Accuracy of Defining Characteristics for Nursing Diagnoses Related to Patients with Respiratory Deterioration

Vieira, Laura Fonseca; Fernandes, Vivian Rodrigues; Papathanassoglou, Elizabeth; Azzolin, Karina de Oliveira

doi:10.1111/2047-3095.12272

Cited by 3 publications

(3 citation statements)

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“…However based on the nurses' clinical judgment, the "Impaired spontaneous ventilation" ND was listed for the vast majority, considering the need for IMV upon admission and, subsequently, the need for prone maneuver. Furthermore, the NDs referring to the respiratory system are similar to each other and share similar defining characteristics; therefore, less accurate NDs end up being listed in certain situations (39) .…”

Section: Critically Ill Covid-19 Patients: a Sociodemographic And Cli...mentioning

confidence: 99%

Critically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload

et al. 2022

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Objective: To identify the sociodemographic and clinical profile of COVID-19 patients; measure workload and make associations between clinical variables. Methods: Cross-sectional study with 150 adult COVID-19 patients in an intensive care unit (from March to June 2020). Data from the electronic medical record in the first 24 hours of hospitalization: gender, age, education, origin, comorbidities, invasive mechanical ventilation, prone maneuver, renal replacement therapy, pressure injury, Braden, Nursing Activities Score, diagnoses, and nursing care. Descriptive statistical analysis, associations between clinical variables and age group. Results: Male (55.3%); mean age, 59 years; hypertensive (57.3%); obese (50.6%); diabetic (34%); invasive mechanical ventilation (66.7%); pronated (20.6%); hemodialysis (15.3%); Nursing Activities Score average, 86%. Twenty-eight nursing diagnoses and 73 cares were found. Conclusion: Patients required highly complex support. There was a significant association between pressure injury and workload with the prone maneuver. Nursing diagnoses and care reflect the needs of critical patients.

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Section: Critically Ill Covid-19 Patients: a Sociodemographic And Cli...mentioning

confidence: 99%

Critically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload

et al. 2022

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“…1 Estudo recente apurou que os enfermeiros têm feito diagnósticos assertivos para pacientes que requerem intervenções rápidas e efetivas para sua pronta recuperação. 13 Em relação aos diagnósticos de risco, dois DEs apresentaram alta frequência (> 50 %) e alta acurácia (valor médio calculado em 13,5), sendo eles: risco de infecção" (n=113; 92,6%) e "risco de integridade da pele prejudicada" (n=67; 54,9%).…”

Section: Discussionunclassified

“…10 Cabe ao enfermeiro avaliar e identificar os DEs que melhor expressam as respostas humanas do paciente/ família/comunidade assistidos e que representem o estado de saúde e doença dos pacientes, uma vez que o estabelecimento de DEs acurados contribui para a determinação de intervenções efetivas para o alcance de resultados satisfatórios durante a internação. [11][12][13] Recente revisão integrativa da literatura identificou que o desenvolvimento do raciocínio clínico melhora a capacidade diagnóstica dos enfermeiros; que o enunciamento de DEs acurados favorece a escolha de ações de Enfermagem mais adequadas para o alcance de resultados de saúde esperados. 14 A acurácia dos DEs pode ser estimada por meio de instrumentos de medida disponíveis na literatura nacional e internacional.…”

Section: Introductionunclassified

Acurácia dos diagnósticos de Enfermagem nos cuidados ao paciente crítico

Silva

Colaço

Bertoncello

et al. 2022

REME Rev Min Enferm.

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Objetivo: avaliar a acurácia dos diagnósticos de Enfermagem de pacientes internados em uma Unidade de Terapia Intensiva. Método: pesquisa quantitativa, documental, retrospectiva e transversal. Foram avaliados 122 prontuários de pacientes adultos internados na Unidade de Terapia Intensiva de um hospital público catarinense, no período de 12 meses, que continham o histórico de Enfermagem e os diagnósticos de Enfermagem documentados nas primeiras 24 horas de internação do paciente. A avaliação da acurácia dos diagnósticos de Enfermagem foi realizada por duas avaliadoras utilizando a Escala de Acurácia dos Diagnósticos de Enfermagem - versão 2. Resultados: foram avaliados 809 diagnósticos, contidos em 122 prontuários, documentados por nove enfermeiros. Houve predominância de diagnósticos de Enfermagem com alta acurácia (n=665; 82,2%). Diagnósticos com acurácia moderada (n=64; 7,9%), acurácia baixa (n=54; 6,6%) e acurácia nula (n=26; 3,2%) foram pouco frequentes. Conclusão: o alto grau de acurácia da maioria significativa dos diagnósticos de Enfermagem avaliados indica o nível de refinamento do raciocínio clínico diagnóstico dos enfermeiros.

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Indicators of clinical deterioration in adult general ward patients from nurses’ perspectives: a mixed-methods systematic review

Chung,

Jung

2024

BMC Nurs

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Background Early recognition and response to deteriorating patients in general wards are core competencies for nurses. Clinical deterioration is a worsening condition that increases the risk of morbidity and mortality. Although objective measures are commonly used, recent research suggests that subjective data and nurses’ intuitions can serve as valuable indicators for early detection of deterioration in patients. This study aims to comprehensively identify and classify the indicators used to detect clinical deterioration in patients hospitalized in general wards from nurses’ perspectives. Methods This is a mixed-methods systematic review followed a Joanna Briggs Institute Methodology convergent integrated approach. Four electronic databases (PubMed, CINAHL, Embase, and Scopus) were searched. Studies were screened based on the population of interest (nurses), the phenomenon of interest (patient deterioration), the context (adult care in acute hospital settings), the study type (original studies), and publication in English peer-reviewed journals from January 2014 to December 2023. Two authors independently conducted all screening steps and assessed the methodological quality of the included studies. Any disagreements were resolved through discussion. This review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis. Results Twenty-one studies met the eligibility criteria. Key indicators included vital signs, intake and output, laboratory data, and observational data. Nurses also relied on subjective data from patients’ complaints and their own intuition to predict patient deterioration. The frequency and pattern of specific nursing interventions also play an important role. Conclusions This review identified vital indicators from nurses’ perspectives, underscoring the value of subjective observations, intuition, and specific nursing interventions in predicting patient deterioration. Integrating subjective factors with objective data can improve early recognition of and response to clinical deterioration, thereby enhancing patient safety and outcomes. This review provides a foundation for future research aimed at quantifying subjective elements, such as patient complaints and nurses’ intuitions, to be included in nursing records as key indicators for predicting patient deterioration. Trials registration This study was registered with PROSPERO under the registration number CRD42024552344. Supplementary Information The online version contains supplementary material available at 10.1186/s12912-024-02531-6.

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Accuracy of Defining Characteristics for Nursing Diagnoses Related to Patients with Respiratory Deterioration

Cited by 3 publications

References 17 publications

Critically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload

Critically ill COVID-19 patients: a sociodemographic and clinical profile and associations between variables and workload

Acurácia dos diagnósticos de Enfermagem nos cuidados ao paciente crítico

Indicators of clinical deterioration in adult general ward patients from nurses’ perspectives: a mixed-methods systematic review

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