Clinical Validation of the Indicators and Definitions of the Nursing Outcome Tissue Integrity: Skin and Mucous Membranes in People With Diabetes Mellitus

PURPOSE: The study aimed to validate clinically the indicators of the nursing outcome Tissue Integrity: Skin and Mucous Membranes and its conceptual and operational definitions in people with diabetes mellitus. METHODS: A methodological study was conducted with an evaluation of 100 participants for two pairs: one of these pairs used the indicators without the definitions and the other used the indicators with their definitions. FINDINGS: The pair who used the definitions presented greater concordance and similarity in the ratings. CONCLUSIONS: The indicators and their definitions have been validated clinically. IMPLICATIONS FOR NURSING PRACTICE: The use of indicators with definitions can contribute to reliable and accurate evaluation of the tissue integrity of the feet in people with diabetes mellitus and, thus, assist in the measurement of the effectiveness of the nursing care provided.