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SÖNMEZ, Münevver, and Öznur GÜRLEK KISACIK. "Perceptions of Turkish Nursing Students on Nursing Diagnose." Clinical and Experimental Health Sciences 12, no. 4 (2022): 885–91. http://dx.doi.org/10.33808/clinexphealthsci.951967.
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Objective: This study aimed to determine how Turkish nursing students’ perceived nursing diagnosis. Methods: This descriptive and cross-sectional study was carried out with 655 nursing students in the Departments of Nursing in the Health Sciences Faculties of two universities, in the Aegean and western Black Sea Region, between 15 February and 5 April 2020. The Students Information Form and Perceptions of Nursing Diagnosis Scale were used for data collection. The independent samples t-test, one-way ANOVA test, and the Mann-Whitney U-test with Bonferroni-correction were used to determine the differences between the groups. Pearson correlation analysis was used to determine the effects of independent variables Results: The mean age of the nursing students was 21.12±1.39; 76.6% of them were female and 36.8% were in the second-year. 53.7% of the nursing students reported that they had difficulty in making nursing diagnoses. The overall Perceptions of Nursing Diagnosis Survey score of the nursing students was found to be 2.46±051. Statistically significant difference was found between Perceptions of Nursing Diagnosis Survey scores in terms of gender (p=0.012), the necessity of nursing diagnosis (p<0.001), and having sufficient knowledge about nursing diagnosis (p=0.019). Conclusions: The findings of this study have revealed that Turkish nursing students’ perceptions of nursing diagnoses are positive. It is important that use effective teaching methods in teaching nursing diagnoses in fundamental nursing education, to give more importance to nursing diagnoses. It is recommended to plan qualitative studies to in-depth examine students’ perceptions with randomized controlled studies involving innovative educational interventions in the future
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Cavalcante, K. M. H., M. L. Botelho, P. P. Cavalcanti, and F. M. P. Garcia. "Discussing nursing diagnosis applied by nursing students." Scientific Electronic Archives 9, no. 3 (2016): 87. http://dx.doi.org/10.36560/932016238.
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Aimed to identify and discuss nursing diagnosis present in 50 Case Studies developed by students of graduation nursing of Federal University of Mato Grosso - Campus of Sinop, in a unit of clinical medical. Documentary research that addressed quantitatively the nursing diagnosis proposed using the Taxonomy II of NANDA-I (2009-2011). It was documented 82 different diagnosis, and covered all the 13 domains. The involvement of all the domains and the large variability of diagnoses identified suggested a possible holistic view of patient care and emphasized the individuality of the care plan. However, it may indicate an immaturity of these students, because often different diagnosis are related, and interventions set to one of these can solve the other, so opting for one avoids large health plans. Researchers and professors should conduct investigations and discussions to be identified teaching methods best suited to the teaching of the diagnostic process.
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Tyas, Anestasia Pangestu Mei, Risma Dysta Nuriantari, Amellia Mardhika, Ilkafah Ilkafah, Lailatul Fadliyah, and Emuliana Sulpat. "APPLICATION OF INDONESIAN NURSING DIAGNOSIS STANDARDS IN NURSING DIAGNOSIS DOCUMENTATION IN CHILDREN WITH DENGUE HEMORRHAGIC FEVER." Journal of Vocational Nursing 5, no. 2 (2024): 166–72. http://dx.doi.org/10.20473/jovin.v5i2.63513.
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Introduction: The Indonesian National Nurses Association has developed nursing language standards adapted to cultural differences and uniqueness of Indonesian nursing services, namely the Indonesian Nursing Diagnostic Standards. Dengue Hemorrhagic Fever cases in Indonesia have experienced a shortening cycle, which has led to a rise in the incidence rate (IR) and a fall in the case facility rate (CFR). This study was to learn how to describe the application of the Indonesian Nursing Diagnosis Standards (SDKI) in documenting nursing diagnoses in children with Dengue Hemorrhagic Fever (DHF). Methods: Retrospective descriptive research design with secondary data. The secondary data used in the study, namely sourced from medical records from February 1, 2021 - March 31, 2022. The number of samples is 30 medical records using the total sampling technique. Data collection using observation sheet. Data analysis uses univariate analysis. Results: Most of the priority nursing diagnosis labels in DHF pediatric patients are by the Indonesian Nursing Diagnosis Standards, namely hyperthermia. However, all the writing of actual nursing diagnoses does not comply with the Indonesian Nursing Diagnosis Standards, which consists of writing three parts: [problems] related to [cause/related factors] as evidenced by [signs/symptoms], but the writing of nursing diagnoses is only in the form of problems or problems and causes. Conclusions: There needs to be a refreshing knowledge about the Indonesian Nursing Diagnosis Standards to improve the knowledge and skills of nurses in documenting nursing diagnoses.
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Parreira, Pedro, Paulo Santos-Costa, Manoel Neri, António Marques, Paulo Queirós, and Anabela Salgueiro-Oliveira. "Work Methods for Nursing Care Delivery." International Journal of Environmental Research and Public Health 18, no. 4 (2021): 2088. http://dx.doi.org/10.3390/ijerph18042088.
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This article analyzes the work methods based on care design, identification of needs, care organization, planning, delivery, evaluation, continuity, safety, and complexity of care, and discharge preparation. It describes the diagnosis of the situation, goal setting, strategy selection, implementation, and outcome evaluation that contribute to adopting a given work conception and/or method for nursing care delivery. Later, the concepts underlying the several methods—management theories and theoretical nursing concepts—are presented, with reference to relevant authors. The process of analysis and selection of the method is explained, highlighting the importance of diagnosis of the situation, goal setting, strategy selection, implementation, and outcome evaluation. The importance of various elements is highlighted, such as structural aspects, nature of care, target population, resources, and philosophy of the institution, which may condition the adoption of a method. The importance of care conceptualization is also underlined. The work methods are presented with a description of the key characteristics, advantages, and disadvantages of the task-oriented method (functional nursing) and patient-centered methods: individual, team nursing, and primary nursing. A critical and comparative analysis of the methods is then performed, alluding to the combination of person-centered methods.
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Melo, Pedro, Dário Miranda, Sandra Santos, Sérgio Sousa, Teresa Cardoso, and Alexandra Pereira. "Nursing Epidemiological Approach of Hypertension Management in a Public Health Service from the Northern Region of Portugal." Healthcare 9, no. 1 (2021): 59. http://dx.doi.org/10.3390/healthcare9010059.
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Background: Epidemiological surveillance of a nursing diagnosis is an approach anchored in a post-modern epidemiology focused on a person’s health disease responses. Regarding public health priorities, the population where our study occurred had as a priority problem arterial hypertension. Related to this chronic disease, nursing diagnoses about health disease responses in primary healthcare has, as a major focus, Therapeutic Regimen Management. Our aim was to study the nursing diagnosis in this issue from an epidemiological approach. Methods: A descriptive study from an epidemiological approach was developed, analyzing nursing diagnoses in hypertensive patients. Results: We found 17.7% of undiagnosed patients and better diagnoses in patients with complications than in those without complications. Conclusions: Nursing records need to be improved in order to promote more robust studies in the post-modern epidemiology for the future.
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Melo, Pedro, Dário Miranda, Sandra Santos, Sérgio Sousa, Teresa Cardoso, and Alexandra Pereira. "Nursing Epidemiological Approach of Hypertension Management in a Public Health Service from the Northern Region of Portugal." Healthcare 9, no. 1 (2021): 59. http://dx.doi.org/10.3390/healthcare9010059.
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Background: Epidemiological surveillance of a nursing diagnosis is an approach anchored in a post-modern epidemiology focused on a person’s health disease responses. Regarding public health priorities, the population where our study occurred had as a priority problem arterial hypertension. Related to this chronic disease, nursing diagnoses about health disease responses in primary healthcare has, as a major focus, Therapeutic Regimen Management. Our aim was to study the nursing diagnosis in this issue from an epidemiological approach. Methods: A descriptive study from an epidemiological approach was developed, analyzing nursing diagnoses in hypertensive patients. Results: We found 17.7% of undiagnosed patients and better diagnoses in patients with complications than in those without complications. Conclusions: Nursing records need to be improved in order to promote more robust studies in the post-modern epidemiology for the future.
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Ilkafah, Ilkafah, Ouvin Qur'aini, Joko Susanto, Anestasia Pangestu Mei Tyas, and Akbar Harisa. "VARIATIONS OF NURSING DIAGNOSIS LANGUAGE IN STROKE PATIENTS BASED ON SDKI (STANDARD DIAGNOSIS NURSING INDONESIAN)." Journal of Vocational Nursing 5, no. 1 (2024): 59–65. http://dx.doi.org/10.20473/jovin.v5i1.55014.
