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International Journal of Nursing Knowledge

Cíntia da Costa, Graciele Fernanda da Costa Linch
INTRODUCTION: The quality of nursing care is related to the execution of the nursing process, which should be properly documented. In this context, there is an evident need to implement electronic health records with the use of standardized languages. OBJECTIVE: To implement electronic records related to nursing diagnoses in a computerized health management system. METHODOLOGY: The project followed four stages, based on the plan-do-check-act tool...
July 24, 2018: International Journal of Nursing Knowledge
Tamara O Perdue, Ann Schreier, Janice Neil, Robert Carels, Melvin Swanson
PURPOSE: This article describes the concept of disturbed body image in bariatric surgery patients. METHOD: Walker and Avant's () method of concept analysis is used in this study. FINDINGS: After bariatric surgery, the patient's body may change more rapidly than their allocentric ("inside, lived") view of themselves, leading to physical and psychosocial sequelae. CONCLUSION: If not prepared physically and psychologically for body image challenges after bariatric surgery, patients may experience disturbed body image in the postoperative phase...
July 24, 2018: International Journal of Nursing Knowledge
Vanessa Monteiro Mantovani, Alba Luz Rodríguez Acelas, Solange Klockner Boaz, Wilson Cañon-Montañez, Amália de Fátima Lucena, Isabel Cristina Echer
PURPOSE: To evaluate patients in a smoking cessation support group using the Nursing Outcomes Classification (NOC). METHODS: Prospective observational cohort study conducted with 21 patients participating in a smoking cessation support group. Data were collected using an instrument consisting of 2 NOC outcomes and 20 indicators, applied during each of the six support group meetings. FINDINGS: The two NOC outcomes, Smoking Cessation Behavior (1625) and Substance Withdrawal Severity (2108), showed statistically significant differences over time in many of their indicators...
May 30, 2018: International Journal of Nursing Knowledge
Francine Monteiro Moreira, Teresa Cristina Dias Cunha Nascimento, Beatriz Murata Murakami, Ellen Cristina Bergamasco, Camila Takao Lopes, Eduarda Ribeiro Dos Santos
OBJECTIVE: To establish clinical predictors of risk for decreased cardiac tissue perfusion (DCTP) after percutaneous coronary intervention (PCI). METHODS: Data on demographic, anthropometric, clinical, and procedural variables were collected as explanatory from a database of 1,542 adult patients undergoing PCI. A diagnosis of periprocedural myocardial infarction was used to confirm DCTP. A multivariate logistic regression determined the predictors of DCTP. RESULTS: The independent predictors of risk for DCTP were age (OR = 1...
May 10, 2018: International Journal of Nursing Knowledge
Fintan Sheerin
PURPOSE: Much of our practice as nurses is predicated on the development of a trusting relationship between patient and nurse. Through this, the nurse and patient can identify the issues which are challenging health, the desired outcomes of care and the interventions that will be enacted, by both parties, in order to achieve these outcomes. Often, though, both nurses and patients find it difficult to put aside the relative roles that they play in health care and the level of engagement that is possible may not be achieved...
April 30, 2018: International Journal of Nursing Knowledge
Diane E Mahoney
PROBLEM: Nurses are uniquely positioned to implement behavior change interventions. Yet, nursing interventions have traditionally resulted from nurses problem-solving rather than allowing the patient to self-generate possible solutions for attaining specific health outcomes. PURPOSE: The purpose of this review is to clarify the meaning of possible solutions in behavior change interventions. METHODS: Walker and Avant's method on concept analysis serves as the framework for examination of the possible solutions...
April 24, 2018: International Journal of Nursing Knowledge
Luciana Bjorklund de Lima, Michelle Cardoso E Cardozo, Daniela de Souza Bernardes, Eneida Rejane Rabelo-Silva
PURPOSE: To select and refine the outcomes and indicators of Nursing Outcomes Classification for the diagnosis of risk for perioperative positioning injury. METHOD: Validation study on expert consensus and refinement through pilot study. FINDINGS: Eight outcomes and 35 indicators were selected in consensus. After clinical testing was performed, in which 10 patients were assessed at five different times. Eight outcomes and 33 indicators remained in the protocol...
April 16, 2018: International Journal of Nursing Knowledge
Jane Flanagan
No abstract text is available yet for this article.
April 2018: International Journal of Nursing Knowledge
Swapna Abhyankar, Daniel J Vreeman, Bonnie L Westra, Connie W Delaney
No abstract text is available yet for this article.
April 2018: International Journal of Nursing Knowledge
G M Keenan, Y Yao, K Dunn Lopez, V E C Sousa, J Stifter, T G R Macieira, A D Boyd, T H Herdman, S Moorhead, A McDaniel, D J Wilkie
No abstract text is available yet for this article.
April 2018: International Journal of Nursing Knowledge
Juliana Martins de Souza, Diná de Almeida Lopes Monteiro da Cruz, Maria De La Ó Ramallo Veríssimo
OBJECTIVE: The paper proposes new diagnoses on child development (CD) for NANDA International. METHODS: The study followed the recommended steps of Developmental Processes for NANDA International Nursing Diagnoses. It was a secondary analysis study on the findings of a concept analysis study on CD. RESULTS: A proposal of labels and components of three diagnoses: "Delayed child development," "Risk for delayed child development," and "Readiness for enhanced child development...
