Effects of the nursing intervention Fall prevention in older adults with arterial hypertension using NANDA‐I, NIC, and NOC

Abstract

Purpose: To measure the effects of the NIC intervention fall prevention on the magnitude of the NANDA-I Risk for falls' risk factors and of NOC indicators related to falls in older adults with arterial hypertension. Background: Nurses can use nursing taxonomies to provide effective care in preventing falls in specific populations. Methods: Clinical, randomized, open, parallel, and multicenter trial following the CON-SORT recommendations for nonpharmacological trials. The clinical trial was registered. The research was conducted with 118 older adults allocated to intervention and control groups and matched by sex and age. The intervention was conducted in the participants' homes in three different moments and consisted of nursing activities belonging to the NIC Fall prevention and implemented with the aid of a protocol with operational definitions.Findings: Three months after the intervention, there was a significant intergroup difference in the frequency of Risk for falls and of the following factors/conditions: cluttered environment, unfamiliar setting, exposure to unsafe weather-related condition, insufficient anti-slip material in the bathroom, history of falls, acute illness, orthostatic hypotension, hearing impairment, and impaired vision. There was also a positive change in the magnitude of the following NOC indicators: risk control, cognitive orientation, knowledge: fall prevention, safe home environment, comfort level, vision compensation behavior, and leisure participation. Conclusions:The NIC intervention Fall prevention was effective in modifying risk factors belonging to Risk for falls and NOC indicators related to falls in older adults. Implications for nursing practice:The tested intervention is important and should be instituted, mainly by nurses from primary care services who make home visits to older adults.

Identification of North American Nursing Diagnosis Association—Nursing Interventions Classification—Nursing Outcomes Classification of nursing home residents using on‐time data by android smartphone application by registered nurses

“…Under the situation that the SNL is incorporated into Korea's current data collection system, quality improvement could be accomplished. The generated electronic health record system may build scientific nursing knowledge, thus reducing inappropriate costs (Fennelly et al., 2021; Moreira et al., 2022; Rossi et al., 2022).…”

“…NNN linkages have been studied across health settings, including acute settings (Kim, 2005;Noh & Lee, 2015;Park, 2014), community settings (Aleandri et al, 2022;Almasalha et al, 2013;Erdogan & Esin, 2006;Kerr et al, 2016;Monsen & Newsom, 2011), home care (Azzolin et al, 2013), and long-term care settings (Johnson et al, 2012;Shin et al, 2020). In terms of the population studied, NNN linkages have been studied for patients with gastrectomy (Park et al, 2009), abdominal surgery (Yoo & Ji, 2001), spinal cord injury (Hughes, 2003), chronic disease (Aleandri et al, 2022;Minthorn & Lunney, 2012), chemotherapy (Song et al, 2014), heart failure (Azzolin et al, 2013), and fall prevention for patients with arterial hypertension (Moreira et al, 2022). For two NANDA-Is of fall risk, the NNN linkages for NH residents at risk of falls (Lucena et al, 2019) validated 13 different nursing outcomes from the NOC and eight different nursing interventions from the NIC.…”

“…Utilization of SNLs promotes nursing process decision‐making, critical thinking, and extensiveness and inclusiveness of nursing documents (Chae et al., 2020). NANDA‐I provides RNs with standardized vocabulary to articulate the problems they encounter every day and serves as the foundation for selecting nursing interventions to achieve outcomes for which the RN is responsible (Moreira et al., 2022). The NOC is complementary to the NANDA‐I and NIC classifications (Iannicelli et al., 2019), giving standardized terminology for defining outcomes related to the nursing process planning and assessment stages, with indicators and scales capable of measuring the patient's state at predetermined intervals according to the nurse's clinical judgment (Moorhead et al., 2018).…”

“…It is based on RN’s selection of diagnoses and facilitaties the RN’s clinical decision‐making on the outcome and intervention of care plans, making RNs’ action more visible to the public (Gencbas et al., 2018; Johnson et al., 2012; Leoni‐Scheiber et al., 2019). RNs should frequently evaluate every situation to apply the NNN link to each patient's particular needs and circumstances (Moreira et al., 2022).…”

Evaluation of the use of a nursing diagnosis Risk for Falls in the Community of Madrid (Spain) Primary Care System

“…As front‐line practitioners with around‐the‐clock patient contact, nurses can give valuable information about the patient's healthcare environment (Innab, 2022). Nurses play an essential role in identifying, intervening, and assessing problems that may result in falls (Moreira et al., 2022). Nursing methodology is the process of solving daily care problems in a systematic manner.…”