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Rico-Blazquez M, Esteban-Sepúlveda S, Sánchez-Ruano R, Aritztegui-Echenique AM, Artigues-Barbera EM, Brito-Brito PR, Casado-Ramirez E, Cidoncha-Moreno MÁ, Fabregat-Julve MI, Feria-Raposo I, Hernandez-Pascual M, Lozano-Hernández C, Moreno-Casbas MT, Otones-Reyes P, Palmar-Santos AM, Pedraz-Marcos A, Romero-Rodriguez EM, Solé-Agustí MC, Taltavull-Aparicio JM, Vidal-Thomas MC, Gonzalez-Chorda VM. Impact of the COVID-19 pandemic on the self-care and health condition of the older adults. CUIDAMOS+75. A mixed methods study protocol. Front Public Health 2024; 12:1389641. [PMID: 38952731 PMCID: PMC11215124 DOI: 10.3389/fpubh.2024.1389641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Accepted: 05/29/2024] [Indexed: 07/03/2024] Open
Abstract
Aims To assess the impact of the COVID-19 pandemic on the health condition of people ≥75 years of age and on their family caregivers in Spain. Design Multicentric, mixed method concurrent study. Methods This work, which will be conducted within the primary care setting in 11 administrative regions of Spain, will include three coordinated studies with different methodologies. The first is a population-based cohort study that will use real-life data to analyze the rates and evolution of health needs, care provision, and services utilization before, during, and after the pandemic. The second is a prospective cohort study with 18 months of follow-up that will evaluate the impact of COVID-19 disease on mortality, frailty, functional and cognitive capacity, and quality of life of the participants. Finally, the third will be a qualitative study with a critical social approach to understand and interpret the social, political, and economic dimensions associated with the use of health services during the pandemic. We have followed the SPIRIT Checklist to address trial protocol and related documents. This research is being funded by the Instituto de Salud Carlos III since 2021 and was approved by its ethics committee (June 2022). Discussion The study findings will reveal the long-term impact of the COVID-19 pandemic on the older adults and their caregivers. This information will serve policymakers to adapt health policies to the needs of this population in situations of maximum stress, such as that produced by the COVID-19 pandemic. Trial Registration Identifier: NCT05249868 [ClinicalTrials.gov].
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Affiliation(s)
- Milagros Rico-Blazquez
- Research Unit, Primary Care Assistance Management, Madrid Health Service, Madrid, Spain
- Research Network on Chronicity, Primary Care and Health Promotion -RICAPPS-(RICORS), ISCIII, Madrid, Spain
- Gregorio Marañón Health Research Institute, Madrid Health Service, Madrid, Spain
| | - Silvia Esteban-Sepúlveda
- Departament d'Infermeria Fonamental i Medicoquirúrgica, Escola d'Infermeria, Facultat de Medicina i Ciències de la Salut, Universitat de Barcelona (UB), L'Hospitalet de Llobregat, Barcelona, Spain
- Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain
| | - Raquel Sánchez-Ruano
- Research Unit, Primary Care Assistance Management, Madrid Health Service, Madrid, Spain
- Biosanitary Research and Innovation Foundation of Primary Care (FIIBAP), Madrid, Spain
| | - Ana María Aritztegui-Echenique
- Subdirección de Cuidados, Atención Domiciliaria, Sociosanitaria y Acciones Comunitarias, Gerencia de Atención Primaria de Navarra, Servicio de Navarro de Salud – Osasunbidea, Navarra, Spain
- Facultad de Ciencias de la Salud, Universidad Pública de Navarra, Navarra, Spain
| | - Eva María Artigues-Barbera
- Balàfia Primary Care Center, Gerència Territorial Lleida, Institut Català de la Salut (ICS), Lleida, Spain
- Fundació Institut Universitari per a la Recerca a l'Atenció Primària de Salut Jordi Gol i Gurina (IDIAPJGol), Barcelona, Spain
- Multidisciplinary Research Group in Therapeutics and Interventions in Primary Care (RETICAP), IDIAPJGol, Barcelona, Spain
| | - Pedro Ruymán Brito-Brito
- Research Network on Chronicity, Primary Care and Health Promotion -RICAPPS-(RICORS), ISCIII, Madrid, Spain
