Academic literature on the topic 'Nursing diagnosis'

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Journal articles on the topic "Nursing diagnosis"

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Bond, Emily O., Jean Urick, and M. Kay M. Judge. "Nursing Diagnosis at Work: From Metaphors to Nursing Diagnoses." International Journal of Nursing Terminologies and Classifications 10, no. 2 (April 1999): 81–83. http://dx.doi.org/10.1111/j.1744-618x.1999.tb00030.x.

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Halloran, Edward J. "Nursing workload, medical diagnosis related groups, and nursing diagnoses." Research in Nursing & Health 8, no. 4 (December 1985): 421–33. http://dx.doi.org/10.1002/nur.4770080415.

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GORDON, MARJORY. "Nursing Diagnosis." Annual Review of Nursing Research 3, no. 1 (January 1985): 127–46. http://dx.doi.org/10.1891/0739-6686.3.1.127.

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JA KIM, MI. "Nursing Diagnosis." Annual Review of Nursing Research 7, no. 1 (September 1989): 117–42. http://dx.doi.org/10.1891/0739-6686.7.1.117.

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TARTAGLIA, MICHAEL J. "NURSING DIAGNOSIS." Nursing 15, no. 3 (March 1985): 34–37. http://dx.doi.org/10.1097/00152193-198503000-00009.

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Baggs, Judith. "Nursing Diagnosis." Dimensions of Critical Care Nursing 5, no. 3 (May 1986): 178–81. http://dx.doi.org/10.1097/00003465-198605000-00008.

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Stein, Maribeth. "Nursing Diagnosis." Dimensions Of Critical Care Nursing 7, no. 2 (March 1988): 104–9. http://dx.doi.org/10.1097/00003465-198803000-00014.

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Johnson, Suzanne Hall. "Nursing Diagnosis." Dimensions of Critical Care Nursing 10, no. 6 (November 1991): 353. http://dx.doi.org/10.1097/00003465-199111000-00015.

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Gordo, n. "Nursing Diagnosis." Dimensions of Critical Care Nursing 13, no. 6 (November 1994): 325. http://dx.doi.org/10.1097/00003465-199411000-00014.

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Steams, Linda. "Nursing Diagnosis." Nursing Management (Springhouse) 19, no. 4 (April 1988): 101. http://dx.doi.org/10.1097/00006247-198804000-00025.

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Dissertations / Theses on the topic "Nursing diagnosis"

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Powers, Penny. "A discourse analysis of nursing diagnosis /." Thesis, Connect to this title online; UW restricted, 1994. http://hdl.handle.net/1773/7330.

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Cattron, Judith M. Riley McCarthy John R. "Nursing diagnoses perceptions of deans /." Normal, Ill. Illinois State University, 1987. http://wwwlib.umi.com/cr/ilstu/fullcit?p8726501.

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Thesis (Ed. D.)--Illinois State University, 1987.
Title from title page screen, viewed August 12, 2005. Dissertation Committee: John R. McCarthy (chair), Marilyn E. Feldmann, Ronald S. Halinski, Franklin G. Matsler, Charles T. Spender. Includes bibliographical references (leaves 83-89) and abstract. Also available in print.
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Wong, Thomas Kwok Shing. "Clinical decision making in nursing." Thesis, Glasgow Caledonian University, 1995. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.283692.

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McKeown, Margaret Mary Olive. "Dual diagnosis : a challenge for acute mental health nursing." Thesis, University of Kent, 2005. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.420833.

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Morton, Nancy Ann 1952. "Validation of decreased cardiac output as a nursing diagnosis." Thesis, The University of Arizona, 1992. http://hdl.handle.net/10150/558178.

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Zwolski, Kenneth. "Testing for reliability and validity of an instrument to measure ability to formulate nursing diagnoses in senior level baccalaureate nursing students /." Access Digital Full Text version, 1988. http://pocketknowledge.tc.columbia.edu/home.php/bybib/10797439.

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Adams, Barbara L. Rhodes Dent. "Making clinical decisions baccalaureate nursing student thought processes /." Normal, Ill. Illinois State University, 2003. http://wwwlib.umi.com/cr/ilstu/fullcit?p3106754.

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Thesis (Ed. D.)--Illinois State University, 2003.
Title from title page screen, viewed October 19, 2005. Dissertation Committee: Dent M. Rhodes (chair), Cathy A. Toll, Eileen T. Borgia, Saundra L. Theis. Includes bibliographical references (leaves 108-116) and abstract. Also available in print.
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Kelly, David Jonathan. "The identification and clinical validation of the defining characteristics of the nursing diagnosis Alteration in Tissue Perfusion: Cardiac." Thesis, The University of Arizona, 1989. http://hdl.handle.net/10150/277146.

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This exploratory study used Diagnostic Content Validity (DCV) and the Clinical Diagnostic Validation (CDV) models proposed by Fehring (1986) to clinically identify and validate the defining characteristics for Alteration in Tissue Perfusion: Cardiac. The literature based Kelly Cardiac Assessment Tool (KCAT) was designed as the data collection tool. The diagnostic content validity of the KCAT was 0.70. Twenty subjects, 18 years old and older were selected from a population who were admitted as inpatients in a southwestern university affiliated hospital. Data were collected through patient interviews, independent nurse assessment, and review of laboratory data. Using the steps described in Fehring's CDV model (1986) one major defining characteristic and 13 minor defining characteristics were clinically validated. The tool CDV score was 0.62. The nursing diagnosis Alteration in Tissue Perfusion: Cardiac was clinically validated and one major and 13 minor defining characteristics were identified.
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Melo, Renata Pereira de. "DECREASED CARDIAC OUTPUT RISK: characterization of proposal of nursing diagnosis." Universidade Federal do CearÃ, 2008. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=2595.