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Introduction: The nursing system in Indonesia has an SDKI (Standard Diagnosis Nursing Indonesia) as the basis for determining nursing diagnoses. Inappropriate enforcement of nursing diagnoses based on the SDKI causes the objectives of the SDKI to not be fully achieved. Stroke is a state of cerebrovascular disease that can occur due to death in brain tissue caused by a lack of blood flow and oxygen flow to the brain. This study aims to find out the description of variations in writing nursing diagnoses in stroke patients based on the SDKI in Hospital RSUD Dr. Soegiri Lamongan. Methods: This research method is a documentation study, of 125 medical records of stroke patients at Hospital RSUD Dr. Soegiri Lamongan from August 2021 to February 2022, totaling 125 medical records. The data collection used consecutive sampling. The research was carried out in the working area of Hospital RSUD Dr. Soegiri Lamongan in March 2022. Results: The results showed that nursing diagnoses in patients with hemorrhagic stroke and non-hemorrhagic stroke were based on the SDKI Hospital RSUD Dr. Soegiri Lamongan, which are mostly written by nurses are impaired physical mobility (63%), variations in writing nursing diagnoses according to the SDKI (66%) and not according to the SDKI (34%), signs and symptoms in patients with hemorrhagic stroke and non-hemorrhagic stroke are mostly experienced weakness in moving the right extremity (31%). Conclusions: Nurses in establishing nursing diagnoses are appropriate based on the SDKI.
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Hariyati, Rr Tutik Sri, Hanny Handiyani, Laode Abdul Rahman, and Tuti Afriani. "Description and Validation of Nursing Diagnosis Using Electronic Documentation: Study Cases in Mother and Child Hospital Indonesia." Open Nursing Journal 14, no. 1 (2020): 300–308. http://dx.doi.org/10.2174/1874434602014010300.
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Background: A nursing diagnosis is a clinical judgment concerning a human response to a health condition, vulnerability for that response, by an individual, family, group, or community. For the determination of the right nursing diagnosis, a system that guides nurses in implementing care professionally is needed. Objective: To describe the nursing diagnosis in mother and child cases validated by using a management nursing information system. Methods: This case study used secondary data from 5.294 medical records. Medical records were retrieved from the server, analyzed, and validated by using the mapping model in accordance with the most frequent cases in mothers and children in the hospital. Approximately ten million (10.021) nursing diagnoses were performed by nurses and validated by using a mapping model of medical cases and nursing assessment. The selected medical cases were the five most frequent cases, namely normal delivery, cesarean delivery, healthy newborn, fever, and dengue in children. Results: This study yielded the five most frequent nursing diagnoses, namely risk for infection (20.1%), pain (13.37%), anxiety (9.37%), the risk for imbalanced fluid volume (9.36%), and risk for bleeding (9.27%). Conclusion: The electronic nursing documentation could help to determine a nursing diagnosis and had been validated for its appropriateness with assessment and the most common cases in mothers and children. Information and system training development are required to carry out the nursing process comprehensively.
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Hidayatun, Nur, and Abdul Aziz. "Overview of the Covid-19 Patient Nursing Diagnosis." JIKO (Jurnal Ilmiah Keperawatan Orthopedi) 4, no. 2 (2020): 54–59. http://dx.doi.org/10.46749/jiko.v4i2.42.
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Covid-19 is a pneumonia caused by coronavirus, very fast transmission. This study aims to descriptions nursing diagnosis in covid-19 patients. This is a descriptive study uses quantitative methods. The sampling technique used is consecutive sampling with total samples are 240 medical records of covid-19 patients undergoing treatment at Fatmawati Hospital, both suspected, probable, and confirmed cases. The results showed that nursing diagnoses that often appeared in Covid-19 patients were the risk of infection (spread), ineffective airway, acut pain, anxiety, and the risk of nutritional deficits. The results of this study can be used for the hospital in making Covid-19 Nursing Care Guidelines, and for nurses in increasing their competences in care covid-19 patients. 
 
 Keywords: Nursing diagnoses, Covid-19
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Bustami, Abdurrahman, Wirda Hayati, Erlangga Galih Zulva Nugroho, Cut Mutiah, and Muhammad Nazar. "Developing a Mobile Learning Virtual Nursing Diagnosis (VND) Media for Medical Surgical Nursing Course." Bali Medical Journal 12, no. 3 (2023): 3156–64. http://dx.doi.org/10.15562/bmj.v12i3.4744.
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Link of Video Abstract: https://youtu.be/4zHCrIC1IGE Background: The development of innovative and technology-aligned learning media is a necessary solution for nursing students. Students require access to interactive, practical, and easily accessible learning resources. An application that can facilitate students' learning in nursing diagnosis for surgical nursing, such as Virtual Nursing Diagnosis (VND), is needed. This study focuses on the development of the VND application specifically designed for the Surgical Nursing Care course. Patients and methods: The research is a Research and Development (R&D) study involving 253 nursing students from Aceh Health Polytechnic. A needs analysis was conducted to identify the difficulties faced by students in applying nursing diagnoses to topics related to surgical nursing, particularly the cardiovascular system. Based on the findings of the needs analysis, it was discovered that students face difficulties in determining nursing problems. Therefore, the VND application was developed with features such as assessment forms, assessment tools, disease pathology, and nursing diagnoses. Additionally, the application is equipped with competency tests on interesting nursing cases that are user-friendly for students. Results: The research results indicate that the VND application has received positive feedback from 253 students who have used it in real classroom environments. The application is user-friendly, efficient in performing nursing diagnoses, and provides available nursing case questions. VND application provides an interactive, innovative, and effective learning tool for understanding nursing diagnoses while enhancing accessibility and flexibility through mobile-based learning. The application equips students with the necessary skills to apply nursing diagnoses in real-world surgical medical practice. Conclusion: the VND application significantly contributes to the development of nursing education. It not only improves understanding of nursing diagnoses but also provides an engaging and interactive learning experience. It is hoped that the use of the VND application in surgical nursing education can be an effective and innovative solution to enhance competency in applying nursing diagnoses in clinical practice.
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Rofii, Muhamad, Bambang Edi Warsito, Agus Santoso, and Sarah Ulliya. "Nurse Trend in Writing Objectives and Outcome Criteria of Nursing Diagnosis in Patients With Pulmonary Tuberculosis at The Government Hospital in Salatiga Indonesia." Media Keperawatan Indonesia 2, no. 2 (2019): 12. http://dx.doi.org/10.26714/mki.2.2.2019.12-18.
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Background. Writing nursing goals and outcome criteria found in nursing care documentation was very varied and not appropriately, it needs to be explored more deeply about the phenomenon. The Study objective was to determine the writing of nursing goals and the outcome criteria for nursing diagnoses. Methods. Research design was qualitative research with a direct observation approach. Data was taken in the MDR TB ward, samples were 100 documentation of pulmonary TB patients. Sampling technique was nonprobability sampling. Result. The goal of nursing diagnosis of ineffective airway clearance was airway clearance effectively again, the problem was resolved, the patient's airway returned to normal and coughing the patient returns to normal, etc. The goal of nursing diagnosis of ineffective breathing patterns was effective breathing patterns, ineffective breathing patterns resolved, etc. The outcome criteria of nursing diagnosis ineffective airway clearence was negative cough, normal respiratory rate, normal vital signs, negative sputum, shortness of breath, coughing resolved, comfortable patients, patients can demonstrate coughing effectively, sputum can come out, breath was relieved, sputum can come out, etc. The outcome criteria for nursing diagnosis ineffective breathing patterns are normal respiratory rate, normal vital signs, respiratory rate was 20 x/minute, it was not weakness, It was not nausea, etc. Recomendation. Nurses are advised to be given trainings, sosialisation, or workshops related to the goals and outcome criteria of nursing diagnoses, and are expected to use NANDA and NIC-NOC references.
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José, Manuel Romero-Sánchez, Almagro César Pedro Sánchez, Melanie White-Ríos, and Olga Paloma-Castro. "Prevalence and clustering of NANDA-I nursing diagnoses in the pre-hospital emergency care setting: A retrospective records review study." Prevalence and clustering of NANDA-I nursing diagnoses in the pre-hospital emergency care setting: A retrospective records review study 33, no. 8 (2024): 3128–44. https://doi.org/10.1111/jocn.16996.
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Aim To determine the prevalence and clustering of NANDA-International nursing diagnoses in patients assisted by pre-hospital emergency teams. Design Retrospective descriptive study of electronic record review. Methods Episodes recorded during 2019, including at least a nursing diagnosis, were recovered from the electronic health records of a Spanish public emergency agency (<em>N</em> =&thinsp;28,847). Descriptive statistics were used to characterize the sample and determine prevalence. A two-step cluster analysis was used to group nursing diagnoses. A comparison between clusters in sociodemographic and medical problems was performed. Data were accessed in November 2020. Results Risk for falls (00155) (27.3%), Anxiety (00146) (23.2%), Acute pain (00132), Fear (00148) and Ineffective breathing pattern (00032) represented 96.1% of all recorded diagnoses. A six-cluster solution (<em>n</em> =&thinsp;26.788) was found. Five clusters had a single high-prevalence diagnosis predominance: Risk for falls (00155) in cluster 1, Anxiety (00146) in cluster 2, Fear (00148) in cluster 3, Acute pain (00132) in cluster 4 and Ineffective breathing pattern (00032) in cluster 6. Cluster 5 had several high prevalence diagnoses which co-occurred: Risk for unstable blood glucose level (00179), Ineffective coping (00069), Ineffective health management (00078), Impaired comfort (00214) and Impaired verbal communication (00051). Conclusion Five nursing diagnoses accounted for almost the entire prevalence. The identified clusters showed that pre-hospital patients present six patterns of nursing diagnoses. Five clusters were predominated by a predominant nursing diagnosis related to patient safety, coping, comfort, and activity/rest, respectively. The sixth cluster grouped several nursing diagnoses applicable to exacerbations of chronic diseases. Implications for the profession and/or patient care Knowing the prevalence and clustering of nursing diagnoses allows a better understanding of the human responses of patients attended by pre-hospital emergency teams and increases the evidence of individualized/standardized care plans in the pre-hospital clinical setting.
