Linkages of Nursing Diagnoses, Outcomes, and Interventions Performed by Nurses Caring for Medical and Surgical Patients Using a Decision Support System

Silva, Rita de Cassia Gengo e; Diogo, Regina Célia dos Santos; Cruz, Diná de Almeida Lopes Monteiro da; Ortiz, Dóris Ribeiro; Ortiz, Diley Cardoso Franco; Peres, Heloísa Helena Ciqueto; Moorhead, Sue

doi:10.1111/2047-3095.12185

Cited by 8 publications

(16 citation statements)

References 20 publications

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“…Standardized nursing languages, however, are important at all levels of nursing education, since they have the potential to expand the possibilities for clinical reasoning, ensuring that nurses' professional activity is understood and scientifically grounded (Maia et al, 2014). The use of classifications makes it possible to describe and communicate the nurse's knowledge and practice, and, consequently, to develop knowledge of nursing practice through the extraction and analysis of assessment data, intervention, and outcomes (Gengo e Silva et al, 2018). In addition, the use of nursing classifications ensures harmonization of terms, facilitating the use of nursing data in computerized systems (Peres et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

“…No experience or a low level of experience with PROCEnf-USP applied to clinical practice reduced the accuracy by 5.41%. In fact, in order to have nurses introduced to and sensitized about the use of PROCEnf-USP, theoretical and practical cycles of qualification were conducted not only to raise awareness of the system but also to improve the respective assessments, follow-up, and updates (Diogo, Peres, Silva, Ortiz, & Maia, 2017;Gengo e Silva et al, 2018;Oliveira & Peres, 2015;Peres et al, 2009). A higher level of experience with PROCEnf-USP applied to clinical practice may be advantageous when selecting more accurate NDs.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of the Accuracy of Nursing Diagnoses Determined by Users of a Clinical Decision Support System

Diogo

Gengo

Butcher

et al. 2021

J of Nursing Scholarship

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Purpose To analyze the accuracy of nursing diagnoses determined by users of a clinical decision support system (CDSS) and to identify the predictive factors of high/moderate diagnostic accuracy. Methods This is an exploratory‐descriptive study carried out from September 2017 to January 2018. Participants were nurses, resident nurses, and senior year undergraduates. Two written case studies provided the participants with the clinical data to fill out the assessment forms in the CDSS. The accuracy of the selected diagnostic labels was determined by a panel of experts using the Diagnostic Accuracy Scale, Version 2. Descriptive statistics were used to describe the level of accuracy according to each group of participants. Analysis of variance was used to compare the mean percentages of accuracy categories across groups. A linear regression model was used to identify the predictors of diagnostic accuracy. The significance level was 5%. The study was approved by the Ethics Committee. Results Fifteen undergraduates, 10 residents, and 22 nurses were enrolled in the study. Although resident nurses and students had selected predominantly highly accurate diagnoses (51.8 ± 19.1 and 48.9 ± 27.4, respectively), and nurses had selected mostly diagnoses of moderate accuracy (54.7 ± 14.7), there were no differences in the accuracy level of selected diagnoses across groups. According to the linear regression model, each diagnosis added by the participants decreased the diagnostic accuracy by 2.09% (p = .030), and no experience or a low level of experience using the system decreased such diagnostic accuracy by 5.41% (p = .022). Conclusions The CDSS contributes to decision making about diagnoses of less experienced people. Adding diagnoses not indicated by the CDSS and experience with the system are predictors of diagnostic accuracy. Clinical Relevance In‐service education regarding the use of CDSSs seems to be crucial to improve users’ clinical judgment and decision making.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Evaluation of the Accuracy of Nursing Diagnoses Determined by Users of a Clinical Decision Support System

Diogo

Gengo

Butcher

et al. 2021

J of Nursing Scholarship

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“…It is already known that among the variables present for the non-adoption of a systematized process of care are communication failures among professionals (8) , inadequate knowledge of professionals and inadequate amount of human resources (15) .…”

