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Silva RARD, Menezes HFD, Santos RSDC, Xavier BLDQ, Dantas JDC, Lopes DCL, Santos ISD, Santos FRD. Terminological relationships between nursing diagnoses for children with kidney diseases. Rev Bras Enferm 2022; 75Suppl 2:e20210841. [PMID: 36134782 DOI: 10.1590/0034-7167-2021-0841] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2021] [Accepted: 05/18/2022] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To identify the relationships between the statements of nursing diagnoses for children with kidney diseases prepared according to the International Classification for Nursing Practice (ICNP®) with the diagnoses of NANDA International (NANDA-I). METHODS Methodological study operationalized by the steps: 1) Survey of clinical findings through interviews and physical examination with children; 2) Elaboration of nursing diagnoses through Gordon's clinical judgment; 3) Cross-mapping of diagnostic statements between the NANDA-I and ICNP® classification systems; 4) Content validation using the Delphi technique, in two rounds, with specialist nurses. RESULTS 90 children participated. A total of 151 diagnoses were made, of which 66.3% (n=100) used ICNP® terminology and 33.7% (n=51) used NANDA-I; 55 diagnoses showed equivalence of meanings. CONCLUSIONS Cross-mapping of diagnoses was achieved starting from the reality of children, using clinical reasoning and validation by specialist nurses.
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Brunner S, Mayer H, Blum K, Breidert M, Dietrich M, Dahl E, Müller M. Nutrition-related care needs of older patients in hospital: A qualitative multimethod study. Int J Nurs Knowl 2022; 34:148-160. [PMID: 35880825 DOI: 10.1111/2047-3095.12389] [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: 04/26/2022] [Accepted: 06/25/2022] [Indexed: 11/28/2022]
Abstract
PURPOSE To investigate the nutrition-related care needs of older patients in hospitals. METHODS A qualitative multimethod study was performed. By purposive sampling, older patients were included for observations of the nutrition process and interviews from a perioperative unit, an internal Medicine unit, and one acute geriatric care ward of an acute care hospital. Preliminary findings were discussed, validated, and further explored in two focus group discussions with interprofessional nutritional healthcare experts. FINDINGS Seventeen women and five men with a mean age of 86 years participated in patient observations and interviews. Eight experts with at least 10 years of professional experience who were employed in this setting for 3 years or more participated in interviews. Three themes of nutrition-related care needs were elaborated: The need to assess and address older patients' attitudes toward life, the need for nutrition-related education, and the need for food intake support. These care needs added to the development and validation of a new nursing diagnosis "risk for inadequate protein energy nutrition" and in consequence to develop a complex nursing intervention to optimize the nutrition of older patients. CONCLUSIONS It is crucial to assess and understand the patients' attitudes toward life, which affect purposes of treatment, diet, and menu choices. IMPLICATIONS FOR NURSING PRACTICE Implementation of assessing nutrition-related care needs of older inpatients is needed. Addressing these care needs within the Advanced Nursing Process can lead to appropriate nursing diagnoses, nursing outcomes, and interventions, which enhance person-centered care, patients' self-care abilities, and consequently patients' nutritional status.
