# Validity Study of the “Imbalanced Energy Field” Nursing Diagnosis

## TL;DR

This paper evaluates and updates the nursing diagnosis 'Imbalanced Energy Field' based on expert feedback and validity criteria.

## Contribution

The study proposes changes to the diagnosis's defining characteristics and terminology for improved clarity and relevance.

## Key findings

- Seven defining characteristics were excluded, and ten terms were modified based on expert consensus.
- Fifteen defining characteristics and five related factors were validated and approved for the updated NANDA-I version.
- Content Validity Index ≥0.80 was used to ensure the diagnosis's definitions met quality standards.

## Abstract

to analyze the “Imbalanced Energy Field” (00273) nursing diagnosis content.

a content validity study of a nursing diagnosis. Twelve judges assessed the relevance of the elements of the NANDA-I “Imbalanced Energy Field” nursing diagnosis and the clarity and precision of its conceptual and operational definitions. A Content Validity Index ≥0.80 was considered adequate.

all definitions were analyzed by judges, in addition to the validity of the 22 defining characteristics and five related factors already existing in NANDA-I 2021–2023. The exclusion of seven defining characteristics and the modification of ten terms were suggested (Delphi Agreement Index ≥80%). Conceptual and operational definitions of these defining characteristics were constructed, validating them using a Content Validity Index ≥0.80.

after validity, 15 defining characteristics and five related factors were deemed relevant and the suggested changes were approved and published by NANDA-I 2024-2026.

analisar o conteúdo do diagnóstico de enfermagem “Campo de Energia Desequilibrado” (00273).

estudo de validação de conteúdo de diagnóstico de enfermagem. Doze juízes avaliaram a relevância dos elementos do diagnóstico de enfermagem da NANDA-I “Campo de Energia Desequilibrado, além da clareza e precisão de suas definições conceituais e operacionais. Foi considerado adequado um Índice de Validade de Conteúdo ≥0,80.

todas as definições foram analisadas pelos juízes, além da validação das 22 características definidoras e cinco fatores relacionados já existentes na versão NANDA-I 2021–2023. Foram sugeridas a exclusão de sete características definidoras e alteração de termos de dez (Índice de Concordância-Delphi ≥ 80%). As definições conceituais e operacionais dessas características definidoras foram construídas, validando-as pelo Índice de Validade de Conteúdo ≥0,80.

após a validação, 15 características definidoras e cinco fatores relacionados foram julgados relevantes, e as alterações sugeridas foram aprovadas e publicadas pela NANDA-I 2024-2026.