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Enhancing nursing care through technology and standardized nursing language: The TEC-MED multilingual platform. 通过技术和标准化护理语言加强护理:TEC-MED 多语言平台。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-10-23 DOI: 10.1111/2047-3095.12493
Ana-María Porcel Gálvez, Marta Lima-Serrano, Regina Allande-Cussó, Maria-Giulia Costanzo-Talarico, María-Dolores Mateos García, Mercedes Bueno-Ferrán, Elena Fernández-García, Fabio D'Agostino, José-Manuel Romero-Sánchez

Purpose: This study describes the design, integration, and semantic interoperability process of a minimum data set using standardized nursing language in the caring module of the TEC-MED care platform.

Methods: The caring module was developed in three phases (2020-2022): platform concept, functional design and construction, and testing and evaluation. Phases involved collaboration among academics, information technology developers, and social/healthcare professionals. Nursing taxonomies (NANDA-I, NOC, NIC) were integrated to support the nursing process. The platform was piloted in six Mediterranean countries.

Findings: The final platform features an assessment module with eight dimensions for data collection on older adults and their caregivers. A clinical decision support system links assessment data with nursing diagnoses, outcomes, and interventions. The platform is available in six languages (English, Spanish, French, Italian, Greek, and Arabic). Usability testing identified the need for improved Arabic language support.

Conclusions: The TEC-MED platform is a pioneering tool using standardized nursing language to improve care for older adults in the Mediterranean. The platform's multilingualism promotes accessibility. Limitations include offline use and mobile app functionality. Pilot testing is underway to evaluate effectiveness and facilitate cross-cultural validation of nursing taxonomies.

Implications for nursing practice: The TEC-MED platform offers standardized nursing care for older adults across the Mediterranean, promoting consistent communication and evidence-based practice. This approach has the potential to improve care quality and accessibility for a vulnerable population.

目的:本研究描述了在 TEC-MED 护理平台的护理模块中使用标准化护理语言的最小数据集的设计、整合和语义互操作过程:护理模块的开发分为三个阶段(2020-2022 年):平台概念、功能设计和构建以及测试和评估。各阶段涉及学者、信息技术开发人员和社会/医疗保健专业人员之间的合作。整合了护理分类标准(NANDA-I、NOC、NIC),以支持护理流程。该平台在六个地中海国家进行了试点:最终的平台有一个评估模块,从八个方面收集老年人及其护理人员的数据。临床决策支持系统将评估数据与护理诊断、结果和干预措施联系起来。该平台有六种语言版本(英语、西班牙语、法语、意大利语、希腊语和阿拉伯语)。可用性测试表明,需要改进阿拉伯语支持:TEC-MED 平台是使用标准化护理语言改善地中海地区老年人护理的开创性工具。该平台的多语言性提高了其可访问性。不足之处包括离线使用和移动应用程序功能。目前正在进行试点测试,以评估有效性并促进护理分类标准的跨文化验证:TEC-MED 平台为地中海地区的老年人提供标准化护理服务,促进一致的沟通和循证实践。这种方法有可能提高护理质量和弱势群体的可及性。
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引用次数: 0
Content validation of the NANDA-I nursing diagnosis risk for perioperative hypothermia (00254). NANDA-I 围手术期低温症护理诊断风险的内容验证 (00254)。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-09-23 DOI: 10.1111/2047-3095.12491
Manuel Schwanda, Silvia Brunner, Miriam de Abreu Almeida, Martina Koller, Maria Müller Staub, Andre Ewers

Purpose: The objectives of this study were to refine and validate the NANDA-I nursing diagnosis risk for perioperative hypothermia (RPH) (00254).

Methods: A quantitative, descriptive study was carried out according to the adapted diagnostic content validation model by Fehring. Data from a previously conducted literature study were triangulated with expert validation data to examine the nursing diagnosis RPH as well as potentially suggested new factors resulted from the literature review. In addition, the Wisdom of Crowds model was also considered. A nonprobability sampling technique, including purposive and snowball sampling methods, was used to recruit a panel of nurse experts. An anonymous and standardized questionnaire was developed in three languages for data collection. For validation, descriptive statistics, weighted ratios, and a one-sample T-test were used.

