Nursing diagnoses, interventions and outcomes – application and impact on nursing practice: systematic review

Müller‐Staub, Maria; Lavin, Mary Ann; Needham, Ian; Achterberg, Theo van

doi:10.1111/j.1365-2648.2006.04012.x

Cited by 146 publications

(202 citation statements)

References 39 publications

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“…In some diagnoses, there was a confusion and a change between the defining characteristic and the related factor, leading to a constant concern. Corroborating with the results of the present study, a systematic review showed that there is a difficult in the process to prepare nursing diagnoses concerning the capacity to associate them with signs, symptoms and etiology that characterize and determine that diagnosis (9) .…”

Section: Discussionsupporting

confidence: 78%

“…Record analysis of nursing diagnoses in the charts can contribute to identify permanent education needs, as well as to estimate the participation of nurses in the outcomes reached by patients (9) and to generate useful data to the management and administration sectors (10) . It is also relevant to the identification of specific diagnoses of a certain unit and because of that it will enhance the process of preparing diagnoses, improving their accuracy and, above all, contributing to the planning of more accurate and adequate interventions to the profile of the clientele cared for (11) .…”

Section: Introductionmentioning

confidence: 99%

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Diagnósticos de enfermagem de pacientes internados em enfermaria de Moléstias Infecciosas

et al. 2010

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Objectives: To identify nursing diagnoses of admitted patients into a Unit of Infectious and Parasitic Diseases (ID) at a university hospital; and to analyze: the denomination, the related factors and the diagnoses' defining characteristics and its compatibility with the NANDA Taxonomy 2008. Methods: It was a descriptive, cross-sectional and retrospective study, covering 50 medical records of patients admitted in July 2008. The diagnoses were compared to those proposed by the NANDA Taxonomy 2008. Results: Were found 105 real diagnoses and 18 of risk; 12 diagnoses (10%) corresponded fully with the Nanda taxonomy. The more frequently denominations were "Risk of infection"(100%) and "Anxiety"(32%). In the real diagnosis the denominations, the related factors and the defining characteristics, were in accordance with Nanda taxonomy in 76%, 27% and 23% respectively; in the diagnosis of risk the denominations and risk factors were adequate in 83% and 72%. Conclusions: The main difficulty encountered during the construction of nursing diagnoses was the appropriate choice of related factors and defining characteristics. The authors suggest discussion of concepts and review the practice adopted in the unit. Keywords: Nursing diagnosis; Inpatients; Nursing assessment RESUMO Objetivos: Identificar os diagnósticos de enfermagem de pacientes internados na Unidade de Moléstias Infecciosas e Parasitárias (MI) de um hospital universitário; e analisar título, fator relacionado e características definidoras dos diagnósticos e sua adequação à Taxonomia NANDA 2008. Métodos: Estudo descritivo, transversal e retrospectivo abrangendo 50 prontuários de pacientes internados em julho de 2008. Os diagnósticos foram comparados aos propostos pela Taxonomia NANDA 2008. Resultados: Foram encontrados 105 diagnósticos reais e 18 de risco; 12 diagnósticos (10%) correspondiam totalmente à taxonomia. Os títulos atribuídos com mais frequência foram: "Risco de infecção" (100%) e "Ansiedade" (32%). Títulos, fatores relacionados e características definidoras estavam, de acordo com a taxonomia em, respectivamente, 76%, 27% e 23% dos diagnósticos reais; títulos e fatores de risco eram adequados em 83% e 72% dos diagnósticos de risco. Conclusão: A principal dificuldade observada na construção dos diagnósticos de enfermagem foi a escolha apropriada de fatores relacionados e características definidoras. Os autores sugerem discussão dos conceitos e revisão da prática adotada na unidade. Descritores: Diagnóstico de Enfermagem; Pacientes internados; Avaliação em Enfermagem RESUMEN Objetivos: Identificar los diagnósticos de enfermería de pacientes ingresados en la Unidad de Enfermedades Infecciosas y Parasitarias (EI) en un hospital universitario; y, examinar la denominación, los factores relacionados y las características que definen los diagnósticos, y su adecuación a la nomenclatura de la taxonomía NANDA 2008. Métodos: Se trata de un estudio descriptivo, transversal y retrospectivo que abarca 50 historias clínicas de pacientes ingresados en julio de ...

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Section: Discussionsupporting

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Diagnósticos de enfermagem de pacientes internados em enfermaria de Moléstias Infecciosas

et al. 2010

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“…The literature related to nursing diagnoses, the validation of data collection instruments, the evaluation of the trauma patient and the evaluation of the critical patient in an emergency situation defined the model (construction) of the data collection instrument (10)(11)(12)(13) . The NANDA2009-11 was used as a guide for selecting the diagnoses (5) .…”

Section: Methodsmentioning

confidence: 99%

Nursing diagnoses in trauma victims with fatal outcomes in the emergency scenario

Sallum

Santos

Lima

2012

Rev. Latino-Am. Enfermagem

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The objective of this study was to identify and analyze the nursing diagnoses that constitute risk factors for death in trauma victims in the first 6 hours post-event. This is a cross-sectional, descriptive and exploratory study using quantitative analysis. A total of 406 patients were evaluated over six months of data collection in a tertiary hospital in the municipality of São Paulo, according to an instrument created for this purpose. Of the total, 44 (10.7%) suffered death. Diagnósticos de enfermería en víctimas fatales provenientes de trauma en el escenario de la atención de emergenciaEl objetivo de este estudio fue identificar y analizar diagnósticos de enfermería que constituyen factores de riesgo para muerte en víctimas de trauma en las primeras 6 horas después del evento. Se trata de un estudio transversal, descriptivo y exploratorio con análisis cuantitativo. Se evaluó 406 pacientes durante seis meses de recolección en un hospital terciario del Municipio de São Paulo, según instrumento creado para esa finalidad. Del total, 44 (10,7%) evolucionaron para muerte. El análisis multivariado apuntó los diagnósticos de enfermería: patrón respiratorio ineficaz, ventilación espontánea perjudicada, riesgo de sangramiento y riesgo de perfusión tisular gastrointestinal ineficaz, como factores de riesgo para muerte; la desobstrucción ineficaz de vías aéreas, confort perjudicado y dolor agudo como factores de protección, datos que pueden orientar a los equipos de salud para realizar acciones intervencionistas diferenciadas frente a la complejidad del trauma.

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“…Despite a certain degree of consensus about the fact that the nursing process can contribute to a more autonomous and evidence-based practice, in nursing, few institutions actually adopt all of its steps (11) . To underline the importance of the nursing process, a systemic review carried out in 2007 identified 14 studies that proved the better quality of nursing documentation/assessments when the nursing diagnosis was applied (12) . The systemization of the nursing process supports the development of interdisciplinary and humanized care methodologies, serving as a work process.…”

Section: Iabp-related Complicationsmentioning

confidence: 99%

Complications of intra-aortic balloon in a cohort of hospitalized patients: implications for nursing care

Assis¹,

Azzolin

Boaz

et al. 2009

Rev. Latino-Am. Enfermagem

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Nursing diagnoses, interventions and outcomes – application and impact on nursing practice: systematic review

Cited by 146 publications

References 39 publications

Diagnósticos de enfermagem de pacientes internados em enfermaria de Moléstias Infecciosas

Diagnósticos de enfermagem de pacientes internados em enfermaria de Moléstias Infecciosas

Nursing diagnoses in trauma victims with fatal outcomes in the emergency scenario

Complications of intra-aortic balloon in a cohort of hospitalized patients: implications for nursing care

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