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Bertocchi L, Dante A, La Cerra C, Masotta V, Marcotullio A, Jones D, Petrucci C, Lancia L. Impact of standardized nursing terminologies on patient and organizational outcomes: A systematic review and meta-analysis. J Nurs Scholarsh 2023; 55:1126-1153. [PMID: 36959705 DOI: 10.1111/jnu.12894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2022] [Revised: 02/12/2023] [Accepted: 03/01/2023] [Indexed: 03/25/2023]
Abstract
AIMS To explore the impact of 12 American Nurses Association recognized standardized nursing terminologies (SNTs) on patient and organizational outcomes. BACKGROUND Previous studies reported an effect of SNTs on outcomes, but no previous frameworks nor meta-analyses were found. DESIGN Systematic review and meta-analyses. REVIEW METHODS PubMed, Scopus, CINAHL, and OpenGrey databases were last consulted in July 2021. All abstracts and full texts were screened independently by two researchers. The review included primary quantitative studies that reported an association between recognized SNTs and outcomes. Two reviewers independently assessed the risk of bias and certainty of evidence for each meta-analyzed outcome using the "Grading of Recommendations, Assessment, Development and Evaluation" (GRADE) approach. RESULTS Fifty-three reports were included. NANDA-NIC-NOC and Omaha System were the most frequently reported SNTs used in the studies. Risk of bias in randomized controlled trials and not-randomized controlled trials ranged from high to unclear, this risk was low in cross-sectional studies. The number of nursing diagnoses NANDA-I moderately correlated with the intensive care unit length of stay (r = 0.38; 95% CI = 0.31-0.44). Using the Omaha System nurse-led transitional care program showed a large increase in both knowledge (d = 1.21; 95% CI = 0.97-1.44) and self-efficacy (d = 1.23; 95% CI = 0.97-1.48), while a reduction on the readmission rate (OR = 0.46; 95% CI = 0.09-0.83). Nursing diagnoses were found to be useful predictors for organizational (length of stay) and patients' outcomes (mortality, quality of life). The GRADE indicated that the certainty of evidence was rated from very low to low. CONCLUSIONS Studies using SNTs demonstrated significant improvement and prediction power in several patients' and organizational outcomes. Further high-quality research is required to increase the certainty of evidence of these relationships. CLINICAL RELEVANCE SNTs should be considered by healthcare policymakers to improve nursing care and as essential reporting data about patient's nursing complexity to guide reimbursement criteria.
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Affiliation(s)
- Luca Bertocchi
- Department of Health, Life, and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
- The Marjory Gordon Program for Clinical Reasoning and Knowledge Development, William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts, USA
| | - Angelo Dante
- Department of Health, Life, and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Carmen La Cerra
- Department of Health, Life, and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Vittorio Masotta
- Department of Health, Life, and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Alessia Marcotullio
- Department of Health, Life, and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Dorothy Jones
- The Marjory Gordon Program for Clinical Reasoning and Knowledge Development, William F. Connell School of Nursing, Boston College, Chestnut Hill, Massachusetts, USA
| | - Cristina Petrucci
- Department of Health, Life, and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
| | - Loreto Lancia
- Department of Health, Life, and Environmental Sciences, University of L'Aquila, L'Aquila, Italy
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Wagner CM, Jensen GA, Lopes CT, Mcmullan Moreno EA, Deboer E, Dunn Lopez K. Removing the roadblocks to promoting health equity: finding the social determinants of health addressed in standardized nursing classifications. J Am Med Inform Assoc 2023; 30:1868-1877. [PMID: 37328444 PMCID: PMC10586041 DOI: 10.1093/jamia/ocad098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 05/03/2023] [Accepted: 06/06/2023] [Indexed: 06/18/2023] Open
Abstract
Providing 80% of healthcare worldwide, nurses focus on physiologic and psychosocial aspects of health, which incorporate social determinants of health (SDOH). Recognizing their important role in SDOH, nurse informatics scholars included standardized measurable terms that identify and treat issues with SDOH in their classification systems, which have been readily available for over 5 decades. In this Perspective, we assert these currently underutilized nursing classifications would add value to health outcomes and healthcare, and to the goal of decreasing disparities. To illustrate this, we mapped 3 rigorously developed and linked classifications: NANDA International (NANDA-I), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) called NNN (NANDA-I, NIC, NOC), to 5 Healthy People 2030 SDOH domains/objectives, revealing the comprehensiveness, usefulness, and value of these classifications. We found that all domains/objectives were addressed and NNN terms often mapped to multiple domains/objectives. Since SDOH, corresponding interventions and measurable outcomes are easily found in standardized nursing classifications (SNCs), more incorporation of SNCs into electronic health records should be occurring, and projects addressing SDOHs should integrate SNCs like NNN into their ongoing work.
