Ana-María Porcel Gálvez PhD, Marta Lima-Serrano PhD, Regina Allande-Cussó PhD, Maria-Giulia Costanzo-Talarico Doctoral Student, María-Dolores Mateos García PhD, Mercedes Bueno-Ferrán PhD, Elena Fernández-García PhD, Fabio D'Agostino PhD, José-Manuel Romero-Sánchez PhD
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.
{"title":"Enhancing nursing care through technology and standardized nursing language: The TEC-MED multilingual platform","authors":"Ana-María Porcel Gálvez PhD, Marta Lima-Serrano PhD, Regina Allande-Cussó PhD, Maria-Giulia Costanzo-Talarico Doctoral Student, María-Dolores Mateos García PhD, Mercedes Bueno-Ferrán PhD, Elena Fernández-García PhD, Fabio D'Agostino PhD, José-Manuel Romero-Sánchez PhD","doi":"10.1111/2047-3095.12493","DOIUrl":"10.1111/2047-3095.12493","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 4","pages":"421-429"},"PeriodicalIF":1.4,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/2047-3095.12493","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Manuel Schwanda RN, MScN, Silvia Brunner RN, PhD, Miriam de Abreu Almeida Prof., Dr., RN, FNI, PhD, Martina Koller MSc, MSc, Maria Müller Staub Prof. Dr. EdN, RN, FNI, FEANS PhD, Andre Ewers Ass.-Prof. Priv.-Doz. Dr., BScN, MScN
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.
{"title":"Content validation of the NANDA-I nursing diagnosis risk for perioperative hypothermia (00254)","authors":"Manuel Schwanda RN, MScN, Silvia Brunner RN, PhD, Miriam de Abreu Almeida Prof., Dr., RN, FNI, PhD, Martina Koller MSc, MSc, Maria Müller Staub Prof. Dr. EdN, RN, FNI, FEANS PhD, Andre Ewers Ass.-Prof. Priv.-Doz. Dr., BScN, MScN","doi":"10.1111/2047-3095.12491","DOIUrl":"10.1111/2047-3095.12491","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The objectives of this study were to refine and validate the NANDA-I nursing diagnosis risk for perioperative hypothermia (RPH) (00254).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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 <i>T</i>-test were used.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>A precise concept of the nursing diagnosis RPH improves nurses' clinical reasoning and strengthens an individualized, evidence-based care plan.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 4","pages":"397-408"},"PeriodicalIF":1.4,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/2047-3095.12491","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142299346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Beatriz Pera Almeida-Hamasaki MSc, Bruna Cristina Ribeiro RN, Suellen Cristina Dias Emidio PhD, MSc, Simoní Saraiva Bordignon PhD, MSc, Dorothy A. Jones EdD, RN, Elenice Valentim Carmona PhD, MSc
Purpose
To 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).
Methods
It 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.
Findings
The 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 practice
This 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。
{"title":"Content validation of the nursing diagnosis “Insufficient breast milk production (00216)”","authors":"Beatriz Pera Almeida-Hamasaki MSc, Bruna Cristina Ribeiro RN, Suellen Cristina Dias Emidio PhD, MSc, Simoní Saraiva Bordignon PhD, MSc, Dorothy A. Jones EdD, RN, Elenice Valentim Carmona PhD, MSc","doi":"10.1111/2047-3095.12492","DOIUrl":"10.1111/2047-3095.12492","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To 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).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>It 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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The 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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>“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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>This study improves this ND based on scientific evidence and clinical expertise and potentially improves nurses’ diagnostic accuracy through ODs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 4","pages":"409-420"},"PeriodicalIF":1.4,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142267921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Determining awareness of and readiness for standardized nursing languages in a mid-level midwestern hospital and associated school of nursing","authors":"Cheryl Wagner PhD, MBA/MSN, RN, Karen Cummins MSN, RN, Megan Dean DNP, RNC-NIC, IBCLC","doi":"10.1111/2047-3095.12487","DOIUrl":"10.1111/2047-3095.12487","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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 <i>Knowledge, Attitude, and Barriers to Using Standardized Nursing Languages and Current Practices Survey</i> 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, <i>t</i>-tests, and multiple regression were used to analyze the concepts of the tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 4","pages":"357-373"},"PeriodicalIF":1.4,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/2047-3095.12487","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037483","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
João Cruz Neto MSN, Marcos Venícios de Oliveira Lopes PhD, FNI
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.
