Journal articles on the topic 'Nursing Diagnosis methods'
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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 (December 30, 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 (July 15, 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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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 (February 21, 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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Hidayatun, Nur, and Abdul Aziz. "Overview of the Covid-19 Patient Nursing Diagnosis." JIKO (Jurnal Ilmiah Keperawatan Orthopedi) 4, no. 2 (December 31, 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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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 (January 8, 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 (January 8, 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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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 (December 31, 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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Carlson-Catalano, Judy, and Margaret Lunney. "Quantitative Methods for Clinical Validation of Nursing Diagnoses." Clinical Nurse Specialist 9, no. 6 (November 1995): 306–10. http://dx.doi.org/10.1097/00002800-199511000-00007.
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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 (June 26, 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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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 (March 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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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 (June 30, 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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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 (December 30, 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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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 (May 23, 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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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 (September 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 (January 28, 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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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 (December 21, 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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Peruselli, Carlo, Elena Camporesi, A. Maria Colombo, Monica Cucci, P. G. Sironi, Marco Bellodi, Romana Cirillo, Elsa Love, and Rita Mariano. "Nursing Care Planning for Terminally Ill Cancer Patients Receiving Home Care." Journal of Palliative Care 8, no. 4 (December 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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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 (March 19, 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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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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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 (December 29, 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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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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Spang, R., and F. Markowetz. "Molecular Diagnosis." Methods of Information in Medicine 44, no. 03 (2005): 438–43. http://dx.doi.org/10.1055/s-0038-1633990.
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Summary Objectives: We discuss supervised classification techniques applied to medical diagnosis based on gene expression profiles. Our focus lies on strategies of adaptive model selection to avoid overfitting in high-dimensional spaces. Methods: We introduce likelihood-based methods, classification trees, support vector machines and regularized binary regression. For regularization by dimension reduction, we describe feature selection methods: feature filtering, feature shrinkage and wrapper approaches. In small sample-size situations efficient methods of data re-use are needed to assess the predictive power of a model. We discuss two issues in using cross-validation: the difference between in-loop and out-of-loop feature selection, and estimating model parameters in nested-loop cross-validation. Results: Gene selection does not reduce the dimensionality of the model. Tuning parameters enable adaptive model selection. The feature selection bias is a common pitfall in performance evaluation. Model selection and performance evaluation can be combined by nested-loop cross-validation. Conclusions: Classification of microarrays is prone to overfitting. A rigorous and unbiased assessment of the predictive power of the model is a must.
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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 (June 8, 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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Gruber-Baldini, Ann L., Bruce Stuart, Ilene H. Zuckerman, Van Doren Hsu, Kenneth S. Boockvar, Sheryl Zimmerman, Steven Kittner, et al. "Sensitivity of Nursing Home Cost Comparisons to Method of Dementia Diagnosis Ascertainment." International Journal of Alzheimer's Disease 2009 (2009): 1–10. http://dx.doi.org/10.4061/2009/780720.
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This study compared the association of differing methods of dementia ascertainment, derived from multiple sources, with nursing home (NH) estimates of prevalence of dementia, length of stay, and costs an understudied issue. Subjects were 2050 new admissions to 59 Maryland NHs, from 1992 to 1995 followed longitudinally for 2 years. Dementia was ascertained at admission from charts, Medicare claims, and expert panel. Overall 59.5% of the sample had some indicator of dementia. The expert panel found a higher prevalence of dementia (48.0%) than chart review (36.9%) or Medicare claims (38.6%). Dementia cases had lower relative average per patient monthly costs, but longer NH length of stay compared to nondementia cases across all methods. The prevalence of dementia varied widely by method of ascertainment, and there was only moderate agreement across methods. However, lower costs for dementia among NH admissions are a robust finding across these methods.
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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 (September 17, 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, 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 (September 20, 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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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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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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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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Marques, Karine, and Cristine Alves. "Nursing diagnoses clusters: survival and comfort in oncology end-of-life care." International Journal of Palliative Nursing 26, no. 8 (December 2, 2020): 444–50. http://dx.doi.org/10.12968/ijpn.2020.26.8.444.
