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Clinical validation of the nursing diagnosis risk for disturbed maternal–fetal dyad in high-risk pregnancy: A case–control study 高危妊娠中母婴二人关系紊乱的护理诊断风险的临床验证:病例对照研究。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2023-08-24 DOI: 10.1111/2047-3095.12444
Ryanne C. M. G. Mendes PhD, Sheila C. R. V. Morais PhD, Cleide M. Pontes PhD, Cecília M. F. Q. Frazão PhD, Michelline S. França PhD, Marcos V. O. Lopes PhD, Gabrielle P. Silva MSN, Suzana O. Mangueira PhD, Francisca M. P. Linhares PhD

Purpose

To obtain evidence of the clinical validity of the nursing diagnosis (ND) risk for disturbed maternal–fetal dyad in high-risk pregnancy.

Method

Causal validation of the ND through a case–control study performed in a university hospital with 155 high-risk pregnant women: 31 cases and 124 controls. A causal association was found between the ND etiological factors and the occurrence of disruption of the symbiotic maternal–fetal dyad; an association was verified when the etiological factor presented a p-value <0.05 and odds ratio >1.

Findings

The risk factor absent–inadequate prenatal care; populations at risk, such as young-advanced maternal age and economically disadvantaged pregnant women; and association conditions, such as maternal conditions and compromised fetal oxygen transport, increased the outcome likelihood. The associated condition maternal illnesses appeared as a protective factor.

Conclusions

Evidence of clinical validity of the ND risk for disturbed maternal–fetal dyad was obtained, and an association between etiological factors and disruption of the symbiotic maternal–fetal dyad was found.

Implications for nursing practice

The results contribute to advance scientific knowledge in nursing teaching, research, and practice and support the nursing process in high-risk pregnancies.

目的:证明护理诊断(ND)对高危妊娠母胎关系紊乱风险的临床有效性:方法:在一家大学医院对 155 名高危孕妇(31 例病例和 124 例对照)进行病例对照研究,对 ND 进行因果验证。研究发现,玖玖病的病因与母胎共生关系的破坏之间存在因果关系;当病因的 p 值为 1 时,相关性得到验证:不存在的风险因素--产前护理不足;高危人群,如年轻高龄产妇和经济状况不佳的孕妇;以及关联条件,如产妇病情和胎儿氧运输受损,都增加了结果的可能性。相关的孕产妇疾病似乎是一个保护因素:结论:该研究获得了母胎二元共生关系紊乱玖玖风险临床有效性的证据,并发现了病因因素与母胎共生关系紊乱之间的关联:研究结果有助于促进护理教学、研究和实践中的科学知识,并支持高危妊娠的护理过程。
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引用次数: 0
Development and content validation of an NOC-based instrument for measuring knowledge and self-care behaviors in hypertensive disorders of pregnancy: CoNOCiTHE 开发和验证基于 NOC 的工具,用于测量妊娠高血压疾病的知识和自我护理行为:CoNOCiTHE。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2023-08-24 DOI: 10.1111/2047-3095.12443
Iliana Milena Ulloa Sabogal MSc, RN, José Manuel Romero Sánchez PhD, RN, Olga Paloma Castro PhD, RN, Mauricio Arias Rojas PhD, RN

Purpose

The aim of this study is to design and validate the content of an instrument based on the Nursing Outcomes Classification (NOC) “Knowledge: disease process” and “Risk control: hypertension” to measure pregnant women's knowledge and self-care behaviors about hypertensive disorders.

Methods

The study was carried out in three phases: (a) content validity of the indicators, (b) construction, and (c) content validity of the instrument.

Findings

The instrument contains 72 items with an average content validity ratio and representativeness of 0.92. The items that did not reach the established values were eliminated or reformulated according to the observations made by the experts.

Conclusions

This study provides the first instrument for perinatal maternal care designed from the NOC that has demonstrated adequate content validity and representativeness of the NOCs on which it is based. The next phase in the development of the instrument is to test its validity and reliability.

