International Journal of Nursing Knowledge最新文献

{"title":"Bridging NANDA-I and the Omaha System in nursing education: Enhancing diagnostic competency for family-centered care.","authors":"Yayun Song","doi":"10.1111/2047-3095.70011","DOIUrl":"https://doi.org/10.1111/2047-3095.70011","url":null,"abstract":"","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family engagement on neuroscience units with Post-covid visiting policies: A retrospective chart review.","authors":"Jennifer Morgan, Jennifer Cahill, Christine Ritchie, Lingling Zhang, Priscilla Gazarian","doi":"10.1111/2047-3095.70009","DOIUrl":"https://doi.org/10.1111/2047-3095.70009","url":null,"abstract":"<p><strong>Background: </strong>Family engagement is crucial for achieving successful outcomes for both patients and hospitals. It supports safe transitions between care settings, providers, and ultimately, as illness progresses. However, in the hospital setting, family engagement is poorly operationalized. While the existing literature acknowledges its benefits, it does not adequately define the specific domains of family engagement, the roles families play during inpatient care, or whether these factors differ across patient populations.</p><p><strong>Aims: </strong>This research aims to describe family engagement in the hospital setting and examine whether differences exist in documentation across various populations.</p><p><strong>Methods: </strong>A retrospective chart review (RCR) was conducted using data extracted from the electronic medical records (EMRs) of adult patients admitted to neuroscience units at an academic medical center. Descriptive statistics were calculated for continuous and categorical variables. Chi-square analysis was performed on categorical variables (e.g., race, social deprivation index [SDI], cognitive impairment) to identify statistically significant differences between groups, with a threshold of p < 0.05.</p><p><strong>Findings: </strong>The RCR included data of 293 patient records. The results reveal what is documented regarding family engagement in the EMR, who is documenting it, and where it is recorded. No differences were found in the documentation of engagement domains between Black and White patients, between patients with high and low SDI, or between patients with cognitive impairment and those without. However, differences were observed in documentation related to discharge placement.</p><p><strong>Conclusion: </strong>These results have implications for further research, policy development, and provider education. They underscore the need for a structured template in the EMR and suggest potential implications for nursing diagnoses and interventions to better support family engagement in the hospital setting.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methodological insights into content validity studies for nursing diagnoses.","authors":"Marcos Venícios de Oliveira Lopes, Viviane Martins da Silva","doi":"10.1111/2047-3095.70010","DOIUrl":"https://doi.org/10.1111/2047-3095.70010","url":null,"abstract":"<p><strong>Purpose: </strong>This scoping review aimed to characterize content validity studies in nursing diagnostics, focusing on methodological approaches, including expert selection criteria, aggregation measures, and validation outcomes.</p><p><strong>Method: </strong>A comprehensive literature review was conducted, encompassing studies published between 1989 and 2023. The primary sources included 78 articles from 22 different journals, with a significant number from Brazil and the United States.</p><p><strong>Findings: </strong>The analysis revealed a concentration of content validity studies in a few countries, with Brazil and the United States leading. There was a noticeable shift in research focus from North America to Latin America and Europe over the past decade. Methodologically, the studies predominantly used Fehring's method, though recent works have adopted diverse approaches to improve study quality. Despite the expansion of the NANDA-I classification into various languages, research dissemination remains limited by regional publication preferences and the challenges of finding adequately experienced experts.</p><p><strong>Conclusions: </strong>Content validity research in nursing diagnoses shows geographic and methodological disparities. While traditional methods remain prevalent, newer approaches are emerging, contributing to higher methodological rigor. However, publication in specialized and high-impact journals remains limited, affecting the global dissemination and implementation of findings.</p><p><strong>Implications for nursing practice: </strong>This study underscores the importance of adopting diverse research methodologies and enhancing international collaboration to improve the validity and applicability of nursing diagnoses. Broadening publication strategies can facilitate the global exchange of knowledge and contribute to the standardization and refinement of nursing practices, ultimately improving patient care outcomes.