Antônia Rios Almeida MD, Rosimere Ferreira Santana PhD, Marcos Venicios de Oliveira Lopes PhD, Thalita Gomes do Carmo PhD, Daniel Espirito Santo da Silva MD, Dayana Medeiros do Amaral MD
Purpose
To identify the prevalence of the nursing diagnosis of compromised end-of-life syndrome in patients in end-of-life care.
Methods
This is a clinical validation based on a cross-sectional epidemiological clinical study conducted at the National Cancer Institute in Rio de Janeiro, Brazil. The defining characteristics of a syndrome diagnosis were identified, defined as a “subset of nursing diagnoses,” using sensitivity and specificity measures through the application of latent class statistical methods.
Findings
The statistical results revealed seven nursing diagnoses characterizing the syndrome: imbalanced nutrition: less than body requirements, nausea, anxiety, ineffective breathing pattern, disturbed sleep pattern, ineffective thermoregulation, and fatigue. Compromised end-of-life syndrome was present in 76% of the sample.
Conclusion
The study demonstrated the presence of compromised end-of-life syndrome in most end-of-life patients from the sample.
Implications for nursing practice
Recognizing the presence of the syndrome diagnosis enables nurses to have efficient and effective clinical reasoning for implementing the nursing process in palliative care. CAAE Number: 85415618.0.3001.5274.
{"title":"Compromised end-of-life syndrome in cancer patients: A clinical validation study","authors":"Antônia Rios Almeida MD, Rosimere Ferreira Santana PhD, Marcos Venicios de Oliveira Lopes PhD, Thalita Gomes do Carmo PhD, Daniel Espirito Santo da Silva MD, Dayana Medeiros do Amaral MD","doi":"10.1111/2047-3095.12462","DOIUrl":"10.1111/2047-3095.12462","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To identify the prevalence of the nursing diagnosis of compromised end-of-life syndrome in patients in end-of-life care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a clinical validation based on a cross-sectional epidemiological clinical study conducted at the National Cancer Institute in Rio de Janeiro, Brazil. The defining characteristics of a syndrome diagnosis were identified, defined as a “subset of nursing diagnoses,” using sensitivity and specificity measures through the application of latent class statistical methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The statistical results revealed seven nursing diagnoses characterizing the syndrome: imbalanced nutrition: less than body requirements, nausea, anxiety, ineffective breathing pattern, disturbed sleep pattern, ineffective thermoregulation, and fatigue. Compromised end-of-life syndrome was present in 76% of the sample.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study demonstrated the presence of compromised end-of-life syndrome in most end-of-life patients from the sample.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>Recognizing the presence of the syndrome diagnosis enables nurses to have efficient and effective clinical reasoning for implementing the nursing process in palliative care. CAAE Number: 85415618.0.3001.5274.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"48-56"},"PeriodicalIF":1.4,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643177","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 aim of the study was to validate the defining characteristics (DCs) of the nursing diagnosis impaired mood regulation using related criteria in an African context.
Methods
This descriptive study was conducted in two tertiary mental healthcare institutions in Nigeria. Richard Fehring's clinical diagnostic validity model was employed to collect data from 87 individuals experiencing mood problems. Their scores were validated with other criteria, and the influence of socio-demographic and clinical variables on participants’ identification of the DCs was determined using analysis of covariance (ANCOVA). The significance level was 0.05.
Findings
Five of the 27 DCs validated were rated major, 5 considered not characteristics, and the rest were minor characteristics of the diagnosis. A two-way subject ANCOVA was significant for diagnosis alone, F (2, 87) = 7.41, p = 0.006 (after eliminating the effect of age and gender of the participants), and when combined with duration of illness, F (38, 87) = 2.38, p = 0.036. A positive but weak correlation was found between the DC scale and mood disorder questionnaire, rs (85) = 0.353, n = 87, p = 001 with R2 = 0.102, but a positive and strong correlation with patient health questionnaire, rs (85) = 0.733, n = 87, p = 000 with R2 = 0.565.
Conclusions
The DCs listed in NANDA-I nursing diagnoses manual were valid for the nursing diagnosis. However, there are additional characteristics that would further enhance the applicability of the diagnosis.