Results: Ninety-two nurse experts from seven countries and three continents participated in this study. Fifty-eight nurse experts (63%) were female, and 33 (36%) were male, with a mean age of 42.26 years and 19.22 years of working experience. The diagnosis label, definition, 4 out of 5 risk factors (RF), 6 out of 14 at-risk populations (ARPs), and 5 out of 9 associated conditions (ACs) were classified as major. One RF, eight ARP, and four ACs were considered minor. In addition, the experts validated 1 RF, 5 ARP, and 12 ACs from a previous literature study at least minor.

Conclusions: The nursing diagnosis RPH (00254) could be confirmed by specialized experts. No RF, ARP, or AC of the current nursing diagnosis needed to be rejected, and the added diagnostic indicators increased the robustness of the diagnosis.

Implications for nursing practice: A precise concept of the nursing diagnosis RPH improves nurses' clinical reasoning and strengthens an individualized, evidence-based care plan.

目的:本研究旨在完善和验证 NANDA-I 围术期低体温(RPH)(00254)护理诊断风险:方法:根据 Fehring 改编的诊断内容验证模型,开展了一项定量描述性研究。将之前进行的文献研究数据与专家验证数据进行三角测量,以检查护理诊断 RPH 以及文献综述中可能提出的新因素。此外,还考虑了群体智慧模型。研究采用了非概率抽样技术,包括目的性抽样和滚雪球抽样法,以招募护士专家小组成员。为收集数据,用三种语言编制了匿名标准化问卷。在验证时,使用了描述性统计、加权比率和单样本 T 检验:来自三个大洲七个国家的 92 名护士专家参加了此次研究。其中 58 名护士专家(63%)为女性,33 名(36%)为男性,平均年龄为 42.26 岁,工作年限为 19.22 年。诊断标签、定义、5 个风险因素(RF)中的 4 个、14 个高危人群(ARP)中的 6 个以及 9 个相关病症(AC)中的 5 个被归类为主要病症。1 个 RF、8 个 ARP 和 4 个 AC 被认为是次要的。此外,专家们还将之前文献研究中的 1 个 RF、5 个 ARP 和 12 个 AC 鉴定为至少轻微:结论:护理诊断 RPH(00254)可由专业专家确认。结论:护理诊断 RPH(00254)可以得到专业专家的确认,目前护理诊断中没有任何 RF、ARP 或 AC 需要否定,新增的诊断指标提高了诊断的稳健性:对护理实践的启示:精确的护理诊断 RPH 概念可提高护士的临床推理能力,加强个体化、循证护理计划。
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引用次数: 0
Content validation of the nursing diagnosis “Insufficient breast milk production (00216)” 护理诊断 "母乳分泌不足(00216)"的内容验证
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-09-18 DOI: 10.1111/2047-3095.12492
Beatriz Pera Almeida‐Hamasaki, Bruna Cristina Ribeiro, Suellen Cristina Dias Emidio, Simoní Saraiva Bordignon, Dorothy A. Jones, Elenice Valentim Carmona
PurposeTo review and validate the elements of the nursing diagnosis (ND) “Insufficient breast milk production” (00216) based on the literature and expert consensus, and to construct operational definitions (ODs) for its defining characteristics (DCs).MethodsIt is a methodological study carried out in two phases. In the first phase, a scoping review was conducted, and in the second, a committee of experts reviewed the elements’ content. Items with a Content Validity Index ≥0.8 were validated for relevance, clarity, and precision. Discussions were conducted until a consensus was reached on all items and criteria evaluated. The Ethics Committee approved the study.FindingsThe final scoping review sample consisted of 61 articles, and 19 experts evaluated the content of the ND. All DCs were revised. Three at‐risk populations, three associated conditions, and one related factor were added. Three elements had their category changed, and an element was deleted. Experts also validated ODs developed for all DCs.Conclusion“Insufficient breast milk production (00216)” was validated by experts. This study improved the ND through literature and expert consensus. New elements were added, and existing ones were revised.Implications for Nursing PracticeThis study improves this ND based on scientific evidence and clinical expertise and potentially improves nurses’ diagnostic accuracy through ODs.
目的 基于文献和专家共识,回顾和验证护理诊断(ND)"母乳分泌不足"(00216)的要素,并为其定义特征(DCs)构建操作定义(ODs)。第一阶段是范围审查,第二阶段是专家委员会对要素内容进行审查。对内容效度指数≥0.8 的项目进行了相关性、清晰度和精确度验证。在就所有评估项目和标准达成共识之前,委员会一直在进行讨论。研究结果最终的范围界定审查样本包括 61 篇文章,19 位专家对 ND 的内容进行了评估。修订了所有 DC。增加了三个高危人群、三个相关条件和一个相关因素。三个要素的类别发生了变化,一个要素被删除。专家还验证了为所有 DC 制定的 OD。本研究通过文献和专家共识改进了 ND。本研究基于科学证据和临床专业知识对 ND 进行了改进,并通过 OD 潜在地提高了护士的诊断准确性。
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引用次数: 0
Determining awareness of and readiness for standardized nursing languages in a mid-level midwestern hospital and associated school of nursing. 确定一家中西部中级医院和相关护理学校对标准化护理语言的认识和准备情况。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-08-23 DOI: 10.1111/2047-3095.12487
Cheryl Wagner, Karen Cummins, Megan Dean

