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Reig-Garcia G, Cámara-Liebana D, Suñer-Soler R, Pau-Perich E, Sitjar-Suñer M, Mantas-Jiménez S, Roqueta-Vall-llosera M, Malagón-Aguilera MDC. Assessment of Standardized Care Plans for People with Chronic Diseases in Primary Care Settings. NURSING REPORTS 2024; 14:801-815. [PMID: 38651474 PMCID: PMC11036219 DOI: 10.3390/nursrep14020062] [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: 01/31/2024] [Revised: 03/19/2024] [Accepted: 03/25/2024] [Indexed: 04/25/2024] Open
Abstract
BACKGROUND Aging populations are driving a shift in emphasis toward enhancing chronic disease care, reflected in Catalonia's regional plan which prioritizes standardized nursing care plans in primary care settings. To achieve this, the ARES-AP program was established with a focus on harmonizing standards and supporting routine nursing clinical decision-making. This study evaluates nurses' perceptions of ARES-AP's standardized care plans for chronic diseases. METHODS A mixed-methods approach based on an ad hoc questionnaire (n = 141) and a focus group (n = 14) was used. Quantitative data were statistically analysed, setting significance at p < 0.05. Qualitative data were explored via content analysis. RESULTS ARES-AP training was assessed positively. The resources for motivational interviewing and care plans for the most prevalent chronic diseases were rated very positively. This study identified key factors influencing program implementation, including facilitators such as structured information and nursing autonomy, barriers such as resistance to change, motivators such as managerial support, and suggested improvements such as technological improvements and time management strategies. CONCLUSIONS This study identifies areas for improvement in implementing standardized nursing care plans, including additional time, motivation, enhanced IT infrastructure, and collaboration among primary care professionals. It enhances understanding of these plans in primary care, especially in managing chronic diseases in aging populations. Further research should assess the program's long-term impact on chronic patients. This study was not registered.
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Affiliation(s)
- Glòria Reig-Garcia
- Health and Health Care Research Group, Department of Nursing, University of Girona, 17003 Girona, Spain; (G.R.-G.); (R.S.-S.); (S.M.-J.); (M.d.C.M.-A.)
| | - David Cámara-Liebana
- Department of Nursing, University of Girona, 17003 Girona, Spain; (M.S.-S.); (M.R.-V.-l.)
| | - Rosa Suñer-Soler
- Health and Health Care Research Group, Department of Nursing, University of Girona, 17003 Girona, Spain; (G.R.-G.); (R.S.-S.); (S.M.-J.); (M.d.C.M.-A.)
| | - Eva Pau-Perich
- ABS Cassà de la Selva, Institut d’Assistència Sanitària, 17244 Cassà de la Selva, Spain;
| | - Miquel Sitjar-Suñer
- Department of Nursing, University of Girona, 17003 Girona, Spain; (M.S.-S.); (M.R.-V.-l.)
| | - Susana Mantas-Jiménez
- Health and Health Care Research Group, Department of Nursing, University of Girona, 17003 Girona, Spain; (G.R.-G.); (R.S.-S.); (S.M.-J.); (M.d.C.M.-A.)
| | | | - Maria del Carmen Malagón-Aguilera
- Health and Health Care Research Group, Department of Nursing, University of Girona, 17003 Girona, Spain; (G.R.-G.); (R.S.-S.); (S.M.-J.); (M.d.C.M.-A.)
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Fernández-Gutiérrez DÁ, Brito-Brito PR, Darias-Curvo S, Cabrera-de-León A, Martínez-Alberto CE, Aguirre-Jaime A. Cross-mapping medical records to NANDA-I to identify nursing diagnoses in a vulnerable population. Int J Nurs Knowl 2023; 34:42-54. [PMID: 35451572 PMCID: PMC10084389 DOI: 10.1111/2047-3095.12371] [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: 06/02/2021] [Accepted: 04/03/2022] [Indexed: 01/11/2023]
Abstract
PURPOSE To assess the association between vulnerable populations and nursing care needs, using NANDA-I diagnostics, in the population of the Canary Islands, Spain. METHODS Nursing social epidemiology study. Cross Mapping of Medical Records to NANDA-I to Identify Nursing Diagnoses in a Population usinga medical, epidemiological follow-up study of a cohort of 7,190 people. The level of vulnerability of the participants was assigned, among those who were also assigned nursing diagnoses, using the "ICE index" to calculate the expected associations. FINDINGS The most prevalent nursing diagnosis in our sample was Sedentary lifestyle (60.5%), followed by Ineffective health self-management (33.8%) and Risk-prone health behaviour (28.7%). Significant differences were found by sex, age group and social class, with the nursing diagnoses included in the study being more prevalent among the most socio-economically disadvantaged social class. CONCLUSIONS The cross-mapping method is useful to generate diagnostic information in terms of care needs, using the NANDA-I classification. The expected associations between high social vulnerability and care needs have been verified in a comprehensive and representative sample of the Canarian population (Spain). IMPLICATIONS FOR NURSING PRACTICE From an epidemiological perspective, identifying nursing diagnoses at the population level allows us to find the most prevalent needs in the different community groups and to focus appropriate nursing interventions for their implementation and impact assessment.