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Cortinhal, Vanessa, António Pereira, Sofia Correia, and Sérgio Deodato. "Responses Presented by Adult Patients with COVID-19, Based on the Formulated Nursing Diagnoses: A Scoping Review." International Journal of Environmental Research and Public Health 19, no. 10 (2022): 6332. http://dx.doi.org/10.3390/ijerph19106332.
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(1) Background: this review aims to identify the human responses exhibited by adult patients with COVID-19, by listing the corresponding nursing diagnoses. Nursing diagnosis it’s a clinical analysis of human responses to a person, family, or community. Therefore, it is possible to state that nursing diagnoses represent human responses. (2) Methods: a scoping review was conducted following recommendations provided by the Joanna Briggs Institute (JBI) and the research was carried out between December 2020 and 15 January, 2021, via CINAHL Complete, Complementary Index, MEDLINE, Science Direct, Academic Search Complete, Science Citation Index, Directory of Open Access Journals, Scopus, Social Sciences Citation Index, Business Source Complete, eBook Index (by B-on), and the Cochrane Database of Systematic Reviews (by Cochrane Library). (3) Results: with respect to studies using the NANDA-I taxonomy, the findings have shown that “impaired gas exchange” was the most highlighted nursing diagnosis. ICNP taxonomy, the relevant nursing diagnosis is “cough present”. (4) Conclusions: concurrently, as suggested by the human responses documented in this review, throughout the pandemic, the requirements for adequate care provision have been constantly updated, to improve the quality of life of those patients, as much as possible.
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Mohtar, M. Sobirin, Subhannur Rahman, Ahmad Apriannor, and Gustin Restu Auliyah. "The Effectiveness of the Siriraj Stroke Score (SSS) and National Institute of Health Stroke Scale (NIHSS) Assessment Methods in Determining the Actual Nursing Diagnosis of Stroke Patients in the Emergency Room." JENDELA NURSING JOURNAL 6, no. 2 (2022): 101–13. http://dx.doi.org/10.31983/jnj.v6i2.8873.
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Background: stroke is a disease of the brain in the form of focal nerve function disorders caused by disruption of blood circulation to the brain and causing symptoms in the form of neurological deficits. As the number of stroke patients increases, the assessment needs to focus on neurology and is an emergency.Purpose: analyzing the effectiveness of the assessment method NSSS and NIHSS in determining the number of diagnoses actual nursing and the speed of time to determine the diagnosis of stroke patients in the Emergency Room.Methods: this study used a pre-experimental approach. Theerty sample were used from a new patient with a medical diagnosis of stroke, while the sampling technique in this study was accidental sampling. Data collection on each sample was directly carried out using two assessment methods. The SSS assessment consists of 5 components and the NIHSS 11 components. Data analysis used sperm correlation and correlation coefficient interpretation test.Results: the results of the sperm correlation test in the SSS and NIHSS methods both show p=0.000. The level of closeness were analyzed using the correlation coefficientthere is a very strong relationship is NIHSS to the length of the duration of determination (r = 0.858).Conclusion: the SSS and NIHSS assessment methods are effective in establishing the diagnosisactual nursingin stroke patients in the Emergency Department, however, in terms of duration of assessment and determination of the number of diagnoses, SSS is more effective, while from the duration of determining nursing diagnoses, NIHSS is more effective.
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Assis, Cinthia Calsinski de, Alba Lúcia Bottura Leite de Barros, and Marcela Zanatta Ganzarolli. "Evaluation of expected outcomes of nursing interventions to address the nursing diagnosis of fatigue among patients with congestive heart failure." Acta Paulista de Enfermagem 20, no. 3 (2007): 357–61. http://dx.doi.org/10.1590/s0103-21002007000300019.
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OBJECTIVE: To evaluate expected outcomes of nursing interventions to address the nursing diagnosis of fatigue. METHODS: A cross-sectional quasi-experimental design was used. The sample consisted of 30 coronary care unit in-patient with congestive heart failure and fatigue. A specific tool designed for this study was used to collect specific data on outcomes of nursing interventions to manage the nursing diagnosis of fatigue. RESULTS: Nursing interventions to manage patients' fatigue had positive outcomes. CONCLUSION: The use of the nursing process to identify the nursing diagnosis of fatigue, design and implement specific nursing interventions, and evaluate patient outcomes leads to quality nursing care.
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Suwarno, Suwarno, and Sigid Nugroho Adhi. "Gambaran story card dkk (diagnosa keperawatan keluarga) pada aplikasi Dikei (Diagnosa Keperawatan Indonesia)." MEDIA ILMU KESEHATAN 10, no. 1 (2022): 87–96. http://dx.doi.org/10.30989/mik.v10i1.551.
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Background: Family nursing diagnosis is a clinical decision on family problems obtained from a family assessment and then analyzed so that action planning decisions and goals are in accordance with the problems and needs of the family. In this article, an overview of the DKK story card will be displayed in the DiKeI application. Nurses can use technology in the nursing care process, especially in nursing diagnoses because it is expected that time efficiency in the nursing care documentation process to clients is expected.
 Objective: To created the family nursing diagnosis android aplication Methods: The research metode used Agile Software with Exteme Programming. There are 6 stages of the XP development model, namely Exploration, Planning, Iteration, Production, Maintenance and End of the Cycle. Meanwhile, in presenting the data in this article, it only reaches the iteration stage of application development by stating the number and narrative of the sections on the DKK story card.
 Results: There are 10 story cards for Family Nursing diagnoses in this study as the basis for making the DiKeI application, with a characteristic boundary format followed by the subjective and objective data, then the possibility of a diagnosis will appear along with the etiology possibility, as a cause or risk factor for the diagnosis.
 Conclusion: The intellectual property rights of DKK application's story card have been received by the Indonesian Directorate General of Intellectual Property Rights, thus facilitating the application production process. It can be continued into the production process and combined with the design of the DiKeI application especifically with the Individual Nursing Diagnosis (DKI) story cards.
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Gomes, Denilsen Carvalho, Nuno Abreu, Paulino Sousa, Claudia Moro, Deborah Ribeiro Carvalho, and Marcia Regina Cubas. "Representation of Diagnosis and Nursing Interventions in OpenEHR Archetypes." Applied Clinical Informatics 12, no. 02 (2021): 340–47. http://dx.doi.org/10.1055/s-0041-1728706.
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Abstract Objective The study aimed to represent the content of nursing diagnosis and interventions in the openEHR standard. Methods This is a developmental study with the models developed according to ISO 18104: 2014. The Ocean Archetype Editor tool from the openEHR Foundation was used. Results Two archetypes were created; one to represent the nursing diagnosis concept and the other the nursing intervention concept. Existing archetypes available in the Clinical Knowledge Manager were reused in modeling. Conclusion The representation of nursing diagnosis and interventions based on the openEHR standard contributes to representing nursing care phenomena and needs in health information systems.
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Carlson-Catalano, Judy, and Margaret Lunney. "Quantitative Methods for Clinical Validation of Nursing Diagnoses." Clinical Nurse Specialist 9, no. 6 (1995): 306–10. http://dx.doi.org/10.1097/00002800-199511000-00007.
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El Hassouny, El Hassan, Rachid Janati-Idrissi, Mohammed Mostakim, Mohamed Laafou, Mourad Madrane, and Fatiha Kaddari. "The diagnosis methods for the obstacles and difficulties in computer sciences of nursing students." International Journal of Innovative Research in Education 8, no. 1 (2021): 01–11. http://dx.doi.org/10.18844/ijire.v8i1.5410.
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Computer science as a school subject has been a regular media subject for more than 20 years. Indeed, all the educational systems of the world are now convinced that today's learners, brought to live in a hyper-scientific society. This research aims to discover the sources of computer difficulties encountered by some nursing students. We used two well-known methods of analysis: the Nominal Group Technique (NGT) and the Pencil/Paper Questionnaire. Data obtained revealed that the prerequisites are overestimated because the notions learned in high school are forgotten and that the basic notions of computer science seem to present difficulties for these learners. The results of the questionnaire and the NGT are similar and complementary. It becomes clear that using NGT and the questionnaire are efficient tools to diagnose the difficulties and obstacles of nursing students. The NGT can be used not only in identifying students’ problems with scientific notions in computer science, but also in other subjects. Keywords: Questionnaire, difficulties, obstacles, computer science, nursing students.
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Sugiharto, Firman, Alia Rahmi Harlasgunawan, Fitri Sesilia, Heriyansyah Heriyansyah, Silvestre Dos Reis, and Anastasia Anna. "Nursing Care for Septic Shock Patients Using Indonesian Nursing Standards: A Case Reports." Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) 10, no. 5 (2024): 560–68. http://dx.doi.org/10.33755/jkk.v10i5.708.
