Use of Nursing Diagnoses and Interventions in Public Health Nursing Practice

Abstract

PURPOSE. To determine the frequency of use of NANDA diagnoses and the Nursing Interventions Classification in care plans written by public health nurses (PHNs) in Orange County, CA. METHODS. Retrospective chart review. FINDINGS. The frequency pattern of nursing diagnoses and nursing interventions used in care plans is consistent with the scope of practice of the PHN, whose emphasis is on health promotion and disease prevention. CONCLUSIONS. The most commonly used diagnoses and interventions provide evidence of a core set of interventions useful for PHN practice. IMPLICATIONS FOR PRACTICE. Linking diagnoses and interventions allow PHNs to build a body of knowledge based on patient care and improve clinical decision‐making process. Search terms: Interventions, nursing diagnosis, public health nursing Utilisation des diagnostics infirmiers et interventions en santé publique BUT. Déterminer la fréquence des diagnostics infirmiers (ANADI) et des interventions (NIC) dans les plans de soins rédigés par les infirmières de santé publique dans le Comté d'Orange, CA. METHODE. Étude rétrospective des dossiers. RÉSULTATS. La répartition des diagnostics infirmiers et des interventions utilisés dans les plans de soin est cohérente avec la pratique des infirmières en santé publique, c'est‐à‐dire qu'elle souligne l'importance de la promotion de la santé et la prévention de la maladie. CONCLUSIONS. Les diagnostics et interventions les plus fréquemment utilisés permettent d'identifier le groupe d'interventions au centre de la pratique des soins en santé publique. IMPLICATIONS POUR LA PRATIQUE. L'articulation des diagnostics et interventions de soins permet de construire un corpus de connaissances en santé publique basée sur le soin des patients et d'améliorer le processus de décision clinique. Mots‐clés: Diagnostics infirmiers, interventions, soins infirmiers en santé publique Utilización de los diagnósticos e intervenciones de enfermería en la práctica de enfermería de salud pública PROPÓSITO. Determinar la frecuencia del uso de los diagnósticos de la NANDA y de la clasificación de las intervenciones enfermeras (NIC), en planes del cuidados escritos por enfermeras de salud pública en el Condado de Orange, California. MÉTODOS. Revisión retrospectiva de gráficos. RESULTADOS. El patrón de frecuencia de diagnósticos de enfermería y de intervenciones enfermeras utilizados en los planes del cuidados, es consistente con el ámbito asistencial de las enfermeras de salud pública, cuyo énfasis está en la promoción de salud y la prevención de la enfermedad. CONCLUSIÓN. Los diagnósticos e intervenciones más comúnmente utilizados, proporcionan evidencia de un grupo nuclear de intervenciones útiles a la práctica de enfermería de salud pública. IMPLICACIONES PARA LA PRÁCTICA. Conectar los diagnósticos y las intervenciones permite a las Enfermeras de Salud Pública construir un cuerpo de conocimientos basado en el cuidado de los pacientes y mejorar el proceso de toma de decisiones en la práctica clínica. Términos ...

Nursing diagnoses, interventions and outcomes – application and impact on nursing practice: systematic review

“…High frequencies of nursing diagnoses in care plans were reported (Smith‐Higuchi et al. 1999, Rivera & Parris 2002). According to Thoroddsen and Thorsteinsson (2002), 60% of records contained from 1 to 10 nursing diagnoses; however, 65% of these nursing documentations contained three or fewer diagnoses, while altered comfort was the most often‐stated diagnosis.…”

Improved Quality of Nursing Documentation: Results of a Nursing Diagnoses, Interventions, and Outcomes Implementation Study

“…Based on the results of this study, follow‐up research will focus on the implementation of NANDA, NIC, and NOC (NNN) in the electronic patient documentation by applying the criteria for the quality of documentation, displayed in Q‐DIO. Such software programs must contain automated linkages between NNN (Brokel & Nicholson, 2006; Rivera & Parris, 2002), the nursing assessment data, and the nursing progress notes. This study supports the use of the Q‐DIO in evaluating documentation of nursing diagnoses, interventions, and outcomes.…”

“…Different authors have agreed that nurses must be better educated concerning the use of nursing diagnoses, signs, and symptoms, as well as the etiology (Courtens & Huijer Abu‐Saad, 1998; Delaney, Herr, Maas, & Specht, 2000; Delaney & Moorhead, 1997; Ehrenberg & Ehnfors, 1999; Rivera & Parris, 2002). Investigations in Canada reported that nurses had difficulties with making a diagnosis and that 44% of the nursing diagnoses were not based on etiological factors (Smith‐Higuchi et al., 1999).…”

Implementing nursing diagnostics effectively: cluster randomized trial

“…Based on the results of this study, we recommend application of the criteria for the quality of documentation displayed in Q‐DIO when including nursing diagnoses, interventions and outcomes in the electronic patient documentation. Such a software program should contain automated linkages between NNN (Rivera & Parris 2002, Brokel & Nicholson 2006), and also with the nursing assessment and nursing progress notes. The Q‐DIO was shown to be useful as an audit tool and is recommended for development as an integrated feature in the electronic health record.…”

“…Researchers have reported that nurses must be better trained in relation to nursing diagnoses, signs and symptoms as well as their aetiology (Delaney et al. 2000, Rivera & Parris 2002, Lunney 2003). Investigations have shown nurses’ difficulties with making a diagnosis, with 44% of nursing diagnoses not being based on aetiological factors (Smith‐Higuchi et al.…”