Nursing and collaborative diagnoses on perioperative patients with and without using six steps of diagnostic reasoning methods

Suarni, Lisa; Nurjannah, Intansari; Apriyani, Heni

doi:10.18203/2320-6012.ijrms20151528

Cited by 4 publications

(3 citation statements)

References 9 publications

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“…In a paper about systematizing an experience in adolescent care 18 , the authors identified in first place, in this age group, the label willingness to improve knowledge. Another study, on nursing diagnoses and patient collaboration during the perioperative period 19 , carried out in the province of Lampur (Indonesia), also identified the same label in first place; another study carried out in Minas Gerais (Brazil) on nursing diagnoses and interventions in hypertensive and diabetic individuals, according to Orem's theory 20 , the label was identified in third place.…”

Section: Discussionmentioning

confidence: 92%

Diagnostic labels of NANDA-I in a southern region of Spain

González-Rodríguez

Martelo-Baro

Bas-Sarmiento

2017

Rev. Latino-Am. Enfermagem

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Objective: to determine the incidence of NANDA-I diagnostic labels (North American Nursing Diagnosis Association-International) and to establish the distribution of cases of assistance and the associated labels, according to sociodemographic variables (age and sex).Method: descriptive, cross-sectional epidemiological study of labels of NANDA-I, under ecological design. The distribution of labels was analyzed according to sex and age; the corresponding frequencies were calculated and for each label the incidence were calculated rates with aggregate data from the attended cases.Results: the total number of cases of care under study was 9,928 (41.65% men and 58.35% women). The identified labels were 16,456 (7,084 men and 9,372 women); average of 1.7 labels per case of care; Out of 216 labels proposed by NANDA-I, in its 2012-14 classification, 152 were used, representing 70.4%. The labels with the highest incidence rates per thousand inhabitants were: Anxiety, Willingness to Improve Knowledge and Risk of Infection.Conclusions: the study allowed detecting, through NANDA-I, the answers to the health problems of greater incidence in the users attended.

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Section: Discussionmentioning

confidence: 92%

Diagnostic labels of NANDA-I in a southern region of Spain

González-Rodríguez

Martelo-Baro

Bas-Sarmiento

2017

Rev. Latino-Am. Enfermagem

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“…According to Suarni, Nurjannah, & Apriyani (2015), the nurses need a supportive tool in the nursing diagnostic process in order to diagnose more accurately. In addition, the using of ISDA/Intan's Screening Diagnosis Assessment as one of the nursing tools in nursing diagnostic revealed more accurate nursing diagnosis identification by the nurses compared to four steps of nursing diagnosis establishment (22) .…”

Section: Discussionmentioning

confidence: 99%

The Nurses’ Nursing Diagnosis Identification in Public Hospital, Indonesia

2020

IJPHRD

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The nursing process is a pivotal action in nurses' clinical practice. It enquires appropriate assessment and critical thinking with several steps of data analysis. One step in the nursing process is the nursing diagnosis establishment. Nursing diagnosis is the nurse's clinical decision for patients' response in the level of individual, family, group and community. The aim of this study was to identify the nursing diagnosis identification in RSUP H. Adam Malik Hospital, Medan. The study sample was 90 nurses who were taken randomly with a convenience sampling technique. The instrument consists of two instruments that are the demographic data and the list of 245 NANDA-International (NANDA-I) nursing diagnoses labels 2015-2017.The result showed that all the nurses identified all the NANDA-I nursing diagnoses as nursing diagnosis. And, there are 10 nursing diagnoses were frequently used by nurses in Adam Malik Hospital. The diagnosis was: activity intolerance (88.8%), impaired comfort (86.6%), decreased cardiac output (81.1%), anxiety (78.8%), impaired gas exchange (77.7%), impaired physical mobility (75.5%), impaired skin integrity (74.4%), risk for infection (72.2%), acute pain (71.1%), and sleep pattern disturbance (71.1%). It is recommended in the future to explore more the main nursing diagnosis among the patients in order to implement the appropriate nursing interventions in clinical practice.

