Prevalence of nursing diagnoses as a measure of nursing complexity in a hospital setting

Abstract

Nursing complexity, as described by nursing diagnoses, was shown to be associated with length of stay and mortality. These results should be confirmed after considering other variables through multivariate analyses. The concept of high-frequency/high-risk nursing diagnoses should be expanded in further studies.

Relationships between the Advanced Nursing Process quality and nurses' and patient' characteristics: A cross‐sectional study

“…In a study with elderly patients undergoing surgery, 14 of 74 possible NDs were used (Tuncbilek & Celik, ). The most frequent NDs in this study were congruent with previous studies in differing rankings and combinations: risk for falls, risk for infection, acute pain, fear, impaired physical mobility, self‐care deficit bathing and dressing (D'Agostino et al, ; Paans & Müller‐Staub, ; Tuncbilek & Celik, ). A crucial factor for the variety of NDs may be which and how many NDs are provided by the EHR.…”

“…The ICNP does not contain a comprehensive description of concepts (PES format) and theory‐based linkages between ND and nursing interventions and outcomes are missing (Müller‐Staub et al, ). The quality of nursing outcomes was also influenced by the number of NDs: fewer NDs were statistically significantly associated with better nursing‐sensitive outcomes (Scherb et al, ) while patients with a higher number of NDs tended to be in worse general conditions (Castellan, Sluga, Spina, & Sanson, ; D'Agostino et al, ).…”

“…In previous studies, nurses stated also more NDs in elderly patients [6.1 (Heering, ) and 9.6 (Araúja et al, )]. Two large‐scale studies revealed statistically positive correlations between numbers of NDs and LOS (D'Agostino et al, ; Welton & Halloran, ). Our correlations to nursing outcomes match with US‐American results (Scherb et al, ): the longer the LOS of patients aged from 60–89, the less improvements in several nursing‐sensitive outcomes (e.g.…”

Predicting patient acuity according to their main problem

“…These types of judgments arise from the combination of several sources of information, with initial and ongoing assessment data being pivotal. In this sense, the results of the present inquiry correspond almost inversely with the ones in a study on prevalent ND in the hospital ward setting using the NANDA‐I Classification (D'Agostino et al, ), where most of them are actual, descriptive judgments, and only 15% are predictive. To some extent, this might suggest the influence of each language system used to represent nurses' clinical judgments on patient problems in the EHR.…”

Establishing Technical Values for Nursing Diagnoses in Primary Healthcare

“…In relation to the impact that NDs have on health outcomes, important studies have been published in recent years which determine that nursing diagnoses have great potential to be independent predictors of several patient (quality of life and mortality) and organizational (length of hospital stay, hospital charges, amount of nursing care, discharge dispositions) outcomes (Castellan, Sluga, Spina, & Sanson, ; D'Agostino et al., ; Sanson et al., ). However, one of the main limitations of these studies is that they do not differentiate between the various types of NDs, let alone between the levels of complexity of these NDs.…”