Purpose: The purpose of this study was to examine knowledge, attitude, and barriers toward care planning documentation practices with standardized nursing languages (SNLs) of nurses and nursing students at a midwestern healthcare system, comparing student and nurse responses.

Methods: Cross-sectional surveys were given over a 2-month period with nurses and nursing students at different sites in a midwestern healthcare system, using convenience sampling. The Knowledge, Attitude, and Barriers to Using Standardized Nursing Languages and Current Practices Survey was adapted for use and re-tested for validity/reliability (Content Validity Index 0.81-1.00; Cronbach alpha = 0.82-0.99) with 28 Likert scale items measuring knowledge, attitude, and barriers. Descriptive statistics, composite scores, correlations, t-tests, and multiple regression were used to analyze the concepts of the tool.

Findings: 134/400 RNs responded (34%); 109/116 students responded (93.9%). Data analyses indicate adequate to superior levels of knowledge related to SNLs and NANDA International, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC), collectively referred to as NNN (NANDA, NIC, & NOC), positive attitudes toward SNLs/NNN and for adopting SNLs/NNN into documentation practices, but moderate to great barriers for implementation in practice. Barriers included lack of financial resources for change, lack of mentors, and lack of mandates to use SNLs. Students scored significantly higher than nurses in attitude only.

Conclusions: Perceptions of nurses and student nurses for current documentation indicate awareness of inadequacy in existing systems and willingness to change existing systems for standardized languages, with perceived barriers to change/implementation of SNLs. Students were more positive about SNLs than nurses.

Implications for nursing practice: Major implications for nursing are to reevaluate electronic documentation systems and determine how to insert and easily apply SNLs in these systems, such that nursing care documentation is standardized, interoperable, effective, time-saving, and attainable.

目的:本研究旨在考察中西部医疗保健系统的护士和护理专业学生对使用标准化护理语言(SNLs)进行护理计划文件记录的知识、态度和障碍,并比较学生和护士的回答:方法:采用便利抽样法,对中西部医疗保健系统不同地点的护士和护理专业学生进行了为期 2 个月的横断面调查。对使用标准化护理语言的知识、态度和障碍以及当前做法调查进行了改编,并对其有效性/可靠性进行了重新测试(内容有效性指数为 0.81-1.00;Cronbach alpha = 0.82-0.99),其中有 28 个李克特量表项目用于测量知识、态度和障碍。使用描述性统计、综合得分、相关性、t 检验和多元回归来分析工具的概念:134/400 名护士作了回答(34%);109/116 名学生作了回答(93.9%)。数据分析显示,护士对 SNLs 和 NANDA 国际、护理干预分类(NIC)以及护理结果分类(NOC)(统称为 NNN(NANDA、NIC 和 NOC))的相关知识有足够到较高的了解,对 SNLs/NNN 以及将 SNLs/NNN 纳入文件记录实践持积极态度,但在实践中实施 SNLs/NNN 存在中度到严重障碍。障碍包括缺乏变革所需的财政资源、缺乏导师以及缺乏使用 SNL 的授权。仅在态度方面,学生的得分明显高于护士:护士和护士学生对当前文件的看法表明,他们意识到现有系统的不足,并愿意改变现有系统,使用标准化语言,同时也意识到改变/实施 SNL 的障碍。与护士相比,学生对标准化语言的态度更为积极:对护理实践的启示:对护理实践的主要启示是重新评估电子文档系统,确定如何在这些系统中插入并轻松应用 SNL,从而使护理文档标准化、可互操作、有效、省时且可实现。
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引用次数: 0
Nursing diagnoses related to cardiovascular function in primary care: A scoping review: Diagnósticos de enfermagem relacionados a função cardiovascular na atenção primária: Scoping review. 初级护理中与心血管功能相关的护理诊断:范围界定综述:初级护理中与心血管功能相关的护理诊断:范围界定综述。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-08-23 DOI: 10.1111/2047-3095.12489
João Cruz Neto, Marcos Venícios de Oliveira Lopes