Implications for nursing practice
The result of this study will contribute immensely to the identification of individuals experiencing problems with mood regulation that would otherwise have been missed, thus facilitating early intervention and good outcome. Furthermore, additional characteristics validated in this study offered opportunity for further research on the diagnosis.
本研究的目的是在非洲背景下使用相关标准验证情绪调节受损护理诊断的定义特征（DCs）。
{"title":"Clinical validation of the nursing diagnosis of impaired mood regulation among individuals with experience of mood disorders","authors":"Munirat Olayinka Oladokun RN, MSc., Adenike Ayobola Olaogun RN, PhD, Samuel Kolawole Mosaku FMCPSYCH, PhD","doi":"10.1111/2047-3095.12460","DOIUrl":"10.1111/2047-3095.12460","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The aim of the study was to validate the defining characteristics (DCs) of the nursing diagnosis impaired mood regulation using related criteria in an African context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This descriptive study was conducted in two tertiary mental healthcare institutions in Nigeria. Richard Fehring's clinical diagnostic validity model was employed to collect data from 87 individuals experiencing mood problems. Their scores were validated with other criteria, and the influence of socio-demographic and clinical variables on participants’ identification of the DCs was determined using analysis of covariance (ANCOVA). The significance level was 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Five of the 27 DCs validated were rated major, 5 considered not characteristics, and the rest were minor characteristics of the diagnosis. A two-way subject ANCOVA was significant for diagnosis alone, <i>F</i> (2, 87) = 7.41, <i>p</i> = 0.006 (after eliminating the effect of age and gender of the participants), and when combined with duration of illness, <i>F</i> (38, 87) = 2.38, <i>p</i> = 0.036. A positive but weak correlation was found between the DC scale and mood disorder questionnaire, <i>r<sub>s</sub></i> (85) = 0.353, <i>n</i> = 87, <i>p</i> = 001 with <i>R</i><sup>2</sup> = 0.102, but a positive and strong correlation with patient health questionnaire, <i>r<sub>s</sub></i> (85) = 0.733, <i>n</i> = 87, <i>p</i> = 000 with <i>R</i><sup>2</sup> = 0.565.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The DCs listed in NANDA-I nursing diagnoses manual were valid for the nursing diagnosis. However, there are additional characteristics that would further enhance the applicability of the diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>The result of this study will contribute immensely to the identification of individuals experiencing problems with mood regulation that would otherwise have been missed, thus facilitating early intervention and good outcome. Furthermore, additional characteristics validated in this study offered opportunity for further research on the diagnosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"39-47"},"PeriodicalIF":1.4,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139064994","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}
Ana Choperena PhD, MSc, RN, Virginia La Rosa-Salas PhD, MSc, RN, Nuria Esandi-Larramendi PhD, MSc, RN, Mercedes P. Diez-Del-Corral PhD, MSc, RN, Dorothy Jones PhD, MSc, RN
Purpose
The aim of this article is to present the Nursing Educational Framework (NEF) as an opportunity to integrate core elements of a humanistic person/family-centered view and as guidance in structuring a relationship-based curriculum.
Data sources
Empirical and theoretical literature studies were reviewed to define the framework rationale and its components.
Data synthesis
A deductive/inductive collaborative expert-informed approach was undertaken to develop this evidence-based codesigned framework. Its mission, along with unique components, implementation strategies, and outcomes, were successively integrated into the framework to guide nursing knowledge, learning, and curriculum development. A hermeneutic collaborative process of circular reflection was used in the development process.
Conclusions
The NEF contains central guiding principles and concepts that are intended to provide structural consistency across its included programs from a humanistic person/family-centered approach.
Implications for nursing practice
This comprehensive theory-guided framework allows educators to suggest specific directions for nursing practice within the nursing discipline and articulate nursing's unique and specialized approach to promoting excellent patient care outcomes. It can assist students to develop critical lens from a person/family-centered relationship-based practice approach.