Implications for nursing practice

CoNOCiTHE is a tool that can be useful in assessing pregnant women's knowledge and self-care behaviors about hypertensive disorders, contributing to the documentation and quality of maternal perinatal nursing care.

目的:本研究旨在设计和验证基于护理结果分类(NOC)"知识:疾病过程 "和 "风险控制:高血压 "的工具内容,以测量孕妇对高血压疾病的知识和自我护理行为:研究分三个阶段进行:(a)指标的内容效度;(b)构建;(c)工具的内容效度:该工具包含 72 个项目,平均内容效度比和代表性为 0.92。根据专家的意见,未达到既定值的项目被删除或重新制定:本研究提供了第一份根据 NOC 设计的围产期孕产妇护理工具,该工具已证明其所依据的 NOC 具有充分的内容效度和代表性。该工具开发的下一阶段是测试其有效性和可靠性:CoNOCiTHE 是一种可用于评估孕妇对高血压疾病的认识和自我护理行为的工具,有助于记录孕产妇围产期护理并提高护理质量。
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引用次数: 0
Application of NANDA-I nursing diagnoses, nursing interventions classification, and nursing outcomes classification in research and practice of cardiac rehabilitation nursing: A scoping review NANDA-I 护理诊断、护理干预分类和护理结果分类在心脏康复护理研究和实践中的应用:范围综述。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2023-08-21 DOI: 10.1111/2047-3095.12441
Xinyu Duan RN, MSN, Yongxia Ding PhD, Yan Ning RN, Mingyue Luo RN, MSN

Purpose

To describe the current application status of NANDA-I nursing diagnoses, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) in cardiac rehabilitation nursing and identify useful NANDA-I, NIC, and NOC (NNN) linkages for clinical nursing practitioners.

Methods

This scoping review was performed in accordance with the Joanna Briggs Institut guidelines. We systematically searched eight databases, and the literature search took place between June and July 2023. The characteristics and results of the studies were synthesized and analyzed in a narrative way.

Findings

The application of NANDA-I nursing diagnosis, NIC and NOC in cardiac rehabilitation nursing can be divided into three topics: the content, value and effect of NANDA-I nursing diagnosis, NIC and NOC.

Conclusion

The application of NANDA-I, NIC, and NOC in the field of cardiac rehabilitation nursing shows positive effects on the whole, which can provide more standardized theoretical guidance, improve nursing outcomes in clinical settings, and enhance nursing quality.

Implications for nursing practice

This experience report will guide nurses to use NANDA-I, NIC, and NOC for better cardiac rehabilitation care.

目的:描述 NANDA-I 护理诊断、护理干预分类(NIC)和护理结果分类(NOC)在心脏康复护理中的应用现状,并确定对临床护理从业人员有用的 NANDA-I、NIC 和 NOC(NNN)联系:本范围界定综述根据乔安娜-布里格斯研究所(Joanna Briggs Institut)指南进行。我们系统地检索了 8 个数据库,文献检索时间为 2023 年 6 月至 7 月。我们以叙述的方式综合分析了研究的特点和结果:NANDA-I护理诊断、NIC和NOC在心脏康复护理中的应用可分为三个主题:NANDA-I护理诊断、NIC和NOC的内容、价值和效果:结论:NANDA-I、NIC、NOC在心脏康复护理领域的应用整体上呈现出积极的效果,能够提供更加规范的理论指导,改善临床护理效果,提高护理质量:本经验报告将指导护士使用NANDA-I、NIC、NOC更好地开展心脏康复护理。
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引用次数: 0
Proposal of nursing diagnosis “adult disuse syndrome”: A conceptual derivation and integrative review 提出护理诊断 "成人失用综合征":概念推导和综合回顾。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2023-07-19 DOI: 10.1111/2047-3095.12440
Edinson Fabian Ardila Suárez RN, MS, Paula Escalada-Hernández RN, MS, PhD

Purpose

To develop a nursing diagnosis proposal derived from the concept of “disuse syndrome” based on an integrative review.