Objective: To map nursing diagnoses related to cardiovascular function reported in studies involving patients in primary care.

Method: A scoping review follows JBI guidelines. Literature searches were conducted from March to May 2024. Studies included focused on nursing diagnoses for adults and older adult patients with cardiovascular conditions in primary care settings. Results were systematically presented in tables and narratively.

Findings: Among the 12 included studies, the most prevalent diagnosis was "noncompliance" (00079), removed from NANDA-I in 2017. Sixteen other diagnoses were identified, indicating a broader clinical profile of individuals with cardiovascular health issues in primary care. Most studies involved patients with hypertension in Brazil.

Conclusions: Key nursing diagnoses for patients with cardiovascular conditions in primary care were identified. Ineffective health management emerged as a common characteristic among this population.

Implications for nursing practice: Identifying prevalent diagnoses allows nurses to reinforce their commitment to managing cardiovascular conditions, improve care plans, and generate practice indicators for services, thus enhancing the quality of care provided.

目的绘制涉及初级保健患者的研究报告中与心血管功能相关的护理诊断图:按照 JBI 指南进行范围界定审查。文献检索时间为 2024 年 3 月至 5 月。纳入的研究主要针对初级医疗机构中患有心血管疾病的成人和老年患者的护理诊断。研究结果以表格和叙述的形式进行了系统呈现:在纳入的 12 项研究中,最普遍的诊断是 2017 年从 NANDA-I 中删除的 "不遵医嘱"(00079)。此外,还发现了其他16种诊断,这表明初级保健中心血管健康问题患者的临床概况更为广泛。大多数研究涉及巴西的高血压患者:确定了基层医疗机构心血管疾病患者的主要护理诊断。对护理实践的意义:对护理实践的启示:确定普遍存在的诊断可使护士加强对心血管疾病管理的承诺,改进护理计划,并产生服务实践指标,从而提高所提供护理的质量。
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引用次数: 0
Nursing interventions for the proposed nursing diagnosis of puerperal fatigue: An integrative review. 针对产褥期疲劳这一拟议护理诊断的护理干预措施:综合综述。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-08-21 DOI: 10.1111/2047-3095.12490
Bruna Valentina Zuchatti, Raisa Camilo Ferreira, Elaine Ribeiro, Marisa Dibbern Lopes Correia, Erika Christiane Marocco Duran

Introduction: The postpartum period is considered a phase of many physiological and hormonal changes that affect the individual. Fatigue is something present and can influence the postpartum woman in a negative way. In this way, the nurse has an essential role, and the nursing process can be used to establish an efficient care plan.

Objective: To present the main nursing interventions and activities of the nursing diagnosis (ND) fatigue (00093) in individuals/people in the immediate postpartum period obtained through an integrative literature review and correlate with the proposed ND puerperal fatigue/excessive burden of fatigue in the postpartum period.

Methods: Integrative literature review, carried out in the databases Cochrane, Scopus and Medical Literature Analysis and Retrieval System Online (MEDLINE), Web of Science (WoS), Virtual Health Library (VHL), and Cumulative Index to Nursing and Allied Health Literature (CINAHL), following rigorous methodological standards.