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Affiliation(s)
- Cheryl Marie Wagner
- Nursing Interventions Classification, College of Nursing, University of Iowa, Iowa City, Iowa, USA
| | - Gwenneth A Jensen
- Division of Nursing, Sanford Health System, Sioux Falls, South Dakota, USA
| | - Camila Takáo Lopes
- Escola Paulista de Enfermagem, Universidade Federal de São Paulo, São Paulo, SP, Brazil
| | | | - Erica Deboer
- Division of Nursing, Sanford Health System, Sioux Falls, South Dakota, USA
| | - Karen Dunn Lopez
- Center for Nursing Classification and Clinical Effectiveness, College of Nursing, University of Iowa, Iowa City, Iowa, USA
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Chae S, Oh H, Da Costa Ferreira Oberfrank N, Schulman-Green D, Moorhead S, Swanson EA. Linking nursing outcomes classification to the self- and family management framework. J Adv Nurs 2023; 79:832-849. [PMID: 36424724 PMCID: PMC10099907 DOI: 10.1111/jan.15503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2022] [Revised: 09/09/2022] [Accepted: 10/01/2022] [Indexed: 11/27/2022]
Abstract
AIM Establish linkages between components of the Self- and Family Management Framework and outcomes of the Nursing Outcomes Classification to evaluate the comprehensiveness of outcomes addressing self- and family management in the Nursing Outcomes Classification. DESIGN Descriptive study. METHODS Experts conducted a six-step process to establish linkages: (1) preliminary mapping of all relevant nursing outcomes to the framework; (2) development of checklists for team members serving as 'identifiers' and 'reviewers'; (3) mapping all relevant nursing outcomes to the framework; (4) final agreement on mapped outcomes; (5) establishment of inter-rater reliability; and (6) discussion of findings with authors of the Self- and Family Management Framework. RESULTS Three hundred and sixty-three nursing outcomes were identified as related to the management of chronic disease across all components of the framework: outcomes related to patient self-management (n = 336), family functioning (n = 16) and family caregivers (n = 11). CONCLUSION The Nursing Outcomes Classification outcomes comprehensively address self-management, and, less so, family functioning, and caregivers. IMPLICATIONS Established linkages can be used by nurses to track and support patient and family management outcomes across the care continuum. PATIENT OR PUBLIC CONTRIBUTION Linking standardized nursing outcomes to the Self- and Family Management Framework can assist in goal setting and measurement of nursing care during chronic disease management. This work can help describe to funders, policy makers and others invested in health care reform the specific contributions of nurses to self- and family management of chronic disease. IMPACT This paper demonstrates the linkages between components of the Self- and Family Management Framework and Nursing Outcomes Classification outcomes. The results of this study offer the opportunity to quantify the impact of nursing care and enhance nursing practice for patients with chronic conditions as well as contribute to developing Nursing Outcomes Classification outcomes that consider self-management processes.
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Affiliation(s)
- Sena Chae
- College of Nursing, University of Iowa, Iowa City, Iowa, USA
| | - Hyunkyoung Oh
- College of Nursing, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, USA
| | | | - Dena Schulman-Green
- New York University, Rory Meyers College of Nursing, New York, New York, USA
| | - Sue Moorhead
- College of Nursing, University of Iowa, Iowa City, Iowa, USA
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Al‐Adili L, Boström A, Orrevall Y, Lang NR, Peersen C, Persson I, Thoresen L, Lövestam E. Self‐reported documentation of goals and outcomes of nutrition care – A cross‐sectional survey study of Scandinavian dietitians. Scand J Caring Sci 2022; 37:472-485. [PMID: 36329640 DOI: 10.1111/scs.13131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Revised: 10/05/2022] [Accepted: 10/15/2022] [Indexed: 11/06/2022]
Abstract
BACKGROUND The documentation of goals and outcomes of nutrition care in Electronic Health Records is insufficient making further exploration of this of particular interest. Identifying common features in documentation practice among Scandinavian dietitians might provide information that can support improvement in this area. AIMS To explore the associations between clinical dietitians' self-reported documentation of patients' goals and outcomes and demographic factors, self-reported implementation of the systematic framework the Nutrition Care Process 4th step (NCP) and its associated terminology, and factors associated with the workplace. METHODS Data from a cross-sectional study based on a previously tested web-based survey (INIS) disseminated in 2017 to dietitians in Scandinavia (n = 494) was used. Respondents were recruited through e-mail lists, e-newsletters and social media groups for dietitians. Associations between countries regarding the reported documentation of goals and outcomes, implementation levels of the NCP 4th step, demographic information and factors associated with the workplace were measured through Chi-square test. Associations between dependent- and independent variables were measured through logistic regression analysis. RESULTS Clinically practicing dietitians (n = 347) working in Scandinavia, Sweden (n = 249), Norway (n = 60), Denmark (n = 38), who had completed dietetic education participated. The reported documentation of goals and outcomes from nutrition intervention was highly associated with the reported implementation of NCP 4th step terminology (OR = 5.26; p = 0.009, OR = 3.56; p = 0.003), support from the workplace (OR = 4.0, p < 0.001, OR = 8.89, p < 0.001) and area of practice (OR = 2.02, p = 0.017). Years since completed dietetic training and educational level did not have any significant associations with documentation practice regarding goals and outcomes. CONCLUSION Findings highlight strong associations between the implementation of the NCP 4th step terminology and the documentation of goals and outcomes. Strategies to support dietitians in using standardized terminology and the development of tools for comprehensive documentation of evaluation of goals and outcome are required.
