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Sung S, Kim Y, Kim SH, Jung H. Identification of Predictors for Clinical Deterioration in Patients With COVID-19 via Electronic Nursing Records: Retrospective Observational Study. J Med Internet Res 2024; 26:e53343. [PMID: 38414056 PMCID: PMC10984341 DOI: 10.2196/53343] [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: 10/03/2023] [Revised: 10/26/2023] [Accepted: 02/27/2024] [Indexed: 02/29/2024] Open
Abstract
BACKGROUND Few studies have used standardized nursing records with Systematized Nomenclature of Medicine-Clinical Terms (SNOMED CT) to identify predictors of clinical deterioration. OBJECTIVE This study aims to standardize the nursing documentation records of patients with COVID-19 using SNOMED CT and identify predictive factors of clinical deterioration in patients with COVID-19 via standardized nursing records. METHODS In this study, 57,558 nursing statements from 226 patients with COVID-19 were analyzed. Among these, 45,852 statements were from 207 patients in the stable (control) group and 11,706 from 19 patients in the exacerbated (case) group who were transferred to the intensive care unit within 7 days. The data were collected between December 2019 and June 2022. These nursing statements were standardized using the SNOMED CT International Edition released on November 30, 2022. The 260 unique nursing statements that accounted for the top 90% of 57,558 statements were selected as the mapping source and mapped into SNOMED CT concepts based on their meaning by 2 experts with more than 5 years of SNOMED CT mapping experience. To identify the main features of nursing statements associated with the exacerbation of patient condition, random forest algorithms were used, and optimal hyperparameters were selected for nursing problems or outcomes and nursing procedure-related statements. Additionally, logistic regression analysis was conducted to identify features that determine clinical deterioration in patients with COVID-19. RESULTS All nursing statements were semantically mapped to SNOMED CT concepts for "clinical finding," "situation with explicit context," and "procedure" hierarchies. The interrater reliability of the mapping results was 87.7%. The most important features calculated by random forest were "oxygen saturation below reference range," "dyspnea," "tachypnea," and "cough" in "clinical finding," and "oxygen therapy," "pulse oximetry monitoring," "temperature taking," "notification of physician," and "education about isolation for infection control" in "procedure." Among these, "dyspnea" and "inadequate food diet" in "clinical finding" increased clinical deterioration risk (dyspnea: odds ratio [OR] 5.99, 95% CI 2.25-20.29; inadequate food diet: OR 10.0, 95% CI 2.71-40.84), and "oxygen therapy" and "notification of physician" in "procedure" also increased the risk of clinical deterioration in patients with COVID-19 (oxygen therapy: OR 1.89, 95% CI 1.25-3.05; notification of physician: OR 1.72, 95% CI 1.02-2.97). CONCLUSIONS The study used SNOMED CT to express and standardize nursing statements. Further, it revealed the importance of standardized nursing records as predictive variables for clinical deterioration in patients.
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Affiliation(s)
- Sumi Sung
- Department of Nursing Science, Research Institute of Nursing Science, Chungbuk National University, Cheongju, Chungcheongbuk-do, Republic of Korea
| | - Youlim Kim
- Department of Radiation Oncology, College of Medicine, Seoul National University, Seoul, Republic of Korea
| | - Su Hwan Kim
- Department of Information Statistics, Gyeongsang National University, Jinju, Gyeongsangnam-do, Republic of Korea
| | - Hyesil Jung
- Department of Nursing, College of Medicine, Inha University, Incheon, Republic of Korea
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Sung S, Jung H, Kim Y. Exploring Nursing Care for Patients With COVID-19 Using International Classification for Nursing Practice-Based Nursing Records. Comput Inform Nurs 2024; 42:127-135. [PMID: 37579774 DOI: 10.1097/cin.0000000000001048] [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
This study explored nursing care topics for patients with the coronavirus disease 2019 admitted to the wards and intensive care units using International Classification for Nursing Practice-based nursing narratives. A total of 256630 nursing statements from 555 adult patients admitted from December 2019 to June 2022 were extracted from the clinical data warehouse. The International Classification for Nursing Practice concepts mapped to 301 unique nursing statements that accounted for the top 90% of all cumulative nursing narratives were used for analysis. The standardized number of nursing statements for each concept was calculated according to the types of nursing care and compared between the two groups. The most documented topics were related to infection; physical symptoms such as sputum, cough, dyspnea, and shivering; and vital signs including blood oxygen saturation and body temperature. Nurses in the intensive care units frequently documented concepts related to the directly monitored and assessed physical signs such as consciousness, pupil reflex, and skin integrity, whereas nurses in wards documented more concepts related to symptoms patients complained. This study showed that the International Classification for Nursing Practice-based nursing records can be used as source of information to identify nursing care for patients with coronavirus disease 19.