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Background: Holistic care and nursing diagnoses are essential in end-of-life, since interventions based on these ensure greater patient comfort and quality of life. Aims: To identify clusters of nursing diagnoses and repercussions for patient comfort and survival. Methods: A prospective cohort of 66 end-of-life patients with cancer was examined. Diagnostic groupings were created based on the Kolcaba's theory of comfort. Pearson's chi-square test and Kaplan–Meier estimator were used to assess the relationship between clusters, comfort, and survival. Findings: Three diagnostic groups and 23 nurse diagnoses were used. The first and most prevalent diagnosis cluster was related to intestinal tract disorders and sleep. The second was related to neuropsychological characteristics and fatigue associated with lower survival, while the third cluster was related to functionality and perception, which was shown to be associated with less comfort. Conclusion: The three clusters were significantly associated with comfort and survival.
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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 (December 30, 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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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 (June 30, 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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Arensberg, Mary Beth, Cory Brunton, Susan Drawert, and Brenda Richardson. "Prevalence Rates and Characteristics of Malnutrition, Frailty, and Other Nutrition and Muscle Mass-Related Conditions Document Potential Quality of Care Gap for Medicare Patients in US Skilled Nursing Facilities." Geriatrics 7, no. 2 (March 31, 2022): 42. http://dx.doi.org/10.3390/geriatrics7020042.
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Changes to the payment structure of the United States (U.S.) healthcare system are leading to an increased acuity level of patients receiving short-term skilled nursing facility care. Most skilled nursing facility patients are older, and many have medical conditions that cannot be changed. However, conditions related to nutrition/muscle mass may be impacted if there is early identification/intervention. To help determine the diagnosis and potential impact of nutrition/muscle mass-related conditions in skilled nursing facilities, this study evaluated 2016–2020 US Medicare claims data. Methods aimed to identify a set of skilled nursing facility claims with one or more specific diagnoses (COVID-19, malnutrition, sarcopenia, frailty, obesity, diabetes, and/or pressure injury) and then to determine length of stay, discharge status, total charges, and total payments for each claim. Mean values per beneficiary were computed and between–group comparisons were performed. Results documented that each year, the total number of Medicare skilled nursing facility claims declined, whereas the percentage of claims for each study diagnosis increased significantly. For most conditions, potentially related to nutrition/muscle mass, Medicare beneficiaries had a shorter length of skilled nursing facility stays compared to those without the condition(s). Furthermore, a lower percentage of these Medicare beneficiaries were discharged home (except for those with claims for sarcopenia and obesity). Total claim charges for those with nutrition/muscle mass-related conditions exceeded those without (except for those with sarcopenia). We conclude that although the acuity level of patients in skilled nursing facilities continues to increase, skilled nursing facility Medicare claims for nutrition/muscle mass-related conditions are reported at lower levels than their likely prevalence. This represents a potential care gap and requires action to help improve patient health outcomes and skilled nursing facility quality metrics.
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Okviasanti, Fanni, Dia Ayu Anggraini, and Aris Cahyo Purnomo. "ACUTE PAIN NURSING CARE IN PATIENT WITH HEPATITIS B: A CASE STUDY." Journal of Vocational Nursing 2, no. 1 (May 31, 2021): 80. http://dx.doi.org/10.20473/jovin.v2i1.26891.
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Introduction: Severe pain in the upper right abdomen was commonly found in hepatitis B patients. Hepatitis B patients who experience pain take longer in the process of healing the disease than those who do not. Acute pain nursing care in hepatitis B patients is still unknown. This study aimed to describe acute pain nursing care in patients with hepatitis B. Methods: This study used a case study design. Data collection from assessment to nursing evaluation was carried out in the internal ward of a governmental hospital in Lamongan on November 2019. The hepatitis B patient was observed or treated for at least three days. Data collection techniques used interviews, observation, and documentation. Data analysis was performed using narrative analysis. Results: Assessment of Mr. A with the main complaint felt by the patient was a pain in the upper right abdomen. The nursing diagnosis in Mr. A's case was found to be an actual diagnosis with priority being acute pain relate to physiological injury agents (D.0077). Nursing interventions at Mr. A were arranged based on priority diagnosis with acute pain using pharmacological techniques and non-pharmacological techniques, and antibiotics. Conclusion: The nursing problem of Mr. A was resolved after 72 hours of nursing intervention. The patient displayed a decreased level of pain with a pain scale of 2, decreased restlessness, no grimace, no protective attitude, and absence of insomnia.