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Affiliation(s)
- Domingo Ángel Fernández-Gutiérrez
- Associate Professor in the Nursing Department, Universidad de La Laguna, and Health Care Information Systems Facilitator and Blended-Learning Advisor in Primary Health Care Management, Servicio Canario de la Salud. Member of the University Study Center for Social Inequalities and Governance, CEDESOG Universidad de La Laguna, Tenerife, Canary Islands, Spain
| | - Pedro Ruymán Brito-Brito
- Associate Professor in the Nursing Department, Universidad de La Laguna, and Research Nurse in Primary Care Management, Servicio Canario de la Salud, Tenerife, Canary Islands, Spain
| | - Sara Darias-Curvo
- Full Professor in the Nursing Department, Universidad de La Laguna, Tenerife. Member of the University Study Center for Social Inequalities and Governance, CEDESOG., Canary Islands, Spain
| | - Antonio Cabrera-de-León
- Research Physician in the Research Unit of Ntra. Sra. de Candelaria Hospital, Tenerife. Full professor of Preventive Medicine and Public Health, Universidad de La Laguna, Canary Islands, Spain
| | - Carlos Enrique Martínez-Alberto
- Associate Professor in the Nursing Department, European University of the Canary Islands, Laureate International Universities, and Research Nurse in Primary Care Management, Servicio Canario de la Salud, Tenerife, Canary Islands, Spain
| | - Armando Aguirre-Jaime
- Research Advisor, Care Research Institute, Colegio de enfermeros de Santa Cruz de Tenerife Department of Public Health, European University of the Canary Islands, Laureate International Universities, Tenerife, Canary Islands, Spain
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Juvé-Udina M. Cuando no sobran las palabras. ENFERMERIA INTENSIVA 2018; 29:51-52. [DOI: 10.1016/j.enfi.2018.04.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2018] [Accepted: 04/03/2018] [Indexed: 10/17/2022]
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D'Agostino F, Zeffiro V, Vellone E, Ausili D, Belsito R, Leto A, Alvaro R. Cross‐Mapping of Nursing Care Terms Recorded in Italian Hospitals into the Standardized NNN Terminology. Int J Nurs Knowl 2018; 31:4-13. [DOI: 10.1111/2047-3095.12200] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Affiliation(s)
- Fabio D'Agostino
- Department of Biomedicine and PreventionUniversity of Rome Tor Vergata Rome Italy
| | - Valentina Zeffiro
- Department of Biomedicine and PreventionUniversity of Rome Tor Vergata Rome Italy
| | - Ercole Vellone
- Department of Biomedicine and PreventionUniversity of Rome Tor Vergata Rome Italy
| | - Davide Ausili
- Department of Medicine and SurgeryUniversity of Milan Bicocca Milan Italy
| | - Romina Belsito
- Department of NeonatologyS. Giovanni Addolorata Hospital Complex Rome Italy
| | | | - Rosaria Alvaro
- Department of Biomedicine and PreventionUniversity of Rome Tor Vergata Rome Italy
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Tosin MHDS, Campos DM, Andrade LTD, Oliveira BGRBD, Santana RF. Nursing interventions for rehabilitation in Parkinson's disease: cross mapping of terms. Rev Lat Am Enfermagem 2017; 24:e2728. [PMID: 27508903 PMCID: PMC4990030 DOI: 10.1590/1518-8345.0689.2728] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2015] [Accepted: 09/28/2015] [Indexed: 11/21/2022] Open
Abstract
Objective: to perform a cross-term mapping of nursing language in the patient record with
the Nursing Interventions Classification system, in rehabilitation patients with
Parkinson's disease. Method: a documentary research study to perform cross mapping. A probabilistic, simple
random sample composed of 67 records of patients with Parkinson's disease who
participated in a rehabilitation program, between March of 2009 and April of 2013.
The research was conducted in three stages, in which the nursing terms were mapped
to natural language and crossed with the Nursing Interventions Classification.