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Affiliation(s)
- Silvia Brunner
- City Hospital Zurich, Zurich, Switzerland.,Institute of Nursing Science, University Vienna, Vienna, Austria
| | - Hanna Mayer
- Institute of Nursing Science, University Vienna, Vienna, Austria.,Karl Landsteiner University for Health Sciences, Donau, Austria
| | - Karin Blum
- City Hospital Zurich, Zurich, Switzerland
| | | | - Michael Dietrich
- City Hospital Zurich, Zurich, Switzerland.,University Zurich, Zurich, Switzerland
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Sánchez-Almagro CP, Romero-Sánchez JM, White-Ríos M, González Del Pino CA, Paloma-Castro O. NANDA International nursing diagnoses in the coping/stress tolerance domain and their linkages to Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions in the pre-hospital emergency care. J Adv Nurs 2022; 78:3273-3289. [PMID: 35506570 PMCID: PMC9545537 DOI: 10.1111/jan.15280] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2021] [Revised: 03/12/2022] [Accepted: 04/13/2022] [Indexed: 11/29/2022]
Abstract
Aim To determine the prevalence of NANDA International nursing diagnoses in the coping/stress tolerance domain and their linkages to Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions in the pre‐hospital emergency care setting. Design Retrospective descriptive study of electronic record review. Methods Eight thousand three hundred three episodes recorded during the year 2019 were recovered from the electronic health records of a public emergency care agency. The prevalence of NANDA International nursing diagnosis, Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions was determined. A cross‐tabulation analysis was performed to determine the linkages. Data were accessed in November 2020. Results NANDA International nursing diagnoses Anxiety (00146) and Fear (00148) represented more than 90% of the diagnoses recorded in the domain. Anxiety level (1211) and emotional support (5270) were the most recorded Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions, with almost 20% and 5% of total records, respectively. The linkage between nursing diagnosis Anxiety (00146), outcome Anxiety level (1211) and intervention Anxiety reduction (5820) was the most recorded with slightly more than 3% of the total. Conclusion Eight different NANDA International nursing diagnoses in the coping/stress tolerance domain were recorded. Nursing Outcomes Classification outcomes were selected aimed mainly at psychological well‐being and Nursing Interventions Classification interventions to support coping. In general, linkages were aimed to provide emotional support, physical well‐being, information, education and safety. Impact This study showed that pre‐hospital emergency care nurses diagnose and treat human responses in the coping/stress tolerance domain. Expert consensus‐based linkages may be complemented by the results of this study, increasing the levels of evidence of both individualized and standardized care plans for critical patients assisted by pre‐hospital emergency care nurses.
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Affiliation(s)
- César Pedro Sánchez-Almagro
- Empresa Pública de Emergencias Sanitarias (EPES), Servicio Provincial de Cádiz, Cádiz, Spain.,Research Group under the Andalusian Research, Development and Innovation Scheme CTS-1019 MELES "Nursing methods and Standardized Languages", Universidad de Cádiz, Cádiz, Spain
| | - José Manuel Romero-Sánchez
- Research Group under the Andalusian Research, Development and Innovation Scheme CTS-1019 MELES "Nursing methods and Standardized Languages", Universidad de Cádiz, Cádiz, Spain.,Nursing and Physiotherapy Department, Faculty of Nursing and Physiotherapy, Universidad de Cádiz, Cádiz, Spain
| | | | | | - Olga Paloma-Castro
- Research Group under the Andalusian Research, Development and Innovation Scheme CTS-1019 MELES "Nursing methods and Standardized Languages", Universidad de Cádiz, Cádiz, Spain.,Nursing and Physiotherapy Department, Faculty of Nursing and Physiotherapy, Universidad de Cádiz, Cádiz, Spain
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Silva RARD, Menezes HFD, Santos RSDC, Xavier BLDQ, Dantas JDC, Lopes DCL, Santos ISD, Santos FRD. Relações terminológicas entre diagnósticos de enfermagem para crianças com doenças renais. Rev Bras Enferm 2022. [DOI: 10.1590/0034-7167-2021-0841pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Objetivo: Identificar as relações dos enunciados de diagnósticos de enfermagem para crianças com doenças renais elaborados segundo a Classificação Internacional para a Prática de Enfermagem (CIPE®) com os diagnósticos da NANDA Internacional (NANDA-I). Métodos: Estudo metodológico operacionalizado pelas etapas: 1) Levantamento dos achados clínicos por meio de entrevista e exame físico com crianças; 2) Elaboração dos diagnósticos de enfermagem mediante o julgamento clínico de Gordon; 3) Mapeamento cruzado dos enunciados de diagnósticos entre os sistemas de classificação NANDA-I e CIPE®; 4) Validação de conteúdo utilizando a técnica Delphi, em duas rodadas, com enfermeiros especialistas. Resultados: Participaram 90 crianças. Foram elaborados 151 diagnósticos, dos quais 66,3% (n= 100) da terminologia da CIPE® e 33,7% (n= 51) da NANDA-I; 55 diagnósticos apresentaram equivalência de significados. Conclusões: O mapeamento cruzado de diagnósticos foi alcançado partindo-se da realidade de crianças, com uso de raciocínio clínico e validação por enfermeiros especialistas.