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Kim, Junglyun, Yingwei Yao, Tamara Goncalves Rezende Macieira, and Gail Keenan. "An examination of the coverage of the SNOMED CT coded nursing problem list subset." JAMIA Open 2, no. 3 (July 15, 2019): 386–91. http://dx.doi.org/10.1093/jamiaopen/ooz023.
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Abstract Objective The purpose of this article is to describe the current nursing problem list subset of Systematized Nomenclature of Medicine Clinical Terms (NPLS) coverage of the American Nurses Association (ANA) recognized standardized nursing terminologies (SNTs) and to identify potential ways to expand and enhance the utility of this list. Materials and Methods The study is a cross-sectional exploratory design. We mapped the content of the North American Nursing Diagnosis Association International (NANDA-I) (2018–2020), International Classification for Nursing Practice (ICNP) (2017 AB), Clinical Care Classification (CCC) (2018 AA), and Omaha System (2007AC) terminologies with each other and into NPLS (August 2017 edition) using Unified Medical Language System (UMLS) (release 2018AA) as the intermediary. Results We identified a total of 1470 unique nursing diagnosis concepts across SNTs in UMLS, including 175 in CCC, 840 in ICNP, 244 in NANDA-I, 418 in Omaha System, and 631 in NPLS. The NPLS covers approximately 43% of the 1470 concepts—coverage for SNT content is 90% for CCC, 47% for ICNP, 59% for NANDA-I, and 32% for the Omaha System. Discussion/Recommendations The NPLS version 2017 coverage of SNT nursing diagnoses included in the UMLS is incomplete and equivocal. Recommendations: (1) ensure all SNT concepts in the UMLS are represented by SNOMED CT terms, (2) devise a formal strategy of partial matching to further enhance interoperability, (3) add a classification structure to the NPLS to enhance the ease of use and utility of the list, and (4) minimize redundancy within NPLS.
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Ilkafah, Ilkafah, Eka Fatmah Fujiyah, Cucuk Rahmadi Purwanto, Joko Susanto, and Cherlys Tin Lutfiandini. "INEFFECTIVE BREATHING PATTERN NURSING CARE WITH CHRONIC KIDNEY DISEASES PATIENT." Journal of Vocational Nursing 3, no. 1 (May 30, 2022): 80–85. http://dx.doi.org/10.20473/jovin.v3i1.36056.
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Introduction: Patient with Chronic Kidney Disease (CKD) will get a failure to breathing because of fluid accumulation in the lung. Patients with CKD will not be able to breathe normally, so the main problem that often occurs is an ineffective breathing pattern. This study aims to explore nursing care for patients with ineffective-breathing pattern in patient with CKD at Soegiri Lamongan hospital. Methods: The design of this research is qualitative with a case study, the methods of data collection through interviews, observations, physical examinations and documentation studies. The data obtained were analyzed by comparing case reviews and literature reviews. Results: The results of the problems for nursing diagnosis that arise are CKD with ineefective-breathing pattern. Interventions that are emphasized and carried out in the field in the case study are providing a semi-fowler/ fowler position, and maintaining oxygen therapy. Final evaluation of nursing diagnoses in patients with problems resolved and goals achieved according to the specified time criteria. Conclusions: The study indicated that ineefective breathing pattern can be solved by positioning a semi-fowler or half-sitting position, decrease fluid intake and correcting anemia. Suggestions for nurses to focus in developing science and technology to be applied to all nursing personnel in providing nursing care for ineffective breathing patterns for patients with chronic kidney disease.
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Pokorski, Simoni, Maria Antonieta Moraes, Régis Chiarelli, Angelita Paganin Costanzi, and Eneida Rejane Rabelo. "Nursing process: from literature to practice. What are we actually doing?" Revista Latino-Americana de Enfermagem 17, no. 3 (June 2009): 302–7. http://dx.doi.org/10.1590/s0104-11692009000300004.
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OBJECTIVES: To describe the steps of the nursing process as prescribed in the literature and to investigate the process as actually applied in the daily routine of a general hospital. METHODS: Cross-sectional retrospective study (May/June 2005), performed in a hospital in Porto Alegre, RS. Medical records of adult patients admitted to a surgical, clinical or intensive care unit were reviewed to identify the nursing process steps accomplished during the first 48h after admission. The form for data collection was structured according to other reports. RESULTS: 302 medical records were evaluated. Nursing records and physical examination were included in over 90% of them. Nursing diagnosis was not found in any of the records. Among the steps performed, prescription was the least frequent. Evolution of the case was described in over 95% of the records. CONCLUSIONS: All nursing steps recommended in the literature, except for diagnosis, are performed in the research institution.