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CoordenaÃÃo de AperfeiÃoamento de Pessoal de NÃvel Superior
The study looked to characterize a proposal for the nursing diagnosis of âRisk of Decreased Cardiac Outputâ, based on the judgement of 25 specialists. It was carried out in the period of September of 2007 to April of 2008, in two methodological stages: a) Elaboration of the proposal of the nursing diagnosis of Risk of Decreased Cardiac Output, according to NANDA, and the operational definition for each risk factor; b) Validation of the concept, of the risk factors and the operational definitions. For so, it was used the Diagnostic Content Validation model proposed by Fehring and the Delphi technique. All the specialists were selected based on Fehringâs criteria. Data was collected at two moments, from questionnaires. The quantitative analysis disposed of the calculation of the weighted mean of the value attributed by specialist to each risk factor, being: 1 (it does not cause vulnerability) = 0; 2 (it causes very little vulnerability) = 0,25; 3 (it causes moderate vulnerability) = 0,5; 4 (it causes very much vulnerability) = 0,75; and 5 (it completely causes vulnerability) = 1. Based on this calculation, the risk factors with score below the established cutoff point of 0,6 were discarded. For the evaluation of the items related to the operational definition (Clarity, Adequacy to the risk factor and Adequacy to the remaining proposed terms) the values were tabulated (+1, 0 and -1) and the mean calculated, in order to check the level of agreement/disagreement between the specialists. There was still calculated the Index of Content Validity, which indicates the confidence of the application of the diagnosis in practice. It was considered the explanation of the objectives to the participants, their declared consent in allowing the collection and supplying the solicited data, their freedom to refuse or give up from participating in any phase of the research process without prejudice of any kind to them, to ask for clarification as well as their right to anonymity. As result, was obtained the understanding that the label proposed is representative of a nursing diagnosis, to which the concept corresponded, in adequacy to the structure used by NANDA: âTo be in risk of developing a level of health characterized by insufficient quantity of blood pumped each minute by the heart to fulfill the physical metabolic demandsâ. Were considered representative risk factor for this phenomenon (≥ 0,6), according to the specialists judgement: myocardial dysfunction (0,887), blood loss (0,875), intrapericardial pressure increase (0,825), condition that causes alteration in the rhythm and/or electric cardiac driving (0,812), defective volume of liquids (0,725), plasma loss (0,712), ineffective tissular perfusion (0,712), electrolytic unbalance (0,7), acid-base unbalance (0,697), valve alteration (0,65), major surgery (0,65) and general deep anaesthesia/spinal anaesthesia (0,625), obtaining a Index of Content Validity of 0,739. With this proposal, it was provided the characterization of this phenomenon, as a form to orientate the process of clinical judgement, making possible a preventive act, as a way to avoid the development of the real entity and of his complications. However, because of the peculiarity of this study and the relevance of its finds, itâs essential the replication of the 10 risk factors (22%) that were located between the cutoff points of 0,5 and 0,59, as well as new submissions of the data to the specialists to obtain the consensus, and the realization of a study of clinical validation, in order to obtain evidences about the incident of this phenomenon in nursesâ practice
O estudo buscou caracterizar proposta para o diagnÃstico de enfermagem Risco para DÃbito CardÃaco diminuÃdo, com base no juÃzo de 25 especialistas. Foi realizado no perÃodo de setembro de 2007 a abril de 2008, em duas etapas metodolÃgicas: a) ElaboraÃÃo da proposta do diagnÃstico de enfermagem Risco para DÃbito CardÃaco diminuÃdo, de acordo com a NANDA, e da definiÃÃo operacional para cada fator de risco; b) ValidaÃÃo do construto, dos fatores de risco e das definiÃÃes operacionais. Para tanto, utilizou o modelo de ValidaÃÃo de ConteÃdo DiagnÃstico de Fehring e a tÃcnica Delphi. Todos os especialistas foram selecionados com base nos critÃrios de Fehring. Os dados foram coletados em dois momentos, por meio de questionÃrio. Jà a anÃlise quantitativa empregou a mÃdia ponderada do valor atribuÃdo por especialista a cada fator de risco, sendo: 1 (nÃo causador de vulnerabilidade) = 0; 2 (pouco causador de vulnerabilidade) = 0,25; 3 (moderadamente causador de vulnerabilidade) = 0,5; 4 (muito causador de vulnerabilidade) = 0,75; e 5 (totalmente causador de vulnerabilidade) = 1. Com base nesse cÃlculo, descartaram-se os fatores de risco com escore abaixo do ponto de corte estabelecido de 0,6. Para a avaliaÃÃo dos itens relacionados à definiÃÃo operacional (Clareza, AdequaÃÃo ao fator de risco e AdequaÃÃo aos demais termos propostos) seus valores foram tabulados (+1, 0 e -1) e a mÃdia calculada, com vistas a verificar o nÃvel de concordÃncia/discordÃncia entre os especialistas. Calculou-se ainda o Ãndice de Validade de ConteÃdo, o qual indica a confianÃa da aplicaÃÃo do diagnÃstico na prÃtica. Considerou-se o esclarecimento dos objetivos e da metodologia aos participantes, o consentimento declarado destes em permitir a coleta e fornecer os dados solicitados, a sua liberdade para recusar ou desistir de participar em qualquer fase do processo de pesquisa sem prejuÃzo de qualquer natureza à sua pessoa, assim como para solicitar esclarecimentos e o seu direito ao anonimato. Como resultado, obteve-se a compreensÃo do rÃtulo proposto como representativo de um diagnÃstico de enfermagem, para o qual prevaleceu o construto: âEstar em risco de desenvolver um estado de saÃde caracterizado por quantidade insuficiente de sangue bombeado pelo coraÃÃo a cada minuto para atender Ãs demandas metabÃlicas corporaisâ. Foram considerados fatores de risco representativos deste fenÃmeno (≥ 0,6), segundo o juÃzo dos especialistas: disfunÃÃo miocÃrdica (0,887), perda sangÃÃnea (0,875), aumento da pressÃo intrapericÃrdica (0,825), condiÃÃo que causa alteraÃÃo no ritmo e/ou conduÃÃo elÃtrica cardÃaca (0,812), Volume de LÃquidos deficiente (0,725), perda plasmÃtica (0,712), PerfusÃo Tissular ineficaz (0,712), desequilÃbrio eletrolÃtico (0,7), desequilÃbrio acidobÃsico (0,697), alteraÃÃo valvar (0,65), grandes cirurgias (0,65) e anestesia geral profunda/ anestesia espinhal (0,625), obtendo-se um Ãndice de Validade de ConteÃdo de 0,739. Com esta proposta, propiciou-se a caracterizaÃÃo deste fenÃmeno, como forma de orientar o processo de julgamento clÃnico, possibilitando uma atuaÃÃo de cunho preventivo, de modo a evitar o desenvolvimento da entidade real e das suas complicaÃÃes. No entanto, em virtude da sua singularidade e da relevÃncia dos seus achados, à imprescindÃvel a replicaÃÃo dos 10 fatores de risco (22%) situados entre os pontos de corte de 0,5 e 0,59, assim como novas submissÃes dos dados aos especialistas para a obtenÃÃo do consenso e a realizaÃÃo de estudo de validaÃÃo clÃnica, a fim de obter evidÃncias acerca da ocorrÃncia desse fenÃmeno na prÃtica dos enfermeiros
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Moreira, Rafaella Pessoa. "Stroke â the nursing diagnoses analysis show in the activity/exercise branch." Universidade Federal do CearÃ, 2008. http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=2511.