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Aims: This case report aimed to identify gaps in applying the Nursing Standard Guidelines of the Indonesian Association in critical care, specifically focusing on patients with septic shock. Methods: This study used a case report with a nursing care approach that includes an assessment to evaluation. Nursing care was provided to a patient who was experiencing septic shock, was on a ventilator, and had experienced organ failure. Results: A 63-year-old man on mechanical ventilator was diagnosed with septic shock caused by community-acquired pneumonia. The nursing diagnoses for this case included impaired spontaneous ventilation related to respiratory muscle weakness, ineffective airway clearance related to the accumulation of secretions, peripheral tissue perfusion disorders related to changes in fluid regulation, and risk of infection. The study identified inappropriate nursing diagnoses, such as 'impaired spontaneous ventilation for patients on mechanical ventilation. Conclusion: This study concludes that there are still several gaps in diagnosing and managing clinical conditions in critical cases. The nursing problem of impaired spontaneous ventilation should not have been identified as the patient was already on a ventilator. Additionally, there was no actual diagnosis for impaired organ perfusion or infection. This case report recommends further developing the Nursing Standard Guidelines of the Indonesian Nursing Association to optimize coverage of critical care. Recommendations include revising the Indonesian Nursing Diagnosis Standards to align with critical care needs. This enhancement will help nurses and clinicians in critical care not experience confusion when applying the current guidelines.
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Peruselli, Carlo, Elena Camporesi, A. Maria Colombo, et al. "Nursing Care Planning for Terminally Ill Cancer Patients Receiving Home Care." Journal of Palliative Care 8, no. 4 (1992): 4–7. http://dx.doi.org/10.1177/082585979200800402.
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Nursing home care for terminally ill cancer patients was organized according to nursing care plans that were based on diagnoses as recommended by the North American Nursing Diagnosis Association (NANDA). This study was carried out among a sample of 40 patients receiving home health care for a period of 1 to 19 weeks. More than 697 nursing diagnoses were identified in the study. The most frequently recorded nursing diagnoses were anxiety, constipation, and diminished food intake. Fifteen of the 40 patients in the study were able to complete a weekly self-report of their symptoms. The patients’ own descriptions of their symptoms were then compared with their symptoms as identified by nursing staff. There was a congruence in 63% of reported instances. Although nurses’ assessments were not always in agreement with the symptoms reported by the patients, agreement was more frequently found with somatic symptoms than with psychological ones. One conclusion is that nursing plans should incorporate multidimensional methods for assessing patients’ real needs.
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Fazi, Virginia, Gian Domenico Giusti, Rosaria Cozzolino, and Nicola Ramacciati. "‘INEFFECTIVE SPONTANEOUS VENTILATION (00033)’ NURSING DIAGNOSIS: A REVISION STUDY." Dissertation Nursing 3, no. 2 (2024): 36–56. http://dx.doi.org/10.54103/dn/24058.
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Background: Spontaneous ventilation, essential for human life, is addressed by the nursing diagnosis “Ineffective Spontaneous Ventilation” which requires strong scientific support. Aim: This revision study aimed to elevate this nursing diagnosis to a higher level of evidence by clarifying its definition, clinical indicators, and differentiation from other diagnoses. The diagnosis is crucial for identifying patients with compromised breathing who may require respiratory support. Methods: Researchers searched the PubMed medical literature database for studies (2006-2021) on the "Ineffective Spontaneous Ventilation" diagnosis. Results: The search identified 45 studies, but after applying pre-defined criteria, only 10 articles were included in the final analysis. These articles mainly focused on the accuracy of defining characteristics for the diagnosis. Despite limitations of individual defining characteristics, Impaired Spontaneous Ventilation remains a valuable nursing diagnosis for patients with respiratory issues. Utilizing clusters of these characteristics and considering the specific context can significantly enhance the accuracy of ISV diagnosis. Conclusion: The findings unequivocally corroborate the definition of Impaired Spontaneous Ventilation, with eight out of ten articles providing validation. Moreover, the analysis proposes additional defining characteristics, namely dyspnea and cyanosis, to further refine the diagnosis. The clinical applicability of Impaired Spontaneous Ventilation extends to a wide range of patient populations and conditions. It serves as a critical marker for premature infants grappling with respiratory and cardiac challenges, trauma victims battling life-threatening injuries, and patients relying on mechanical ventilation in intensive care settings.
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Vasconcelos, Andreza Cavalcanti, Claudia Germania Alencar de Castro, Durcival Francisco da Silva, and Vanessa Juvino de Sousa. "Frequency of nursing diagnoses in a surgical clinic." Revista da Rede de Enfermagem do Nordeste 16, no. 6 (2015): 826. http://dx.doi.org/10.15253/2175-6783.2015000600008.
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Objective: to identify the frequency of Nursing Diagnoses of patients in a surgical clinic. Methods: cross-sectional study, performed with 99 patients in the postoperative of general surgery. Data were collected through a questionnaire validated according to domains of NANDA International, including physical and laboratory examination. Results: 17 nursing diagnoses were found; eight had a frequency higher than 50.0% (infection risk, impaired tissue integrity, constipation risk, anxiety, bleeding risk, acute pain, delayed surgical recovery, dysfunctional gastrointestinal motility). It was observed in all patients the Nursing Diagnostics: risk of infection, impaired tissue integrity and risk of constipation. Conclusion: the frequency of the most prevalent diagnosis is inserted in the domains safety/protection and nutrition, which determines the need to redirect nursing care, prioritizing the patient's clinic.
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Kadhim, Alaa Jawad, Mohammad Abbasinia, Mina Abolfazli, et al. "A qualitative study to explain the criteria of nursing managers in selecting effective nursing diagnosis." Frontiers of Nursing 11, no. 4 (2024): 469–77. https://doi.org/10.2478/fon-2024-0051.
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Abstract Objective This study aimed to explain the criteria of managers at different levels of nursing in selecting effective nursing diagnosis. Methods In conventional content analysis, 10 nursing managers at different levels including head nurse, supervisor, and nursing manager were interviewed. Data was collected with semi-structured interviews and a narrative approach. Data analysis was performed using the Zhang–Wildemuth method simultaneously with sampling. Results Four head nurses, four supervisors (educational, clinical), and two nursing managers were interviewed. The results of the analysis led to the extraction of two main categories: centrality of the nursing profession, with the sub-categories compatibility with nursing practices and compliance with organizational and professional principles of nursing, and covering the patient care aspect, with sub-categories of having potential to facilitate and adapting to patient care conditions. Conclusions The analysis of the views of nursing managers shows that health managers should consider various management aspects such as functional and organizational to increase the efficiency of nursing interventions in the selection of nursing diagnostic systems. From the point of view of health managers, nursing diagnoses should cover the considerations of patients, nurses, and work environments.
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Tosun, Ayşe, and Hale Tosun. "Case report: Nursing care plan of Alzheimer's disease patient with COVID-19." Sağlık ve Yaşam Bilimleri Dergisi 6, no. 2 (2024): 94–101. http://dx.doi.org/10.33308/2687248x.202462323.
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Objective: Elderly people with comorbidities are defined in the high-risk group for COVID-19 by the World Health Organization. Experiencing COVID-19 infection in elderly people with cognitive decline is a burden for both healthcare professionals and healthcare institutions. The use of the nursing process is extremely necessary and important in order to reduce this burden, provide the desired quality of care, treat the individual with a holistic approach and use time effectively. The aim of the study is to determine the basic nursing diagnoses, interventions and outcomes for the Alzheimer's disease patient with COVID-19 by using standard nursing terminology. Methods: This study is a case report of Alzheimer’s disease patient with COVID-19. The data were evaluated in accordance with the Life Activities Model of Roper, Logan, and Tierney. The care plan is presented in accordance with the North American Nursing Diagnosis Association-International (NANDA-I) Taxonomy II Nursing Diagnosis and Nursing Interventions Classification (NIC). Results: Improvement was observed in the problems identified in the case as a result of the care plan created objectively in line with NANDA-I and NIC and appropriate nursing diagnoses and interventions. Conclusion: Patient follow-up and providing qualified nursing care are of great importance during the COVID-19 pandemic. NANDA-I and NIC are important guides in determining the comprehensive and objective care needs of patients with COVID-19, clinical decision making and practices.
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Sánchez, Almagro César Pedro, Manuel Romero-Sánchez José, Melanie White-Ríos, del Pino Carlos Antonio González, and Olga Paloma-Castro. "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." Journal of Advanced Nursing 78, no. 10 (2022): 3273–89. https://doi.org/10.1111/jan.15280.
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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 <em>Anxiety (00146)</em> and <em>Fear (00148)</em> represented more than 90% of the diagnoses recorded in the domain. <em>Anxiety level (1211)</em> and <em>emotional support (5270)</em> 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 <em>Anxiety (00146),</em> outcome <em>Anxiety level (1211)</em> and intervention <em>Anxiety reduction (5820)</em> 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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Salvador Costa, Maria João, and Pedro Melo. "Community Empowerment Assessment and Community Nursing Diagnosis for Climate Change Mitigation and Adaptation in the Northern Region of the Portuguese Atlantic Coast: A Mixed-Methods Study Using MAIEC Framework." Nursing Reports 13, no. 3 (2023): 969–81. http://dx.doi.org/10.3390/nursrep13030085.