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“…Evidence Base yang telah dilakukan oleh Suarni, dkk pada area perioperative mendapatkan hasil bahwa Diagnosa yang ditegakkan oleh perawat lebih sedikit dibanding dengan diagnosa dengan 6 steps, dengan menggunakan The 6 steps method of diagnostic reasoning diagnosa yang ditegakkan lebih beragam, lebih heterogen pada kondisi preoprative sedangkan pada kondisi intra dan Postoperative lebih homogen, lebih komprehensif, membuktikan bahwa pemilihan metode yang tepat dalam setiap proses keperawatan menentukan kualitas standar asuhan yang dibuat (Suarni, Nurjannah, Apriyani, 2015), dan penelitian tahap ke dua dengan avidance base NIC dan NOC yang disusun berdasarkan Intan Clinical Reasoning Method (ICRM) menghasilkan beberapa NIC dan NOC yang aplikatif di area perioperative RSUD Mayjend HM Ryacudu Lampung Utara (Suarni, Apriyani, 2015).…”

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Efektifitas The 6 Steps Reasoning Diagnosis Method dan Intan,s Clinical Reasoning Model (ICRM) dalam Penentuan Standar Asuhan Keperawatan (SAK) pada Setting Keperawatan Maternitas

Suarni¹

2017

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Effectivity of The 6 Steps Reasoning Diagnosis Method and Intan's ClinicalReasoning Model (ICRM) in Nursing Care Standard Determination on Maternity Nursing Setting. Nurses doing their task and function need to have a standard to be able to be controlled, to be paid, to be taught, to be applied, and to be a hospital legal decision, thus the arrangement of the standard should be adjusted according to patient and hospital condition. The nursing care standard arrangement with ISDA and ICRM approach will be tested in this study. This study aimed to identify nursing diagnosis with The 6 steps of diagnostic reasoning method, to identify NIC, NOC and to test effectivity of the arranged nursing care standard. Methods: Stage I: identify nursing diagnosis in the six most prevalent cases patients in the ward using the six steps. Stage II: according to the nursing diagnosis that has been identified researcher decides NIC choice using Intan's Clinical Reasoning Model (ICRM), then selected NOC and NIC be tested its effectivity using t-test analysis. Stage I result shows that using the 6 steps of diagnostic reasoning method in section caesarean patients researcher identifies 13 diagnoses, 9 diagnoses in spontaneous birthing, 7 diagnoses in antepartum hemorrhage, 2 diagnoses in postpartum hemorrhage, 7 diagnoses in preeclampsia/ eclampsia, 4 diagnoses in early amniotic membrane rupture, 36 (94.4%) NOCs identification and 28 (93.3%) NICs are applicative. Meanwhile, on stage II which is to test the nursing care standard effectivity, 16 nursing care standard are effective with p-value<0.05. Keywords: Diagnoses, NOC, NIC, Maternity Abstrak: Efektifitas The 6 Steps Reasoning Diagnosis Method dan Intan,s Clinical Reasoning Model (ICRM) dalam Penentuan Standar Asuhan Keperawatan (SAK) pada SettingKeperawatan Maternitas. Perawat dalam melaksanakan tugas dan fungsinya perlu memiliki suatu standar agar dapat dikontrol, dibiayai, diajarkan, dapat diaplikasikan dan menjadi kebijakan rumah sakit, oleh karena itu penyusunan standar harus disesuaikan dengan kondisi pasien dan Rumah Sakit. Penyusunan Standar Asuhan Keperawatan (SAK) dengan pendekatan ISDA dan ICRM akan diujicobakan dalam penelitian ini. Penelitian ini bertujuan Untuk mengidentifikasi diagnosa keperawatan dengan pendekatan The 6 steps of diagnostic reasoning method, Mengidentifikasi NIC, NOC dan menguji efektifitas SAK yang disusun. Methode yang digunakan: Tahap I: Mengidentifikasi diagnosa keperawatan pada klien kasus 6 terbesar di Ruangan dengan menggunakan 6 steps.Tahap II : Berdasarkan diagnosa keperawatan yang teridentifikasi ditentukan pilihan NIC dengan menggunakan Intan's Clinical Reasoning Model (ICRM, selanjutnya NOC dan NIC terpilih dinilai efektifitasnya dengan menggunakan analisis t test. Hasil penelitian tahap I menunjukan bahwa dengan menggunakan The 6 steps of diagnostic reasoning method pada klien seksio caessarea teridentifikasi 13 diagnosa, persalinan spontan 9 diagnosa, perdarahan antepartum 7 diagnosa, perdarahan post partum 2 diagnosa, preeklamps...

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Nursing and collaborative diagnoses on perioperative patients with and without using six steps of diagnostic reasoning methods

Cited by 4 publications

References 9 publications

Diagnostic labels of NANDA-I in a southern region of Spain

Diagnostic labels of NANDA-I in a southern region of Spain

The Nurses’ Nursing Diagnosis Identification in Public Hospital, Indonesia

Efektifitas The 6 Steps Reasoning Diagnosis Method dan Intan,s Clinical Reasoning Model (ICRM) dalam Penentuan Standar Asuhan Keperawatan (SAK) pada Setting Keperawatan Maternitas

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