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Araújo, Márcio Flávio Moura de, Ana Maria Parente Garcia Alencar, Thiago Moura de Araújo, Marta Maria Coelho Damasceno, Joselany Áfio Caetano, Lorena Barbosa Ximenes, and Neiva Francenely da Cunha Viera. "Readiness for enhanced self-health management among people with diabetes mellitus." Acta Paulista de Enfermagem 25, no. 1 (2012): 133–39. http://dx.doi.org/10.1590/s0103-21002012000100023.
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OBJECTIVE: To identify the nursing diagnosis, readiness for enhanced self-health management, among people with type 2 diabetes who are adherent to pharmacological treatment. METHODS: The sample consisted of 579 subjects from 12 primary care services who received home visits. To determine adherence to the pharmacological treatment, the pill count test was conducted. Those classified as adherent were given a checklist with the defining characteristics of the nursing diagnosis, readiness for enhanced self-health management. RESULTS: Subjects with type 2 diabetes who presented with the nursing diagnosis were not alcoholics (p = 0.003), did not miss their diabetes consultations (p = 0.000), and had no difficulties / inappropriate behaviors with regard to taking their oral antidiabetic agents (p = 0.000). CONCLUSION: The identification of human responses to the clinical treatment of type 2 diabetes should be continuous, so that nurses can understand the factors involved in the readiness to enhance therapeutic control.
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Kömürcü, N., K. Beydağ, Y. Dogan Mrih, F. Cosar, H. Erten Yaman, and B. Can. "P39 Determination the behaviours of midwifes and nurses about using gynaecologic early diagnosis methods." European Journal of Oncology Nursing 14 (April 2010): S34. http://dx.doi.org/10.1016/s1462-3889(10)70103-4.
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Shi, Min, and Mingming Shui. "Microscopic Observation of Omeprazole Sensitivity Technology in the Diagnosis and Nursing of Chronic Obstructive Pulmonary Disease with Gastroesophageal Reflux Disease." Tobacco Regulatory Science 7, no. 5 (September 30, 2021): 2946–53. http://dx.doi.org/10.18001/trs.7.5.1.64.
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At present, the problem of food safety has led to a variety of stomach diseases in some people, and antibiotics are mainly used in the treatment. In the clinical treatment, the treatment effect is reduced due to the excessive acidity of gastric acid. In this paper, under the microscope to observe the sensitivity of omeprazole technology, the diagnosis of chronic obstructive pulmonary disease with gastroesophageal reflux disease was proposed, and the importance of nursing intervention was emphasized. This paper first describes the use of ultrasound-guided microscopic observation technology and clinical deficiencies. Then use the microscope to observe omeprazole sensitivity technology to observe the pathological section of patients, compare the results of diagnosis and gastroscopy, and evaluate the clinical effect of nursing intervention in patients. Methods: 26 patients with suspected chronic obstructive pulmonary disease (COPD) and gastroesophageal reflux disease (GERD) in our hospital were selected as the research objects. After the initial diagnosis, treatment measures were taken and nursing intervention was carried out. The results showed that 1 case, 4 cases, 8 cases and 13 cases of unsatisfied, benign, suspicious and malignant cases were diagnosed by endoscopic ultrasound-guided microscopic observation under nursing intervention, and the overall consistency with the final cytological diagnosis was 85%. Therefore, endoscopic ultrasound-guided microscopic observation in the application of gastric lesions is effective and accurate, and can replace the conventional microscopic diagnosis law.
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Lu, Wenjing, Wei Jiang, Na Zhang, and Feng Xue. "A Deep Learning-Based Text Classification of Adverse Nursing Events." Journal of Healthcare Engineering 2021 (November 18, 2021): 1–10. http://dx.doi.org/10.1155/2021/9800114.