Results: Six articles were included that identified the main nursing interventions related to the proposed ND puerperal fatigue.

Conclusions: The integrative review highlighted the main nursing interventions and activities, and this study will be the basis for the next stages of the validation process for the ND puerperal fatigue/excessive fatigue in the postpartum period.

Implications for nursing practice: This work can help nurses in clinical practice establish an efficient care plan through the most accurate nursing interventions and thus improve the quality of nursing services.

导言产后被认为是一个生理和荷尔蒙变化多端的阶段,会对个人产生影响。疲劳是存在的,会对产后妇女产生负面影响。因此,护士扮演着重要的角色,可以通过护理程序来制定有效的护理计划:介绍通过综合文献综述获得的个人/人群产后疲劳(00093)护理诊断(ND)的主要护理干预措施和活动,并与提出的产褥期疲劳(ND)/产后过度疲劳负担相关联:按照严格的方法标准,在 Cochrane、Scopus 和医学文献分析和检索系统在线(MEDLINE)、科学网(WoS)、虚拟健康图书馆(VHL)以及护理和相关健康文献累积索引(CINAHL)等数据库中进行综合文献综述:结果:共收录了六篇文章,确定了与产褥期疲劳相关的主要护理干预措施:综合综述强调了主要的护理干预措施和活动,本研究将成为下一阶段产后玖月产褥期疲劳/过度疲劳验证过程的基础:这项工作可以帮助临床实践中的护士通过最准确的护理干预建立高效的护理计划,从而提高护理服务质量。
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引用次数: 0
Nursing outcome "Knowledge: Wound management" for surgical incision wound care: Update, translate, and culturally adapt. 护理成果 "知识:手术切口伤口护理的 "伤口管理":更新、翻译和文化适应。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-08-06 DOI: 10.1111/2047-3095.12488
Giovanny Andres Perez-Jaimes, Luis Fernando Arévalo Viveros, Leidy Johanna Rueda-Díaz

Purpose: This study has two objectives: (1) to identify the indicators of the nursing outcome "Knowledge: Wound management (3209)" related to the evaluation of knowledge about the care of surgical wounds; (2) to translate and culturally adapt the nursing outcome "Knowledge: Wound management (3209)" into Brazilian Portuguese and Colombian Spanish.

Methods: This is a methodological study with two steps. Initially, a scoping review was conducted based on the methodology of the Joanna Briggs Institute. Subsequently, the translation and cultural adaptation of the outcome were performed by adapting Beaton's recommendations, which included the label, definition, indicators, and measurement scale.

Findings: The review identified 31 indicators to evaluate knowledge about surgical wound care. Of these, 16 are described in the original outcome, and 15 new indicators are proposed to be included in the classification. Following this, the label, definition, indicators, and outcome measurement scale were reviewed, translated, and adapted with appropriate terminology for the cultural contexts of Brazil and Colombia.

Conclusion: The outcome "Knowledge: Wound management (3209)" for evaluating the knowledge of surgical wounds consists of 31 indicators, all supported by scientific literature. The translated and adapted versions into Brazilian Portuguese and Colombian Spanish were found to be equivalent to the original. It is inferred that the identified indicators and the translated versions of the outcome will provide nursing professionals with an accurate assessment of knowledge about surgical incision wound care in daily practice.

Implications for nursing practice: This study reviews the scientific literature on the outcome "Knowledge: Wound management (3209)," facilitating the comprehensive measurement of specific knowledge about the care of surgical wounds in practice, education, or research. Additionally, it makes available the translated and adapted versions of the outcome in Brazilian Portuguese and Colombian Spanish. PROPÓSITO: Este estudio tiene dos objetivos: (1) Identificar los indicadores del resultado de enfermería "Knowledge: Wound Management (3209)" relacionados a la evaluación del conocimiento sobre el cuidado de las heridas quirúrgica; (2) traducir y adaptar culturalmente el resultado de enfermería "Knowledge: Wound Management (3209)" al portugués de Brasil y al español de Colombia. MÉTODOS: Estudio metodológico de dos pasos. Inicialmente, fue realizada una revisión de alcance orientados en la metodología de la Joanna Briggs Institute. Posteriormente, se realizó la traducción y adaptación cultural del resultado adaptando las recomendaciones de Beaton e incluyó la etiqueta, definición, indicadores y escala de medición.

