A comparison of Gordon's functional health patterns model and standard nursing care in symptomatic heart failure patients: A randomized controlled trial

Türen, Sevda; Enç, Nuray

doi:10.1016/j.apnr.2020.151247

Cited by 13 publications

(23 citation statements)

References 22 publications

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“…These lifestyle patterns are consistent with the traditional definitions of nursing's scope and professional standards of practice (American Nurses Association, 2021). Since Gordon's original text, various forms of assessment capturing the 11 FHPs have been generated in practice and education to help nurses document their observations and care plans with this unique holistic picture of the “patient's life story” in mind (Griffiths, 2002; Khatiban et al., 2019; Turan & Enc, 2020; Zega et al., 2014, de Cassia Gengo e Silva Butcher & Jones, 2021).…”

Section: Background and Significancementioning

confidence: 99%

Nursing knowledge captured in electronic health records

Rossi

Butler

Coakley

et al. 2022

Int J of Nursing Knowl

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Purpose The purpose of this study was to describe the extent to which nursing assessment data was present in the electronic health record and linked to NANDA‐I, NIC, and NOC. Methods This retrospective review used a descriptive approach to examine documentation in the electronic health records (EHR) of 10 hospitalized patients requiring cardiac surgery. A team of experts applied a Delphi consensus‐building process to identify the supports and barriers for nursing documentation. Findings Collection of the health history was organized using Gordon's Functional Health Pattern (FHP) Framework. Seventy‐five fields were noted for the entry of nursing assessment data of which 65 focused on health history data and 30 documented physical findings and observations. There were no references to the defining characteristics or etiologies with any of the diagnostic labels used. Care plans included the nursing diagnoses, goals of care, and interventions, although there was a lack of clear alignment between the assessment, NANDA‐I, NIC, and NOC and the care plan. Progress note documentation addressed significant events in the patient's clinical course; however, these were not nursing problem or diagnosis focused. Four expert reviewers arrived at consensus regarding the supports and challenges impacting nurses’ ability to document data depicting nursing's contribution to care using a FHP and standardized nursing language in the EHR. Conclusions The EHR provides an opportunity to reflect nursing clinical judgment and make nursing care visible. These findings suggest there are challenges to capturing nurse focused data elements in the EHR. Implications for nursing practice This work has important implications for clinicians, educators, and administrators alike. EHR systems must accurately capture nurses’ contribution to patient care to plan for resource allocation and quality care delivery. Ultimately, the development of standardized data sources reflecting the outcomes of nursing care will expand the opportunities to advance nursing knowledge.

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Section: Background and Significancementioning

confidence: 99%

Nursing knowledge captured in electronic health records

Rossi

Butler

Coakley

et al. 2022

Int J of Nursing Knowl

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“…The lack of a nursing framework to guide nursing assessment may lead to inaccurate diagnoses of patients' needs from a nursing perspective and invisibility of the nursing profession (Khajehgoodari et al, 2020). Gordon's Eleven FHP (Gordon, 1994) can contribute positively to assist nurses during the continuum of nursing care (Temel & Kutlu, 2015;Türen & Enç, 2020).…”

Section: Discussionmentioning

confidence: 99%

“…This framework has been widely used in clinical practice, research, and education (Liu et al, 2018;Novaes et al, 2015). Evidence has shown that patients whose nursing assessment was conducted using the FHP had better control of depressive symptoms and hopelessness, better quality of life, and less hospital readmission (Temel & Kutlu, 2015;Türen & Enç, 2020).…”

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confidence: 99%

An integrative review of comprehensive nursing assessment tools developed based on Gordon's Eleven Functional Health Patterns