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The Community Intervention and Empowerment Assessment Model (MAIEC) offers a framework for community empowerment in several fields such as Climate Change (CC), the largest health emergency crisis globally, through diagnosis and interventions in Community Health Nursing. This study aims to assess the level of community empowerment in climate change mitigation and adaptation, and to identify nursing diagnosis through the MAIEC clinical decision matrix, within a local intermunicipal association in the northern region of the Portuguese Atlantic Coast. A convergent mixed-methods design was used, applying a focus group technique to a purposive sampling of ten key stakeholders of this community. A Portuguese version of the Empowerment Assessment Rating Scale and a questionnaire were both applied to the same participants, and qualitative and quantitative data generated were analysed using a content analysis technique and an Excel database sheet created using Microsoft Office 365. The analysis of the Portuguese northern community exposed: a low level of community empowerment for mitigation and adaptation to climate change; a nursing diagnosis of community management impairments in several dimensions, such as community process, community participation and community leadership. However, the study confirmed that MAIEC contributed to future community-based solutions, responding to the challenges of climate change, and enabling the planning of interventions to address MAIEC diagnoses in the form of CC-specific training and recommendations for new cooperation approaches from all stakeholders. This study was not registered.
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Dev, U., A. Sultana, and NK Mitra. "Fuzzy logics and medical diagnosis of nursing assessment." Bangladesh Journal of Scientific and Industrial Research 49, no. 4 (2015): 271–74. http://dx.doi.org/10.3329/bjsir.v49i4.22631.
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This paper argues that fuzzy representations are appropriate in applications where there are major sources of imprecision and / or uncertainty. Case studies of fuzzy approaches to specific problems of medical diagnosis and classification are described in support of this argument. The solutions use a variety of fuzzy methods including clustering, fuzzy set aggregation and type- 2 fuzzy set and Type-2 fuzzy relation modeling of linguistic approximations. It is concluded that the fuzzy approach to the development of artificial intelligence in application systems is beneficial in these contexts because of the need to focus on uncertainty as a main issue. DOI: http://dx.doi.org/10.3329/bjsir.v49i4.22631 Bangladesh J. Sci. Ind. Res. 49(4), 271-274, 2014
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Fitriani, Ade, Dadi Hamdani, and Risa Lutfiatul Rohimah. "Case Study: Status of Nutritional Assessment of Wound Healing After Appendectomy Surgery in Appendicitis Patients." JURNAL VNUS (Vocational Nursing Sciences) 6, no. 1 (2024): 34–41. http://dx.doi.org/10.52221/jvnus.v6i1.307.
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Objective: This case study is intended to intervene and implement the nutritional status of appendicitis patients in improving the wound healing process with nausea after appendicectomy surgery. Method: In the nursing care research process, methods were used which included assessment, nursing diagnoses, planning, implementation and evaluation which were carried out for 3 days in the Anggrek BLUD room at the Banjar City Hospital. Enforcement of nursing diagnoses refers to the Indonesian Nursing Diagnosis Standards (IDHS). Indonesian Nursing Intervention Standards (SIKI), Indonesian Nursing Outcome Standards (SLKI), and nursing evaluations are documented using the SOAPIER method. Result: Nursing diagnosis of Deficit Nutrition related to postoperative nausea, nutritional status assessment for 3 days was carried out on the healing of surgical wounds. From the results of the data analysis, the researcher concluded that the nursing problems experienced by clients were nutritional deficits (D.0019) associated with postoperative nausea. The problem of excessive nutritional deficits for clients is partially resolved, marked by the loss of feelings of nausea when given food, being able to digest food properly, measuring the client's body mass index which is found to be normal, improving the client's nutrition is fulfilled by consuming high-calorie, high-protein foods. Conclusion: Conclusions can be drawn in the results of the nursing procedure commencing with evaluation, identification of nursing issues, actions, execution, and assessment of nursing. Concluded the problem of nutritional deficits related to postoperative nausea with an appendectomy with an assessment of nutritional status can improve the wound healing process as indicated by the response of clients who obtain changes in nutritional status with the wound healing process. Assessment of nutritional status is proven to be able to improve the postoperative wound healing process, the benefits of assessing nutritional status by fulfilling the client's nutrition are maximally implemented if done periodically and in stages.
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Sampaio, Cynthia de Freitas, and Maria Vilani Cavalcante Guedes. "Nursing process as a strategy in the development of competence for self-care." Acta Paulista de Enfermagem 25, spe2 (2012): 96–103. http://dx.doi.org/10.1590/s0103-21002012000900015.
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OBJECTIVE: To investigate the contribution of clinical care and education of nursing in a hospital context, in the development of competence for self-care for people with chronic renal failure. METHODS: A case study conducted with a patient during hospitalization in Fortaleza, through the nursing process proposed by Orem determining deficiencies and enabling self-care demands satisfaction from him. RESULTS: The requisites of therapeutic self-care d.emands of health deviation sef-care requisites enabled the identification of three nursing diagnoses based on the North American Nursing Diagnosis Association - NANDA for which interventions were defined based on NIC and results according to NOC. CONCLUSION: In the hospital context, clinical and educational nursing care based on the nursing process proposed by Orem contributes as a facilitator for the development of competence for self-care in people with chronic disease.
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Villegas Arenas, Dolly, Luz Elena Uribe de Oliveros, Margarita María Zapata Rodríguez, Hugo Santamaría Jaramillo, and Luz Adriana Meneses Urrea. "The Nursing Process in Caring of Families of Nursing Students." Aquichan 25, no. 2 (2025): 1–16. https://doi.org/10.5294/aqui.2025.25.2.1.
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Introduction: Dysfunctional family processes are associated with negative outcomes in the school performance of children and adolescents, as well as in behavioral and health aspects of their lives. Objective: To develop the nursing process in the care of the families of Nursing students. Materials and Methods: Through a descriptive study, families were assessed using family health instruments (genogram, family APGAR, and ecomap). The North American Nursing Diagnosis Association domain assessment taxonomy, the nursing intervention classification, and the nursing outcome classification were then used for diagnosing, developing and implementing a care plan according to their needs. Results: A total of 101 families were assessed with an average of 3.6 ± 1.1 persons per family, of which 71.3% resided in Cali. Most of the families were nuclear (84.1%), and the most frequent life cycle was expansion (58.4%). The most frequent nursing diagnosis was dysfunctional family processes, with a perception of family dysfunction being around 39.6%; it was identified that as the family moves forward through the successive stages of the life cycle, the members’ perception of family dysfunction increases (p = 0.0176). Another diagnosis was impaired social interaction. The nursing care plan included family support, promotion of family unity, empowerment of socialization, and social skills. Conclusions: The nursing process for the care of families was developed; families expressed satisfaction with the process and willingness to strengthen their self-care based on the tools received.
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Souza, Valérya Maria de Almeida França de, Sílvia Maria de Sá Basílio Lins, Polyana Caroline Lima Bezerra, Rosimere Ferreira Santana, Patrícia Rezende do Prado, and Rosane Barreto Cardoso. "Nursing Diagnosis Frail Elderly Syndrome: an integrative review." Rev Rene 24 (January 24, 2023): e81342. http://dx.doi.org/10.15253/2175-6783.20232481342.
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Objective: to identify the defining characteristics and factors related to the Nursing diagnosis is Frail Elderly Syndrome. Methods: integrative review developed in seven databases, besides the use of Grey literature in Google Scholar and Open Grey. The Problem, Concept, and Context strategies were used to develop the guiding question and select the descriptors. Eight articles and one thesis were included in the final sampling. Results: three new characteristics were identified: Urinary Incontinence; Dysfunctional Family Processes and Sleep Pattern Disorder. The most frequent defining characteristics of the Frail Elderly Syndrome Nursing Diagnosis were: impaired physical mobility; decreased activity tolerance; unbalanced nutrition: less than the body needs and impaired ambulation. Among the related factors, the most present was: impaired muscle strength; cognitive dysfunction, and impaired postural balance. Conclusion: it was found that the three defining characteristics that are not present in NANDA-I need to be further investigated to be included in the Nursing Diagnosis Frail Elderly Syndrome. Contributions to practice: the study provides nurses with a deeper understanding of this diagnosis, supporting and strengthening the clinical reasoning necessary for decision-making to correctly assign the diagnosis to the patient.
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Mankovecká, Monika. "STANDARDIZED NURSING PLANS AND THEIR CLINICAL USE." CBU International Conference Proceedings 6 (September 25, 2018): 938–43. http://dx.doi.org/10.12955/cbup.v6.1275.
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This paper states the results of the study on the verification of the applicability of standardized nursing plans in clinical practice. The aim was to develop an effective model of managed nursing care for patients deficient in breathing. The research methods used were: a thought experiment, an experiment, a content analysis, and a survey. From the results, the author suggested four nursing plans which solve actual respiratory deficit. A basis for diagnosis was the classification system of nursing diagnoses NANDA. The plans were verified in two faculty hospitals at clinics of anaesthesiology and intensive medicine. Based on the standardized nursing plans, nursing care quality increased by 19 %. After analysis of the unmet criteria, the author found the most problematic criteria that were inconsistent with the standard. In the last part of the study, a survey of the nurses defined the advantages of standardized plans for nurses and patients.