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Affiliation(s)
- Lina Al‐Adili
- Department of Food Studies, Nutrition and Dietetics Uppsala University Uppsala Sweden
| | - Anne‐Marie Boström
- Department of Neurobiology, Care Science and Society Division of Nursing, Karolinska Institutet Huddinge Sweden
- Theme Inflammation and Aging Karolinska University Hospital Huddinge Sweden
- Research and Development Unit Stockholms Sjukhem Stockholm Sweden
- Karolinska Institutet Huddinge Sweden
| | - Ylva Orrevall
- Department of Biosciences and Nutrition Karolinska Institute Stockholm Sweden
- Medical Unit Clinical Nutrition Women's Health and Allied Health Professionals Theme, Karolinska University Hospital Stockholm Sweden
| | - Nanna R. Lang
- Department of Nutrition and Health VIA University College Denmark
| | - Charlotte Peersen
- Department of Unit for Service and Intern Control Department of Service and Quality, Trondheim Municipality Trondheim Norway
| | - Inger Persson
- Department of Statistics Uppsala University Uppsala Sweden
| | - Lene Thoresen
- Cancer Clinic, St. Olavs Hospital Trondheim University Hospital Trondheim Norway
| | - Elin Lövestam
- Department of Food Studies, Nutrition and Dietetics Uppsala University Uppsala Sweden
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Bornet MA, Rubli Truchard E, Bernard M, Pasquier J, Borasio GD, Jox RJ. Will to Live in Older Nursing Home Residents: A Cross-Sectional Study in Switzerland. J Pain Symptom Manage 2021; 62:902-909. [PMID: 34000336 DOI: 10.1016/j.jpainsymman.2021.05.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2021] [Revised: 05/03/2021] [Accepted: 05/07/2021] [Indexed: 11/20/2022]
Abstract
CONTEXT The will to live (WTL) is an important indicator of subjective well-being. It may enable a deeper understanding of the well-being of nursing home residents. OBJECTIVES To evaluate the intensity of WTL, its association with various factors, and its temporal evolution among residents ≥ 65 years old; we also aimed to compare it with proxy assessments of WTL. METHODS A cross-sectional study was conducted in five nursing homes in Switzerland. Participants with decisional capacity were asked to rate the intensity of their WTL on a single-item numerical rating scale ranging from 0-10. A short-term follow-up was conducted among a sub-sample of 17 participants after three and six weeks. Proxy assessment by residents' next of kin and professional caregivers was conducted, and inter-rater agreement was calculated. RESULTS Data from 103 participants (75.7% women, 87.3 ± 8.0 years) was analyzed. The median intensity of WTL was 8. Higher WTL was significantly associated with better physical mobility and shorter duration of daily care but not with age, gender, pre-admission care setting, or prognosis. Significant independent predictors of WTL were physical mobility and provenance from rehabilitative care. In the short-term follow-up assessment, WTL remained highly stable. Intraclass correlation coefficients were moderate for residents' next of kin and nurse assistants but poor for physicians and nurses; all proxy assessments underestimated the participants' WTL. CONCLUSION Nursing home residents expressed a very strong WTL and proxy aents underestimated residents' WTL. It seems pivotal to proactively communicate with residents about their WTL.
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Affiliation(s)
- Marc-Antoine Bornet
- Palliative and Supportive Care Service and Service of Geriatric Medicine and Geriatric Rehabilitation (M.-A.B., E.R.T., R.J.J.), Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
| | - Eve Rubli Truchard
- Palliative and Supportive Care Service and Service of Geriatric Medicine and Geriatric Rehabilitation (M.-A.B., E.R.T., R.J.J.), Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland; Service of Geriatric Medicine and Geriatric Rehabilitation (E.R.T.), Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Mathieu Bernard
- Palliative and Supportive Care Service (M.B., G.D.B., R.J.J), Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Jérôme Pasquier
- Center for Primary Care and Public Health (J.P.), University of Lausanne, Lausanne, Switzerland
| | - Gian Domenico Borasio
- Palliative and Supportive Care Service (M.B., G.D.B., R.J.J), Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Ralf J Jox
- Palliative and Supportive Care Service and Service of Geriatric Medicine and Geriatric Rehabilitation (M.-A.B., E.R.T., R.J.J.), Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland; Palliative and Supportive Care Service (M.B., G.D.B., R.J.J), Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland; Institute of Humanities in Medicine (R.J.J.), Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
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Zhang T, Wu X, Peng G, Zhang Q, Chen L, Cai Z, Ou H. Effectiveness of Standardized Nursing Terminologies for Nursing Practice and Healthcare Outcomes: A Systematic Review. Int J Nurs Knowl 2021; 32:220-228. [PMID: 33580632 DOI: 10.1111/2047-3095.12315] [Citation(s) in RCA: 21] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2020] [Revised: 01/08/2021] [Accepted: 01/15/2021] [Indexed: 02/05/2023]
Abstract
PURPOSE This review evaluates the effectiveness of using standardized terminologies in nursing. METHODS A systematic literature review was performed via PubMed, Web of Science, CINAHL, and OVID databases for articles published between January 1973 and September 2020. The Effective Public Health Practice Project's Quality Assessment Tool for Quantitative Studies was used to assess the quality of all included studies. RESULTS Fourteen studies were selected for data extraction and analysis, which included a total of 24,243 patients and 99 nurses. Of the studies that met the inclusion criteria, the quality of five were of high quality, one was of moderate quality, and eight was of weak quality. All articles were summarized according to two themes: the identification of common outcomes or interventions, and the validation or evaluation of the effectiveness of standard nursing terminology sets. CONCLUSION Standardized terminologies in nursing help nurses to implement care plans according to nursing procedures, supervise changes in patients' sensitive indicators, improve patients' health outcomes, and contribute to evidence-based nursing practices and global data resource sharing. IMPLICATIONS FOR NURSING PRACTICE Standardized nursing terminologies have positive effects on clinical practice, are essential for enriching nurses' knowledge, and alter nurses' attitudes regarding education and guidance, which promotes the clinical application of these terminologies.