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Affiliation(s)
- Sumi Sung
- Author Affiliations: Office of Hospital Information (Dr Sung, and Ms Kim) and Biomedical Research Institute (Dr Sung), Seoul National University Hospital, Seoul; and, Department of Nursing, Inha University, Incheon (Dr Jung), Republic of Korea
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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: 32] [Impact Index Per Article: 10.7] [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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Escalada-Hernández P, Marín-Fernández B. Conceptual development and validation of the nursing diagnosis "Disturbed thought process". Int J Nurs Knowl 2021; 32:262-273. [PMID: 33615708 DOI: 10.1111/2047-3095.12318] [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: 12/12/2020] [Revised: 01/15/2021] [Accepted: 01/26/2021] [Indexed: 11/29/2022]
Abstract
PURPOSE To validate the content of the nursing diagnosis proposal Disturbed thought process. METHODS With an exploratory and descriptive design, the content validation for each component of the diagnosis proposal was pursued, based on a previous broad conceptual work, through consulting experts, applying Fehring's Diagnosis Content Validation Model. The modified Delphi technique was used by sending out three rounds of questionnaires electronically to seek consensus among the experts. FINDINGS The nursing diagnosis version validated in this study includes the diagnosis label Disturbed thought process, the corresponding definition, 15 defining characteristics, and 13 related factors. The resulting diagnosis total Diagnosis Content Validation score was 0.99, implying its content validation. CONCLUSIONS The validated diagnosis proposal describes a human response for which nursing professionals can autonomously assess and prescribe interventions leading to improvement of this health problem and/or alleviate its consequences, preserving the patient's autonomy and helping them to address their situation. It will be included in the next edition of the nursing diagnosis classification NANDA-I 2021-2023. IMPLICATIONS FOR NURSING PRACTICE The results of this study will help nursing professionals reduce the potential impact among patients who suffer from an alteration in cognitive functioning in its executive function dimension, as the validated diagnosis proposal will make it possible to identify and report this problem precisely.
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Ameel M, Achterberg TV, Kinnunen UM, Kontio R, Junttila K. The Core Nursing Interventions in Adult Psychiatric Outpatient Care Identified by Nurses, a Delphi Study. Int J Nurs Knowl 2020; 32:177-184. [PMID: 33615726 DOI: 10.1111/2047-3095.12309] [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: 10/11/2020] [Revised: 11/17/2020] [Accepted: 11/21/2020] [Indexed: 11/27/2022]
Abstract
PURPOSE To define the core nursing interventions identified by nurses in the adult psychiatric outpatient care setting. METHODS A two-round Delphi study. The panel consisted of nurses and nurse managers. FINDINGS Nurses identified 53 core interventions, 50 of which are described in the Nursing Interventions Classification (NIC). Altogether, two thirds of these interventions were in the NIC domain 'Behavioral' and the emphasis was on NIC classes 'Coping Assistance' and 'Behavior Therapy,' suggesting that nurses define providing psychosocial support as the core in their work. CONCLUSIONS The findings indicate that the main role of nurses in the psychiatric outpatient care is to deliver psychosocial care for their patients. The lack of family interventions among the core interventions and the need to add the missing three interventions into the classification need more research in the future. IMPLICATIONS FOR NURSING PRACTICE This study helps to define nurses' role in the psychiatric outpatient care. The findings can be used in developing nursing education programs.