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Conselho Nacional de Desenvolvimento CientÃfico e TecnolÃgico
To determine nursing diagnoses is a very necessary task, for it contributes to the better planning of the interventions in clients who survived after the stroke and who, in most of the cases, presented incapabilities. Due to this, the study aimed to analyze the nursing diagnoses shown in the Activity/Exercise branch in clients with stroke during the period of rehabilitation. A transversal study was done amongst 121 clients who attended one of the eight units of Cearense Beneficent Association of Rehabilitation (ABCR) in Fortaleza City- CearÃ, whose data collection occurred within the period of November, 2007 and March, 2008. The including criteria were: a) to be registered in the ABCR; b) to have suffered from stroke at least once, and presented the diagnosis confirmation by the doctor; c) to be over 18 years old. A form was used for the data collection, which had undergone content validation by two nurses expertise in the care of clients with stroke. The information was collected through interview and physical tests. To name the nursing diagnoses, the Taxonomy II proposed by the North American Nursing Diagnosis Association (NANDA), published in 2008, was followed as reference. With the data compiled in the Excel program, the statistic analysis was done within the EpiInfo and SPSS program. The level of significance adopted in the study was of 5%. All ethical recommendations were followed during the stages of the research. Taking the social and demographic data into account, it was verified that the majority of these participants was from masculine gender, elderly, without a partner, retired or pensioners and had low education and income per capita. Amongst the various risk indicators, the most frequent one was the arterial hypertension, followed by the sedentarism, dislipidemy, cardiopathies and diabetes mellitus. Half of the clients studied had at once suffered from stroke 12 months before, beginning rehabilitation in one of the units of the ABCR for at maximum seven months. The participants showed an average of 6.7 nursing diagnoses; 25.1 defining characteristics; 4.6 related factors and 10.1 risky factors. All the diagnoses of the branch studied were identified, but seven: Falling risk, Impaired physical mobility, Impaired deambulation, Sedentary lifestyle, Risk for disuse syndrome, Risk for intolerance to the activity and Impaired transference capability had the frequency of over 50% and were used for the statistic analysis. According to the tests, there was a statistically significant relation among the diagnoses, with the exception of the followings: Falling risk, Impaired physical mobility, Impaired deambulation and Impaired transference capability with the diagnosis Risk for intolerance to the activity. The defining characteristics, related factors and risky factors were statistically associated with the major part of the nursing diagnoses analyzed. Such fact can be justified by the fact that all of them are part of the same branch within the NANDA (2008). One may conclude that the majority of the nursing diagnoses showed statistically association amongst them. It is verified that the Impaired muscular force and Neuromuscular damage were the most frequent related factors found, causing thus, the main consequences for the stroke. The study permitted a deep knowledge upon the Activity/Exercise branch in clients with stroke
Determinar diagnÃsticos de enfermagem à uma atividade de assistÃncia muito necessÃria, pois contribui para o melhor planejamento de intervenÃÃes em clientes que sobreviveram ao acidente vascular encefÃlico (AVE) e que na maioria dos casos apresentam incapacidades. Diante disso, o estudo teve por objetivo analisar os diagnÃsticos de enfermagem pertencentes à classe Atividade/ExercÃcio em clientes com acidente vascular encefÃlico no perÃodo de reabilitaÃÃo. Um estudo transversal foi desenvolvido com 121 clientes que freqÃentavam uma das oito unidades da AssociaÃÃo Beneficente Cearense de ReabilitaÃÃo (ABCR) na cidade de Fortaleza-CearÃ, cuja coleta de dados ocorreu no perÃodo de novembro de 2007 a marÃo de 2008. Os critÃrios de inclusÃo foram: a) ser cadastrado na ABCR; b) ter apresentado pelo menos um episÃdio de acidente vascular encefÃlico, com diagnÃstico confirmado por mÃdico; c) ter idade acima de 18 anos. Para a coleta de dados utilizou-se um formulÃrio submetido à validaÃÃo de conteÃdo de duas enfermeiras especialistas no cuidado a clientes com acidente vascular encefÃlico. As informaÃÃes foram coletadas por meio de entrevista e exame fÃsico. Para nomeaÃÃo dos diagnÃsticos de enfermagem seguiu-se como referÃncia a Taxonomia II da North American Nursing Diagnosis Association (NANDA), publicada em 2008. Com os dados compilados no Excel fez-se a anÃlise estatÃstica no programa EpiInfo versÃo 3.2 e no SPSS versÃo 16.0. O nÃvel de significÃncia adotado no estudo foi 5%. Todas as recomendaÃÃes Ãticas foram seguidas durante as etapas da pesquisa. Quanto aos dados sociodemogrÃficos, a maioria dos participantes era do sexo masculino, idosos, sem companheiros, aposentados ou pensionistas com baixa escolaridade e baixa renda per capita. Dos diversos indicadores de risco, o mais freqÃente foi a hipertensÃo arterial, seguida do sedentarismo, dislipidemias, cardiopatias e diabetes mellitus. Metade dos clientes estudados teve um episÃdio de AVE hà doze meses, com inÃcio de reabilitaÃÃo em uma das unidades da ABCR de no mÃximo sete meses. Em mÃdia, os participantes apresentaram 6,7 diagnÃsticos de enfermagem; 25,1 caracterÃsticas definidoras; 4,6 fatores relacionados e 10,1 fatores de risco. Todos os diagnÃsticos da classe em estudo foram identificados, mas sete: Risco de queda, Mobilidade fÃsica prejudicada, DeambulaÃÃo prejudicada, Estilo de vida sedentÃrio, Risco de sÃndrome do desuso, Risco de intolerÃncia à atividade e Capacidade de transferÃncia prejudicada tiveram freqÃÃncia acima de 50% e foram utilizados para anÃlise estatÃstica. De acordo com os testes, identificou-se associaÃÃo estatisticamente significante entre os diagnÃsticos, com exceÃÃo dos seguintes: Risco de queda, Mobilidade fÃsica prejudicada, DeambulaÃÃo prejudicada e Capacidade de transferÃncia prejudicada com o diagnÃstico Risco de intolerÃncia à atividade. As caracterÃsticas definidoras, fatores relacionados e os fatores de risco estiveram associados estatisticamente com a maior parte dos diagnÃsticos de enfermagem analisados. Tal fato pode ser justificado por todos fazerem parte da mesma classe da NANDA (2008). Conclui-se que a maioria dos diagnÃsticos de enfermagem mostrou associaÃÃo estatÃstica entre eles. Destaca-se que a ForÃa muscular diminuÃda e PrejuÃzos neuromusculares foram os fatores relacionados mais freqÃentes, sendo as principais conseqÃÃncias do AVE. O estudo permitiu o conhecimento aprofundado da classe Atividade/ExercÃcio da NANDA em portadores de AVE
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Books on the topic "Nursing diagnosis"