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Affiliation(s)
- Tiantian Zhang
- Shantou University Medical College, Shantou, P. R. China
| | - Xiaohong Wu
- Department of Nursing, Third People's Hospital of Chengdu, Chengdu, P. R. China
- School of Nursing, Shantou University Medical College, Shantou, P. R. China
| | - Gangyi Peng
- Health Commission of Guangdong Province, Guangzhou, P. R. China
| | - Qian Zhang
- Guangdong Nurses Association, Guangzhou, P. R. China
| | - Lianhua Chen
- Shantou University Medical College, Shantou, P. R. China
| | - Zehua Cai
- Jinan University, Guangzhou, P. R. China
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Reich R, Rabelo-Silva ER, Swanson E, Moorhead S, Almeida MDA. Development of a nursing outcome for a percutaneous procedure. Int J Nurs Knowl 2021; 33:84-92. [PMID: 34105879 DOI: 10.1111/2047-3095.12329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2021] [Revised: 04/29/2021] [Accepted: 05/03/2021] [Indexed: 11/28/2022]
Abstract
OBJECTIVES To develop a nursing outcome, consistent with the standardized format of outcomes within the nursing Outcomes Classification (NOC). This outcome will include an outcome label, an outcome definition, and clinical indicators. The proposed use for this outcome is to evaluate the access site of a percutaneous procedure. METHODS Concept analysis with a scoping review. Initially, content experts were recruited to validate the indicators of the proposed outcome in order to complete a consensus validation. After consensus validation, a review of the proposed outcome and its indicators was completed by two of the editors of the NOC team to confirm that the outcome label, definition, and indicators were consistent with the NOC taxonomy. During this review, edits were made on the label name and definition. FINDINGS After a series of reviews, the initial outcome of Vascular Status: Percutaneous Procedure Access was changed to Tissue Injury Severity: Percutaneous Procedure. In addition, the original definition of the condition of an access site for percutaneous procedure by venous or arterial puncture and health of surrounding tissues was edited to: Severity of complications from a needle-puncture access through the skin and into deeper tissues. The outcome has 11 indicators to be used to formulate a target rating for use in the clinical setting. The indicators were not edited over the course of the reviews. CONCLUSION The proposed outcome will assist nurses in evaluating the access site of percutaneous procedures and in identifying possible complications. IMPLICATIONS FOR THE NURSING PRACTICE This research contributes to the refinement of the NOC taxonomy by having a new outcome that meets clinical practice needs.
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Affiliation(s)
- Rejane Reich
- School of Nursing, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.,Cardiology Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
| | - Eneida Rejane Rabelo-Silva
- School of Nursing, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.,Cardiology Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Rio Grande do Sul, Brazil
| | | | - Sue Moorhead
- College of Nursing, The University of Iowa, Iowa City, Iowa
| | - Miriam de Abreu Almeida
- School of Nursing, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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Musavi M, Jahani S, Asadizaker M, Maraghi E, Razmjoo S. The Effect of Pain Self-Management Education on Pain Severity and Quality of Life in Metastatic Cancer Patients. Asia Pac J Oncol Nurs 2021; 8:419-426. [PMID: 34159235 PMCID: PMC8186386 DOI: 10.4103/apjon.apjon-2097] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2020] [Accepted: 04/16/2021] [Indexed: 11/06/2022] Open
Abstract
Objective: Proper pain control in cancer patients is one of the prime needs of metastatic cancer patients. It is, then, one of the essential objectives of health care workers. The present study aimed to pinpoint the impact of pain self-management education on the pain severity and the quality of life in patients with metastatic cancers using complementary medicine approaches. Methods: This clinical trial study was performed in the Oncology Specialty Clinic of Ahvaz Golestan Hospital on 82 metastatic cancer patients picked based on inclusion criteria. They were randomly assigned to two groups: the intervention group and one as the control group. In the intervention group, pain self-management was taught in the three steps of providing information, skill development, and guidance. Self-management approaches were also practically taught face to face along with feedback. Furthermore, the quality of life was measured at 1-and 3-month follow-ups and the pain severity was measured during 7 weeks. In the control group, the quality of life questionnaire and the pain severity checklist were given to the participants to fill out. Finally, data were analyzed through SPSS version 22 in general and repeated-measures ANOVA and Friedman tests. Results: It was observed that after the intervention, the trend of pain severity during weeks 1–7 was significantly different in the intervention and control groups (P < 0.0001). In addition, a significant difference was observed for the quality of life at 1 and 3 months after the intervention between the two studied groups (P < 0.0001). Conclusions: Findings of the present study indicate a positive impact of pain self-management on improving pain severity and the indicators of quality of life in metastatic cancer patients. Accordingly, the current study findings can help nurses, nursing students, and other team members improve pain control skills and subsequently increase the quality of life in patients with metastatic cancers.
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Affiliation(s)
- Mahsa Musavi
- Chronic Diseases Care Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Simin Jahani
- Department of Medical and Surgical Nursing, Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Marziyeh Asadizaker
- Department of Medical and Surgical Nursing, Nursing Care Research Center in Chronic Diseases, School of Nursing and Midwifery, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Elham Maraghi
- Department of Epidemiology and Biostatistics, School of Public Health, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
| | - Sasan Razmjoo
- Department of Clinical Oncology, Clinical Research Development Center, Golestan Hospital, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
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Bornet MA, Bernard M, Jaques C, Rubli Truchard E, Borasio GD, Jox RJ. Assessing the Will to Live: A Scoping Review. J Pain Symptom Manage 2021; 61:845-857.e18. [PMID: 32931906 DOI: 10.1016/j.jpainsymman.2020.09.012] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2020] [Revised: 08/29/2020] [Accepted: 09/04/2020] [Indexed: 02/08/2023]
Abstract
CONTEXT The will to live (WTL) is an important factor to consider in the context of providing resource-oriented palliative care. Until now, there has been no major review of the existing research on this subject. OBJECTIVES The primary objective of this study is to summarize the state of research concerning instruments that assess the WTL. The secondary objective is to explore the theoretical models and psychometric properties of these instruments, in studies where these instruments were initially presented. The tertiary objective is to identify, among all studies where these instruments have been used, the intensity of the WTL, and factors associated with it. METHODS We conducted a scoping review, including studies that were designed to assess the WTL among participants in all settings. Records were systematically searched from seven bibliographic databases with no date limitations up to August 2020. RESULTS Of the 3078 records screened, 281 were examined in detail and 111 were included in the synthesis. A total of 25 different instruments quantitatively assessing the WTL are presented. Most are single-question tools and rate intensity. The underlying concepts and psychometric properties are incompletely explained. Lack of crossreferencing is apparent. The intensity of the WTL is high, even among people with significant health impairment, and is frequently associated with different factors, such as resilience and quality of life. CONCLUSION A considerable yet unconnected body of studies assesses the WTL. Its assessment in clinical routine could promote resource-oriented and patient-centered care.
