Reliability of Nursing Diagnoses Documented in a Computerized Nursing Information System

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

“…Ehrenberg and Ehnfors (1999a) analysed 120 nursing records and reported deficiencies in the systematic appraisal of signs/symptoms, and a weak correlation between signs/symptoms and nursing diagnoses. Delaney found the defining sign 'disturbed coordination' in 70%, and 'muscle weakness' in 61% of the diagnosis 'restricted mobility'; and she found the aetiologies 'paralysis' in 48% and 'paresis' in 41% (Delaney et al 2000). Mü ller Staub (2000 found that the aetiology and signs/symptoms were either not documented or insufficiently described.…”

Improved Quality of Nursing Documentation: Results of a Nursing Diagnoses, Interventions, and Outcomes Implementation Study

“…Different authors have agreed that nurses must be better educated concerning the use of nursing diagnoses, signs, and symptoms, as well as the etiology (Courtens & Huijer Abu‐Saad, 1998; Delaney, Herr, Maas, & Specht, 2000; Delaney & Moorhead, 1997; Ehrenberg & Ehnfors, 1999; Rivera & Parris, 2002). Investigations in Canada reported that nurses had difficulties with making a diagnosis and that 44% of the nursing diagnoses were not based on etiological factors (Smith‐Higuchi et al., 1999).…”

“…Investigations in Canada reported that nurses had difficulties with making a diagnosis and that 44% of the nursing diagnoses were not based on etiological factors (Smith‐Higuchi et al., 1999). In order to achieve quality in practice and consistency among nursing diagnoses, nursing interventions, and nursing outcomes, nurses need knowledge about the taxonomies of nursing diagnoses, interventions, and outcomes, and be able to implement this knowledge in nursing care planning (Delaney et al.; Müller‐Staub et al., 2006). Researchers have recommended that nursing diagnoses should not be examined in isolation, but rather in connection with nursing objectives, nursing interventions, and nursing outcomes (Bostick, Riggs, & Rantz, 2003; Delaney et al.; Larrabee et al., 2001; Müller‐Staub et al., 2006).…”

Implementing nursing diagnostics effectively: cluster randomized trial

“…1999). Researchers have reported that nurses must be better trained in relation to nursing diagnoses, signs and symptoms as well as their aetiology (Delaney et al. 2000, Rivera & Parris 2002, Lunney 2003).…”