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Affiliation(s)
- Maria Ameel
- Helsinki University Hospital, Helsinki University, Helsinki, Finland and University of Turku department of Nursing Science, Turku, Finland
| | - Theo van Achterberg
- Leuven, Department of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, Leuven, Belgium
| | - Ulla-Mari Kinnunen
- University of Eastern-Finland, Faculty of Social Sciences and Business Studies, Department of Health and Social Management, Kuopio, Finland
| | - Raija Kontio
- Helsinki University Hospital, Helsinki University, Helsinki, Finland and University of Turku department of Nursing Science, Turku, Finland
| | - Kristiina Junttila
- Helsinki University Hospital, Helsinki University, Helsinki, Finland and University of Turku department of Nursing Science, Turku, Finland
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Ameel M, Leino H, Kontio R, van Achterberg T, Junttila K. Using the Nursing Interventions Classification to identify nursing interventions in free‐text nursing documentation in adult psychiatric outpatient care setting. J Clin Nurs 2020; 29:3435-3444. [DOI: 10.1111/jocn.15382] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2019] [Revised: 05/05/2020] [Accepted: 06/05/2020] [Indexed: 11/29/2022]
Affiliation(s)
- Maria Ameel
- Helsinki University Hospital Helsinki Finland
- Department of Nursing Science University of Turku Turku Finland
- University of Helsinki Helsinki Finland
| | - Hanna Leino
- Helsinki University Hospital Helsinki Finland
- University of Helsinki Helsinki Finland
| | - Raija Kontio
- Helsinki University Hospital Helsinki Finland
- Department of Nursing Science University of Turku Turku Finland
- University of Helsinki Helsinki Finland
| | - Theo van Achterberg
- Department of Public Health and Primary Care Academic Centre for Nursing and Midwifery KU Leuven Leuven Belgium
| | - Kristiina Junttila
- Helsinki University Hospital Helsinki Finland
- Department of Nursing Science University of Turku Turku Finland
- University of Helsinki Helsinki Finland
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Pires AUB, Lucena ADF, Behenck A, Heldt E. Results of the Nursing Outcomes Classification/NOC for patients with obsessive-compulsive disorder. Rev Bras Enferm 2020; 73:e20180209. [PMID: 32049241 DOI: 10.1590/0034-7167-2018-0209] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2018] [Accepted: 09/09/2018] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To analyze the application of nursing outcomes and indicators selected from the Nursing Outcomes Classification (NOC) to evaluate patients with obsessive-compulsive disorder (OCD) in outpatient follow-up. METHOD Outcome-based research. First, a consensus was achieved between nurses specialized in mental health (MH) and in the nursing process to select NOC-related outcomes and indicators, followed by the elaboration of their conceptual and operational definitions. Then, an instrument was created with these, which was tested in a pilot group of six patients treated at a MH outpatient clinic. The instrument was applied to patients with OCD undergoing Group Cognitive Behavioral Therapy (GCBT). The study was approved by the Research Ethics Committee of the institution. RESULTS Four NOC outcomes and 17 indicators were selected. There was a significant change in the scores of nine indicators after CBGT. CONCLUSION The study showed feasibility for evaluating symptoms of patients with OCD through NOC outcomes and indicators in an outpatient situation.