Results: a total of 1,077 standard interventions that, after crossing with the taxonomy
and refinement performed by the experts, resulted in 32 interventions equivalent
to the Nursing Interventions Classification (NIC) system. The NICs, "Education:
The process of the disease.", "Contract with the patient", and "Facilitation of
Learning" were present in 100% of the records. For these interventions, 40
activities were described, representing 13 activities by intervention. Conclusion: the cross mapping allowed for the identification of corresponding terms with the
nursing interventions used every day in rehabilitation nursing, and compared them
to the Nursing Interventions Classification.
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Affiliation(s)
- Michelle Hyczy de Siqueira Tosin
- RN, MSN, Centro Internacional SARAH de Neuroreabilitação e Neurociências, Rio de Janeiro, RJ, Brazil. Master's Student, Escola de Enfermagem Aurora de Afonso Costa, Universidade Federal Fluminense, Niterói, RJ, Brazil
| | - Débora Moraes Campos
- RN, Centro Internacional SARAH de Neuroreabilitação e Neurociências, Rio de Janeiro, RJ, Brazil. Master's Student, Escola de Enfermagem Aurora de Afonso Costa, Universidade Federal Fluminense, Niterói, RJ, Brazil
| | - Leonardo Tadeu de Andrade
- RN, MSN, Hospital SARAH Belo Horizonte, Belo Horizonte, BH, Brazil. Doctoral Student, Universidade Federal de Minas Gerais, Belo Horizonte, BH, Brazil
| | | | - Rosimere Ferreira Santana
- PhD, Adjunct Professor, Departamento de Enfermagem Médico-Cirúrgico, Universidade Federal Fluminense, Niterói, RJ, Brazil
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Fortune N, Hardiker NR, Strudwick G. Embedding Nursing Interventions into the World Health Organization's International Classification of Health Interventions (ICHI). J Am Med Inform Assoc 2017; 24:722-728. [PMID: 28339684 PMCID: PMC7651898 DOI: 10.1093/jamia/ocw173] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Revised: 11/11/2016] [Accepted: 11/21/2016] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE The International Classification of Health Interventions, currently being developed, seeks to span all sectors of the health system. Our objective was to test the draft classification's coverage of interventions commonly delivered by nurses, and propose changes to improve the utility and reliability of the classification for aggregating and analyzing data on nursing interventions. MATERIALS AND METHODS A 2-phase content mapping method was used: (1) three coders independently applied the classification to a dataset comprising 100 high-frequency nursing interventions; (2) the coders reached consensus for each intervention and identified reasons for initial discrepancies. RESULTS A consensus code was found for 80 of the 100 source terms; for 34% of these, the code was semantically equivalent to the source term, and for 64% it was broader. Issues that contributed to discrepancies in Phase 1 coding results included concepts in source terms not captured by the classification, ambiguities in source terms, and uncertainty of semantic matching between "action" concepts in source terms and classification codes. DISCUSSION While the classification generally provides good coverage of nursing interventions, there remain a number of content gaps and granularity issues. Further development of definitions and coding guidance is needed to ensure consistency of application. CONCLUSION This study has produced a set of proposals concerning changes needed to improve the classification. The novel method described here will inform future health terminology and classification content coverage studies.
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Affiliation(s)
- Nicola Fortune
- National Centre for Classification in Health, Faculty of Health Sciences, University of Sydney, Lidcombe, Australia
| | - Nicholas R Hardiker
- School of Nursing, Midwifery, Social Work and Social Sciences, University of Salford, Salford, UK
| | - Gillian Strudwick
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada
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Abstract
Background: Most standardized nursing care plans for healthy neonates include multiple nursing diagnoses to reflect nurses' judgments on the infant's status; however scientific literature concerning this issue is scarce. Newborn physiological immaturity is a concept in the ATIC terminology (architecture, terminology, interface, information, nursing [infermeria], and knowledge [coneixement]) to represent the natural status of vulnerability of the healthy neonate. Purpose: To identify the essential attributes of the concept and provide its conceptual and operational definition, using the Wilsonian approach. Findings: The concept under analysis embeds a natural cluster of vulnerabilities and environmental interactions that enhance the evolving maturation process. Implications for Practice: The use of this diagnosis may simplify the process of charting the nursing care plans and reduce time needed for documentation while maintaining the integrity of the information. Implications for Research: Consistent development and use of nursing concepts is essential for knowledge building. Studies on the actual use of nursing diagnoses are needed to inform decision making.
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Escalada-Hernández P, Marín-Fernández B. The Nursing DiagnosisDisturbed Thought Processesin Psychiatric Patients: Prevalence and Associated Characteristics. Int J Nurs Knowl 2015; 27:156-61. [DOI: 10.1111/2047-3095.12091] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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