Hallazgos: En la revisión fueron identificados 31 indicadores para evaluar el conocimiento sobre el

目的:本研究有两个目的:(1)确定护理结果 "知识:伤口管理(3209)"护理结果的相关指标;(2)将 "伤口管理知识(3209)"护理结果翻译成巴西葡萄牙语和哥伦比亚西班牙语,并进行文化调整:方法:这是一项方法研究,分为两个步骤。首先,根据乔安娜-布里格斯研究所(Joanna Briggs Institute)的方法进行范围审查。随后,根据比顿的建议,对成果进行翻译和文化调整,包括标签、定义、指标和测量表:审查确定了 31 个指标来评估手术伤口护理知识。其中,16 个指标在原始结果中有所描述,15 个新指标被建议纳入分类。随后,对标签、定义、指标和结果测量表进行了审查、翻译,并根据巴西和哥伦比亚的文化背景调整了适当的术语:结论:成果 "知识:结论:评估手术伤口知识的结果 "伤口管理(3209)"包括 31 个指标,所有指标均有科学文献支持。经翻译和改编为巴西葡萄牙语和哥伦比亚西班牙语的版本与原版相当。据此推断,已确定的指标和结果的翻译版本将为护理专业人员在日常工作中准确评估手术切口伤口护理知识提供依据:本研究回顾了有关 "知识 "结果的科学文献:对护理实践的启示:本研究综述了有关 "伤口管理(3209)"结果的科学文献,有助于全面衡量实践、教育或研究中有关手术伤口护理的具体知识。此外,本研究还提供了该结果的巴西葡萄牙语和哥伦比亚西班牙语翻译版和改编版。项目:本研究有两个目标:(1)确定 "知识:伤口管理(3209)"结果的指标:伤口管理(3209)"的相关指标;(2)翻译并从文化角度调整 "知识:伤口管理(3209)"的结果:伤口管理(3209)"翻译成巴西的葡萄牙文和哥伦比亚的西班牙文。方法:分两个阶段进行元理论研究。首先,以乔安娜-布里格斯研究所的方法论为导向进行了评估。之后,根据比顿的建议,对结果进行了翻译和文化调整,包括标题、定义、指标和测量范围:在修订过程中,确定了 31 个指标,用于评估对脑损伤的护理知识。在这 31 个指标中,有 16 个指标在结果中作了说明,还有 15 个新指标建议纳入分类。此外,还对结果的标题、定义、指标和测量范围进行了重新审视、翻译,并根据巴西和哥伦比 亚文化场所的情况对术语进行了调整。结论:结果 "知识:伤口管理 (3209) "由 31 个指标组成,这些指标都是根据科学文献确定的。翻译和改编成巴西葡萄牙文和哥伦比亚西班牙文的结果与原文一致。我们认为,所确定的指标和结果的翻译版本可为专业医师提供精确的评估,以了解在日常工作中对颅脑损伤的护理。对护理人员的影响:本研究对 "知识.伤口管理(3209)"成果的科学文献进行了回顾:伤口管理 (3209) "成果的科学文献,支持在实践、教育或研究中对伤口护理的特殊知识进行综合管理。此外,还提供了巴西葡萄牙文和哥伦比亚西班牙文的成果翻译和改编版本。
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引用次数: 0
Clinical validation of "spiritual distress (00066)" in parents of children with chronic diseases. 慢性病患儿父母 "精神痛苦(00066)"的临床验证。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-07-30 DOI: 10.1111/2047-3095.12486
Fateme Eshghi, Azam Shirinabadi Farahani, Armin Zareiyan

Purpose: This study aimed to determine the clinical validation of the nursing diagnosis (ND) of "spiritual distress (00066)" and the sensitivity, specificity, likelihood ratio, and predictive value in parents of children with chronic diseases.