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Affiliation(s)
| | | | - Andressa Behenck
- Universidade Federal do Rio Grande do Sul. Porto Alegre, Rio Grande do Sul, Brazil
| | - Elizeth Heldt
- Hospital de Clínicas de Porto Alegre. Porto Alegre, Rio Grande do Sul, Brazil
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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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Ameel M, Kontio R, Välimäki M. Interventions delivered by nurses in adult outpatient psychiatric care: An integrative review. J Psychiatr Ment Health Nurs 2019; 26:301-322. [PMID: 31251445 DOI: 10.1111/jpm.12543] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/18/2019] [Revised: 06/25/2019] [Accepted: 06/26/2019] [Indexed: 12/18/2022]
Abstract
WHAT IS KNOWN ON THE SUBJECT?: In many countries, the majority of psychiatric care is being delivered in an outpatient setting and the proportion of outpatients is increasing on a global level. Nurses are the largest workforce in psychiatric care, but their role has been said to be difficult to define. According to our knowledge, there are no previous reviews focusing on nurse-delivered interventions in the adult psychiatric outpatient setting. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: This review summarizes nurse-delivered interventions identified in the research literature and describes these systematically. Analysing all the identified interventions using the Nursing Interventions Classification, we conclude that the emphasis of nurse-delivered interventions in psychiatric outpatient care is on interventions aiming at improving the functioning of both patients and their family members by building on their own strengths. These findings differ from those presented in a review on inpatient psychiatric nursing. There are several clinical trials describing nurse-delivered evidence-based treatments, such as psychoeducation for patients and their family members in the case of patients diagnosed with schizophrenia and bipolar disorder. The quality of randomized controlled trials was higher than in earlier reviews describing psychiatric nursing interventions in general or in connection with a specific patient group. Further clinical trials are needed to describe the role of nurses in the care of patients diagnosed with depression and in the use of web-based interventions. Additionally, it would be important to study what supports, and on the other hand hinders, the role of nurses in delivering evidence-based treatments at the clinical level. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Nurses can play a central role in responding to the growing demand for evidence-based practices in adult outpatient psychiatry, by delivering treatments for patients and family members. It is important that both nursing education and clinical practices recognize and support this role. Abstract Introduction According to our knowledge, there are no previous reviews on nurse-delivered interventions in the adult psychiatric outpatient setting. Aim To identify and systematically describe and analyse nurse-delivered interventions based on research literature. Method An integrative review. Results This review included 60 studies, of which 46 were intervention studies, including 40 clinical trials. The most common patient groups were patients diagnosed with schizophrenia and bipolar disorder. The nursing interventions described in the studies resembled a total of 68 interventions from the Nursing Interventions Classification. The treatment delivery methods varied and treatments often lacked a clear theoretical background. Implications for practice The core of nurse-delivered interventions identified in research literature in psychiatric outpatient care is on interventions aiming at improving the functioning of both patients and their family members by building on their own strengths. These findings differ from the interventions identified in a review describing nursing in the inpatient setting. There are high-quality clinical trials describing nurse-delivered treatments for patients diagnosed with schizophrenia and bipolar disorder. These include evidence-based treatments such as psychoeducation. Understanding of how these treatments are transferred in clinical practice is missing. Clinical trials describing nurse-delivered web-based interventions and interventions for patients diagnosed with depression are needed.
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Affiliation(s)
- Maria Ameel
- Department of Nursing Science, University of Turku, Turku, Finland.,Helsinki University Hospital and Helsinki University, Helsinki, Finland
| | - Raija Kontio
- Department of Nursing Science, University of Turku, Turku, Finland.,Helsinki University Hospital and Helsinki University, Helsinki, Finland
| | - Maritta Välimäki
- Department of Nursing Science, University of Turku, Turku, Finland.,School of Nursing, The Hong Kong Polytechnic University, Hong Kong, China
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Saatchi B, Taghavi Larijani T. Risk for suicide nursing diagnosis and its related risk factors, in psychiatric settings: A descriptive study. Nurs Open 2019; 6:1438-1445. [PMID: 31660171 PMCID: PMC6805294 DOI: 10.1002/nop2.342] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Accepted: 07/01/2019] [Indexed: 02/04/2023] Open
Abstract
AIM To assess the frequency of risk for suicide nursing diagnosis and its related risk factors, in the nursing care provided in psychiatric settings. DESIGN This is a descriptive study. METHODS The samples were the documented nursing reports. These reports were evaluated and analysed in terms of using the NANDA-I risk for suicide nursing diagnosis and the risk factors related to this diagnosis. RESULTS From the 1,440 reports that were reviewed, 10 nursing diagnoses and 478 risk factors, were identified. Based on the results of this study, risk for suicide is used at a very low level in psychiatric settings, while, considerable number of suicide's risk factors are still existing in these settings.