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González, Aguña Alexandra, Batalla Marta Fernández, San Macario Ernesto Monsalvo, Bravo Juan Antonio Sarrión, Rodríguez María Lourdes Jiménez, and García José María Santamaría. "Diagnostics of care about environment: A systematic review through nursing taxonomies." Nursing Open 8, no. 5 (2021): 2272–83. https://doi.org/10.1002/nop2.829.
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Aim: To analyse the representation of the environment in nursing diagnostictaxonomies. Design: Systematic scoping review through nursing taxonomies. Methods: The first phase identified nursing diagnostic taxonomies by systematicreview. The diagnoses were associated with the environment by analysis of termsinto the diagnosis label and definition. Data analysis was quantitative with frequencymeasurements. The second phase mapped the identified diagnoses to establishequivalences using analysis by terms in the diagnostic labels. Finally, the findings ob-tained in the first phase were compared with the OMAHA System. Results: The bibliographic search identified 112 studies and 16 standardized lan-guages for diagnoses. NANDA-I and ICNP were the most frequent taxonomies; ATIC,the most recent; and OMAHA, the oldest. 2,062 diagnoses from four diagnostic tax-onomies were analysed, and 361 associations corresponding to 352 environmentaldiagnoses were identified. All taxonomies included the environment but with differ-ent weight relative to the interpersonal and geopolitical category.
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Rofi’i, Muhamad. "Implementasi Keperawatan Tuberkulosis Paru dengan Bersihan Jalan Napas Tidak Efektif dan Nutrisi Tidak Seimbang: Kurang dari Kebutuhan Tubuh." Holistic Nursing and Health Science 4, no. 1 (2021): 56–61. http://dx.doi.org/10.14710/hnhs.4.1.2021.56-61.
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Introduction: Several nursing implementations do not match with nursing intervention classification. This situation requires further study to prove it. This study aims to describe nursing implementations on tuberculosis patients with airway clearance ineffective and imbalance nutrition: less than body requirement. Methods: This study was a quantitative observational descriptive study. Data were collected by observing nursing implementation documentations during two months. The research variable was nursing implementation in pulmonary tuberculosis patients. The sampling technique was purposive sampling.Results: Most of the implementation carried out by nurses in the diagnosis of ineffective airway clearance was providing oxygen (58.1%) and the second order was recommending sputum in the pot (10,5%). Most nursing implementation in diagnosis imbalance nutrition: less than body required was to educate the diet (85.7%), and the smallest is to recommend eating that is not spicy (1.2%). Conclusion: The most implementation that nurses do to overcome the diagnosis of ineffective airway clearance was giving oxygen to the patient. While the most implementation that nurses do in diagnosis imbalance nutrition: less than body required was educate the patient's diet. Interventions carried out by nurses are activities of the intervention, not nursing interventions. Further studies are required to improve nurses’ skills to implement according to standards.
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Xu, Yu, and Yao-Feng Zhu. "Nursing case of necrotizing fasciitis in a patient with hypoproteinemia after spinal tumor resection." Frontiers of Nursing 12, no. 2 (2025): 279–86. https://doi.org/10.2478/fon-2025-0030.
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Abstract Objective To summarize the nursing experience of a patient with necrotizing fasciitis (NF) secondary to hypoproteinemia after spinal tumor resection. Methods We analyzed the clinical data of a patient with hypoproteinemia and described in detail his symptoms, examination results, and diagnosis. We explored the evaluation method of hypoproteinemia in orthopedic patients and its relationship with adverse postoperative outcomes, including the risk of reoperation and rehospitalization, the impact on postoperative wound healing, and the increased probability of wound infection. We also introduced the symptoms of NF and traditional Chinese medicine treatment methods, including debridement and drainage of NF and corresponding nursing measures. These measures involve wound management, antiinfection treatment, psychological nursing, pain management, complication monitoring and treatment, dietary guidance, etc. TCM nursing includes treatment methods such as hip bath and moxibustion. Results After careful treatment and nursing, the patient was discharged 36 d after admission. Conclusions The nursing experience from this case shows that early diagnosis and comprehensive treatment are essential for NF secondary to hypoproteinemia after resection of a spinal tumor. While evaluating and managing hypoproteinemia, it is essential that the postoperative condition of patients must be closely monitored, any occurrence of complications must be dealt with in time, and effective nursing measures, including TCM treatment methods, must be taken to promote the recovery and good prognosis of patients.
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Fabrizi, Diletta, Davide Bernasconi, Giulia Locatelli, et al. "How Are Diagnosis-Related Groups and Staffing Allocation Systems Associated with the Complexity of Nursing Care? An Observational Study." Healthcare 12, no. 19 (2024): 1988. http://dx.doi.org/10.3390/healthcare12191988.
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Background: In Italy, Diagnosis-Related Groups (DRGs) have been adopted for hospital services reimbursement. In some Italian regions, nurse staffing allocation is purely volume-based, with different minutes/patient/day categories determined by the type of hospital ward. The Information System of Nursing Performance (SIPI) is a valid and reliable tool assessing nursing care complexity as an indicator of the actual nursing care demand. Evidence is lacking about the ability of current resource allocation methods to account for the nursing care demand. Objective: To evaluate the association between (1) DRG rates and nursing care complexity and (2) hospital ward categories of nurse staffing and nursing care complexity. Methods: All patients discharged from the medical department of an Italian hospital over a data collection period were eligible. To assess the association between nursing care complexity (SIPI) and DRGs, the distribution of the DRG rate (median and first–third quartile) was compared for cases with high or low complexity. To evaluate the association between nursing care complexity (SIPI) and nurse staffing, the frequency of high complexity within nurse staffing categories (120/180/240 min/patient/day) was compared. Because the sample was very large, methods of statistical inference were not applied, and only descriptive measures were reported. Results: 6872 hospitalizations were included. The median DRG rate for high and low complexity admissions were very similar (EUR 3536 and EUR 3285, respectively). The proportion of admissions with high complexity decreased for wards with higher staffing allocation rates. Conclusion: DRG reimbursement and the nurse staffing allocation systems were ineffective in accounting for nursing care complexity. The SIPI could help identify areas requiring more financial and staffing resources for nursing care.
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Rodrigues, Clarissa Garcia, Maria Antonieta Moraes, Emiliane Nogueira de Souza, Jaquelini Messer Sauer, Andréia Orjana Ribeiro Coutinho, and Renato Abdala Karam Kalil. "Nursing diagnosis intolerance to the activity and inefficient cardiopulmonary perfusion tissue: evaluation in patients undergoing gene therapy - preview note." Revista de Enfermagem UFPE on line 3, no. 4 (2009): 1242. http://dx.doi.org/10.5205/reuol.581-3802-1-rv.0304200959.
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Objective: to evaluate and compare the frequency of nursing diagnosis activity intolerance and ineffective tissue cardiopulmonary perfusion in advanced ischemic heart disease patients before and after gene therapy for myocardial revascularization. Methods: cohort study, in which 20 patients developed ischemic heart disease treated with gene therapy are undergoing clinical evaluation of two nurses with experience of minimum three years in cardiology, to identify the presence or absence of the nursing diagnosis activity intolerance and ineffective tissue cardiopulmonary perfusion. These evaluations will be done before gene therapy and three and six months afterwards. The data will be tabulated for later analysis of absolute and relative frequency as well as comparison between the three moments. Will be used for the coefficient of Kappa analysis of agreement between the assessments of nursing. To compare the dichotomous variables will be used for the Cochran Q-test and for ordinal variables will be used the Friedman test. Descriptors: nursing assessment; nursing diagnosis; myocardial ischemia.
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Cachón-Pérez, Jose Miguel, Purificación Gonzalez-Villanueva, Marta Rodriguez-Garcia, Oscar Oliva-Fernandez, Esther Garcia-Garcia, and Juan Carlos Fernandez-Gonzalo. "Use and Significance of Nursing Diagnosis in Hospital Emergencies: A Phenomenological Approach." International Journal of Environmental Research and Public Health 18, no. 18 (2021): 9786. http://dx.doi.org/10.3390/ijerph18189786.
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Background: Professional nursing organizations recommend the use of nursing diagnosis to enhance and facilitate the standardization of care and the development of a common language used by nursing practitioners. In the clinical reality of hospital emergency departments, however, its use is controversial. The objectives of the research are (a) to explore the use of nursing diagnosis in hospital emergency departments, and (b) to describe the meaning of nursing diagnosis for hospital emergency nurses. Methods: A qualitative phenomenological study was conducted. A purposeful sampling and snowball technique were used. Data were collected using in-depth interviews, researchers’ field notes, and documental analysis. An inductive analysis based on Giorgi´s proposal was used to identify significant emerging themes from interviews and field notes. Seventeen participants with a mean age of 40 were recruited. Results: Three themes were identified. The results showed how the use of nursing diagnosis in hospital emergency departments depends on nurses to apply a working methodology in their practice, along with other dimensions such as the characteristics of emergency care, the type of health problems, and the complexity of care. Conclusions: The use of standardized language in emergency departments is complex due to the overcrowded nature of care in these settings.
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Rodrigues, Clarissa Garcia, Roberta Senger, Laura De Azevedo Guido, and Graciele Fernanda da Costa Linch. "Cardiac surgery postperative: diagnosis and nursing interventions." Revista de Enfermagem UFPE on line 4, no. 1 (2009): 391. http://dx.doi.org/10.5205/reuol.681-5727-1-le.0401201050.