{"title":"Nursing diagnoses related to cardiovascular function in primary care: A scoping review","authors":"João Cruz Neto MSN, Marcos Venícios de Oliveira Lopes PhD, FNI","doi":"10.1111/2047-3095.12489","DOIUrl":"10.1111/2047-3095.12489","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To map nursing diagnoses related to cardiovascular function reported in studies involving patients in primary care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Key nursing diagnoses for patients with cardiovascular conditions in primary care were identified. Ineffective health management emerged as a common characteristic among this population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 4","pages":"374-386"},"PeriodicalIF":1.4,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037484","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Nursing interventions for the proposed nursing diagnosis of puerperal fatigue: An integrative review","authors":"Bruna Valentina Zuchatti RN, MSc, Raisa Camilo Ferreira RN, MSc, PhD, Elaine Ribeiro RN, MSc, PhD, Marisa Dibbern Lopes Correia RN, MSc, PhD, Erika Christiane Marocco Duran RN, MSc, PhD","doi":"10.1111/2047-3095.12490","DOIUrl":"10.1111/2047-3095.12490","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six articles were included that identified the main nursing interventions related to the proposed ND puerperal fatigue.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 4","pages":"387-396"},"PeriodicalIF":1.4,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Giovanny Andres Perez-Jaimes MSc, Luis Fernando Arévalo Viveros PhD, Leidy Johanna Rueda-Díaz PhD
<div> <section> <h3> Purpose</h3> <p>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.</p> </section> <section> <h3> Methods</h3> <p>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.</p> </section> <section> <h3> Findings</h3> <p>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.</p> </section> <section> <h3> Conclusion</h3> <p>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.</p> </section> <section> <h3> Implications for nursing practice</h3> <p>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.</p> </section> <section> <h3> Propósito</h3> <p>Este estudio tiene dos objetivos: (1) Identificar los indicadores del resultado de enfermería <i>“Knowledge: Wound Management</i> (3209)” relacionados a la evaluación del conocimiento sobre el cuidado de las heridas quirúrgica; (2) traducir y adaptar
{"title":"Nursing outcome “Knowledge: Wound management” for surgical incision wound care: Update, translate, and culturally adapt","authors":"Giovanny Andres Perez-Jaimes MSc, Luis Fernando Arévalo Viveros PhD, Leidy Johanna Rueda-Díaz PhD","doi":"10.1111/2047-3095.12488","DOIUrl":"10.1111/2047-3095.12488","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Propósito</h3>\u0000 \u0000 <p>Este estudio tiene dos objetivos: (1) Identificar los indicadores del resultado de enfermería <i>“Knowledge: Wound Management</i> (3209)” relacionados a la evaluación del conocimiento sobre el cuidado de las heridas quirúrgica; (2) traducir y adaptar","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 3","pages":"326-338"},"PeriodicalIF":1.4,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Clinical validation of “spiritual distress (00066)” in parents of children with chronic diseases","authors":"Fateme Eshghi PhD, MSc, Azam Shirinabadi Farahani PhD, MSc, Armin Zareiyan Postdoc, Fellowship, PhD, MSc","doi":"10.1111/2047-3095.12486","DOIUrl":"10.1111/2047-3095.12486","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The prevalence of diagnosis was 70% in a sample of 120 parents. Out of the 74 DCs, 39 criteria were validated. <i>Questioning meaning of illness and suffering</i> had the highest sensitivity (98.8%), the highest negative predictive value (88.88%), and the lowest negative likelihood ratio (0.05%). <i>Expressing the lack of meaning in life</i> demonstrated the highest specificity (97.22%), the highest positive predictive value (98.33%), and the highest positive likelihood ratio (25.26%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 3","pages":"304-314"},"PeriodicalIF":1.4,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sophia Costa Rossetto BSN, Daniele Cristina Bosco Aprile MSc, PhD(c), BSN, Daiane Lopes Grisante PhD(c), MSc, BSN, Milena Gomes Vancini MSc, BSc(Nutr), Fabio D'Agostino PhD, RN, T. Heather Herdman BSN, FNI, FAAN, Juliana de Lima Lopes PhD, BSN, FNI, Vinicius Batista Santos PhD, BSN, Camila Takáo Lopes PhD, BSN, FNI
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.
{"title":"Development and content validity of educational videos on self-management of fluid restriction and thirst for individuals with heart failure","authors":"Sophia Costa Rossetto BSN, Daniele Cristina Bosco Aprile MSc, PhD(c), BSN, Daiane Lopes Grisante PhD(c), MSc, BSN, Milena Gomes Vancini MSc, BSc(Nutr), Fabio D'Agostino PhD, RN, T. Heather Herdman BSN, FNI, FAAN, Juliana de Lima Lopes PhD, BSN, FNI, Vinicius Batista Santos PhD, BSN, Camila Takáo Lopes PhD, BSN, FNI","doi":"10.1111/2047-3095.12483","DOIUrl":"10.1111/2047-3095.12483","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To create and evaluate the content validity of educational videos on self-management of fluid restriction and thirst for individuals with heart failure (HF).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Educational videos were developed and have satisfactory content validity evidence according to expert opinions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>These videos are expected to be used as educational strategies in clinical practice to prevent episodes of decompensation due to excessive fluid volume.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 3","pages":"284-296"},"PeriodicalIF":1.4,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<div> <section> <h3> Aims</h3> <p>To characterize the thematic foci, structure, and evolution of nursing research on clinical reasoning and judgment.</p> </section> <section> <h3> Design</h3> <p>Bibliometric analysis.</p> </section> <section> <h3> Methods</h3> <p>We used a bibliometric method to analyze 1528 articles.</p> </section> <section> <h3> Data source</h3> <p>We searched the Scopus bibliographic database on January 7, 2024.</p> </section> <section> <h3> Results</h3> <p>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.</p> </section> <section> <h3> Conclusion</h3> <p>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.</p> </section> <section> <h3> Implications for the profession</h3> <p>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.</p> </section> <section> <h3> Impact</h3> <p>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.
{"title":"Clinical reasoning and clinical judgment in nursing research: A bibliometric analysis","authors":"Odette Doyon PhD, Louis Raymond PhD","doi":"10.1111/2047-3095.12484","DOIUrl":"10.1111/2047-3095.12484","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>To characterize the thematic foci, structure, and evolution of nursing research on clinical reasoning and judgment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Bibliometric analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We used a bibliometric method to analyze 1528 articles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data source</h3>\u0000 \u0000 <p>We searched the Scopus bibliographic database on January 7, 2024.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for the profession</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Impact</h3>\u0000 \u0000 <p>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. ","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 3","pages":"339-350"},"PeriodicalIF":1.4,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/2047-3095.12484","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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