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Adverse nursing events occur suddenly, unpredictably, or unexpectedly during course of clinical diagnosis and treatment processes in the hospitals. These events adversely affect the patient’s diagnosis and treatment results and even increase the patient’s pain and burden. Additionally, It is high likely to cause accidents and disputes and affect normal medical work and personnel safety and is not conducive to the development of the health system. Due to the rapid development of modern medicine, health and safety of patients have become the most concerned issue in society and patient safety is an important part of medical care management. Research and events have shown that classified management of adverse nursing events, event analysis, and improvement measures are beneficial, specifically to the health system, to continuously improve the quality of medical care and reduce the occurrence of adverse nursing events. In the management of adverse nursing events, it is very important to categorize the text reports of adverse nursing events and divide these into different categories and levels. Traditional reports of adverse nursing events are mostly unstructured and simple data, often relying on manual classification, which is difficult to analyze. Furthermore, data is relatively inaccurate and practical reference significance is not obvious. In this paper, we have extensively evaluated various deep learning-based classification methods which are specifically designed for the healthcare systems. It becomes possible with the development of science and technology; text classification methods based on deep learning are gradually entering people’s field of vision. Additionally, we have proposed a text classification model for adverse nursing events in the health system. Experiments and data comparison test of both the proposed deep learning-based method and existing methods in the text classification of nursing adverse events effect are performed. These results show the exceptional performance of the proposed mechanism in terms of various evaluation metrics.
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Alametsä, Jarmo, Markku Oikarainen, Jari Viik, and Jarmo Perttunen. "Improving nursing methods by using thermal imaging: Observations by CAT S60 mobile phone." Finnish Journal of eHealth and eWelfare 9, no. 2-3 (May 21, 2017): 74. http://dx.doi.org/10.23996/fjhw.60997.
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The purpose of this preliminary study was to examine, how thermal imaging could help in advancing nursing methods and offer some new usage targets of thermal imaging for the behoof of a patient. By using CAT S60 cellular phone with an inbuilt Flir thermal camera, thermal pictures were taken from voluntary subjects in order to find out if thermal imaging with CAT S60 phone could help in treatment of a patient. Thermal camera images were taken in order to find out temperature changes in whole body, limbs and extremities. By using thermal imaging in nursing the beginning of treatment could be hastened and the monitoring of the state of a patient would be more efficient thus improving the prognosis of a patient. The benefit of the method is, that it is non-invasive, cheap and easy to use (inside a cellular phone) thus being a clear advantage.
The results of different usage methods seen in thermal images suggest that thermal imaging with CAT S60 phone could be used to improve nursing methods and may also for its part to help in diagnosis. The present preliminary observations via thermal images showed, that the resolution of CAT S60 phone was sufficient to detect changes in human body temperature in home life. This may suggest the usage of the CAT S60 phone in home care services.
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Jiang, Xue, Weiwei Xu, and Ying Zhao. "Application of CT Imaging in Differential Diagnosis and Nursing of Endocrine Tumors." Contrast Media & Molecular Imaging 2022 (August 8, 2022): 1–6. http://dx.doi.org/10.1155/2022/4071081.
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In order to investigate the value of preoperative X-ray computed tomography (CT) in predicting the pathological grade of pancreatic neuroendocrine tumors. This paper retrospectively analyzed the CT image examination of pancreatic neuroendocrine tumors, the image characteristics of G-NEC detected by CT image, and the detection of GST by spiral CT. In order to clearly diagnose and evaluate the size and scope of the focus, whether there is adjacent tissue invasion, metastasis, and treatment effect, CT, MR, PET-CT, nuclide specific imaging, and other imaging methods are widely used in the medical treatment of pNEN patients. These imaging methods have the advantages of noninvasive, rapid imaging, objective image medium, and strong repeatability. If the pathological grade of pNEN patients can be obtained by imaging examination before operation, it will be of great benefit to the formulation of treatment strategies and the prediction of clinical outcomes. Combining CT image performance with imaging omics characteristics to establish a prediction model that can develop a better auxiliary decision-making tool for clinical practice. Different pathological grades prompt clinicians to provide personalized and accurate medical treatment for patients, and reduce excessive medical treatment or wrong judgment caused by unclear preoperative diagnostic information.
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Ould Brahim, Lydia, Cezara Hanganu, and Catherine Pugnaire Gros. "Understanding Helpful Nursing Care From the Perspective of Mental Health Inpatients With a Dual Diagnosis: A Qualitative Descriptive Study." Journal of the American Psychiatric Nurses Association 26, no. 3 (October 5, 2019): 250–61. http://dx.doi.org/10.1177/1078390319878773.