Methods: This cross-sectional study was conducted using the clinical diagnostic validity method proposed by Fehring. The data were collected through structured interviews and using a researcher-made list that included 5 parts of demographic information, parents' opinions about spiritual distress, the researcher's diagnosis, 74 defining characteristics (DCs) of the ND of spiritual distress, and the Spiritual Well-being Questionnaire. Data were analyzed using descriptive statistics as well as sensitivity, specificity, likelihood ratio, and predictive value.

Findings: The prevalence of diagnosis was 70% in a sample of 120 parents. Out of the 74 DCs, 39 criteria were validated. Questioning meaning of illness and suffering had the highest sensitivity (98.8%), the highest negative predictive value (88.88%), and the lowest negative likelihood ratio (0.05%). Expressing the lack of meaning in life demonstrated the highest specificity (97.22%), the highest positive predictive value (98.33%), and the highest positive likelihood ratio (25.26%).

Conclusions: Parents who search for meaning of illness and suffering related to a lack of meaning in life are in spiritual distress. The ND was validated.

Implications for nursing practice: These findings can empower clinical nurses to confidently assess and identify patients experiencing spiritual distress, bridging the gaps caused by the absence of standardized tools for assessing spiritual distress in the inpatient setting.

目的:本研究旨在确定 "精神痛苦(00066)"护理诊断(ND)的临床有效性,以及其在慢性病患儿家长中的敏感性、特异性、似然比和预测值:这项横断面研究采用了 Fehring 提出的临床诊断有效性方法。数据通过结构化访谈和研究者自制的清单收集,清单包括人口统计学信息、家长对精神痛苦的看法、研究者的诊断、74 个精神痛苦玖级定义特征(DCs)和精神幸福感问卷 5 部分。数据采用描述性统计以及敏感性、特异性、似然比和预测值进行分析:在 120 位家长的样本中,诊断率为 70%。在 74 项精神健康标准中,有 39 项标准得到了验证。质疑疾病和痛苦的意义具有最高的灵敏度(98.8%)、最高的阴性预测值(88.88%)和最低的阴性似然比(0.05%)。表示生活缺乏意义的特异性最高(97.22%),阳性预测值最高(98.33%),阳性似然比最高(25.26%):结论:因缺乏生活意义而寻找疾病和痛苦意义的父母正处于精神痛苦之中。ND得到了验证:这些研究结果可以增强临床护士的能力,使其能够自信地评估和识别经历精神痛苦的患者,弥补住院环境中缺乏评估精神痛苦的标准化工具所造成的差距。
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引用次数: 0
Development and content validity of educational videos on self-management of fluid restriction and thirst for individuals with heart failure. 心力衰竭患者自我管理液体限制和口渴的教育视频的开发和内容有效性。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-07-29 DOI: 10.1111/2047-3095.12483
Sophia Costa Rossetto, Daniele Cristina Bosco Aprile, Daiane Lopes Grisante, Milena Gomes Vancini, Fabio D'Agostino, T Heather Herdman, Juliana de Lima Lopes, Vinicius Batista Santos, Camila Takáo Lopes

Objective: To create and evaluate the content validity of educational videos on self-management of fluid restriction and thirst for individuals with heart failure (HF).

Method: A psychometric study was conducted in three stages: (1) an integrative literature review to identify strategies for self-management of fluid restriction and thirst by individuals with HF; (2) creation of animated videos about strategies for self-management of fluid restriction and thirst; and (3) analysis of the content validity of the educational videos by 11 experts. For each criterion, the content validity ratio (CVR) was calculated; it was considered adequate when <0.636. Suggestions were evaluated by the researchers, and the videos were modified.

Results: Ten scripts and videos were created, averaging 30 s each. The videos' contents were based on 11 studies retrieved from the review and one specialized website. The videos were evaluated by experts, and adjustments were made when CVR < 0.636 and when allowed by the video production platform.

Conclusions: Educational videos were developed and have satisfactory content validity evidence according to expert opinions.

Implications for nursing practice: These videos are expected to be used as educational strategies in clinical practice to prevent episodes of decompensation due to excessive fluid volume.