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ABSTRACTObjective: to conduct a survey of the studies regarding the main postoperative complications in cardiac surgery and main nursing diagnoses identified. Methods: this is a descriptive study that to select the papers, the following databases were used: SCIELO, LILACS and MEDLINE. The descriptors were: postoperative, cardiac surgery, nursing diagnoses. The following inclusion criteria have been considered: papers published in Brazil from 1997 to 2007, papers on postoperative complications in cardiac surgery in adults, papers using the diagnoses standardized by NANDA. The selected papers were distributed into categories. Results: the following categories have been defined: category I – Complications in the postoperative in cardiac surgery; and category II – Nursing diagnoses in postoperative in cardiac surgery. The relation among the main postoperative complications has been made – physiology and/or semiology of the complication – nursing diagnoses – nursing interventions, which has been presented through synoptic. Later, a nursing intervention plan has been proposed. Conclusion: in despite of the complexity of the development of a nursing plan, it is highlighted the assistance rendered, the necessity of clinical studies regarding complications and the postoperative scenario, and the logical thinking focused on scientific information contributing for knowledge construction and nursing improvement. Descriptors: postoperative complications; cardiology; nursing diagnosis. RESUMOObjetivo: realizar um levantamento dos estudos referentes às principais complicações em pós-operatório de cirurgia cardíaca e principais diagnósticos de enfermagem identificados. Métodos: estudo descritivo que para a seleção dos artigos optou-se pelas seguintes bases de dados: SCIELO, LILACS e MEDLINE. Os descritores foram: pós-operatório, cirurgia cardíaca; diagnósticos de enfermagem. Consideraram-se os seguintes critérios de inclusão: artigos publicados no Brasil no período de 1997 a 2007; artigos sobre complicações do pós-operatório de cirurgia cardíaca; artigos sobre diagnósticos de enfermagem no pós-operatório de cirurgia cardíaca padronizados pela NANDA. Os artigos selecionados foram distribuídos em categorias. Resultados: foram definidas as seguintes categorias: categoria I - Complicações no pós-operatório em cirurgia cardíaca; e categoria II - Os diagnósticos de enfermagem no pós-operatório em cirurgia cardíaca. Fez-se a relação principais complicações pós-operatórias – fisiologia e/ou semiologia da complicação – diagnósticos de enfermagem – intervenções de enfermagem, a qual foi apresentada em quadros sinópticos. A seguir, propôs um plano de intervenções de enfermagem. Conclusão: Apesar da complexidade do desenvolvimento do plano de enfermagem, ressalta-se a qualidade da assistência prestada, a necessidade de estudos clínicos referentes às complicações e ao cenário pós-operatório e o raciocínio lógico centrado em informações científicas, contribuindo para a construção do conhecimento e engrandecimento da enfermagem. Descritores: complicações pós-operatórias; cardiologia; diagnóstico de enfermagem. RESUMENObjetivo: realizar un levantamiento de los estudios referentes a las principales complicaciones en el pos-operatorio de cirugía cardiaca y principales diagnósticos de enfermería identificados. Métodos: el estudio es descriptivo cuya selección de los artículos se hizo opción por las siguientes bases de datos: SCIELO, LILACS y MEDLINE. Los descriptores fueron: pos-operatorio, cirugía cardiaca, diagnósticos de enfermería. Se consideraron los siguientes criterios de inclusión: artículos publicados en Brasil en el periodo de 1997 a 2007, artículos sobre complicaciones del pos-operatorio de cirugía cardiaca, artículos que utilizan los diagnósticos de enfermería por patrones de NANDA. Los artículos seleccionados fueron distribuidos en categorías. Resultados: fueron definidas las siguientes categorías: categoría I – Complicaciones en el pos-operatorio en cirugía cardiaca; y categoría II – Los diagnósticos de enfermería en el pos-operatorio en cirugía cardiaca. Se hizo la relación de las principales complicaciones pos-operatorias – fisiología y/o semiología de la complicación – diagnósticos de enfermería – intervenciones de enfermería, la que fue presentada a través de cuadros sinópticos. A seguir, se propuso un plan de intervenciones de enfermería. Conclusión: a pesar de la complexidad del desarrollo de un plan de enfermería, se resalta la calidad de la asistencia prestada, la necesidad de estudios clínicos concernientes a las complicaciones y al escenario pos-operatorio y el raciocinio lógico centrado en informaciones científicas, pretendiéndose así la contribución para la construcción del conocimiento y enaltecimiento de la enfermería. Descriptores: complicaciones postoperatorias; cardiología; diagnóstico de enfermería.
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Gómez-Villegas, Inmaculada, Belén Ruíz-Pérez, Dolores López-del-Pino, and Francisco García-España. "Professional Nursing Duties in the Central Services: Hospital Pharmacy Nurses." Advances in Nursing 2015 (May 14, 2015): 1–6. http://dx.doi.org/10.1155/2015/684373.
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Introduction. The new demands of a fast changing world necessitate expanding the traditional concepts of nursing, extending the classical aspects to cover new areas. Purpose. Based on their professional duties, the nursing team in the pharmacy of a second-level hospital aimed to establish a theoretical and situational framework for nurses working in the central services. Material and Methods. Application of the nursing process to nursing work in an area with no direct contact with patients. Results and Discussion. The application of the NANDA diagnoses to professional practice enabled the establishment of a nursing diagnosis with the implementation of measures designed to overcome a stressful situation with a risk of becoming unmotivated. Main Conclusion. The capacity to adapt the nursing profession to undertake new roles in the field of healthcare and the power of nursing own methodological resources permit the indirect care of “faceless” patients to be complemented with the inclusion of nurses from other services as clients, forming the focus of care, who can thus be helped with their daily care work.
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Juvé Udina, Maria-Eulàlia, Maribel Gonzalez Samartino, and Cristina Matud Calvo. "Mapping the Diagnosis Axis of an Interface Terminology to the NANDA International Taxonomy." ISRN Nursing 2012 (July 5, 2012): 1–6. http://dx.doi.org/10.5402/2012/676905.
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Background. Nursing terminologies are designed to support nursing practice but, as with any other clinical tool, they should be evaluated. Cross-mapping is a formal method for examining the validity of the existing controlled vocabularies. Objectives. The study aims to assess the inclusiveness and expressiveness of the nursing diagnosis axis of a newly implemented interface terminology by cross-mapping with the NANDA-I taxonomy. Design/Methods. The study applied a descriptive design, using a cross-sectional, bidirectional mapping strategy. The sample included 728 concepts from both vocabularies. Concept cross-mapping was carried out to identify one-to-one, negative, and hierarchical connections. The analysis was conducted using descriptive statistics. Results. Agreement of the raters’ mapping achieved 97%. More than 60% of the nursing diagnosis concepts in the NANDA-I taxonomy were mapped to concepts in the diagnosis axis of the new interface terminology; 71.1% were reversely mapped. Conclusions. Main results for outcome measures suggest that the diagnosis axis of this interface terminology meets the validity criterion of cross-mapping when mapped from and to the NANDA-I taxonomy.
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Galand, Okvadwiarko Eko Sari Ajiningstyas Sudiarto. "Asuhan Keperawatan Komprehensif Pada An. F Dengan Diagnosa Medis Diare di Wilayah Kerja Puskesmas Kalikajar." Madani: Jurnal Ilmiah Multidisiplin 1, no. 7 (2023): 136–42. https://doi.org/10.5281/zenodo.8191904.
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<strong><em>Background :</em></strong><em> The frequency of diarrhea in children in Central Java was 8.4% in 2018, according to the diagnosis of health workers (Riskesdas, 2018). Diarrhea is a condition of abnormal or uncharacteristic stool output characterized by an increase in volume, liquid stool, and frequency of defecation more than 3 times a day. <strong>Purpose:</strong> Find out comprehensive nursing care for children with a medical diagnosis of diarrhea. <strong>Methods:</strong> This research uses a case study method with male respondents with a medical diagnosis of diarrhea. Data collection techniques were carried out by interview (the results of the interview contained client identity, main complaints, history of current and past illnesses), observation and physical examination. This research was conducted at work area of the Kalikajar Health Center for 3 days (May 29, 2023 until May 31, 2023). </em>Results:<em> The results of case studies in children with diarrhea obtained diagnoses that is, diarrhea, hyperthermia and hypovolemia. After carrying out nursing care for 3 days, it was found that the three problems were resolved so that the intervention was stopped. <strong>Conclusion :</strong> . Based on the evaluation results, the problems of diarrhea,</em> <em>hyperthermia and hypovolemia in children can be resolved. Keywords: Children, Diarrhea, Nursing care.</em>
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Tamara Yuda, Hendri, Andika Abdul Malik, Wina Widianti, and Nida Siti Padilah. "Heat Compress to Reduce Chronic Pain in Hepatoma Patients." Genius Journal 2, no. 2 (2021): 34–40. http://dx.doi.org/10.56359/gj.v2i2.18.
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Background: Hepatoma is an abnormal growth of liver cells, which is characterized by a mass in the right upper abdomen, which can cause chronic pain. Pain arises from tissue damage and inflammation of the liver. One of the nursing interventions that can be done to overcome the main problem of chronic pain is hot compresses.