Methods

The conceptual derivation technique, proposed by Walker and Avant, was used in the following phases: an integrative review of the literature was carried out, applying the parameters of Whitermore and Knalf, where 43 articles were selected that covered the existence of the concept in the nursing discipline and other health sciences, the concepts were subsequently analyzed, and the new concept was redefined following the middle-range theory of causality and validation of nursing diagnoses proposed by Oliveira-Lopes et al.

Findings

The proposal of the new nursing diagnosis was developed, including the following elements: diagnostic label adult disuse syndrome, the corresponding definition, 25 defining characteristics, eight related factors, eight risk populations, and 14 associated problems.

Conclusions

The concept of the proposed new diagnosis describes adult disuse syndrome as a phenomenon that transcends the physiological component and should be viewed from a multidimensional view, expressing a clinical judgment related to a series of nursing diagnoses that appear together.

Implications for nursing practice

The results of this study will help nursing professionals to identify the phenomenon of adult disuse syndrome in any setting and in turn guide optimal care interventions that decrease the consequences of adult disuse syndrome.

目的:在综合综述的基础上,根据 "废用综合征 "的概念提出护理诊断建议:方法:采用Walker和Avant提出的概念推导技术,分以下几个阶段进行:应用Whitermore和Knalf的参数对文献进行综合回顾,选择了43篇涉及护理学科和其他健康科学中存在该概念的文章,随后对概念进行分析,并根据Oliveira-Lopes等人提出的护理诊断因果关系和验证的中程理论重新定义了新概念:提出了新的护理诊断建议,包括以下内容:诊断标签成人失用综合征、相应定义、25 个定义特征、8 个相关因素、8 个风险人群和 14 个相关问题:结论:所提出的新诊断概念将成人失用综合征描述为一种超越生理成分的现象,应从多维角度看待,表达了与一系列同时出现的护理诊断相关的临床判断:本研究的结果将有助于护理专业人员在任何环境下识别成人废用综合征现象,进而指导最佳护理干预措施,减少成人废用综合征的后果。
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引用次数: 0
Brief report: Implementing and evolving suicide prevention strategies at Taoyuan Psychiatric Center inspired by NIC Umbrella review 简要报告:受NIC Umbrella综述启发,桃园精神病院自杀预防策略的实施和发展。
IF 1.4 4区 医学 Q2 Nursing Pub Date : 2023-07-17 DOI: 10.1111/2047-3095.12439
Lien-Chung Wei MD, MPH

This brief report discusses the implementation and evolution of suicide prevention strategies at Taoyuan Psychiatric Center in Taiwan. These strategies are inspired by the nursing interventions presented in an “Umbrella review of nursing interventions NIC for the treatment and prevention of suicidal behavior.” The interventions are a part of an employee assistance program (EAP) designed to support the mental health of the nursing staff and other employees, with a particular focus on preventing and managing suicidal behaviors. The EAP involves multi-tiered primary, secondary, and tertiary prevention measures, offering different levels of psychological interventions.

本报告旨在探讨台湾桃园精神病院自杀预防策略的实施与发展。这些策略的灵感来自“NIC治疗和预防自杀行为的护理干预措施的总括审查”中提出的护理干预。这些干预措施是员工援助计划(EAP)的一部分,旨在支持护理人员和其他员工的心理健康,特别侧重于预防和管理自杀行为。EAP包括多层次的一级、二级和三级预防措施,提供不同级别的心理干预。
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引用次数: 0
Nursing interventions for adult patients undergoing cancer cardiotoxic therapy: Scoping review 对接受癌症心脏毒性治疗的成年患者进行护理干预:范围综述。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2023-07-17 DOI: 10.1111/2047-3095.12435
Evelyn Barcelos Jesus MD, Ana Carla Dantas Cavalcanti PHD, Josiana Araujo Oliveira MD

Purpose

To identify nursing interventions for the management of adult patients undergoing cardiotoxic oncologic therapy.