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BACKGROUND: An estimated 30% to 50% of people with a mental illness also have a substance use problem. Referred to as having a dual diagnosis, these patients experience high levels of unmet needs, poor health outcomes, and require specialized care during psychiatric hospitalization. Research on nursing inpatients with a dual diagnosis is limited and patient perceptions of helpful care during hospitalization are unknown. AIMS: What nursing interventions, attitudes, actions, and/or behaviors are perceived as helpful by patients with a dual diagnosis during psychiatric hospitalization? METHODS: A qualitative-descriptive design was used. Twelve adult inpatients with a dual diagnosis were recruited using purposive sampling. Individual, semistructured interviews were conducted, and interview data were analyzed using content analysis. RESULTS: Helpful nursing occurred across three themes: (1) promoting health in everyday living, (2) managing substance use in tandem with mental illness, and (3) building therapeutic relationships. CONCLUSIONS: Specific examples of helpful interventions and their reported outcomes reinforce the critical role that nurses play in the health and recovery of inpatients with a dual diagnosis. The importance of collaborative, strengths-based approaches is highlighted, and expanding the nurse’s role to include evidence-based responses to substance use is recommended.
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Fitria, Fatkhiyatul, Ilkafah ., and Cucuk Rachmadi Prasetyo. "DESCRIPTION OF CHANGES IN INCREASED BODY WEIGHT IN KB PILL ACCEPTOR IN KELORARUM VILLAGE, TIKUNG SUBDISTRICT, LAMONGAN REGENCY." Journal of Vocational Nursing 1, no. 2 (October 29, 2020): 171. http://dx.doi.org/10.20473/jovin.v1i2.23566.
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Introduction: Patients with congestive heart failure usually have problems nursing chest pain. To reduce pain problems, there are several therapies that can be done, namely deep breath relaxation techniques, guide imagery techniques, and environmental management. The preferred therapy in this case is nonfaramcological, which is a deep breath relaxation technique. The purpose of this study was to provide acute pain nursing care for Congestive Heart Failure patients in the Heart Room at Dr. Soegiri Lamongan Hospital. Methods: Case study used to explore this study. Data collection is obtained through: interviews, observation, physical examination and documentation study. Analyzed case study results. From the discussion between literature review and case review, it is concluded that there is suitability from diagnosis to evaluation. Results: the case studies show an agreement between theoretical review and case review in patients. Evaluation of the Acute Pain nursing diagnoses, the problem was resolved on the third day. Conclusion: from the research conducted, found that deep breath relaxation technique is one of the effective non-pharmacological pain management methods to reduce pain.
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Chao, Qing, Weiping Ma, RuiJia Xu, Lingyan Wu, Youwen Zhang, Miao He, Ke Yang, Wanxia Yao, and Rong Peng. "Menopausal Women’s Health Care Method Based on Computer Nursing Diagnosis Intelligent System." Journal of Healthcare Engineering 2021 (July 24, 2021): 1–12. http://dx.doi.org/10.1155/2021/4963361.
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Taking into account the current feature extraction speed and recognition effect of intelligent diagnosis of menopausal women’s health care behavior, this paper proposes to use a cross-layer convolutional neural network to extract behavior features autonomously and use support vector machine multiclass behavior classifier to classify behavior. Compared with the feature images extracted by traditional methods, the behavioral features extracted in this paper are related to the individual menopausal women and have better semantic information, and the feature description ability in the time domain and the space domain has been enhanced. Through Matlab software, using the database established in this paper to compare its feature extraction time, test classification time, and final recognition accuracy with ordinary convolutional neural networks, it is concluded that the cross-layer CNN-SVM model can ensure the speed of feature extraction. It proves that the method in this paper can be applied to the behavioral intelligent diagnosis system for intelligently nursing menopausal women and has good practical value. This paper designs a home care bed intelligent monitoring system, which can automatically detect the posture of the care bed, and not only can change the posture of the bed under the control of personnel, but also can automatically complete the posture conversion according to the setting. At the same time, the system has the function of monitoring the physical condition of the person being cared for and can detect the heart rate, blood oxygen, and other physiological indicators of the bedridden person. In addition, the system can also provide a remote diagnosis function, allowing nursing staff to remotely view the current state of the nursing bed and the physical condition of the person. After testing, the system works stably, improves the automation and safety of the nursing bed control, and enriches the functions of the nursing bed.