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Affiliation(s)
- Babak Saatchi
- Department of Psychiatric Nursing, School of Nursing and MidwiferyTehran University of Medical SciencesTehranIran
| | - Taraneh Taghavi Larijani
- Department of Psychiatric Nursing, School of Nursing and MidwiferyTehran University of Medical SciencesTehranIran
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Ameel M, Kontio R, Junttila K. Nursing interventions in adult psychiatric outpatient care. Making nursing visible using the Nursing Interventions Classification. J Adv Nurs 2019; 75:2899-2909. [PMID: 31236984 DOI: 10.1111/jan.14127] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2019] [Revised: 05/08/2019] [Accepted: 05/30/2019] [Indexed: 11/30/2022]
Abstract
AIM To describe and to clarify the work of nurses in psychiatric outpatient care using a standardized nursing terminology and to describe the potential benefits and challenges in the use of the terminology. DESIGN A qualitative study of ethnographically grounded fieldwork in four adult outpatient units located in three major cities in Finland. METHODS A two-phase ethnographically oriented study, consisting of observations and focus group interviews in four psychiatric outpatient care units (in January-March 2018). During this process, the identified nursing interventions were mapped into the Nursing Interventions Classification. RESULTS We identified 93 different nursing interventions, covering all seven domains. Categories describing potential benefits and challenges were as follows: giving words to nurses' work and the challenge of overlapping interventions. CONCLUSION Our findings indicate that the Nursing Interventions Classification is a suitable means to describe nursing in the psychiatric outpatient care setting. Our findings support the theory that describing nurses' work using a nursing terminology can make nursing visible and further empower nurses and help them to structure their work. The lack of other professionals, especially physicians, has led to nurses taking over new tasks officially and unofficially and we suggest that the issue needs to be studied further. IMPACT Nurses' role in the psychiatric outpatient care has been described as invisible and difficult to describe. Our findings suggest that a nursing terminology can make nursing visible, not only from the perspective of patient health records but is also a way to conceptualize nurses' work.
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Affiliation(s)
- Maria Ameel
- Department of Nursing Science, University of Turku, Turku, Finland.,Helsinki University Hospital and University of Helsinki, Helsinki, Finland
| | - Raija Kontio
- Department of Nursing Science, University of Turku, Turku, Finland.,Helsinki University Hospital and University of Helsinki, Helsinki, Finland
| | - Kristiina Junttila
- Department of Nursing Science, University of Turku, Turku, Finland.,Helsinki University Hospital and University of Helsinki, Helsinki, Finland
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Taghavi Larijani T, Saatchi B. Training of NANDA-I Nursing Diagnoses (NDs), Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC), in Psychiatric Wards: A randomized controlled trial. Nurs Open 2019; 6:612-619. [PMID: 30918711 PMCID: PMC6419136 DOI: 10.1002/nop2.244] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2018] [Revised: 11/27/2018] [Accepted: 01/07/2019] [Indexed: 11/09/2022] Open
Abstract
AIM To assess the effect of Training NANDA-I Nursing Diagnoses, Nursing Interventions Classification and Nursing Outcomes Classification (The NNN system), on the nursing care related to the patient safety, in psychiatric wards. METHOD In a randomized controlled trial, 80 nurses were selected randomly and assigned into two, Control and Experimental, groups. Nurses documented reports, reviewed and analysed in terms of using the NNN system. The intervention of the study was the training of the NNN system, based on recognition of the signs, symptoms and aetiology of the important phenomena in the psychiatric wards. RESULTS The Control Group used the NNN system (N = 34), both before and after the intervention, while the experimental group usage increased from (N = 26)-(N = 434). Therefore, the NNN system training, can improve the nursing care related to the patient safety in psychiatric wards.