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González-Aguña A, Jiménez-Rodríguez ML, Fernández-Batalla M, Herrero-Jaén S, Monsalvo-San Macario E, Real-Martínez V, Santamaría-García JM. Nursing Diagnoses for Coronavirus Disease, COVID-19: Identification by Taxonomic Triangulation. Int J Nurs Knowl 2020; 32:108-116. [PMID: 32798300 DOI: 10.1111/2047-3095.12301] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Revised: 07/07/2020] [Accepted: 07/22/2020] [Indexed: 11/29/2022]
Abstract
PURPOSE To identify the nursing care problems related to the clinical process of disease by COVID-19. METHOD The study applied the taxonomic triangulation technique on a clinical management guide to coronavirus disease, COVID-19, from the World Health Organization. The technique is divided into the phases: extraction of knowledge in natural language about assessment, planning and intervention, translation into standard language NOC and NIC, linking to NANDA-I diagnoses, triangulation looking for diagnostic matches in the three sets, and, finally, validation by a panel of experts from a hospital and a university. FINDINGS The extraction identified 159 terms in natural language that were translated into 173 variables: 34 NOC for assessment, 19 NOC for planning, and 120 NIC for intervention. The relationships to NANDA-I diagnoses recorded 2,182 links and the triangulation returned 109 diagnoses, 54 of them for a critical situation. The panel of experts unanimously validated the 29 diagnoses with the highest number of links. CONCLUSION Coronavirus disease, COVID-19, involves a complex situation with multiple associated care problems that can be identified using the taxonomic triangulation technique. IMPLICATIONS FOR NURSING PRACTICE The links between taxonomies and the taxonomic triangulation technique are an important tool for generating knowledge. The results of this study may guide the diagnosis and treatment of coronavirus disease, COVID-19, as well as similar processes that occur with acute respiratory distress syndrome.
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Affiliation(s)
- Alexandra González-Aguña
- Henares University Hospital, Research Group MISKC, PhD candidate at University of Alcala, Community of Madrid Health Service (SERMAS), University of Alcala, Madrid, Spain
| | - María Lourdes Jiménez-Rodríguez
- Associate Professor in Computer Science Department, Research Group MISKC of UAH, University of Alcala, Alcalá de Henares, Madrid, Spain
| | - Marta Fernández-Batalla
- Torres de la Alameda Health Center, Research Group MISKC, Community of Madrid Health Service (SERMAS), University of Alcala, Madrid, Spain
| | - Sara Herrero-Jaén
- Severo Ochoa University Hospital, Research Group MISKC, PhD candidate at University of Alcala, Community of Madrid Health Service (SERMAS), University of Alcala, Madrid, Spain
| | - Enrique Monsalvo-San Macario
- La Garena Health Center, Research Group MISKC, PhD candidate at University of Alcala, Community of Madrid Health Service (SERMAS), University of Alcala, Madrid, Spain
| | - Verónica Real-Martínez
- Nursing Director of COVID-19 IFEMA Hospital, Madrid Emergency Medical Service (SUMMA 112), Community of Madrid Health Service (SERMAS), Madrid, Spain
| | - José María Santamaría-García
- COVID-19 IFEMA Hospital, Meco Health Center, Research Group MISKC, Community of Madrid Health Service (SERMAS), University of Alcala, Madrid, Spain
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