目的制作并评估针对心力衰竭(HF)患者的液体限制和口渴自我管理教育视频的内容有效性:心理测量研究分三个阶段进行:(1) 综合文献综述,确定心力衰竭患者自我管理液体限制和口渴的策略;(2) 制作有关液体限制和口渴自我管理策略的动画视频;(3) 由 11 位专家对教育视频的内容效度进行分析。针对每项标准,计算内容效度比(CVR);当结果符合要求时,则认为内容效度比符合要求:共制作了 10 个脚本和视频,平均每个 30 秒。视频内容基于从综述中检索到的 11 项研究和一个专业网站。专家对视频进行了评估,并在 CVR 得出结论时进行了调整:根据专家意见,教育视频的内容有效性证据令人满意:这些视频有望在临床实践中用作教育策略,以预防因液体量过多而导致的失代偿发作。
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引用次数: 0
Clinical reasoning and clinical judgment in nursing research: A bibliometric analysis. 护理研究中的临床推理和临床判断:文献计量分析。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2024-07-26 DOI: 10.1111/2047-3095.12484
Odette Doyon, Louis Raymond

Aims: To characterize the thematic foci, structure, and evolution of nursing research on clinical reasoning and judgment.

Design: Bibliometric analysis.

Methods: We used a bibliometric method to analyze 1528 articles.

Data source: We searched the Scopus bibliographic database on January 7, 2024.

Results: Through a keyword co-occurrence analysis, we found the most frequent keywords to be clinical judgment, clinical reasoning, nursing education, simulation, nursing, clinical decision-making, nursing students, nursing assessment, critical thinking, nursing diagnosis, patient safety, nurses, nursing process, clinical competence, and risk assessment. The focal themes, structure, and evolution of nursing research on clinical reasoning and judgment were revealed by keyword mapping, clustering, and time-tracking.

Conclusion: By assessing key nursing research areas, we extend the current discourse on clinical reasoning and clinical judgment for researchers, educators, and practitioners. Critical challenges must still be met by nursing professionals with regard to their use of clinical reasoning and judgment within their clinical practice. Further knowledge and comprehension of the clinical reasoning process and the development of clinical judgment must be successfully translated from research to nursing education and practice.

Implications for the profession: This study highlights the nursing knowledge gaps with regard to nurses' use of clinical reasoning and judgment and encourages nursing educators and professionals to focus on developing nurses' clinical reasoning and judgment with regard to their patients' safety.

Impact: In addressing nurses' use of clinical reasoning and judgment, and with regard to patient safety in particular, this study found that, in certain clinical settings, the use of clinical reasoning and judgment remains a challenge for nursing professionals. This study should thus have an effect on nursing academics' research choices, on nursing educators' teaching practices, and on nurses' clinical practices.

Reporting method: Relevant EQUATOR guidelines have been adhered to by employing recognized bibliometric reporting methods.

目的:描述有关临床推理和判断的护理研究的主题重点、结构和演变:设计:文献计量分析:我们使用文献计量学方法分析了 1528 篇文章:我们检索了 2024 年 1 月 7 日的 Scopus 文献数据库:通过关键词共现分析,我们发现最常见的关键词是临床判断、临床推理、护理教育、模拟、护理、临床决策、护理学生、护理评估、批判性思维、护理诊断、患者安全、护士、护理过程、临床能力和风险评估。通过关键词映射、聚类和时间追踪,揭示了临床推理和判断护理研究的重点主题、结构和演变:通过评估关键护理研究领域,我们为研究人员、教育工作者和从业人员扩展了当前有关临床推理和临床判断的讨论。护理专业人员在临床实践中使用临床推理和判断时仍需应对严峻挑战。对临床推理过程和临床判断能力发展的进一步认识和理解必须从研究成功地转化为护理教育和实践:本研究强调了护士在使用临床推理和判断方面的护理知识差距,鼓励护理教育者和专业人员关注护士临床推理和判断能力的发展,以保障患者的安全:本研究发现,在某些临床环境中,护士使用临床推理和判断仍是护理专业人员面临的一项挑战。因此,本研究应对护理学者的研究选择、护理教育者的教学实践以及护士的临床实践产生影响:报告方法:采用公认的文献计量学报告方法,遵守相关的 EQUATOR 指南。
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引用次数: 0
期刊
International Journal of Nursing Knowledge
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