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Affiliation(s)
- Taraneh Taghavi Larijani
- Psychiatric Nursing Department, School of Nursing and MidwiferyTehran University of Medical SciencesTehranIran
| | - Babak Saatchi
- Psychiatric Nursing Department, School of Nursing and MidwiferyTehran University of Medical SciencesTehranIran
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Frauenfelder F, Achterberg T, Müller Staub M. Nursing diagnoses related to psychiatric adult inpatient care. J Clin Nurs 2018; 27:e463-e475. [DOI: 10.1111/jocn.13959] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/01/2017] [Indexed: 11/26/2022]
Affiliation(s)
- Fritz Frauenfelder
- Directorate of Nursing, Therapies and Social Work Psychiatric University Hospital Zürich Zürich Switzerland
| | - Theo Achterberg
- Department of Public Health and Primary Care Academic Centre for Nursing and Midwifery KU Leuven Leuven Belgium
- Scientific Institute for Quality of Health Care Radboud University Medical Centre Nijmegen The Netherlands
- Department of Public Health and Primary Care Uppsala University Uppsala Sweden
| | - Maria Müller Staub
- Pflege PBS (Projects, Consulting, Research) Wil Switzerland
- Hanze University Groningen The Netherlands
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14
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Working draft: Classifications of interventions in mental health care. An expert review. EUROPEAN JOURNAL OF PSYCHIATRY 2017. [DOI: 10.1016/j.ejpsy.2017.10.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Frauenfelder F, van Achterberg T, Müller-Staub M. Documented Nursing Interventions in Inpatient Psychiatry. Int J Nurs Knowl 2016; 29:18-28. [DOI: 10.1111/2047-3095.12152] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Fritz Frauenfelder
- Vice Director of the Directorate of Nursing, Therapies and Social Work Psychiatric; University Hospital Zürich; Zürich Switzerland
| | - Theo van Achterberg
- Professor of Quality of Care, Department of Public Health and Primary Care; Academic Centre for Nursing and Midwifery, KU Leuven; Leuven Belgium
- Scientific Institute for Quality of Health Care; Radboud University Medical Centre; Nijmegen The Netherlands
- Department of Public Health and Primary Care; Uppsala University; Uppsala Sweden
| | - Maria Müller-Staub
- Director of Pflege PBS (Projects, Consulting, Research); Wil Switzerland
- Professor in Nursing Diagnostics; Hanze University; Groningen The Netherlands
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Barros LM, Moreira RAN, Frota NM, Caetano JÁ. Identificação dos diagnósticos de enfermagem da classe de respostas cardiovasculares/pulmonares em pacientes submetidos à cirurgia bariátrica. AQUICHAN 2015. [DOI: 10.5294/aqui.2015.15.2.4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
O objetivo deste estudo foi identificar as respostas humanas apresentadas por pacientes no pós-operatório de cirurgia bariátrica que se configurem como diagnósticos de enfermagem da classe respostas cardiovasculares/pulmonares. Estudo observacional de caráter transversal realizado no período de julho de 2010 a maio de 2011, em um hospital referência em cirurgia bariátrica em Fortaleza-CE. Os diagnósticos de enfermagem identificados foram: risco de perfusão gastrintestinal ineficaz (87,9%), risco de intolerância à atividade (70,7%), perfusão tissular periférica ineficaz (67,2%), risco de choque (63,8%), débito cardíaco diminuído (60,3%), risco de perfusão tissular cardíaca diminuída (58,6%), intolerância à atividade (51,7%), risco de perfusão tissular cerebral ineficaz (48,3%), ventilação espontânea prejudicada (46,5%), risco de perfusão renal ineficaz (43,1%), padrão respiratório ineficaz (37,9%) e resposta disfuncional ao desmame ventilatório (36,2%). Assim, com base nesses resultados será possível direcionar a assistência de enfermagem prestada aos pacientes submetidos à cirurgia bariátrica e, consequentemente, reduzir complicações pós-operatórias.
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