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

Abstract

AimThis study aimed to assess (a) nurses' knowledge and their attitude towards the Advanced Nursing Process—nursing assessment, diagnoses, interventions, outcomes, (b) the quality of the Advanced Nursing Process and (c) relationships with patient characteristics.DesignA cross‐sectional, descriptive correlational study was performed.MethodsNinety‐two registered nurses and ninety nursing records of six hospital wards were included. In January 2016, a knowledge test, a self‐assessment tool for measuring nurses' attitude (PND) and the Quality of Diagnoses, Interventions and Outcomes Revised instrument (Q‐DIO R) were applied. The correlations between nurses' knowledge, attitude, patient characteristics, organizational factors and the Advanced Nursing Process quality were investigated.ResultsNurses demonstrated low levels of knowledge, positive attitudes and an average Advanced Nursing Process quality. Accurate nursing diagnoses were strong and highly significantly related to effective nursing interventions and better nursing‐sensitive patient outcomes. A higher proportion of registered nurses was related to better nursing outcomes.

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

“…These results suggest that due to their clinical experience, specialization, and experience with using the PROCEnf‐USP CDSS, proficient and experienced nurses could identify and add priority NDs without relying on the system. Experienced nurses were found to be capable of identifying relevant and accurate diagnoses to patients’ clinical conditions, which corroborates the findings of other researchers (Freitas & Conceição, 2018; Leoni‐Scheiber, Mayer, & Muller‐Staub, 2020).…”

“…For clinical practice, using the CDSS enables nurses to define diagnoses with moderate and high accuracy. Diagnoses with moderate and high accuracy are essential to select adequate interventions and may guarantee the quality of the nursing care provided for patients by means of appropriate outcomes (Leoni-Scheiber et al, 2020). In addition, when applied to in-service education, the CDSS appears to be crucial to improve clinical judgment and user decision making (Oliveira & Silva, 2016;Peres, Jensen, & Martins, 2016).…”

Culture in the spotlight—cultural adaptation and content validity of the integrated palliative care outcome scale for dementia: A cognitive interview study

“…Assessment therefore usually is directed at the presence of and severity of symptoms or concerns, rather than the subjective burden experienced by the person in need of care. 26 On the other hand, it implies that person centeredness which is the core piece to palliative care is not yet well established in primary care with a generalist palliative care approach. 27 Therefore, using the IPOS-Dem systematically within a primary care population with palliative care needs, may provide a palliative care approach for people with dementia delivered by their primary care nurses and physicians.…”

O cuidado espiritual realizado pela enfermagem na unidade de terapia intensiva

“…Este é um processo constante, caracterizado pela pesquisa de informações e observação dos usuários e familiares, determinando assim, as intervenções das suas necessidades espirituais . Concernente a isso, observa-se a importância de uma minuciosa pesquisa de informações, pois há indícios de forte correlação entre diagnóstico de enfermagem e os resultados positivos das intervenções propostas, reforçando assim a necessidade de um amplo conhecimento científico na prática da enfermagem (Leoni-Scheiber et al, 2020). Após a pesquisa de informações, é realizado o planeamento e a implementação das ações de enfermagem, que dependem da elaboração de intervenções para alcançar os resultados.…”