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Hervira, Frans Zizka. "Nursing Acute Pain in Patients With Bladder Cancer: A Case Study." Journal of Applied Nursing and Health 4, no. 2 (December 30, 2022): 158–63. http://dx.doi.org/10.55018/janh.v4i2.42.
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Background: Severe pain in the lower right abdomen is often found in bladder cancer patients. Bladder cancer is a complex disease associated with high morbidity and mortality if not treated optimally. Patients who suffer from bladder problems say that the influence of medical personnel influences the most significant role in pain control. Nursing care for acute pain in patients with bladder cancer is still unknown. This study aims to describe nursing care for acute pain in bladder cancer patients. Methods: This research uses a case study design. Data collection from assessment to nursing evaluation was carried out in the Punai room of the Simpang Lima Gumul Hospital, Kediri Regency, in December 2021. The bladder patient was observed or treated for at least two days. Data collection techniques used were interviews, observation, and documentation. Data analysis was carried out using narrative analysis. Results: Mr. R, the main complaint felt by the patient is a pain in the lower right abdomen penetrating to the back. The nursing diagnosis in the case of Mr. R is the actual diagnosis of acute pain associated with physical injury (D.0077). Nursing intervention for Mr. R was compiled based on the diagnosis of acute pain using pharmacological techniques. Conclusion: The nursing problems Mr. R resolved after 48 hours of nursing intervention. The patient shows a decreased pain level with a pain scale of 2, and the patient plans KRS after 2 days the problem is resolved.
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Carmona, Elenice Valentim, Ianê Nogueira do Vale, Conceição Vieira da Silva Ohara, and Ana Cristina Freitas de Vilhena Abrão. "Parental role conflict: the nursing diagnosis in mothers of hospitalized newborns." Revista Latino-Americana de Enfermagem 21, no. 2 (April 2013): 571–78. http://dx.doi.org/10.1590/s0104-11692013000200014.
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OBJECTIVE: To verify if mothers of newborns hospitalized recognize the defining characteristics of "parental role conflict" as representative of that experience. METHODS: A cross-sectional and descriptive study, developed in a neonatal unit of a public teaching hospital in the state of São Paulo. The sample consisted of 100 women who assigned scores of 1 to 5 to the defining characteristics of the diagnosis, where 1 meant "not at all characteristic" and 5 meant "completely characteristic of what I am experiencing." RESULT: Of the total sample, 96 women self-identified with the diagnosis. The most prevalent defining characteristics were: "anxiety," "mother expresses concern(s) in relation to changes in maternal role"; "verbalizes feelings of frustration," "reports concern about family" and "fear". Women who were with their children less often during hospitalization had a higher number of defining characteristics. CONCLUSION: There was a high prevalence of the defining characteristics of the studied diagnosis, suggesting the relevance of the topic and the need for further studies to be developed in the neonatal unit.
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Solehudin, Saiful Gunardi, and Irma Herliana. "Asuhan Keperawatan Pada Lansia Dengan Arthritis Rheumatoid." Open Access Jakarta Journal of Health Sciences 1, no. 3 (March 12, 2022): 94–98. http://dx.doi.org/10.53801/oajjhs.v1i3.12.
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Introduction: Rheumatoid arthritis is the most common autoimmune disease in the community. This disease is characterized by inflammation of the lining of the synovium of the joint. It can cause long-term joint damage, prolonged pain, loss of function and disability. Objective: This study aims to determine nursing care for the elderly with a medical diagnosis of rheumatoid arthritis. Methods: The research design used a case study with a nursing process approach. The sampling technique used is convenience sampling. The sample in this study was Mrs. U age 70 years. The research was conducted at the Jagakarsa Public Health Center, Jakarta in May 2021. The data was collected by means of interviews, observations, and documentation studies. The research instrument is a gerontic nursing care format. Results: The results of nursing care on Ny. U was found that the client had fallen and sprained his leg two months ago. Currently the client feels pain in the left knee which is dislocated and looks swollen. Nursing diagnosis i.e. chronic pain related to physical injury agent Conclusion: The priority nursing problem for clients is pain can be overcome by giving warm compresses.