Frequency of Respiratory Nursing Diagnoses and Accuracy of Clinical Indicators in Preterm Infants

Purpose: To evaluate accuracy of defining characteristics (DCs) for impaired gas exchange (IGE), impaired spontaneous ventilation (ISV), and ineffective breathing pattern (IBP) in respiratory deterioration. Methods: This study is a retrospective analysis of medical records. The accuracy and predictive ability of DC or of clusters are calculated. Findings: In this study, 391 records were evaluated. For IGE, DCs or clusters with higher efficiency were "hypercapnia" (78%), "somnolence" (74.4%), and "hypercapnia + tachycardia" (88%); for ISV, the cluster with higher efficiency was "increased heart rate ± decrease in cooperation" (70.1%); and for IBP, no DC or cluster exceeded 70% efficiency. These were confirmed by logistic regression. Conclusion: Few DCs had adequate efficiency for respiratory nursing diagnoses, while in some cases clusters accounted for higher efficiency. Implications for Nursing Practice: Clusters of DC may be relevant for respiratory diagnoses.

Section: Discussionsupporting

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Background and Purposementioning

confidence: 99%

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Accuracy of Defining Characteristics for Nursing Diagnoses Related to Patients with Respiratory Deterioration

Vieira

Fernandes

Papathanassoglou

et al. 2019

“…International collaboration has been recognized as a tool that enhances the ability to address complex problems from a variety of perspectives (Gallani, 2016). A priority in terms of diagnostic development is clinical research, preferably conducted by researchers from different countries (Avena et al, 2019;Dias Emidio et al, 2020;Linch et al, 2014). This will allow nurses to test their ability to propose diagnostic hypotheses in different clinical settings, based on more consistent designs and analyses.…”

Section: Priorities and Possibilities For International Collaborationmentioning

confidence: 99%

International Collaboration and New Research Evidence on Nanda International Terminology

Rabelo‐Silva

Mantovani

Pedraza

et al. 2020

To discuss priorities and possibilities for promoting international collaboration and new research evidence on NANDA International, Inc. (NANDA-I). METHODS: Theoretical reflection article based on the literature and the authors' opinions on the subject matter, carried out by six research nurses. CONCLUSIONS: International research collaboration for NANDA-I allows the improvement of research production in an actual clinical setting, especially with multicenter and validation studies, conducted by researchers from different countries. This provides for improved understanding of patients' experiences and may help to produce robust scientific evidence. IMPLICATIONS FOR NURSING KNOWLEDGE:The generation of new evidence may lead to an increase in NANDA-I visibility and in nurses' understanding of its meaning for clinical practice and for the formulation of diagnostic hypotheses.

“…Anxiety is caused by the removal of a child from his or her family and by being with strangers and performing invasive and painful procedures (Gomes & da Nóbrega, 2015). Previous studies have also identified ineffective breathing (Avena et al, 2019;Gomes & da Nóbrega, 2015) and impaired gas exchange (Avena et al, 2019) as problem-oriented nursing diagnoses, but they were not observed in randomly selected nursing records.…”

Section: Discussionmentioning

confidence: 99%

The quality of nursing documentation and standardized nursing diagnoses in the children's hospital electronic nursing records

Nool

Tupits

Parm

et al. 2022

Aim The aim of the paper is to compare the quality of nursing documentation in the Children's Hospital before and after the NANDA‐I nursing diagnoses training. Methods Research employed the interventional study design, and pre–post study design. Before and after the NANDA‐I nursing diagnoses training, 50 nursing records were analyzed in the interventional pre–post study, using D‐Catch instrument. Results The most often documented problem‐centered nursing diagnosis before training was anxiety and after the training, hyperthermia. The most common risk diagnoses before and after the training was risk of infection. Before the training, one health promotion diagnosis was determined in the nursing records, and after the training the number increased to four. The highest value was given to readability of the nursing documentation both before and after the training. The lowest score before the training was given to the quality determiners of the accurate nursing diagnoses and after the training given to the determiners of the results’ quantity. The sum score of documenting the nursing interventions was the most inconsistent before the training and after the training. The most consistent was the readability of the nursing records before and after the training. Statistically significant differences in the improvement of quality were revealed in all areas except for the readability of the nursing documentation and the quantity of nursing assessment. Conclusions The results of the study revealed that following the training, the quality of nursing documentation improved, the wording of the nursing diagnoses improved, and the number of accurate nursing diagnoses had increased. Implications for Nursing Practice Results of the research provide an overview of the importance of the training in improving the quality of nursing documentation and aid the educators in planning the trainings, focusing more on the challenges in the documentation.