{"title":"Nursing educational framework: A new nurse-driven, conceptually guided approach","authors":"Ana Choperena PhD, MSc, RN, Virginia La Rosa-Salas PhD, MSc, RN, Nuria Esandi-Larramendi PhD, MSc, RN, Mercedes P. Diez-Del-Corral PhD, MSc, RN, Dorothy Jones PhD, MSc, RN","doi":"10.1111/2047-3095.12459","DOIUrl":"10.1111/2047-3095.12459","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The aim of this article is to present the <i>Nursing Educational Framework</i> (NEF) as an opportunity to integrate core elements of a humanistic person/family-centered view and as guidance in structuring a relationship-based curriculum.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data sources</h3>\u0000 \u0000 <p>Empirical and theoretical literature studies were reviewed to define the framework rationale and its components.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data synthesis</h3>\u0000 \u0000 <p>A deductive/inductive collaborative expert-informed approach was undertaken to develop this evidence-based codesigned framework. Its mission, along with unique components, implementation strategies, and outcomes, were successively integrated into the framework to guide nursing knowledge, learning, and curriculum development. A hermeneutic collaborative process of circular reflection was used in the development process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The NEF contains central guiding principles and concepts that are intended to provide structural consistency across its included programs from a humanistic person/family-centered approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>This comprehensive theory-guided framework allows educators to suggest specific directions for nursing practice within the nursing discipline and articulate nursing's unique and specialized approach to promoting excellent patient care outcomes. It can assist students to develop critical lens from a person/family-centered relationship-based practice approach.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"29-38"},"PeriodicalIF":1.4,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040772","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}
Silvia Brunner APN, MScN, RN, Dr.phil, Maria Müller-Staub PhD, MNS, EdN, RN, FNI, FEANS, Hanna Mayer Univ.-Prof. Mag. Dr., Mag. Dr.
Purpose
To develop an intervention enhancing hospitalized older adults’ nutrition.
Methods
For the first time, a mixed-methods design with data triangulation was applied according to the six-step model of Corry et al. to elaborate on a complex nursing intervention in the form of a logic model. Patients who were aged ≥80 years and hospitalized for at least 5 days were included. Sample size for quantitative practice analysis was 135 older adults, whereas 22 older inpatients participated in interviews and observations for needs analysis and generated data for key principles.
Findings
The intervention “Eat Enough” encompasses nursing team culture and comprises six actionable targets to deliver needs-based support and reach required protein and energy intake for hospitalized older adults by sensitizing nurses and the interprofessional team. Facilitating nutritional intake would be supported by an advanced practice nurse who considers the medical and nursing care plan and therapy.
Conclusions
The intervention “Eat Enough” demonstrates that nurses play a key role in interprofessional teams to enhance older adults’ nutrition in hospital. The pipeline model displays how the actionable targets can be achieved, and how awareness raising can influence the context—leading to raised calories and protein requirement coverages and shorter length of stay.
Implications for clinical practice
By identifying risk factors of malnutrition and strengthening nurses’ responsibilities, the intervention “Eat Enough” could significantly enhance nutrition among hospitalized older adults. However, the logic model should be tested and implemented in future research.
{"title":"“Eat Enough”—A nurse-led intervention to enhance hospitalized older adults’ protein and energy nutrition","authors":"Silvia Brunner APN, MScN, RN, Dr.phil, Maria Müller-Staub PhD, MNS, EdN, RN, FNI, FEANS, Hanna Mayer Univ.-Prof. Mag. Dr., Mag. Dr.","doi":"10.1111/2047-3095.12457","DOIUrl":"10.1111/2047-3095.12457","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To develop an intervention enhancing hospitalized older adults’ nutrition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>For the first time, a mixed-methods design with data triangulation was applied according to the six-step model of Corry et al. to elaborate on a complex nursing intervention in the form of a logic model. Patients who were aged ≥80 years and hospitalized for at least 5 days were included. Sample size for quantitative practice analysis was 135 older adults, whereas 22 older inpatients participated in interviews and observations for needs analysis and generated data for key principles.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The intervention “Eat Enough” encompasses nursing team culture and comprises six actionable targets to deliver needs-based support and reach required protein and energy intake for hospitalized older adults by sensitizing nurses and the interprofessional team. Facilitating nutritional intake would be supported by an advanced practice nurse who considers the medical and nursing care plan and therapy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The intervention “Eat Enough” demonstrates that nurses play a key role in interprofessional teams to enhance older adults’ nutrition in hospital. The pipeline model displays how the actionable targets can be achieved, and how awareness raising can influence the context—leading to raised calories and protein requirement coverages and shorter length of stay.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for clinical practice</h3>\u0000 \u0000 <p>By identifying risk factors of malnutrition and strengthening nurses’ responsibilities, the intervention “Eat Enough” could significantly enhance nutrition among hospitalized older adults. However, the logic model should be tested and implemented in future research.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"3-15"},"PeriodicalIF":1.4,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707984/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811107","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}
Sandra P. Souto MSc, RM, RN, Ana Paula Prata PhD, MSc, RM, RN, Rosemeire S. Albuquerque PhD, MSc, RM, RN, Sílvia Caldeira PhD, MSc, RN
Purpose
To map and analyze the concept of women's fear of childbirth (FOC) during pregnancy and to develop a new nursing diagnosis (ND).