Methods

This scoping review was performed in accordance with the JBI guidelines. The literature search took place between July and August 2022. Studies examining interventions for the management of adult cancer patients undergoing cardiotoxic therapy were included. The characteristics and results of the studies were synthesized and analyzed in a narrative way.

Findings

In the nine included studies, it was verified that the interventions were implemented to guide the actions of the health team in general rather than specifically nursing staff. Nine nursing interventions related to the Classification of Nursing Interventions were included.

Conclusions

The nursing interventions identified focused on rigorous cardiovascular surveillance, risk assessment, and actions to identify and mitigate cardiotoxicity.

Implications for Nursing Practice

It is believed that the implementation of the identified nursing interventions will lead to evidence-based nursing practice and will contribute to the development of care products and processes that assess the cardiological risks and cardiotoxicity.

目的:确定对接受心脏毒性肿瘤治疗的成人患者进行管理的护理干预措施:本次范围界定综述根据 JBI 指南进行。文献检索时间为 2022 年 7 月至 8 月。纳入了对接受心脏毒性治疗的成年癌症患者进行干预的研究。以叙述的方式对研究的特点和结果进行了综合分析:在纳入的九项研究中,经核实,干预措施的实施是为了指导医疗团队的整体行动,而非专门针对护理人员。九项护理干预措施与《护理干预分类》相关:结论:所确定的护理干预措施侧重于严格的心血管监测、风险评估以及识别和减轻心脏毒性的行动:对护理实践的启示:相信已确定的护理干预措施的实施将促进循证护理实践,并有助于开发评估心血管风险和心脏毒性的护理产品和流程。
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引用次数: 0
Editorial: Big data: nursing's moment 社论:大数据:护理的时刻
IF 1.4 4区 医学 Q2 Nursing Pub Date : 2023-07-09 DOI: 10.1111/2047-3095.12438
Jane Flanagan PhD, RN, AHN-BC, ANP-BC, FNI, FNAP, FAAN
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引用次数: 0
Modifiable risk factors of cognitive frailty in community-dwelling older adults: A systematic review and meta-analysis 社区老年人认知虚弱的可调整风险因素:系统回顾和荟萃分析
IF 1.4 4区 医学 Q2 Nursing Pub Date : 2023-06-28 DOI: 10.1111/2047-3095.12437
Chen Yuan BS, Yixiong Zhang MD

Purpose

To perform a meta-analysis identifying the modifiable risk factors of cognitive frailty in the elderly.

Methods

We systematically searched databases including PubMed, EMBASE, China National Knowledge Infrastructure, China Science and Technology Journal Database, Wanfang Data Knowledge Service Platform from January 01, 2017 to March 26, 2022. Quantitative, original research reporting associated factors were included.

Findings

7,854 records in total were identified, of which 14 articles (1 prospective, 13 cross-sectional) with 36 factors were included. Studies on cognitive frailty included 20,390 community-dwellers (≥60 years) from three countries. Meta-analysis indicated that depression [OR = 3.60, 95%CI (2.25,5.78), p < 0.01] and sleep problems [OR = 2.36, 95%CI (1.62,3.43), p < 0.01] were associated with cognitive frailty.

Conclusions

Effective interventions targeting depression and sleep problems may lower the risk of cognitive frailty in the community seniors but need further study in high-quality, prospective studies.

Implications for Nursing Practice

Building on previous work, the objectives of this systematic review and meta-analysis were to explore potential modifiable risk factors for cognitive frailty in community-dwelling older adults, which is expected to throw light on the prevention of cognitive frailty.