- Department of Nursing, University of la Laguna, Santa Cruz de Tenerife, Spain
- Training and Research in Care, Primary Care Management Board of Tenerife, The Canary Islands Health Service, Santa Cruz de Tenerife, Spain
| | - Elvira Casado-Ramirez
- Nursing and Healthcare Research Unit (Investén-isciii), Instituto de Salud Carlos III, Madrid, Spain
- Frailty and Healthy Ageing-CIBERFES, Biomedical Research Center Network for Frailty and Healthy Ageing (CIBERFES), Instituto de Salud Carlos III, Madrid, Spain
| | - María Ángeles Cidoncha-Moreno
- IIS Bioaraba, General Head Office of Osakidetza, Basque Health Service, Subdirection of Nursing, Vitoria-Gasteiz, Spain
| | - María Inmaculada Fabregat-Julve
- Primary Care Nursing Department, Castellón Health Department, Castelló de la Plana, Spain
- Nursing Department, Universitat Jaume I, Castelló de la Plana, Spain
| | - Isabel Feria-Raposo
- Benito Menni CASM, Barcelona, Spain
- FIDMAG Research Foundation, Barcelona, Spain
- Networked Biomedical Research Center, Mental Health (CIBERSAM), Barcelona, Spain
| | - Montserrat Hernandez-Pascual
- Technology and Humanization Projects Service Manager, General Directorate of Humanization and Patient Care, Ministry of Health of the Madrid Regional Government, Madrid, Spain
| | - Cristina Lozano-Hernández
- Research Unit, Primary Care Assistance Management, Madrid Health Service, Madrid, Spain
- Research Network on Chronicity, Primary Care and Health Promotion -RICAPPS-(RICORS), ISCIII, Madrid, Spain
- Biosanitary Research and Innovation Foundation of Primary Care (FIIBAP), Madrid, Spain
| | - María Teresa Moreno-Casbas
- Nursing and Healthcare Research Unit (Investén-isciii), Instituto de Salud Carlos III, Madrid, Spain
- Frailty and Healthy Ageing-CIBERFES, Biomedical Research Center Network for Frailty and Healthy Ageing (CIBERFES), Instituto de Salud Carlos III, Madrid, Spain
| | - Pedro Otones-Reyes
- San Andrés Healthcare Center, Primary Care Assistance Management, Madrid Health Service, Madrid, Spain
| | - Ana María Palmar-Santos
- Nursing Department, Faculty of Medicine, Universidad Autónoma de Madrid, Madrid, Spain
- Puerta de Hierro-Segovia de Arana Health Research Institute, Madrid Health Service, Madrid, Spain
| | - Azucena Pedraz-Marcos
- Research Network on Chronicity, Primary Care and Health Promotion -RICAPPS-(RICORS), ISCIII, Madrid, Spain
- Nursing and Healthcare Research Unit (Investén-isciii), Instituto de Salud Carlos III, Madrid, Spain
| | - Esperanza María Romero-Rodriguez
- Maimonides Biomedical Research Institute of Cordoba (IMIBIC), Reina Sofia University Hospital, University of Cordoba, Cordoba, Spain
| | | | - Joana María Taltavull-Aparicio
- Research Network on Chronicity, Primary Care and Health Promotion -RICAPPS-(RICORS), ISCIII, Madrid, Spain
- Primary Care Research Unit of Mallorca (IB-Salut), Balearic Health Service, Palma, Spain
- Research Group in Primary Care and Promotion-Balearic Islands Community (GRAPP-caIB), Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain
| | - María Clara Vidal-Thomas
- Research Network on Chronicity, Primary Care and Health Promotion -RICAPPS-(RICORS), ISCIII, Madrid, Spain
- Primary Care Research Unit of Mallorca (IB-Salut), Balearic Health Service, Palma, Spain
- Research Group in Primary Care and Promotion-Balearic Islands Community (GRAPP-caIB), Health Research Institute of the Balearic Islands (IdISBa), Palma, Spain
| | - Víctor Manuel Gonzalez-Chorda
- Nursing and Healthcare Research Unit (Investén-isciii), Instituto de Salud Carlos III, Madrid, Spain
- Frailty and Healthy Ageing-CIBERFES, Biomedical Research Center Network for Frailty and Healthy Ageing (CIBERFES), Instituto de Salud Carlos III, Madrid, Spain
- Nursing Research Group (Code 241), Universitat, Jaume I.Castellón, Castelló de la Plana, Spain
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Bertocchi L, Dante A, La Cerra C, Masotta V, Marcotullio A, Caponnetto V, Ferraiuolo F, Jones D, Lancia L, Petrucci C. Nursing Diagnosis Accuracy in Nursing Education: Clinical Decision Support System Compared With Paper-Based Documentation-A Before and After Study. Comput Inform Nurs 2024; 42:44-52. [PMID: 37580054 DOI: 10.1097/cin.0000000000001066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/16/2023]