Methods
Concept analysis based on Walker and Avant's methodology. An integrative literature search was conducted in Scopus, Web of Science, and CINAHL Complete databases, including peer-reviewed articles published in English from January 1981 to October 2022.
Findings
Thirty-one studies were included in the review. Women's FOC during pregnancy comprises three central categories: attributes, antecedents, and consequences. Nine main characteristics (attributes) are related to one or more of eight prior conditions (antecedents) that have the potential to exert negative or favorable impacts (consequences), depending on whether coping strategies have been a part of a fearful woman's pregnancy. These elements and relationships among them should be viewed as dynamic.
Conclusions
Women's FOC during pregnancy is a subjective, multidimensional, and dynamic concept that benefits prenatal care responses. A conceptual matrix on prenatal care will consider the factors underlying women's FOC and their potential mechanisms, how fearful pregnant women respond, the aspects that shape FOC, and how it influences outcomes when supporting pregnant women with FOC. Therefore, the study findings can be used to inform ways of identifying fearful women or as a basis for interventions to manage fears and enhance the confidence of pregnant women for childbirth.
Implications for nursing practice
The results of this study help nurses, OB nursing practitioners, nurse–midwives, and midwives to identify the condition of women's FOC during pregnancy and guide nursing therapeutic interventions to decrease the negative effects on women's health and well-being. Therefore, there are valuable reasons to propose using “fear of childbirth” as a ND in the class “coping responses” within domain coping/stress tolerance, contributing to refining the NANDA-I taxonomy.
绘制并分析孕期妇女分娩恐惧（FOC）的概念，并制定新的护理诊断（ND）。
{"title":"Women's fear of childbirth during pregnancy: A concept analysis","authors":"Sandra P. Souto MSc, RM, RN, Ana Paula Prata PhD, MSc, RM, RN, Rosemeire S. Albuquerque PhD, MSc, RM, RN, Sílvia Caldeira PhD, MSc, RN","doi":"10.1111/2047-3095.12458","DOIUrl":"10.1111/2047-3095.12458","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To map and analyze the concept of women's fear of childbirth (FOC) during pregnancy and to develop a new nursing diagnosis (ND).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Concept analysis based on Walker and Avant's methodology. An integrative literature search was conducted in Scopus, Web of Science, and CINAHL Complete databases, including peer-reviewed articles published in English from January 1981 to October 2022.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Thirty-one studies were included in the review. Women's FOC during pregnancy comprises three central categories: attributes, antecedents, and consequences. Nine main characteristics (attributes) are related to one or more of eight prior conditions (antecedents) that have the potential to exert negative or favorable impacts (consequences), depending on whether coping strategies have been a part of a fearful woman's pregnancy. These elements and relationships among them should be viewed as dynamic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Women's FOC during pregnancy is a subjective, multidimensional, and dynamic concept that benefits prenatal care responses. A conceptual matrix on prenatal care will consider the factors underlying women's FOC and their potential mechanisms, how fearful pregnant women respond, the aspects that shape FOC, and how it influences outcomes when supporting pregnant women with FOC. Therefore, the study findings can be used to inform ways of identifying fearful women or as a basis for interventions to manage fears and enhance the confidence of pregnant women for childbirth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>The results of this study help nurses, OB nursing practitioners, nurse–midwives, and midwives to identify the condition of women's FOC during pregnancy and guide nursing therapeutic interventions to decrease the negative effects on women's health and well-being. Therefore, there are valuable reasons to propose using “fear of childbirth” as a ND in the class “coping responses” within domain coping/stress tolerance, contributing to refining the NANDA-I taxonomy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"16-28"},"PeriodicalIF":1.4,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138693073","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}
Elaine de Oliveira Souza MSc, Larissa Chaves Pedreira PhD, Rudval Souza Silva PhD, Roberta Pereira Góes PhD, Alberto José Barata Gonçalves Cavaleiro PhD
Objective
This study aims to analyze the concept of oral hygiene self-care and develop a new problem-focused nursing diagnosis (ND) based on the NANDA-I terminology.