目的 对老年人认知虚弱的可改变风险因素进行荟萃分析。 方法 我们系统检索了2017年1月1日至2022年3月26日期间的数据库,包括PubMed、EMBASE、中国国家知识基础设施、中国科技期刊数据库、万方数据知识服务平台。纳入了报道相关因素的定量、原创性研究。 结果 共发现 7854 条记录,其中收录了 14 篇文章(1 篇前瞻性文章,13 篇横断面文章),涉及 36 个因素。关于认知虚弱的研究包括来自三个国家的 20,390 名社区居民(≥60 岁)。元分析表明,抑郁[OR = 3.60,95%CI (2.25,5.78),p < 0.01]和睡眠问题[OR = 2.36,95%CI (1.62,3.43),p < 0.01]与认知能力衰弱有关。 结论 针对抑郁和睡眠问题的有效干预措施可能会降低社区老年人认知能力衰弱的风险,但还需要在高质量的前瞻性研究中进一步研究。 对护理实践的启示 在以往工作的基础上,本系统综述和荟萃分析的目的是探讨社区老年人认知功能衰弱的潜在可改变风险因素,从而为预防认知功能衰弱提供启示。
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引用次数: 0
Examination of nursing diagnosis skills of students receiving online education: A cross-sectional study 考察接受在线教育学生的护理诊断技能:横断面研究。
IF 1.4 4区 医学 Q3 NURSING Pub Date : 2023-06-20 DOI: 10.1111/2047-3095.12436
Ece Kurt RN, MSc, Zehra Eskimez RN, PhD, Evşen Nazik RN, PhD

Aim

This study aims to examine the nursing diagnosis skills of students who took the case-based online nursing processes course during the COVID-19 pandemic.

Methods

The study followed a descriptive and cross-sectional design. The participants were first-year students (n = 148) enrolled in the nursing principles course in the spring semester of the 2020–2021 academic year in the nursing department of a university. The course on nursing processes was delivered online due to the COVID-19 pandemic. At the end of the course, students who volunteered to participate in the study developed nursing diagnoses for the cases assigned to them. The data were collected from the students using two forms and were evaluated using a form developed by the researchers. The data were analyzed with numeric and percentage calculations.

Findings

Although 56.8% of the students stated that they had difficulty making nursing diagnoses, 56.8% of them thought online education was not useful. The most commonly made diagnoses by the students who participated in the study included hyperthermia (66.2%), ineffective breathing pattern (54.7%), risk of falling (39.9%), fatigue (34.5%), and anxiety (33.8%). It was also found that students were able to identify objective data more easily as diagnosis criteria, whereas they were not able to identify abstract concepts.

Conclusions

It was seen that the students who participated in the study had low levels of nursing diagnoses. Based on the findings, it is recommended that different teaching methods be employed in the online nursing processes course, and these methods be evaluated in terms of their effects on students’ learning outcomes.

Implications for nursing practices

The online nursing process course should be made more efficient. First-year nursing students are not yet ready to identify nursing diagnoses in terms of knowledge and skills.

目的:本研究旨在探讨在 COVID-19 大流行期间学习基于案例的在线护理流程课程的学生的护理诊断技能:研究采用描述性横断面设计。参与者为某大学护理系 2020-2021 学年春季学期护理学原理课程的一年级学生(n = 148)。由于 COVID-19 大流行,护理流程课程采用在线授课。课程结束后,自愿参与研究的学生对分配给他们的病例进行了护理诊断。研究人员使用两种表格收集学生的数据,并使用自己开发的表格对数据进行评估。数据通过数字和百分比计算进行分析:尽管 56.8%的学生表示他们在进行护理诊断时遇到困难,但其中 56.8%的学生认为在线教育没有用处。参与研究的学生最常做出的诊断包括高热(66.2%)、无效呼吸模式(54.7%)、跌倒风险(39.9%)、疲劳(34.5%)和焦虑(33.8%)。研究还发现,学生更容易识别客观数据作为诊断标准,而无法识别抽象概念:结论:参与研究的学生的护理诊断水平较低。根据研究结果,建议在在线护理流程课程中采用不同的教学方法,并评估这些方法对学生学习效果的影响:应提高在线护理过程课程的效率。护理实践的启示:在线护理过程课程应提高效率。护理专业一年级学生在知识和技能方面尚未做好识别护理诊断的准备。
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引用次数: 0
Deficient knowledge in patients with heart failure: A study of diagnostic accuracy and etiological relationships 心力衰竭患者的知识缺陷:诊断准确性和病因关系研究
IF 1.4 4区 医学 Q2 Nursing Pub Date : 2023-06-10 DOI: 10.1111/2047-3095.12434
Suelayne Santana de Araújo RN, MSc, Cláudia Gabrielle da Silva RN, MSc, Suzana de Oliveira Mangueira RN, MSc, PhD, Ana Luísa Brandão de Carvalho Lira RN, MSc, PhD, Marcos Venícios de Oliveira Lopes RN, MSc, PhD, Camila Takáo Lopes RN, MSc, PhD, Cecília Maria Farias de Queiroz Frazão RN, MSc, PhD