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Affiliation(s)
- Marc-Antoine Bornet
- Chair of Geriatric Palliative Care, Palliative and Supportive Care Service and Service of Geriatric Medicine and Geriatric Rehabilitation, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
| | - Mathieu Bernard
- Palliative and Supportive Care Service, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Cécile Jaques
- Medical Library, Research and Education Department, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Eve Rubli Truchard
- Chair of Geriatric Palliative Care, Palliative and Supportive Care Service and Service of Geriatric Medicine and Geriatric Rehabilitation, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Gian Domenico Borasio
- Palliative and Supportive Care Service, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
| | - Ralf J Jox
- Chair of Geriatric Palliative Care, Palliative and Supportive Care Service and Service of Geriatric Medicine and Geriatric Rehabilitation, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland
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Nomura ATG, de Abreu Almeida M, Pruinelli L. Information Model on Pain Management: An Analysis of Big Data. J Nurs Scholarsh 2021; 53:270-277. [PMID: 33638602 DOI: 10.1111/jnu.12638] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/28/2020] [Indexed: 12/29/2022]
Abstract
PURPOSE To develop an information model to support secondary use of data using electronic health records. DESIGN Retrospective observational data-driven study with secondary use of data. The sample was composed of structured data from all adults admitted to clinical and surgical inpatient units of a public university hospital. Data between June 2014 and July 2019 were included, totaling approximately 51,000 unique patients. METHODS Six systematic steps of the Applied Healthcare Data Science Roadmap were applied. FINDINGS An information model on pain management was developed. CONCLUSIONS The data science methodology used allowed the development of information model in pain management, mapping attributes about pain management and to categorize them into assessment and reassessment, goals, interventions, and outcomes. CLINICAL RELEVANCE Based on the information model developed, it is possible to optimize the electronic health system and improve the quality of patient care delivery in pain management.
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Affiliation(s)
- Aline Tsuma Gaedke Nomura
- School of Nursing, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, and Radiology Service Charge Nurse, Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Brazil
| | - Miriam de Abreu Almeida
- Full Professor, School of Nursing, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, Brazil
| | - Lisiane Pruinelli
- Zeta, Assistant Professor, School of Nursing, University of Minnesota, and Affiliate Faculty, Institute for Health Informatics, University of Minnesota, Minneapolis, Minnesota, USA
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Fennelly O, Grogan L, Reed A, Hardiker NR. Use of standardized terminologies in clinical practice: A scoping review. Int J Med Inform 2021; 149:104431. [PMID: 33713915 DOI: 10.1016/j.ijmedinf.2021.104431] [Citation(s) in RCA: 37] [Impact Index Per Article: 12.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 01/20/2021] [Accepted: 02/19/2021] [Indexed: 12/13/2022]
Abstract
AIM To explore the use and impact of standardized terminologies (STs) within nursing and midwifery practice. INTRODUCTION The standardization of clinical documentation creates a potential to optimize patient care and safety. Nurses and midwives, who represent the largest proportion of the healthcare workforce worldwide, have been using nursing-specific and multidisciplinary STs within electronic health records (EHRs) for decades. However, little is known regarding ST use and impact within clinical practice. METHODS A scoping review of the literature was conducted (2019) across PubMed, CINAHL, Embase and CENTRAL in collaboration with the Five Country Nursing and Midwifery Digital Leadership Group (DLG). Identified studies (n = 3547) were reviewed against a number of agreed criterion, and data were extracted from included studies. Studies were categorized and findings were reviewed by the DLG. RESULTS One hundred and eighty three studies met the inclusion criteria. These were conducted across 25 different countries and in various healthcare settings, utilising mainly nursing-specific (most commonly NANDA-I, NIC, NOC and the Omaha System) and less frequently local, multidisciplinary or medical STs (e.g., ICD). Within the studies, STs were evaluated in terms of Measurement properties, Usability, Documentation quality, Patient care, Knowledge generation, and Education (pre and post registration). As well as the ST content, the impact of the ST on practice depended on the healthcare setting, patient cohort, nursing experience, provision of education and support in using the ST, and usability of EHRs. CONCLUSION Employment of STs in clinical practice has the capability to improve communication, quality of care and interoperability, as well as facilitate value-based healthcare and knowledge generation. However, employment of several different STs and study heterogeneity renders it difficult to aggregate and generalize findings.
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Affiliation(s)
- Orna Fennelly
- Insight Centre for Data Analytics, University College Dublin, Ireland; School of Public Health, Physiotherapy and Sports Science, University College Dublin, Ireland.
| | - Loretto Grogan
- Office of the Nursing and Midwifery Services Director, Health Service Executive (HSE), Ireland.
| | - Angela Reed
- Northern Ireland Practice & Education Council for Nursing and Midwifery, Northern Ireland.