Method
A concept analysis was performed based on the Walker and Avant framework, including a scoping review phase according to the Joanna Briggs Institute guidelines. Searches were performed in PubMed, Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science, Virtual Health Library, and specific gray literature databases. The development of the diagnostic structure followed the NANDA-I guidelines with a focus on Orem's self-care theory.
Results
Including 51 studies, the analysis facilitated the formulation of attributes, antecedents, and consequences of oral hygiene self-care. The ND “Oral hygiene self-care deficit” was created and included 17 defining characteristics, 9 related factors, 5 associated conditions, and 5 high-risk populations. Two cases were constructed to illustrate the use of key terms.
Conclusions
The conceptual analysis provided insight into the concept of oral hygiene self-care and supported the structure of a new ND.
Implications for nursing practice:
This study contributes to the implementation of the nursing process by focusing on the identification of individuals with oral hygiene self-care deficit. It will facilitate the promotion of oral health, thereby impacting the individual's quality of life. In addition, it will aid in the development of public policy for the prevention of oral diseases.
目的:分析口腔卫生自我保健的概念，提出一种基于NANDA-I术语的问题导向型护理诊断方法。方法:基于Walker和Avant框架进行概念分析，包括根据乔安娜布里格斯研究所指导方针的范围审查阶段。在PubMed、护理和相关健康文献累积索引、Scopus、Web of Science、虚拟健康图书馆和特定的灰色文献数据库中进行搜索。诊断结构的发展遵循NANDA-I指南，重点关注Orem的自我保健理论。结果:纳入51项研究，分析有助于制定口腔卫生自我保健的属性、前因和后果。创建ND“口腔卫生自我保健缺陷”，包括17个定义特征，9个相关因素，5个相关条件和5个高危人群。构建了两个案例来说明关键术语的使用。结论:概念分析提供了对口腔卫生自我保健概念的深入了解，并支持了新ND的结构。对护理实践的启示:本研究通过关注口腔卫生自我保健缺陷个体的识别，有助于护理过程的实施。这有助促进口腔健康，从而影响个人的生活质素。此外，它还将有助于制定预防口腔疾病的公共政策。
{"title":"Oral hygiene self-care: Concept analysis for the development of a new nursing diagnosis","authors":"Elaine de Oliveira Souza MSc, Larissa Chaves Pedreira PhD, Rudval Souza Silva PhD, Roberta Pereira Góes PhD, Alberto José Barata Gonçalves Cavaleiro PhD","doi":"10.1111/2047-3095.12456","DOIUrl":"10.1111/2047-3095.12456","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to analyze the concept of oral hygiene self-care and develop a new problem-focused nursing diagnosis (ND) based on the NANDA-I terminology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A concept analysis was performed based on the Walker and Avant framework, including a scoping review phase according to the Joanna Briggs Institute guidelines. Searches were performed in PubMed, Cumulative Index to Nursing and Allied Health Literature, Scopus, Web of Science, Virtual Health Library, and specific gray literature databases. The development of the diagnostic structure followed the NANDA-I guidelines with a focus on Orem's self-care theory.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Including 51 studies, the analysis facilitated the formulation of attributes, antecedents, and consequences of oral hygiene self-care. The ND “Oral hygiene self-care deficit” was created and included 17 defining characteristics, 9 related factors, 5 associated conditions, and 5 high-risk populations. Two cases were constructed to illustrate the use of key terms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The conceptual analysis provided insight into the concept of oral hygiene self-care and supported the structure of a new ND.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice:</h3>\u0000 \u0000 <p>This study contributes to the implementation of the nursing process by focusing on the identification of individuals with oral hygiene self-care deficit. It will facilitate the promotion of oral health, thereby impacting the individual's quality of life. In addition, it will aid in the development of public policy for the prevention of oral diseases.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"35 4","pages":"386-396"},"PeriodicalIF":1.4,"publicationDate":"2023-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479040","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}
Rafaella Pessoa Moreira PhD, Tahissa Frota Cavalcante PhD, Huana Carolina Cândido Morais PhD, Andressa Suelly Saturnino de Oliveira PhD, Cleiton da Silva Silveira PhD, Alexandre Cunha Costa PhD
{"title":"Is an update of nursing taxonomies required due to climate change impacts?","authors":"Rafaella Pessoa Moreira PhD, Tahissa Frota Cavalcante PhD, Huana Carolina Cândido Morais PhD, Andressa Suelly Saturnino de Oliveira PhD, Cleiton da Silva Silveira PhD, Alexandre Cunha Costa PhD","doi":"10.1111/2047-3095.12455","DOIUrl":"10.1111/2047-3095.12455","url":null,"abstract":"","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"35 4","pages":"384-385"},"PeriodicalIF":1.4,"publicationDate":"2023-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463885","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 utilization of herbal remedies for wound healing is a notable aspect of traditional medicine practices. Understanding herbal use among patients yields insights for nursing care enhancement. This study aimed to investigate the utilization of herbal remedies for wound healing among diabetic patients.