Abstract
Computer-based technologies have been widely used in nursing education, although the best educational modality to improve documentation and nursing diagnostic accuracy using electronic health records is still under investigation. It is important to address this gap and seek an effective way to address increased accuracy around nursing diagnoses identification. Nursing diagnoses are judgments that represent a synthesis of data collected by the nurse and used to guide interventions and to achieve desirable patients' outcomes. This current investigation is aimed at comparing the nursing diagnostic accuracy, satisfaction, and usability of a computerized system versus a traditional paper-based approach. A total of 66 nursing students solved three validated clinical scenarios using the NANDA-International terminologies traditional paper-based approach and then the computer-based Clinical Decision Support System. Study findings indicated a significantly higher nursing diagnostic accuracy ( P < .001) in solving cancer and stroke clinical scenarios, whereas there was no significant difference in acute myocardial infarction scenario. The use of the electronic system increased the number of correct diagnostic indicators ( P < .05); however, the level of students' satisfaction was similar. The usability scores highlighted the need to make the electronic documentation systems more user-friendly.
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Affiliation(s)
- Luca Bertocchi
- Author Affiliations: Department of Life, Health & Environmental Sciences, University of L'Aquila, Italy (Drs Bertocchi and Ms Marcotullio; Messrs Masotta, Ferraiuolo, and Mr Lancia; and Mr Dante, Ms La Cerra, Dr Caponnetto, and Ms Petrucci); and The Marjory Gordon Program for Clinical Reasoning and Knowledge Development at Boston College, William F. Connell School of Nursing, MA (Dr Bertocchi and Ms Jones)
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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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Company-Sancho MC, González-Chordá VM, Orts-Cortés MI. Variability in Healthcare Expenditure According to the Stratification of Adjusted Morbidity Groups in the Canary Islands (Spain). INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19074219. [PMID: 35409900 PMCID: PMC8998451 DOI: 10.3390/ijerph19074219] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/05/2022] [Revised: 03/29/2022] [Accepted: 03/30/2022] [Indexed: 02/06/2023]
Abstract
Morbidity is the main item in the distribution of expenditure on healthcare services. The Adjusted Morbidity Group (AMG) measures comorbidity and complexity and classifies the patient into mutually exclusive clinical categories. The aim of this study is to analyse the variability of healthcare expenditure on users with similar scores classified by the AMG. Observational analytical and retrospective study. Population: 1,691,075 subjects, from Canary Islands (Spain), aged over 15 years with data from health cards, clinical history, Basic Minimum Specialised Healthcare Data Set, AMG, hospital agreements information system and Electronic Prescriptions. A descriptive, bivariant (ANOVA coefficient η2) and multivariant analysis was conducted. There is a correlation between the costs and the weight of AMG (rho = 0.678) and the prescribed active ingredients (rho = 0.689), which is smaller with age and does not exist with the other variables. As for the influence of the AMG morbidity group on the total costs of the patient, the coefficient η2 (0.09) obtains a median effect in terms of the variability of expenditure, hence there is intra- and inter-group variability in the cost. In a first model created with all the variables and the cost, an explanatory power of 36.43% (R2 = 0.3643) was obtained; a second model that uses solely active ingredients, AMG weight, being female and a pensioner obtained an explanatory power of 36.4%. There is room for improvement in terms of predicting the expenditure.