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12
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Afonso BQ, Ferreira NDC, Butcher RDCGES. Content validation of the symptom control outcome for heart failure patients in palliative care. ACTA ACUST UNITED AC 2020; 41:e20190427. [PMID: 33111762 DOI: 10.1590/1983-1447.2020.20190427] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2019] [Accepted: 03/06/2020] [Indexed: 11/22/2022]
Abstract
OBJECTIVES To estimate the content validity of the Symptom Control nursing outcome for heart failure patients in palliative care and to analyze the influence of experts' experience in the judgment of the relevance of indicators. METHODS A methodological study conducted in São Paulo in 2018, with an adaptation of Fehring's validation model. The relevance of the 11 outcome indicators was assessed by 19 experts by means of an electronically submitted survey. The influence of the experts' experience on judgment was analyzed by the Wilcoxon-Mann-Whitney test and by Kendall's Tau correlation. RESULTS The indicators were considered pertinent; with 54.5% classified as critical. There was no association between the weighted means of the indicators and the experts' experience. CONCLUSIONS The indicators analyzed are relevant for the evaluation of the Symptom Control outcome in this group of patients. The experts' judgment was not influenced by their area of clinical experience or by their experience with the Nursing Outcomes Classification (NOC).
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Affiliation(s)
- Beatriz Quirino Afonso
- Universidade de São Paulo (USP), Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem na Saúde do Adulto. São Paulo, São Paulo, Brasil.,Instituto do Coração da Faculdade de Medicina da USP. São Paulo, São Paulo, Brasil
| | - Natany da Costa Ferreira
- Universidade de São Paulo (USP), Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem na Saúde do Adulto. São Paulo, São Paulo, Brasil.,College of Nursing, University of Iowa, Iowa City, Iwoa, United States of America
| | - Rita de Cassia Gengo E Silva Butcher
- Universidade de São Paulo (USP), Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem na Saúde do Adulto. São Paulo, São Paulo, Brasil.,NANDA International-Boston College, The Marjory Gordon Program for Clinical Reasoning and Knowledge Development, Boston, Massachusetts, United States of America
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13
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Dias Emidio SC, Moorhead S, Oliveira HC, Herdman TH, Oliveira‐Kumakura ARDS, Carmona EV. Validation of Nursing Outcomes Related to Breastfeeding Establishment. Int J Nurs Knowl 2020; 31:134-144. [DOI: 10.1111/2047-3095.12256] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2019] [Revised: 07/09/2019] [Accepted: 07/17/2019] [Indexed: 01/06/2023]
Affiliation(s)
| | - Sue Moorhead
- Center for Nursing Classification and Clinical EffectivenessUniversity of Iowa Iowa City Iowa
| | | | - T. Heather Herdman
- University of Wisconsin‐Green Bay Green Bay Wisconsin
- Chief Executive Officer, NANDA International, Inc. Philadelphia Pennsylvania
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14
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Pancorbo-Hidalgo PL, Bellido-Vallejo JC. Clinical Validation of the Nursing Outcome "Pain: Disruptive Effects" in People With Chronic Pain in Spain. J Nurs Meas 2019; 27:384-400. [PMID: 31871281 DOI: 10.1891/1061-3749.27.3.384] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND AND PURPOSE The measurement of the effects of chronic pain on the patients is a challenge for nurses. The purpose was to translate into Spanish and to assess the psychometrics of the indicators of the nursing outcome "Pain: disruptive effects." METHODS A three-stage study: (a) translation and cultural adaptation, (b) content validation, (c) clinical validation in 10 healthcare centers. RESULTS The Spanish version of the outcome "Pain: disruptive effects" has high content validity (CVI = .90) with 17 indicators organized into three factors. The Inter-observer agreement was good (kappa = .66) and the internal consistency high (alpha = .90). CONCLUSIONS The 17 indicators of the outcome "Pain: disruptive effects" has evidence of reliability and validity for assessing the harmful effects of chronic pain.
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15
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Othman EH, Shatnawi F, Alrajabi O, Alshraideh JA. Reporting Nursing Interventions Classification and Nursing Outcomes Classification in Nursing Research: A Systematic Review. Int J Nurs Knowl 2019; 31:19-36. [DOI: 10.1111/2047-3095.12265] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Elham H. Othman
- School of NursingThe University of Jordan Amman Jordan
- King Hussein Cancer Center Amman Jordan
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16
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Luz Rodríguez Acelas A, Monteiro Mantovani V, Cañon Montañez W, Engelman B, Barragan da Silva M, de Abreu Almeida M. Evaluation of Acute Pain in Patients Undergoing Total Hip Arthroplasty: A Cohort Study. Int J Nurs Knowl 2019; 31:145-149. [PMID: 31373439 DOI: 10.1111/2047-3095.12257] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2019] [Revised: 07/09/2019] [Accepted: 07/17/2019] [Indexed: 11/28/2022]
Abstract
PURPOSE To evaluate pain levels in patients who underwent total hip arthroplasty (THA) using the Nursing Outcomes Classification (NOC). METHODS Prospective cohort study conducted in the surgical hospitalization units of a university hospital in southern Brazil. Twenty-four patients were evaluated and followed-up for four consecutive days after THA. FINDINGS A significant difference was found between the first and last evaluations for the outcome pain level (2102). Two indicators also showed statistically significant differences overtime. CONCLUSIONS The NOC outcome and indicators demonstrated the different pain levels of patients who underwent THA. IMPLICATIONS FOR NURSING PRACTICE The NOC system is applicable to clinical practice, because it facilitated the follow-up of patient progression.