Methods
A total of 453 participants were enrolled, with demographic data, including age, sex, occupation, education level, residence, ethnic group, distance from health service, herbal use duration, and wound duration presented. Descriptive statistics were used to analyze the data, including means, standard deviations, ranges, and percentages.
Findings
The average participant age was 55.39 years, with most being non-civil servant workers (60.3%) and having a low education level (67.1%). Indian almond wood (9.7%) and green betel (6.8%) were the most commonly used herbs for wound healing. Family members were the primary source of information (29.1%), and 43.7% obtained herbs from personal gardens. Although 94.2% of participants did not disclose herbal use to health liaisons, 53.4% used herbs specifically for wound healing. Users reported both positive and negative effects on wounds from various herbs, indicating variability in experiences. However, the consistency of herb usage by individual patients was uncertain.
Conclusions
The study identified diverse herbal remedies used for wound healing among patients, driven by familial recommendations. Usage pattern diversity and effects signal necessity for researching herb safety and efficacy. Clarifying the impact of consistent herb usage on wound healing is essential for understanding patients’ preferences and practices.
Implications for clinical practice
These findings emphasize the importance of open communication between patients and healthcare providers regarding herbal remedy use. Nurses should acknowledge patients’ preferences for traditional healing practices while ensuring they receive evidence-based care. Patient-centered herbal strategies enhance nursing practice, fostering holistic wound care. Further research can guide nursing interventions, facilitate informed decision-making, and improve patient outcomes.
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Michelline Santos de França PhDRN, Francisca Márcia Pereira Linhares PhDRN, Ryanne Carolynne Marques Gomes Mendes MCsRN, Marcos Venícios de Oliveira Lopes PhDRN, Cecília Maria Farias de Queiroz Frazão PhDRN, Santana de Maria Alves de Sousa PhDRN, Cleide Maria Pontes PhDRN
Purpose
To describe a middle range theory (MRT) with conceptual and explicative capacity of cause and effect situations of Ineffective social support network in nursing.
Data sources
Descriptive study developed through the Lopes, Silva, and Herdman theoretical-causal validity method, using five steps for theory construction: definition of the approach for constructing the MRT, definition of the main concepts, development of the pictorial diagram, construction of propositions, and establishment of causal relationships and evidence for practice. The foundation of these steps and the development of a predictive nursing theory occurred through Sanicola's Social Network Theory combined with studies from an integrative literature review using the six steps proposed by Whittemore and Knafl.
Data synthesis—findings
The theory presents etiological factors and clinical indicators for Ineffective social support network, connecting situations related to the person, the members and the configuration of this network, and external situations. The pictogram, symbolically created, represents the hierarchical classification of proximal, intermediate, and distal etiological factors, and their relationship with clinical indicators.
Conclusions
The MRT, predictive for the nursing phenomenon Ineffective social support network, provides understanding of the person from an interpersonal perspective, which interferes with and is affected by a network of virtues and vicissitudes, and has negative influences on health outcomes. Due to its practical vocation, this theory represents an advance in the science and praxis of nursing.
Implications for clinical practice
The findings of this study will contribute to the understanding of the nursing phenomenon Ineffective social support network and consequently support the identification of the nursing diagnosis Ineffective social support network, proposed for inclusion in the NANDA-I classification.
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