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J, Taptich Barbara, and Bernocchi-Losey Donna, eds. Nursing process and nursing diagnosis. Philadelphia: Saunders, 1986.

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J, Taptich Barbara, and Bernocchi-Losey Donna, eds. Nursing process and nursing diagnosis. 2nd ed. Philadelphia: Saunders, 1991.

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J, Taptich Barbara, and Bernocchi-Losey Donna, eds. Nursing process and nursing diagnosis. 3rd ed. Philadelphia: W.B. Saunders, 1995.

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Taylor, Cynthia M. Loxley. Nursing diagnosis cards. Springhouse, Pa: SpringhouseCorporation, 1986.

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Rassool, G. Hussein, ed. Dual Diagnosis Nursing. Oxford, UK: Blackwell Publishing Ltd, 2006. http://dx.doi.org/10.1002/9780470774953.

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Sparks, Sheila M. Nursing diagnosis referencemanual. Springhouse, Pa: Springhouse Corp, 1991.

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S, Cress Sheila, ed. Nursing diagnosis cards. Springhouse (Pa.): Springhouse Corp, 1987.

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Nursing diagnosis: Process and application. 3rd ed. St. Louis: Mosby, 1994.

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Nursing diagnosis: Process and application. 2nd ed. New York: McGraw-Hill, 1987.

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Neuroscience nursing: A nursing diagnosis approach. Baltimore: Williams & Wilkins, 1989.

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Book chapters on the topic "Nursing diagnosis"

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Franke-Vögtlin, Manuela, and Stephan Vavricka. "Differential Diagnosis." In Inflammatory Bowel Disease Nursing Manual, 69–72. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-75022-4_9.

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Moore, Kim. "Dual Diagnosis." In Psychosocial Interventions in Mental Health Nursing, 125–46. 1 Oliver's Yard, 55 City Road London EC1Y 1SP: SAGE Publications, Inc., 2015. http://dx.doi.org/10.4135/9781473909892.n8.

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Kav, Sultan. "Nursing Diagnosis Specific to Oncology." In Principles of Specialty Nursing, 143–51. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-76457-3_8.

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Nielsen, Beverley. "Beliefs towards a Diagnosis of Cancer: A Transcultural Approach." In Cancer Nursing, 129–32. London: Macmillan Education UK, 1989. http://dx.doi.org/10.1007/978-1-349-10714-8_44.

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Prophet, Colleen M. "The Patient Problem/Nursing Diagnosis Form: A Computer-Generated Chart Document." In Nursing and Computers, 234–41. New York, NY: Springer New York, 1998. http://dx.doi.org/10.1007/978-1-4612-2182-1_29.

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Trifanescu, Raluca-Alexandra, and Catalina Poiana. "Diagnosis and Management of Hypothyroidism in Adults." In Advanced Practice in Endocrinology Nursing, 581–92. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99817-6_30.

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Holden, Fiona, Clare Akers, and Sofia Llahana. "Diagnosis and Management of Erectile Dysfunction in Men." In Advanced Practice in Endocrinology Nursing, 925–41. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99817-6_48.

