and people, and differential item functioning for analyzing nursing diagnoses. CONCLUSIONS: The Rasch model seems to be a useful method to validate nursing diagnoses and probably also for the validation of nursing outcomes in the Nursing Outcomes Classification. The use of this model is promising, considering the advan- tages that it can be used in studies with several methodological designs. IMPLICATIONS FOR NURSING: Methods that are able to provide more robust evidence of nursing diagnosis validity are needed to support highly accurate diag- nostic findings in clinical practice.