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Affiliation(s)
| | - Vanessa Monteiro Mantovani
- RN, MSc. PhD Student at Graduate Program in Nursing, Universidade Federal do Rio Grande do Sul. Member of the Nursing Research Group on the Care of Adults and the Elderly (GEPECADI-CNPq), Porto Alegre, Rio Grande do Sul, Brazil
| | - Wilson Cañon Montañez
- RN, PhD. Associate Professor at Faculty of Nursing, Universidad de Antioquia, Medellín, Colombia
| | - Bruna Engelman
- RN, Master's student at Graduate Program in Nursing, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Marcos Barragan da Silva
- RN, PhD. Professor at Nursing Technicians Course-Sociedade Educacional do Futuro UNIPACS, Porto Alegre, Rio Grande do Sul, Brazil
| | - Miriam de Abreu Almeida
- RN, PhD. Associate Professor at the School of Nursing and Coordinator of the Graduate Program in Nursing, Universidade Federal do Rio Grande do Sul. Researcher at the GEPECADI and Researcher of CNPq, Porto Alegre, Rio Grande do Sul, Brazil
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Rodríguez-Acelas AL, Cañon-Montañez W, Monteiro Mantovani V, Schmarczek Figueiredo M, Barragan da Silva M, De Abreu Almeida M. Resultado de enfermagem para avaliação da dor após artroplastia de quadril. REVISTA CUIDARTE 2019. [DOI: 10.15649/cuidarte.v10i2.651] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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18
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Mello BS, Almeida MDA, Pruinelli L, Lucena ADF. Nursing outcomes for pain assessment of patients undergoing palliative care. Rev Bras Enferm 2019; 72:64-72. [DOI: 10.1590/0034-7167-2018-0307] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2018] [Accepted: 07/04/2018] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Objective: To select outcomes and indicators of the Nursing Outcomes Classification (NOC), in order to assess patients with cancer under palliative care with Acute and Chronic Pain Nursing Diagnoses; and to construct the conceptual and operational definitions of the indicators. Method: Expert opinion study and literature review. The sample consisted of 13 experts. The data collection was in own tool applied in face-to-face meeting and by e-mail. In the analysis of the data, it was considered between 75% and 100% of agreement. Results: Eight outcomes and 19 indicators were selected. The results with higher scores were Pain Level, Pain Control and Client Satisfaction: Pain Management. For all indicators selected, conceptual and operational definitions were constructed. Conclusion: The selection of results and priority indicators for the assessment of pain in palliative care, as well as the construction of its definitions, will support clinical practice.
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19
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Lucena ADF, Argenta C, Almeida MDA, Moorhead S, Swanson E. Validation of Nursing Outcomes and Interventions to Older Adults Care with Risk or Frail Elderly Syndrome: Proposal of Linkages Among NOC, NIC, and NANDA‐I to clinical practice. Int J Nurs Knowl 2018; 30:147-153. [DOI: 10.1111/2047-3095.12225] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Affiliation(s)
- Amália de Fátima Lucena
- School of NursingUniversidade Federal do Rio Grande do Sul and Hospital de Clínicas de Porto Alegre Rio Grande do Sul Brazil
| | - Carla Argenta
- School of NursingUniversidade Federal do Rio Grande do Sul and Hospital de Clínicas de Porto Alegre Rio Grande do Sul Brazil
| | - Miriam de Abreu Almeida
- School of NursingUniversidade Federal do Rio Grande do Sul and Hospital de Clínicas de Porto Alegre Rio Grande do Sul Brazil
| | - Sue Moorhead
- College of NursingUniversity of Iowa Iowa City Iowa
| | - Elizabeth Swanson
- School of NursingUniversidade Federal do Rio Grande do Sul and Hospital de Clínicas de Porto Alegre Rio Grande do Sul Brazil
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20
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Vázquez‐Sánchez MÁ, Valero‐Cantero I, Carrión‐Velasco Y, Castro‐López P, Suárez‐Cadenas E, Casals C. Applicability and Clinical Validity of Nursing Outcomes Classification in a Nursing Intervention of Nutritional Counseling for Patients With Malnutrition. Int J Nurs Knowl 2018; 30:168-172. [DOI: 10.1111/2047-3095.12224] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
| | | | | | | | | | - Cristina Casals
- the Department of Teaching Physical EducationFine Arts and Music, Faculty of Educational SciencesUniversity of Cádiz Cádiz Spain
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21
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Almeida AGDA, Pascoal LM, Santos FDRP, Lima PM, Nunes SFL, Sousa VECD. Respiratory status of adult patients in the postoperative period of thoracic or upper abdominal surgeries. Rev Lat Am Enfermagem 2017; 25:e2959. [PMID: 29211198 PMCID: PMC5738876 DOI: 10.1590/1518-8345.2311.2959] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Accepted: 08/30/2017] [Indexed: 11/21/2022] Open
Abstract
Objective: to evaluate the respiratory status of postoperative adult patients by assessing
the nursing outcome Respiratory Status. Method: descriptive, cross-sectional study developed with 312 patients. Eighteen NOC
indicators were assessed and rated using a Likert-scale questionnaire and
definitions. Descriptive and correlative analysis were conducted. Results: the most compromised clinical indicators were coughing (65.5%), auscultated breath
sounds (55%), and respiratory rate (51.3%). Factors associated with worse NOC
ratings in specific clinical indicators were sex, age, pain, and general
anesthesia. Conclusions: certain clinical indicators of respiratory status were more compromised than
others in postoperative patients. Patient and context-related variables can affect
the level of respiratory compromise.