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Musete, Carine, and Françoise Charnay-Sonnek. "Model of Announcing a Diagnosis of Cancer: The French Experience." In Principles of Specialty Nursing, 153–58. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-76457-3_9.

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McEwen, J., H. Kennedy, and N. Hamilton. "The diagnosis of infection and the use of antibiotics." In Antimicrobial stewardship for nursing practice, 39–56. Wallingford: CABI, 2020. http://dx.doi.org/10.1079/9781789242690.0039.

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Baldeweg, Stephanie E. "Diagnosis and Management of Pituitary Apoplexy in Adult Patients." In Advanced Practice in Endocrinology Nursing, 1217–25. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99817-6_64.

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Conference papers on the topic "Nursing diagnosis"

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Roy, Claudette, and D. Robert Hay. "Knowledge-based nursing diagnosis." In Orlando '91, Orlando, FL, edited by Mohan M. Trivedi. SPIE, 1991. http://dx.doi.org/10.1117/12.45475.

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Wulandari, Sartika, Nursalam Nursalam, and Eka Mishbahatul M. Has. "Developing Format of Clinical Pathway Using Nursing Diagnosis Based on Indonesian Nursing Diagnosis Standart (Standar Diagnosis Keperawatan Indonesia: SDKI)." In 8th International Nursing Conference on Education, Practice and Research Development in Nursing (INC 2017). Paris, France: Atlantis Press, 2017. http://dx.doi.org/10.2991/inc-17.2017.28.

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Santos, Deborah Ferreira, Marcele Pescuma Capeletti Padula, and Camila Waters. "Nursing diagnoses of patients with Ischemic Stroke: a bibliographic search." In XIII Congresso Paulista de Neurologia. Zeppelini Editorial e Comunicação, 2021. http://dx.doi.org/10.5327/1516-3180.706.

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Introduction: Stroke causes cell injury and neurological damage that induce paralysis of a particular brain zone from which it has been left without proper circulation owing to thrombus, embolus or hemorrhage. Objective: Identify, through scientific articles, the nursing diagnoses of Stroke patients. Methods: Bibliographic and descriptive research held at Virtual Health Library, using the specific descriptors: Stroke and Brain Ischemia that were crossed with the general descriptor: Nursing Diagnosis, written in Portuguese and published from 2008 to 2018. Results: Eight articles were selected between 2008 and 2018 we found two publications in the following years: 2010, 2012, 2013 and 2015. The first publication was in 2010 and the last one in 2015, there is no evidence of research on nursing diagnoses in patients with stroke in the last four years. All studies were performed cross-sectionally, with data collected in the state of Ceará and with a sample ranging from 24 to 156 patients. The Nursing Diagnoses cited by the articles were: urinary incontinence; risk for aspiration; impaired verbal communication; intolerance and risk for activity intolerance; risk for disuse syndrome; risk for falls; fatigue; impaired physical mobility, impaired bed mobility, impaired wheelchair mobility; impaired transfer ability; impaired walking; sedentary lifestyle. Conclusion: Stroke results in disabilities that compromise the quality of life. The importance of preventing risk factors for stroke is clear, as well as the need for quick and effective care, emphasizing the individually, systematic and qualifies nursing care in order to decrease stroke sequels and guarantee quality of life.
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Chen, Chang Yun, Tseng Tzu-hui A, and Chiu Shin Che. "The Relation between Natural Therapy and Physiological at Diagnosis in Breast Cance." In Annual Worldwide Nursing Conference (WNC 2017). Global Science & Technology Forum (GSTF), 2017. http://dx.doi.org/10.5176/2315-4330_wnc17.93.

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Carvalho, Ariane Innecco Pereira de, and Gisele Massante Peixoto Tracera. "The role of nurses in the chemotherapy outpatient clinic of a Federal University: An experience report." In IV Seven International Congress of Health. Seven Congress, 2024. http://dx.doi.org/10.56238/homeivsevenhealth-039.

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Introduction: Nursing plays a vital role in the care of cancer patients, offering comprehensive support from diagnosis to treatment and rehabilitation. Understanding how nurses work in the chemotherapy outpatient clinic helps to identify areas where treatment can be improved. Objective: Disseminate the experience of good practices, promote humanization in care, continuous training of professionals, encourage research and innovation, and strengthen the professional support network. Methodology: This is a descriptive research, reporting the experience of nurses in the university oncology outpatient clinic. Development: The chemotherapy outpatient clinic is located in a university hospital. The nursing team is made up of nurses, nursing technicians and nursing assistants. The activities carried out by the nursing team in the chemotherapy room are: welcoming patients, preparing premedications, forwarding medical prescriptions to the pharmacy, checking medications after handling by the pharmacist, puncturing peripheral venous accesses and/or activating accesses central venous veins and patient monitoring. Furthermore, the nurse exercises the leadership role of the team and performs routine bureaucratic activities inherent to his position. In summary, the role of nurses in the chemotherapy outpatient clinic is characterized by a set of complex and interdisciplinary practices, which aim to achieve excellence in oncological care, as well as the dissemination of knowledge among university students who carry out their undergraduate and postgraduate internships there. graduation. Final considerations: The practice of working in the chemotherapy outpatient clinic highlights the importance of nursing's role in the comprehensive care of cancer patients. The dedication, technical knowledge and sensitivity of nurses are fundamental to providing quality care. Through reception, education, monitoring and rehabilitation, the nursing team contributes significantly to the well-being of patients.
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Kang, Sung Jun, Ji Hun Choi, Yun Joong Kim, Hyeo-Il Ma, and Unjoo Lee. "Development of an Acquisition and Visualization of Forearm Tremors and Pronation/Supination Motor Activities in a Smartphone based Environment for an Early Diagnosis of Parkinson’s Disease." In Healthcare and Nursing 2015. Science & Engineering Research Support soCiety, 2015. http://dx.doi.org/10.14257/astl.2015.116.42.