Section: Discussionmentioning

confidence: 99%

“…NCS can favor nurses' critical thinking and acting, as well as communication among all the nursing staff and the other members involved in the care (8) . However, despite the fact that NCS use is a legal requirement, as directed by the Brazilian Federal Nursing Council (Conselho Federal de Enfermagem) (1) , there is still discussion about its effectiveness and conflicts between nursing assistants and researchers regarding its application.…”

Section: Introductionmentioning

confidence: 99%

Nursing care systematization: perceptions and knowledge of the Brazilian nursing

et al. 2019

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Objective: to present the perception and knowledge of Brazilian nursing nurses and academics regarding Nursing Care Systematization. Method: a descriptive study, carried out in the first half of 2018. Results: of the 596 respondents, 86% perceived Nursing Care Systematization as very important, but only 60.9% used it in their care practice. Its use was statistically associated with a higher level of training. Non-utilization was associated with the perception that it is irrelevant and with little knowledge on the Nursing Process, even in the face of recognition of its obligation. Among professionals who wish to learn more about the subject, understanding the application of the process, especially the planning step, is perceived as a necessity. Conclusion: the relevance perception of systematization and levels of knowledge of the professional/academic are directly related to the use or not of Nursing Care Systematization principles.

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“…The use of a great diversity of connections for the same diagnosis made by nurses in their clinical practice offers elements for the improvement of the clinical reasoning, as well as evidence to support therapeutic decisions (Silva et al, 2018). Identifying the various connections for the same diagnosis confers the potential to represent with great specificity individual situations, and consequently provide further accuracy of not only diagnoses but outcomes and nursing interventions (Silva et al, 2018).…”

mentioning

confidence: 99%

“Call for the Use of Axial Terms”: Toward Completeness of NANDA‐I Nursing Diagnoses Labels

Miguel

Romeiro

Martins

et al. 2018

Int J of Nursing Knowl

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PURPOSE This article explores the current structure of NANDA‐I nursing diagnoses (ND) labels. METHODS Critical analysis of the ND labels, as categorized in the NANDA‐I terminology. FINDINGS Most of the 244 ND labels are composed of terms from the focus and judgment axes. CONCLUSIONS The specificity of the human responses toward health and life transitions may not be totally represented in the two most common axes, as categorized within taxonomy II. IMPLICATIONS FOR NURSING PRACTICE Improvements in NANDA‐I diagnosis labels would contribute to an advanced terminology and to increased specificity and accuracy of the diagnostic process that is needed in clinical practice. Completeness of the ND labels would reflect clinical reasoning preciseness and help students and nurses in delivering more personalized, safe, and effective patient‐centered care. OBJETIVO Este artigo explora os títulos dos diagnósticos de enfermagem da NANDA‐I. MÉTODOS Análise crítica dos títulos dos diagnósticos de enfermagem da NANDA‐I. RESULTADOS A maioria dos 244 diagnósticos de enfermagem classificados são compostos essencialmente por termos referentes ao foco e ao julgamento. CONCLUSÕES A especificidade das respostas às transições de saúde e vida pode não estar totalmente representada nos dois eixos mais comuns, como apresentado na taxonomia II. IMPLICAÇÕES PARA A PRÁTICA Melhorias nos diagnósticos da NANDA‐I em relação ao seu aspeto multiaxial contribuiriam no desenvolvimento da sua terminologia e poderiam melhorar a especificidade e acurácia do processo diagnóstico que é necessário à prática clínica. Complementar os títulos dos diagnósticos de enfermagem poderia refletir a acurácia do raciocínio clínico e ajudar os estudantes e enfermeiros em prestarem cuidados centrados no paciente mais personalizados, seguros e eficazes.

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Linkages of Nursing Diagnoses, Outcomes, and Interventions Performed by Nurses Caring for Medical and Surgical Patients Using a Decision Support System

Cited by 8 publications

References 20 publications

Evaluation of the Accuracy of Nursing Diagnoses Determined by Users of a Clinical Decision Support System

Evaluation of the Accuracy of Nursing Diagnoses Determined by Users of a Clinical Decision Support System

Nursing care systematization: perceptions and knowledge of the Brazilian nursing

“Call for the Use of Axial Terms”: Toward Completeness of NANDA‐I Nursing Diagnoses Labels

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