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Affiliation(s)
| | - Lívia Maia Pascoal
- PhD, Adjunct Professor, Centro de Ciências Sociais, Saúde e Tecnologia, Universidade Federal do Maranhão, Imperatriz, MA, Brazil
| | | | - Pedro Martins Lima
- MSc, Assistent Professor, Centro de Ciências Sociais, Saúde e Tecnologia, Universidade Federal do Maranhão, Imperatriz, MA, Brazil
| | - Simony Fabíola Lopes Nunes
- MSc, Assistent Professor, Centro de Ciências Sociais, Saúde e Tecnologia, Universidade Federal do Maranhão, Imperatriz, MA, Brazil
| | - Vanessa Emille Carvalho de Sousa
- PhD, Visiting Professor, Instituto de Ciencias da Saúde, Universidade da Integração Internacional da Lusofonia Afro-brasileira, Redenção, CE, Brazil
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22
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Bellido-Vallejo JC, Pancorbo-Hidalgo PL. Cultural Adaptation and Psychometric Evaluation of the Spanish Version of the Nursing Outcome “Pain Control” in Primary Care Patients with Chronic Pain. Pain Manag Nurs 2017; 18:337-350. [DOI: 10.1016/j.pmn.2017.04.001] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2016] [Revised: 01/21/2017] [Accepted: 04/02/2017] [Indexed: 01/11/2023]
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23
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Factors influencing the quality of life of patients with advanced cancer. Appl Nurs Res 2017; 33:108-112. [DOI: 10.1016/j.apnr.2016.10.002] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2015] [Revised: 08/21/2016] [Accepted: 10/03/2016] [Indexed: 01/17/2023]
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Nomura ATG, da Silva MB, Almeida MDA. Quality of nursing documentation before and after the Hospital Accreditation in a university hospital. Rev Lat Am Enfermagem 2016; 24:e2813. [PMID: 27878216 PMCID: PMC5173297 DOI: 10.1590/1518-8345.0686.2813] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2015] [Accepted: 06/15/2016] [Indexed: 11/22/2022] Open
Abstract
Objective to analyze the quality of nursing documentation by comparing the periods before and after the preparation for the hospital accreditation, using the Quality of Nursing Diagnoses, Interventions and Outcomes - Brazilian version (Q-DIO- Brazilian version). Method observational study of interventions conducted in a university hospital. Nursing documentation of 112 medical records for the period before and 112 for the period after the hospital accreditation were compared using the Q-DIO instrument - Brazilian version. Data were statistically analyzed. Results there was a significant improvement in the quality of nursing documentation. When the total score of the instrument was evaluated, a significant improvement was observed in 24 out of the 29 items (82.8%). Conclusion there was commitment to the shift of culture by means of the interventions carried out, which resulted in the conquest of the quality seal ensured by the Joint Commission International.
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Affiliation(s)
| | - Marcos Barragan da Silva
- Doctoral student, Escola de Enfermagem, Universidade Federal do Rio
Grande do Sul, Porto Alegre, RS, Brazil
| | - Miriam de Abreu Almeida
- PhD, Adjunct Professor, Escola de Enfermagem, Universidade Federal do
Rio Grande do Sul, Porto Alegre, RS, Brazil
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25
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Monteiro Mantovani V, Rodríguez Acelas AL, Lucena ADF, de Abreu Almeida M, Paz da Silva Heldt E, Klockner Boaz S, Echer IC. Nursing Outcomes for the Evaluation of Patients During Smoking Cessation. Int J Nurs Knowl 2016; 28:204-210. [DOI: 10.1111/2047-3095.12138] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2015] [Revised: 02/26/2016] [Accepted: 02/28/2016] [Indexed: 01/03/2023]
Affiliation(s)
- Vanessa Monteiro Mantovani
- Vanessa Monteiro Mantovani, RN, MSc, is a Nurse at Hospital São Lucas, Porto Alegre, Rio Grande do Sul, Brazil, and member of the Nursing Research Group on the Care of Adults and the Elderly (GEPECADI-CNPq)
| | - Alba Luz Rodríguez Acelas
- Alba Luz Rodríguez Acelas, RN, MSc, is a PhD student at the Graduate School of Nursing, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil, and member of the GEPECADI-CNPq
| | - Amália de Fátima Lucena
- Amália de Fátima Lucena, RN, PhD, an Associate Professor at the Nursing School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil, and Researcher of the GEPECADI-CNPq
| | - Miriam de Abreu Almeida
- Miriam de Abreu Almeida, RN, PhD, is an Associate Professor at the Nursing School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil, and Researcher of the GEPECADI-CNPq
| | - Elizeth Paz da Silva Heldt
- Elizeth Paz da Silva Heldt, RN, PhD, is an Associate Professor at the Nursing School, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Solange Klockner Boaz
- Solange Klockner Boaz, RN, is a Nurse at Hospital de Clínicas de Porto Alegre, Rio Grande do Sul, Brazil
| | - Isabel Cristina Echer
- Isabel Cristina Echer, RN, PhD, is an Associate Professor at the Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil, and Researcher of the GEPECADI-CNPq
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26
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Costello J. Research Roundup. Int J Palliat Nurs 2016. [DOI: 10.12968/ijpn.2016.22.3.150] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Abstract
Synopses of a selection of recently published research articles of relevance to palliative care.
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Affiliation(s)
- John Costello
- Senior Lecturer, University of Manchester School of Nursing, Midwifery and Social Work
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