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Affiliation(s)
- Maria Consuelo Company-Sancho
- Health Promotion Service, Directorate General for Public Health, Canary Islands Health Service, 35003 Las Palmas de Gran Canaria, Spain
- Nursing and Healthcare Research Unit (Investén-isciii), Institute of Health Carlos III, 28029 Madrid, Spain
- Correspondence:
| | | | - María Isabel Orts-Cortés
- Nursing and Healthcare Research Unit (Investén-isciii), Institute of Health Carlos III, 28029 Madrid, Spain
- Department of Nursing, University of Alicante (BALMIS), Alicante Institute for Health and Biomedical Research (ISABIAL), 03690 Alicante, Spain;
- CIBER of Frailty and Healthy Ageing, (CIBERFES) Institute of Health Carlos III, 28029 Madrid, Spain
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Sanson G, Vellone E, Takao-Lopes C, Barrientos-Trigo S, Porcel-Gálvez AM, Riegel B, D'Agostino F. Filling a gap in standardized nursing terminology. Development of a new nursing diagnosis proposal on heart failure self-care. Int J Nurs Knowl 2021; 33:18-28. [PMID: 33760361 DOI: 10.1111/2047-3095.12324] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2020] [Revised: 02/24/2021] [Accepted: 03/05/2021] [Indexed: 01/07/2023]
Abstract
PURPOSE Heart failure is a highly prevalent chronic health problem associated with poor quality-of-life and negative outcomes. Self-care is a cornerstone in patients suffering from heart failure. Nurses are commonly engaged in enhancing patients' self-care behaviors, but the specific condition of deficit on self-care is not clearly identified by nurses. No nursing diagnoses focused on self-care of heart failure patients is currently available. This study aimed to develop a new nursing diagnosis that focuses on self-care in heart failure patients. DATA SOURCES A concept and content analysis were used. Some steps of the concept analysis were performed through an integrative literature review conducted searching in PUBMED and CINAHL databases to identify attributes, antecedents, and consequences of the diagnosis. Forty-five articles were selected from the 1450 studies found. Then, the content analysis was performed by an international panel of 29 experts. Two Delphi rounds were used to achieve consensus and an item content validity index was calculated for each diagnostic element. DATA SYNTHESIS Integrative review proposed four diagnostic labels, two definitions, 15 defining characteristics, and 44 related factors. After the two Delphi rounds a consensus was reached for each diagnostic indicator with a content validity index ranging from 82.8% to 100%. The nursing diagnosis-labeled heart failure self-care deficit-was validated with a definition, eight defining characteristics, 15 related factors, and five at-risk populations. CONCLUSIONS This diagnosis allows nurses to document patients' self-care in daily clinical practice through a standard nursing terminology, by naming this health problem, describing its etiology, and clinical manifestations. IMPLICATIONS FOR NURSING PRACTICE This new diagnosis is expected to assist nursing clinicians, educators, and students in clinical reasoning with the aim to improve diagnostic accuracy in identifying patients with a heart failure self-care deficit, to select the most appropriate interventions and pursue better outcomes.
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Affiliation(s)
- Gianfranco Sanson
- Assistant Professor, School of Nursing, Clinical Department of Medical, Surgical and Health Sciences, University of Trieste, Trieste, 34100, Italy
| | - Ercole Vellone
- Associate Professor, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Via Montpellier, 1, Rome, 00133, Italy
| | - Camila Takao-Lopes
- Adjunct Professor, Escola Paulista de Enfermagem, Universidade Federal de São Paulo (EPE-UNIFESP), R. Napoleão de Barros, 754, São Paulo, 04024-002, Brazil
| | - Sergio Barrientos-Trigo
- Associate Professor, Department of Nursing, Faculty of Nursing, Physiotherapy, and Podiatry, Research Group under the Andalusian Research CTS 1050 Complex Care, Chronicity, and Health Outcomes, University of Seville, C/ Avenzoar, 6, Seville, 41009, Spain
| | - Ana María Porcel-Gálvez
- Associate Professor, Department of Nursing, Faculty of Nursing, Physiotherapy, and Podiatry, Research Group under the Andalusian Research CTS 1050 Complex Care, Chronicity, and Health Outcomes, University of Seville, C/ Avenzoar, 6, Seville, 41009, Spain
| | - Barbara Riegel
- Professor, School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania, 19104-4217, USA
| | - Fabio D'Agostino
- Assistant Professor, Saint Camillus International University of Health Sciences, Rome, 00131, Italy