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Silva, Mayana Cerqueira Martins da, Alfredo Guerra Netto, Camila Cardoso Barbosa, Giovana de Heberson Souza, Gabriela Alves de Lima, Fernanda Durães Souto Rocha, Isadora Leão Amuy, et al. "Pickardt syndrome." In II SEVEN INTERNATIONAL MEDICAL AND NURSING CONGRESS. Seven Congress, 2023. http://dx.doi.org/10.56238/iicongressmedicalnursing-018.

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Introduction: The Pickardt-Fahlbusch syndrome, very rare, is found in the group of endocrine syndromes of interruption of the pituitary nail, resulting in tertiary hypothyroidism. The pathophysiology is not fully elucidated, suggesting alterations of chromosomal orders. Case presentation: A 13-year-old female patient, born in Gama - DF, was admitted to the emergency room of the Santa Maria Regional Hospital (HRSM) with decreased level of consciousness associated with severe hypoglycemia, showing improvement after reversal of hypoglycemia. Discussion: There is a higher prevalence of Pickardt-Fahlbusch syndrome in males, with symptoms of severe hypothyroidism well present, requiring complementary tests: laboratory and imaging. Once other causes are ruled out and diagnosis is made, therapeutic measures should be initiated early, reducing the effects and complications of the absence of thyroid hormones, especially in the pediatric age group. Other characteristics may also be accompanied, masking the diagnosis, since alteration occurs at the level of the pituitary nail, which induces other symptoms. Conclusion: It is essential, given the various characteristics presented, to understand and study more about Pickardt's syndrome.
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Oliveira, Emmanuelle Marie Albuquerque, Victor Regis de Lima, Lilian Balduíno de Menezes, Tatiane Kelly de Farias, and Rayle Maria Pereira da Silva. "Brain tumor in a pediatric patient with hydrocephalus: A case study." In II SEVEN INTERNATIONAL MEDICAL AND NURSING CONGRESS. Seven Congress, 2023. http://dx.doi.org/10.56238/iicongressmedicalnursing-012.

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This is a descriptive study, with a qualitative approach, of the case study type. The information contained in this chapter was obtained by reviewing the medical records, interviewing the patient and talking to medical and nursing professionals at the Hospital de Emergência e Trauma Dom Luiz Gonzaga Fernandes, located in Campina Grande, Paraíba. The patient L. S. F., female, 3 years old, born in Areial - PB, arrived at the Hospital presenting a convulsive crisis that lasted for 15 days, having a history of headache, vomiting, intermittent fever for more than 1 year. Upon admission, a CT scan of the head was performed, which showed an expansive lesion with signs of bleeding, with acute hydrocephalus. Upon hospitalization through the Systematization of Nursing Assistance (SAE), it was possible to diagnose her with anxiety, and for that, a prescription was made with the interventions of administering analgesics, observing vital signs and keeping the bed rails high, due to young age. Subsequently, after being assisted by the neurosurgeon, he concluded that the tumor was a Thalamo-Mesencephalic, requiring a surgical procedure, which subsequently was performed uneventfully. The patient's brain tumor was taken for biopsy, for the opinion, and whether it is benign or malignant, the child will start chemotherapy, radiotherapy and similar treatment. The case reported and publications raised bring to light the discussion of the role of nursing in a complex situation such as the diagnosis of a brain tumor accompanied by hydrocephalus. It also ratifies the importance of the multidisciplinary team in this service, in which medical, nursing, psychology and physiotherapy teams must “walk” together, aiming at the well-being of the patient and his family.
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Solano, Judith L., Jack E. Leitner, and Kathaleen C. Bloom. "expert system for the application of nursing diagnosis to clinical practice (abstract)." In the 1986 ACM fourteenth annual conference. New York, New York, USA: ACM Press, 1986. http://dx.doi.org/10.1145/324634.325038.

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Chiu, Yu-Hsien, Wei-Hao Chen, Yu-Wei Hung, Hsien-Chang Wang, Kun-Yi Huang, and Chung-Hsien Wu. "Extraction and representation of nursing diagnosis for assisted assessment and affective analysis." In 2015 International Conference on Orange Technologies (ICOT). IEEE, 2015. http://dx.doi.org/10.1109/icot.2015.7498504.

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Reports on the topic "Nursing diagnosis"

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Schnabel, Filipina, and Danielle Aldridge. Effectiveness of EHR-Depression Screening Among Adult Diabetics in an Urban Primary Care Clinic. University of Tennessee Health Science Center, April 2021. http://dx.doi.org/10.21007/con.dnp.2021.0003.