 Objective: This study aims to present nursing care with hot compress intervention as an effort to overcome the main problem of chronic pain in hepatoma patients.
 Methods: This case study uses nursing care methods that include assessment, determination of nursing diagnoses, nursing plans, implementation of nursing and nursing evaluation which was carried out for 3 days in the aster room of the Banjar City Hospital. The assessment was carried out by way of history taking and observation. Nursing diagnosis is determined by the IDHS, while the nursing plan is adjusted to the grouping of interventions in SIKI supported by Evidence Based Nursing. Implementation and evaluation of nursing is documented with the SOAPIER model. Giving hot compress therapy to hepatoma patients is given using a bottle covered with a cloth so that the heat does not directly stick to the skin, with a duration of 15 minutes.
 Results: After being given a heat compress intervention, the pain scale was reduced from 8 to 2, while the subjective data from the anamnesis, the client said the pain was reduced.
 Conclusion: Heat compress therapy can be an effective nursing intervention to reduce chronic pain in hepatoma patients.
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ARCHALOUSOVA, ALEXANDRA, and STEFANIA ANDRASCIKOVA. "VALIDATION PROCESSES OF INTERVENTIONS FOR THE NURSING DIAGNOSIS – RISK FOR INFECTION (CODE 00004) IN CLINICAL PRACTICE IN CZECH AND SLOVAK REPUBLICS." AD ALTA: Journal of Interdisciplinary Research 13, no. 2 (2023): 314–18. http://dx.doi.org/10.33543/j.1302.314318.
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The purpose of the study was to determine which NANDA nursing diagnosis are made and which related NIC nursing interventions are carried out most frequently by clinical nursing experts. Methods: The Likert Scale and Fehring´s Diagnostic Content Validity Model (DCV model) were used for the research. Sample: The total number of all participants of the validation research, i.e. academic nurses/experts, and clinical nurses/experts (nc=848) from 2 countries – SR and CR, consisted of 4 subsamples. A total of 69 items – activities of two interventions for NIC nursing diagnosis: Risk for Infection 00004 were evaluated. Results: We found out that the total set of experts rated all activities/practices of Intervention I and II as significant. Conclusion: The results of the international study provide valid findings for the development of nursing care and curriculum for future professionals.
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Kharusha, Isra K., Suha S. Sulaiman, Ahmad M. Samara, Samah W. Al-Jabi, and Sa’ed H. Zyoud. "Assessment of Knowledge about First Aid Methods, Diagnosis, and Management of Snakebite among Nursing Students: A Cross-Sectional Study from Palestine." Emergency Medicine International 2020 (December 16, 2020): 1–10. http://dx.doi.org/10.1155/2020/8815632.
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Background. Snakebite is a serious and important medical emergency encountered in many parts of the world. The estimated number of victims of venomous snakebites in Palestine is about 100 to 150 annually, with death occurring in 2 to 3 of them. This study was designed to assess the level of knowledge on the diagnosis and management of snakebites among nursing students in Palestine, as well as their attitude towards snakebites. Methods. This was a cross-sectional survey that took place at An-Najah National University. Two hundred nursing students were asked to fill a questionnaire that was developed to assess the participants' knowledge and attitude regarding snakebite's diagnosis and management. Different knowledge scores were calculated, and the relationships between students' knowledge and their characteristics were calculated by implementing the Mann–Whitney U test and the Kruskal–Wallis test. The statistical significance limit of p values was set at 0.05. Results. The majority of the participants (57%) were fourth-year students with an average age of 20.7 ± 1. Areas of knowledge and the participants’ mean scores on them were as follows: Vipera palaestinae snake, 5.1/13; signs and symptoms, 9.6/16; laboratory investigations, 6.1/10; anti-venom, 4.2/11; and first aid, 6.6/15. The only statistically significant differences in knowledge were between male and female students on Vipera palaestinae (male students scored higher, p value = 0.004) and between different types of residence (village dwellers scored the highest, p value = 0.041). Conclusions. We found knowledge gaps in many aspects of snakebite’s diagnosis and management among nursing students in Palestine. Based on the results of this study, we suggest integrating more materials on this topic in the curriculum of Palestinian nursing schools, as well as more practical training, which will positively reflect on the care for snakebite victims.
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Abidin, La Syam. "STUDI KASUS: ASUHAN KEPERAWATAN KELUARGA DENGAN ANAK REMAJA DALAM PENCEGAHAN PERILAKU MEROKOK." Jurnal Keperawatan Indonesia Timur (East Indonesian Nursing Journal) 1, no. 1 (2021): 1–11. http://dx.doi.org/10.32695/jkit.v1i1.231.
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Background: Adolescence allows the involvement of health risk behaviors, including smoking. Adolescents need family support, especially in prevention and treatment. Nurses can help families through nursing care. Objective: To describe the application of family nursing care with adolescent children to prevent smoking. Methods: The population is a family with teenagers. The sampling technique used purposive sampling. The sample is the family of Mr. S. with inclusion criteria; Nuclear family, stage of family development in adolescence, early teens aged 10-18 years, smoking history of family members, family members can read and write and are willing to be respondents. They were collecting data through interviews, observation, and documentation studies. The research instrument was the researcher himself, family nursing care, and nursing kit equipment format. Results: The study found three nursing problems. Nursing diagnoses include deficiencies in family knowledge, risky health behaviors, and ineffective family health care. Planning adjusted the diagnosis found, the intervention goals for four weeks, the outcome criteria using the Nursing Outcome Classification, and the intervention using the Nursing Intervention Classification by adjusting the five family health tasks. Implementation includes health screening, health education, counseling, youth social skills. The evaluation shows success in overcoming family nursing problems. Conclusion: The application of family nursing care increases family involvement in preventing adolescent smoking behavior.
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WARIS, M., R. JAVED, Z. AMIR, SS TASNEEM, and R. JABEEN. "FACTORS AFFECTING ON IMPLEMENTATION OF NURSING PROCESS." Biological and Clinical Sciences Research Journal 2024, no. 1 (2024): 1479. https://doi.org/10.54112/bcsrj.v2024i1.1479.
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The nursing process is a critical framework for providing high-quality, patient-centered care, consisting of five essential steps: assessment, diagnosis, planning, implementation, and evaluation. In Pakistan, the successful implementation of the nursing process is hindered by various barriers, including inadequate training, time constraints, and insufficient resources. Understanding the factors that affect its implementation is crucial for improving care delivery in healthcare settings. Objective: This study aimed to evaluate the factors affecting the implementation of nursing care plans among nurses at Sir Ganga Ram Hospital, Lahore, Pakistan. The study explores the relationship between nurses' demographic characteristics, such as education, experience, and job nature, and their ability to effectively implement the nursing care plan. Methods: A cross-sectional quantitative descriptive design was employed, involving a sample of 200 nurses. Data were collected using a structured questionnaire adapted from Brookings (2004), which assessed factors related to the implementation of the nursing process, including Assessment and Diagnosis, Planning, Implementation, and Evaluation. Descriptive and inferential statistics were used to analyze the data. Results: The study found that nurses performed best in the Implementation phase (mean = 40.36), with lower scores in the Assessment and Diagnosis phase (mean the Implementation = 23.09). Educational qualifications and experience positively influenced the implementation of nursing care plans. The reliability and validity of the measurement tools were confirmed with satisfactory results. Conclusion: The findings underscore the importance of addressing gaps in the Assessment and Diagnosis phase to enhance the overall effectiveness of the nursing care plan. Continuous education and targeted interventions are recommended to improve the implementation of nursing care plans, ultimately contributing to better patient care outcomes in Pakistan.
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Sophia, G. "Coronary Artery Bypass Graft (CABG)." Research & Review: Management of Cardiovascular and Orthopedic Complications 1, no. 2 (2019): 4–15. https://doi.org/10.5281/zenodo.3266848.
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Objectives: To perform a health assessment, identify the nursing needs and prevent complication, formulate nursing diagnosis, provide comprehensive nursing care , learn about accident and its management teach family members and patients in detail about follow-up care. Methods of collection: case sheet, wife. Sample: SICU. Setting: Government Rajaji hospital, Madurai. Conclusion: By this care study, I got an opportunity to provide comprehensive nursing care to my client who had Coronary Artery Bypass Graft. It is of paramount importance for the nurses to become competent in providing nursing care for the patients with these problems.
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Foziya, Manzoor. "Clinical Case Study on Patient with Gullain Berri Syndrome." Journal of Neurological, Psychiatric and Mental Health Nursing (e-ISSN: 2582-0508) 1, no. 2 (2019): 15–29. https://doi.org/10.5281/zenodo.3344637.
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Objectives: To perform a health assessment, identify the nursing needs and prevent complication, formulate nursing diagnosis, provide comprehensive nursing care, learn about disease and its management, teach family members and patients in detail about follow-up care. Methods of collection: clinical file, patient. Sample: patient. Setting: Neurology ward of SKIMS, Soura, Srinagar. Conclusion: By this care study, I got an opportunity to provide comprehensive nursing care to my client who had Gullain Berri Syndrome. It is of paramount importance for the nurses to become competent in providing nursing care for the patients with these problems.