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Rios Jimenez AM, Artigas Lage M, Sancho Gómez M, Blanco Aguilar C, Acedo Anta M, Calvet Tort G, Hermosilla Perez E, Adamuz-Tomás J, Juvé-Udina ME. [Standardized nursing languages and care plans. Perception of use and utility in primary healthcare]. Aten Primaria 2020; 52:750-758. [PMID: 32417166 PMCID: PMC8054280 DOI: 10.1016/j.aprim.2019.10.005] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2019] [Revised: 07/24/2019] [Accepted: 10/21/2019] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE To identify opinions of Primary Healthcare nurses on the use and usefulness of standardised nursing care plans and traditional nursing language systems in the practice settings. DESIGN Multicentre, observational, cross-sectional study. SETTING Primary Healthcare centres in Catalonia. PARTICIPANTS Sample size was estimated at 1,668 registered nurses. Consecutive sampling was applied. INTERVENTIONS On-line survey containing questions on ease, usefulness, and use of nursing care plans and standardised nursing language systems. MEASUREMENTS Descriptive statistics, including percentages, central tendency, and dispersion measures. Statistical significance was set at P≤.05. RESULTS The final analysis included 1,813 questionnaires. Participants stated that care plans have a medium added value, however their use is frequently incorrect. They stated to have a fair level of knowledge on traditional standardised nursing languages, and most were of the opinion that these languages are difficult to use in practice (81%) and not useful to represent nursing care provision and its outcomes (78%). Regardless of their education level and years of experience, the participants assessed as insufficient the clarity (P=.058), ease of use (P=.240), and usefulness (P=.039) of these language systems in practice. CONCLUSIONS Nurses say that urgent changes are required in the use of care plans. This includes changing the language systems, and improving data and information that positively impacts on the provision of nursing care, as well as to enhance the health outcomes of the individuals receiving Primary Healthcare services.
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Affiliation(s)
| | | | - Marta Sancho Gómez
- Dirección de Atención Primaria Metropolitana Sud, Institut Català de la Salut, L’Hospitalet de Llobregat, Barcelona, España
| | - Carmen Blanco Aguilar
- Dirección de Atención Primaria Metropolitana Nord, Institut Català de la Salut, Sabadell, Barcelona, España
| | - Mateo Acedo Anta
- Dirección de Atención Primaria Metropolitana Sud, Institut Català de la Salut, L’Hospitalet de Llobregat, Barcelona, España
| | - Gemma Calvet Tort
- Dirección de Cuidados, Institut Català de la Salut, Barcelona, España
| | - Eduardo Hermosilla Perez
- Institut Universitari d’Investigació en Atenció Primària Jordi Gol (IDIAP Jordi Gol), Barcelona, España
| | - Jordi Adamuz-Tomás
- Instituto de Investigación Biomédica de Bellvitge (IDIBELL) , L’Hospitalet de Llobregat, Barcelona, España,Escuela Universitaria de Enfermería, Facultad de Medicina y Ciencias de la Salud, Universidad de Barcelona, Barcelona, España
| | - Maria-Eulàlia Juvé-Udina
- Dirección de Cuidados, Institut Català de la Salut, Barcelona, España,Instituto de Investigación Biomédica de Bellvitge (IDIBELL) , L’Hospitalet de Llobregat, Barcelona, España,Escuela Universitaria de Enfermería, Facultad de Medicina y Ciencias de la Salud, Universidad de Barcelona, Barcelona, España
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Rodríguez-Álvaro M, Brito-Brito PR, García-Hernández AM, Aguirre-Jaime A, Fernandez-Gutierrez DA. The Grieving Nursing Diagnoses in the Primary Healthcare Setting. Int J Nurs Knowl 2018; 30:34-42. [PMID: 29360242 DOI: 10.1111/2047-3095.12202] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
PURPOSE To estimate the prevalence of Grieving, risk for Complicated Grieving, and Complicated Grieving in the primary care setting. METHODS Retrospective epidemiological study, analyzing data from electronic health records (EHR). FINDINGS A total of 84% of the 9,063 records had diagnostic labels without defining characteristics, related factors, or risk factors. A larger frequency of complicated grieving was found in deceased mourners. CONCLUSIONS The grieving epidemiology opens new chances for the research using data from EHR. PRACTICE IMPLICATIONS The adequacy of the records is essential to develop a profile of the patient at risk of complications after the loss. This research is an important step to build an epidemiological basis for nursing diagnosis of grieving in the primary health care setting.
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