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Background Diabetes mellitus (DM) and depression are important comorbid conditions that can lead to more serious health outcomes. The American Diabetes Association (ADA) supports routine screening for depression as part of standard diabetes management. The PHQ2 and PHQ9 questionnaires are good diagnostic screening tools used for major depressive disorders in Type 2 diabetes mellitus (DM2). This quality improvement study aims to compare the rate of depression screening, treatment, and referral to behavioral health in adult patients with DM2 pre and post-integration of depression screening tools into the electronic health record (EHR). Methods We conducted a retrospective chart review on patients aged 18 years and above with a diagnosis of DM2 and no initial diagnosis of depression or other mental illnesses. Chart reviews included those from 2018 or prior for before integration data and 2020 to present for after integration. Sixty subjects were randomly selected from a pool of 33,695 patients in the clinic with DM2 from the year 2013-2021. Thirty of the patients were prior to the integration of depression screening tools PHQ2 and PHQ9 into the EHR, while the other half were post-integration. The study population ranged from 18-83 years old. Results All subjects (100%) were screened using PHQ2 before integration and after integration. Twenty percent of patients screened had a positive PHQ2 among subjects before integration, while 10% had a positive PHQ2 after integration. Twenty percent of patients were screened with a PHQ9 pre-integration which accounted for 100% of those subjects with a positive PHQ2. However, of the 10% of patients with a positive PHQ2 post-integration, only 6.7 % of subjects were screened, which means not all patients with a positive PHQ2 were adequately screened post-integration. Interestingly, 10% of patients were treated with antidepressants before integration, while none were treated with medications in the post-integration group. There were no referrals made to the behavior team in either group. Conclusion There is no difference between the prevalence of depression screening before or after integration of depression screening tools in the EHR. The study noted that there is a decrease in the treatment using antidepressants after integration. However, other undetermined conditions could have influenced this. Furthermore, not all patients with positive PHQ2 in the after-integration group were screened with PHQ9. The authors are unsure if the integration of the depression screens influenced this change. In both groups, there is no difference between referrals to the behavior team. Implications to Nursing Practice This quality improvement study shows that providers are good at screening their DM2 patients for depression whether the screening tools were incorporated in the EHR or not. However, future studies regarding providers, support staff, and patient convenience relating to accessibility and availability of the tool should be made. Additional issues to consider are documentation reliability, hours of work to scan documents in the chart, risk of documentation getting lost, and the use of paper that requires shredding to comply with privacy.
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Travis, Amanda, Margaret Harvey, and Michelle Rickard. Adverse Childhood Experiences and Urinary Incontinence in Elementary School Aged Children. University of Tennessee Health Science Center, October 2021. http://dx.doi.org/10.21007/con.dnp.2021.0012.

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Purpose/Background: Adverse Childhood Experiences (ACEs) have an impact on health throughout the lifespan (Filletti et al., 1999; Hughes et al., 2017). These experiences range from physical and mental abuse, substance abuse in the home, parental separation or loss, financial instability, acute illness or injury, witnessing violence in the home or community, and incarceration of family members (Hughes et al., 2017). Understanding and screening for ACEs in children with urinary incontinence can help practitioners identify psychological stress as a potentially modifiable risk factor. Methods: A 5-month chart review was performed identifying English speaking patients ages 6-11 years presenting to the outpatient urology office for an initial visit with a primary diagnosis of urinary incontinence. Charts were reviewed for documentation of individual or family risk factors for ACEs exposure, community risk factors for ACEs exposures, and records where no related documentation was included. Results: For the thirty-nine patients identified, no community risk factors were noted in the charts. Seventy-nine percent of patients had one or more individual or family risk factors documented. Implications for Nursing Practice This chart review indicates that a significant percentage of pediatric, school-aged patients presenting with urinary incontinence have exposure to ACEs. A formal assessment for ACEs at the time of initial presentation would be helpful to identify those at highest risk. References: Felitti VJ, Anda RF, Nordenberg D, Williamson DF, Spitz AM, Edwards V, Koss MP, Marks JS. Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: the adverse childhood experiences (ACE) study. Am J Prev Med. 1998;14:245–258 Hughes, K., Bellis, M.A., Hardcastle, K.A., Sethi, D., Butchart, D., Mikton, C., Jones, L., Dunne, M.P. (2017) The effect of multiple adverse childhood experiences on health: a systematic review and meta-analysis. Lancet Public Health, 2(8): e356–e366. Published online 2017 Jul 31.doi: 10.1016/S2468-2667(17)30118-4 Lai, H., Gardner, V., Vetter, J., & Andriole, G. L. (2015). Correlation between psychological stress levels and the severity of overactive bladder symptoms. BMC urology, 15, 14. doi:10.1186/s12894-015-0009-6
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Ritz, Laurie. A Randomized Clinical Trial to Evaluate Advance Nursing Care for Women with Newly Diagnosed Breast Cancer. Fort Belvoir, VA: Defense Technical Information Center, October 1998. http://dx.doi.org/10.21236/ada371299.

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Ritz, Laurie. A Randomized Clinical Trial to Evaluate Advanced Nursing Care for Women With Newly Diagnosed Breast Cancer. Fort Belvoir, VA: Defense Technical Information Center, July 2000. http://dx.doi.org/10.21236/ada392413.

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Newman-Toker, David E., Susan M. Peterson, Shervin Badihian, Ahmed Hassoon, Najlla Nassery, Donna Parizadeh, Lisa M. Wilson, et al. Diagnostic Errors in the Emergency Department: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), December 2022. http://dx.doi.org/10.23970/ahrqepccer258.