Butcher

Jones

2021

Int J of Nursing Knowl

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Purpose: To evaluate the content and psychometric properties of comprehensive nursing assessment tools developed based on The Eleven Functional Health Patterns Assessment Framework. Methods: An integrative literature review following Whittemore and Knafl's method and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Searches on PubMed, Cinahl, and Virtual Health Library were conducted between September and December 2018.Findings: Six out of 146 records were included for review. Four articles were methodological studies and two were descriptive reports of the development of the tools. Tools were heterogenous in terms of their purpose, development, characteristics, and testing. Only one study provided data about construct validity. However, there were commonalities regarding the data that should be assessed in each tool. Conclusions: Few comprehensive nursing assessment tools using The Eleven Functional Health Patterns Assessment Framework are available. Purpose, process of development, characteristics, and testing varied among the tools, and most lack robust psychometric testing. Implications for nursing practice: This review provided a synthesis of the literature regarding the use of a discipline-specific framework to guide comprehensive nursing assessment. The differences across the tools and the lack of psychometric testing compromise the visibility of nursing and make it difficult to emphasize the contribution of nursing knowledge to patient care. K E Y W O R D S clinical decision-making, documentation, functional health patterns, integrative review, nursing assessment, nursing process Resumo Objetivo: Avaliar o conteúdo e as propriedades psicométricas de instrumentos compreensivos de coleta de dados de enfermagem desenvolvidos com base no modelo dos Onze Padrões Funcionais de Saúde. Método: Revisão integrativa da literatura que seguiu o método de Whittemore e Knafl e os Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Realizou-se 294

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“…Hemşirelik sürecinin temeli olan hemşirelik kuram ve modelleri kullanılarak yapılan araştırmalar ise, güçlü bir hemşirelik biliminin vazgeçilmez ön koşuludur 5 . Kuramlar, olayları tanımlamak, açıklamak ve/veya kontrol etmek amacıyla kullanırken; modeller ise uygulamayı daha açık ve belirgin hale getirerek daha bilinçli karar vermeyi sağlar 1,6 . Hemşirelik uygulamalarında kullanılan kuram ve modeller bilgi ve uygulamayı sistematize ederek geleneksel uygulamalar ve sağduyu yerine, kaliteli ve standardize edilmiş bakım verilmesini sağlar [6][7][8] .…”

Section: Introductionunclassified

“…Kuramlar, olayları tanımlamak, açıklamak ve/veya kontrol etmek amacıyla kullanırken; modeller ise uygulamayı daha açık ve belirgin hale getirerek daha bilinçli karar vermeyi sağlar 1,6 . Hemşirelik uygulamalarında kullanılan kuram ve modeller bilgi ve uygulamayı sistematize ederek geleneksel uygulamalar ve sağduyu yerine, kaliteli ve standardize edilmiş bakım verilmesini sağlar [6][7][8] . Ayrıca, hasta bakımında kapsamlı bir değerlendirme yapılmasını sağlayarak hemşirelik bakımında gözden kaçabilecek birçok uygulamanın önüne geçilmesinde hatırlatıcı rolü bulunmaktadır 2,4 .…”

Section: Introductionunclassified

Exploration of the Graduate Thesis Studies Based on Theory and Model in Nursing

Türen

Atakoğlu

Kivanç

et al. 2020

İstanbul Gelişim Üniversitesi Sağlık Bilimleri Dergisi

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Hemşirelik kuram ve modellerine dayalı tasarlanan araştırmalar, hemşirelik bilgi birikimine katkı sağlamakla birlikte hemşirelik uygulamalarını da geliştirir. Bu çalışmanın amacı, ülkemizde hemşirelik alanında kuram ve modele dayalı yapılan lisansüstü tez çalışmalarının nitelik ve niceliğinin incelenmesidir. Yöntem: Çalışmanın örneklemini 2009-2019 yılları arasında Yüksek Öğretim Kurumu (YÖK) veri tabanına yüklenmiş, online tam metnine ulaşılabilen, hemşirelik kuram ve modellerine dayalı tasarlanmış 43 lisansüstü tez (11 yüksek lisans, 32 doktora) çalışması oluşturmuştur. Değerlendirme Fawcett ve Gigliotti'nin kuram/model kullanımında tanımladıkları basamaklar göz önünde bulundurularak yapılmıştır. Bu çalışmaya dâhil edilen tüm araştırmaların etik kurul onayının alınmış olmasına dikkat edilmiştir.

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A comparison of Gordon's functional health patterns model and standard nursing care in symptomatic heart failure patients: A randomized controlled trial

Cited by 13 publications

References 22 publications

Nursing knowledge captured in electronic health records

Nursing knowledge captured in electronic health records

An integrative review of comprehensive nursing assessment tools developed based on Gordon's Eleven Functional Health Patterns

Exploration of the Graduate Thesis Studies Based on Theory and Model in Nursing

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