Purpose

To evaluate the accuracy of defining characteristics and causal relationships of the etiological factors of the nursing diagnosis deficient knowledge in individuals with heart failure .

Data sources

An analytical, cross-sectional study on the diagnostic accuracy of the defining characteristics and causal relationships of the etiological factors of the nursing diagnosis. The sample consisted of 140 patients with chronic HF and in outpatient follow-up. The latent class analysis method was used to test the accuracy of measurements and estimate the prevalence of the diagnosis. The calculation of subsequent probabilities and the odds ratio ( were also parameters employed. The study was approved by the Research Ethics Committee of the Federal University of Pernambuco.

Data synthesis

The diagnosis had an estimated prevalence of 38.57% in the sample. The inaccurate statements about the disease and/or therapy, self-care deficient performance, and inadequate behavior were the clinical indicators that best predicted the presence of the diagnosis and demonstrated the same sensitivity value (1.0000), specificity (1.0000), and 95% confidence interval (0.9999–1.0000) for all. The populations at risk was elderly (OR = 2.12, confidence interval 95% = 1.05–4.27), and illiterate individuals (OR = 2.07, confidence interval 95% = 1.03–4.16) had an approximately twofold great chance of developing havening deficient knowledge.

Conclusion

The evaluation of the accuracy of clinical indicators, corresponding to the defining characteristics in the study, contributed to screening and diagnostic establishment capacity in clinical practice, and to the translation of theoretical and practical knowledge.

Implications for nursing practice

Accurate clinical indicators of the nursing diagnosis deficient knowledge facilitate the clinical reasoning of nurses and favor the professional's role in the development of health education strategies focused on the acquisition of knowledge about the disease by patients, family members, and caregivers.

目的 评价心力衰竭患者护理诊断病因学知识缺乏的定义特征和因果关系的准确性。 数据来源 一项关于护理诊断病因的定义特征和因果关系诊断准确性的横断面分析研究。样本包括 140 名慢性心力衰竭门诊随访患者。采用潜类分析法检验测量的准确性,并估算诊断的流行率。随后的概率计算和几率比()也是采用的参数。这项研究获得了伯南布哥联邦大学研究伦理委员会的批准。 数据综述 据估计,该诊断在样本中的流行率为 38.57%。对疾病和/或治疗的不准确陈述、自我护理不足和行为不当是最能预测诊断结果的临床指标,并显示出相同的灵敏度(1.0000)、特异性(1.0000)和 95% 置信区间(0.9999-1.0000)。高危人群中,老年人(OR = 2.12,置信区间 95% = 1.05-4.27)和文盲(OR = 2.07,置信区间 95% = 1.03-4.16)出现哈宁知识不足的几率大约是其他人的两倍。 结论 根据研究中的定义特征对临床指标的准确性进行评估,有助于在临床实践中建立筛查和诊断能力,并促进理论和实践知识的转化。 对护理实践的启示 护理诊断缺陷知识的准确临床指标有助于护士的临床推理,有利于专业人员在制定健康教育策略中发挥作用,重点关注患者、家庭成员和护理人员对疾病知识的掌握。
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引用次数: 0
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