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Objectives. Diagnostic errors are a known patient safety concern across all clinical settings, including the emergency department (ED). We conducted a systematic review to determine the most frequent diseases and clinical presentations associated with diagnostic errors (and resulting harms) in the ED, measure error and harm frequency, as well as assess causal factors. Methods. We searched PubMed®, Cumulative Index to Nursing and Allied Health Literature (CINAHL®), and Embase® from January 2000 through September 2021. We included research studies and targeted grey literature reporting diagnostic errors or misdiagnosis-related harms in EDs in the United States or other developed countries with ED care deemed comparable by a technical expert panel. We applied standard definitions for diagnostic errors, misdiagnosis-related harms (adverse events), and serious harms (permanent disability or death). Preventability was determined by original study authors or differences in harms across groups. Two reviewers independently screened search results for eligibility; serially extracted data regarding common diseases, error/harm rates, and causes/risk factors; and independently assessed risk of bias of included studies. We synthesized results for each question and extrapolated U.S. estimates. We present 95 percent confidence intervals (CIs) or plausible range (PR) bounds, as appropriate. Results. We identified 19,127 citations and included 279 studies. The top 15 clinical conditions associated with serious misdiagnosis-related harms (accounting for 68% [95% CI 66 to 71] of serious harms) were (1) stroke, (2) myocardial infarction, (3) aortic aneurysm and dissection, (4) spinal cord compression and injury, (5) venous thromboembolism, (6/7 – tie) meningitis and encephalitis, (6/7 – tie) sepsis, (8) lung cancer, (9) traumatic brain injury and traumatic intracranial hemorrhage, (10) arterial thromboembolism, (11) spinal and intracranial abscess, (12) cardiac arrhythmia, (13) pneumonia, (14) gastrointestinal perforation and rupture, and (15) intestinal obstruction. Average disease-specific error rates ranged from 1.5 percent (myocardial infarction) to 56 percent (spinal abscess), with additional variation by clinical presentation (e.g., missed stroke average 17%, but 4% for weakness and 40% for dizziness/vertigo). There was also wide, superimposed variation by hospital (e.g., missed myocardial infarction 0% to 29% across hospitals within a single study). An estimated 5.7 percent (95% CI 4.4 to 7.1) of all ED visits had at least one diagnostic error. Estimated preventable adverse event rates were as follows: any harm severity (2.0%, 95% CI 1.0 to 3.6), any serious harms (0.3%, PR 0.1 to 0.7), and deaths (0.2%, PR 0.1 to 0.4). While most disease-specific error rates derived from mainly U.S.-based studies, overall error and harm rates were derived from three prospective studies conducted outside the United States (in Canada, Spain, and Switzerland, with combined n=1,758). If overall rates are generalizable to all U.S. ED visits (130 million, 95% CI 116 to 144), this would translate to 7.4 million (PR 5.1 to 10.2) ED diagnostic errors annually; 2.6 million (PR 1.1 to 5.2) diagnostic adverse events with preventable harms; and 371,000 (PR 142,000 to 909,000) serious misdiagnosis-related harms, including more than 100,000 permanent, high-severity disabilities and 250,000 deaths. Although errors were often multifactorial, 89 percent (95% CI 88 to 90) of diagnostic error malpractice claims involved failures of clinical decision-making or judgment, regardless of the underlying disease present. Key process failures were errors in diagnostic assessment, test ordering, and test interpretation. Most often these were attributed to inadequate knowledge, skills, or reasoning, particularly in “atypical” or otherwise subtle case presentations. Limitations included use of malpractice claims and incident reports for distribution of diseases leading to serious harms, reliance on a small number of non-U.S. studies for overall (disease-agnostic) diagnostic error and harm rates, and methodologic variability across studies in measuring disease-specific rates, determining preventability, and assessing causal factors. Conclusions. Although estimated ED error rates are low (and comparable to those found in other clinical settings), the number of patients potentially impacted is large. Not all diagnostic errors or harms are preventable, but wide variability in diagnostic error rates across diseases, symptoms, and hospitals suggests improvement is possible. With 130 million U.S. ED visits, estimated rates for diagnostic error (5.7%), misdiagnosis-related harms (2.0%), and serious misdiagnosis-related harms (0.3%) could translate to more than 7 million errors, 2.5 million harms, and 350,000 patients suffering potentially preventable permanent disability or death. Over two-thirds of serious harms are attributable to just 15 diseases and linked to cognitive errors, particularly in cases with “atypical” manifestations. Scalable solutions to enhance bedside diagnostic processes are needed, and these should target the most commonly misdiagnosed clinical presentations of key diseases causing serious harms. New studies should confirm overall rates are representative of current U.S.-based ED practice and focus on identified evidence gaps (errors among common diseases with lower-severity harms, pediatric ED errors and harms, dynamic systems factors such as overcrowding, and false positives). Policy changes to consider based on this review include: (1) standardizing measurement and research results reporting to maximize comparability of measures of diagnostic error and misdiagnosis-related harms; (2) creating a National Diagnostic Performance Dashboard to track performance; and (3) using multiple policy levers (e.g., research funding, public accountability, payment reforms) to facilitate the rapid development and deployment of solutions to address this critically important patient safety concern.
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Brown, Candace, Chudney Williams, Ryan Stephens, Jacqueline Sharp, Bobby Bellflower, and Martinus Zeeman. Medicated-Assisted Treatment and 12-Step Programs: Evaluating the Referral Process. University of Tennessee Health Science Center, November 2021. http://dx.doi.org/10.21007/con.dnp.2021.0013.

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Purpose/Background Overdose deaths in the U.S. from opioids have dramatically increased since the COVID-19 pandemic. Although medicated-assisted treatment (MAT) programs are widely available for sufferers of opiate addiction, many drop out of treatment prematurely. Twelve-step programs are considered a valuable part of treatment, but few studies have examined the effect of combining these approaches. We aimed to compare abstinence rates among patients receiving MAT who were referred to 12-step programs to those only receiving MAT. Methods In this prospective study, a cohort of participants from a MAT clinic agreeing to attend a 12-step program was compared to 15 controls selected from a database before project implementation. Eligible participants were diagnosed with OUD, receiving buprenorphine (opiate agonist), and at least 18. Participants were provided with temporary sponsors to attend Narcotics Anonymous, Alcoholics Anonymous, and Medication-Assisted Recovery meetings together. The primary endpoint was the change in positive opiate urine drug screens over 6 months between participants and controls. Results Between March 29, 2021, and April 16, 2021, 166 patients were scheduled at the clinic. Of those scheduled, 146 were established patients, and 123 were scheduled for face-to-face visits. Of these, 64 appeared for the appointment, 6 were screened, and 3 were enrolled. None of the participants attended a 12-step meeting. Enrollment barriers included excluding new patients and those attending virtual visits, the high percentage of patients who missed appointments, and lack of staff referrals. The low incidence of referrals was due to time constraints by both staff and patients. Implications for Nursing Practice Low enrollment limited our ability to determine whether combining medication management with a 12-step program improves abstinence. Failure to keep appointments is common among patients with OUD, and virtual meetings are becoming more prevalent post-COVID. Although these factors are unlikely to be controllable, developing strategies to expedite the enrollment process for staff and patients could hasten recruitment.
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