April 2018: International Journal of Nursing Knowledge
Eunjoo Lee, Hyejin Park
BACKGROUND: Without data on the average time for performing nursing interventions, it is not possible to identify the cost-effective nursing practices, nurse staffing levels, and skill mix that are associated with improved patient outcomes, nor can reimbursement rates be accurately determined. PURPOSE: The purpose of this study was to estimate the time needed to perform direct nursing interventions in Korea using the Nursing Interventions Classification (NIC) system, and then compare the findings with time estimates made by U...
April 2018: International Journal of Nursing Knowledge
Susana Miguel, Sílvia Caldeira, Margarida Vieira
OBJECTIVE: This article describes the adequacy of the Q methodology as a new option for the validation of nursing diagnoses related to subjective foci. METHODS: Discussion paper about the characteristics of the Q methodology. FINDINGS: This method has been used in nursing research particularly related to subjective concepts and includes both a quantitative and qualitative dimension. CONCLUSIONS: The Q methodology seems to be an adequate and innovative method for the clinical validation of nursing diagnoses...
April 2018: International Journal of Nursing Knowledge
Ana Railka de Souza Oliveira-Kumakura, Sílvia Caldeira, Talita Prado Simão, Fabio Alberto Camargo-Figuera, Diná de Almeida Lopes Monteiro da Cruz, Emília Campos de Carvalho
PURPOSE: To analyze the knowledge related to the use of the Rasch model in validation of nursing diagnoses. METHODS: Integrative literature review with search in LILACS, PUBMED, CINAHL, and SCOPUS. FINDINGS: Five studies comprised the sample, which analyzed unidimensionality, local independence, item calibration, item reliability, separation of items and people, and differential item functioning for analyzing nursing diagnoses. CONCLUSIONS: The Rasch model seems to be a useful method to validate nursing diagnoses and probably also for the validation of nursing outcomes in the Nursing Outcomes Classification...
April 2018: International Journal of Nursing Knowledge
Shelley-Rae Pehler
PURPOSE: To gather data from patients and caregivers about their personal experiences with longing. METHODS: Using Fehring's Clinical Diagnostic Validity model, patients and caregivers were surveyed for their experiences with longing. The survey was developed based on two previous research projects (a content analysis and survey of expert nurses). Approval for the study was received from the University of Wisconsin-Eau Claire Institutional Review Board. FINDINGS: None of the 84 attributes met major criteria (weighted ratios ≥ 0...
April 2018: International Journal of Nursing Knowledge
Alonso Montiel-Luque, Antonio Jesús Núñez-Montenegro, Esther Martín-Aurioles, Felicísima García-Dillana, Maria Carmen Toro-Toro, José Antonio González-Correa
PURPOSE: To determine the prevalence of Ineffective Self-Health Management (ISHM) (00078) and its related factors in polymedicated patients over the age of 65 years. METHODS: A cross-sectional, descriptive design was used. A home interview was conducted with each participant (N = 375) for data collection. FINDINGS: The prevalence of ISHM was 37.3%. The risk factors associated were social risk, depression, noncompliance, medication errors, and confusion with medications...
April 2018: International Journal of Nursing Knowledge
Vanessa Emille Carvalho de Sousa, Marcos Venícios de Oliveira Lopes, Gail M Keenan, Karen Dunn Lopez
PURPOSE: To design and test educational software to improve nursing students' diagnostic reasoning through NANDA-I-based clinical scenarios. METHODS: A mixed method approach was used and included content validation by a panel of 13 experts and prototype testing by a sample of 56 students. FINDINGS: Experts' suggestions included writing adjustments, new response options, and replacement of clinical information on the scenarios. Percentages of students' correct answers were 65...
April 2018: International Journal of Nursing Knowledge
SoYeun Lim, Jun-Ah Song
PURPOSE: This article aims to define the concept of maintenance of continuity in older adulthood (MCOA) and assist nurses to better understand the concept of MCOA. METHODS: The method by Walker and Avant was used for this concept analysis. FINDINGS: In the literature, MCOA is defined as a psychosocial adaptation strategy by searching for preference and familiarity, making a sense of connection, and creating coherence. CONCLUSIONS: MCOA has potential to improve psychosocial adjustment to difficult life transitions as a coping mechanism...
March 30, 2018: International Journal of Nursing Knowledge
Marta José Avena, Mavilde da Luz Gonçalves Pedreira, Lucas Bassolli de Oliveira Alves, T Heather Herdman, Maria Gaby Rivero de Gutiérrez
PURPOSE: To identify the frequency of the nursing diagnoses, ineffective breathing pattern, impaired gas exchange and impaired spontaneous ventilation in newborns; and, to analyze the accuracy of diagnostic indicators identified for each of these diagnoses. METHODS: This was a cross-sectional study conducted with a nonprobability sample of 92 infants. Data collected were represented by demographic and clinical variables, clinical indicators of the three respiratory nursing diagnoses from NANDA International, and were analyzed according to frequency and agreement between pairs of expert nurses (Kappa)...
March 5, 2018: International Journal of Nursing Knowledge
Marcos Barragan da Silva, Luciana Nabinger Menna Barreto, Bruna Paulsen Panato, Bruna Engelman, Manoela Schmarczek Figueiredo, Alba Luz Rodríguez-Acelas, Miriam de Abreu Almeida
PURPOSE: To select outcomes from the Nursing Outcomes Classification (NOC) to evaluate impaired tissue integrity in patients undergoing orthopedic surgeries, and develop conceptual and operational definitions for their indicators. METHODS: A consensus study involving 10 nurses from clinical practice. A 100% consensus was established in the outcomes selection. FINDINGS: Wound Healing: Primary intention (1102) with two indicators: (110214) Scar formation, and (110201) Skin approximation were selected...
February 28, 2018: International Journal of Nursing Knowledge
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