Pflegediagnosen bei Patienten und Patientinnen psychiatrischer Aufnahmestationen in der Schweiz und in Österreich: Gemeinsamkeiten und Unterschiede

Abstract

In Austria and Switzerland, nursing diagnoses in psychiatric nursing have been used increasingly over the last few years. To date, few empirical studies on the clinical use of nursing diagnoses in psychiatric nursing have been conducted. The purpose of this study was to examine the frequency and content of documented nursing diagnoses and to compare the utilization of nursing diagnoses in Austria and Switzerland. We prospectively registered all documented nursing diagnoses in an unselected sample of 330 patients consecutively discharged from eleven acute (admission) wards in five psychiatric hospitals in Switzerland and Austria. 635 nursing diagnoses were located. 83% of the patients had at least one nursing diagnosis (mean = 2, median = 1). 20% of the nursing diagnoses were documented on admission day and 90% of the diagnoses were formulated using NANDA terminology. The most frequently used categories were coping-related diagnoses, disturbed thought processes, and self care deficits. In comparison to Switzerland, nursing diagnoses are implemented more consequently in Austria. There seem to be differences between the two countries in the application of the diagnostic process. We conclude from the study's results that the application of nursing diagnoses is possible on acute psychiatric wards with a short length of stay of patients. 20 NANDA diagnoses account for a large portion of the care problems of acute psychiatric patients. Local differences in the use of the diagnostic process deserve further examination.

Implementation of the Austrian Nursing Minimum Data Set (NMDS-AT): A Feasibility Study

“…Therefore, this study might have yielded different results in other organisations or settings. However, in Austria, compared with other countries [ 46 – 48 ], the nursing diagnoses are implemented in a more uniform way due to mandatory legislative requirements (GuKG, 1997) [ 16 ]. Before broader implementation of NMDS-AT in another hospital, the NMDS-AT should be tested in paper-based form to test data availability and extraction guidelines.…”