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between ineffective health self-management and severe radiodermatitis: Cohort study.","authors":"Thamiris da S E Silva, Rafael O P Lopes, Marcos Antonio G Brandão, Joice Cesar de A Barbosa, Dorothy Anne Jones","doi":"10.1111/2047-3095.70006","DOIUrl":"https://doi.org/10.1111/2047-3095.70006","url":null,"abstract":"<p><strong>Purpose: </strong>To verify the association of the nursing diagnosis (ND) Ineffective Health Self-Management (IHS) (00276) with severe radiodermatitis in individuals with anal and/or rectal canal cancer.</p><p><strong>Methods: </strong>Cohort study, secondary to a clinical trial. Data were extracted from 57 participants undergoing radiotherapy (RT) for anal and/or rectal cancer so that a panel of experts could assess the presence of the defined characteristics and the ND of IHS. Descriptive and inferential statistical analysis was performed. Univariate analyses and bivariate analyses were applied using Fisher's exact test and chi-square test.</p><p><strong>Findings: </strong>The ND had a high prevalence. There was an association among participants with three or more defining characteristics (DC) of that diagnosis in patients experiencing severe radiodermatitis.</p><p><strong>Conclusions: </strong>An association was identified between the presence of three or more DC in the onset of severe radiodermatitis in individuals with anal and/or rectal canal cancer.</p><p><strong>Implications for nursing practice: </strong>The study contributes to incorporating the association between a human response and an adverse event in the nursing standards or guidelines related to the context of RT.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building a nursing diagnosis subset for mental health care: Results from an e-Delphi survey.","authors":"Claudia Fantuzzi, Valentina Zeffiro, Gianfranco Sanson","doi":"10.1111/2047-3095.70005","DOIUrl":"https://doi.org/10.1111/2047-3095.70005","url":null,"abstract":"<p><strong>Purpose: </strong>To identify a consensus-based subset of NANDA-I nursing diagnoses (NDs) specifically relevant to mental health and addiction care, facilitating their integration into clinical practice and electronic health records (EHRs).</p><p><strong>Methods: </strong>A multiphase e-Delphi study was realized engaging 33 international nurses with experience in the fields of interest and in standardized nursing languages. Participants evaluated the relevance of 267 NANDA-I NDs (12th edition) using a 9-point scoring system, allowing for the immediate inclusion of 130 NDs with high consensus (median scores of 7-9). Further five uncertain NDs were included after undergoing a second Delphi round.</p><p><strong>Findings: </strong>A total of 135 NDs (50.6% of NANDA-I taxonomy) were identified as essential for mental health and addiction care. Domains such as self-perception, coping/stress tolerance, and interpersonal relationships had the highest inclusion rates, reflecting the psychosocial and cognitive complexity of care in these settings. Conversely, NDs belonging to domains like growth/development, safety/protection, and elimination/exchange were selected in a more focused way, limiting to conditions reflecting expected side effects of psychiatric medications or substance misuse or risks for other- or self-directed injuries.</p><p><strong>Conclusions: </strong>The identified subset of NDs seems to have the potential to capture the multifaceted nature of mental health and addiction nursing. This targeted approach addresses the unique needs of these populations and highlights nursing's critical role in holistic care delivery.</p><p><strong>Implications for nursing practice: </strong>Implementing this NDs subset into EHRs can streamline clinical reasoning, enhance interdisciplinary communication, and align interventions with patient needs. By focusing on a refined set of diagnoses, nurses can improve care quality, optimize outcomes, and contribute to evidence-based decision making in mental health and addiction care. Future research should evaluate the subset's impact on patient outcomes and healthcare efficiency.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484374","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting Aging in Place -The effects of a home visit-supported nursing education program on certain parameters in older adults living alone at home.","authors":"Claudia Pinhão","doi":"10.1111/2047-3095.70008","DOIUrl":"https://doi.org/10.1111/2047-3095.70008","url":null,"abstract":"","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Technologies to support nursing students in learning Standardized Nursing Languages: A systematic literature review.","authors":"Valentina Zeffiro, Salvatore Tempesta, Roberta Morandini, Rosaria Alvaro, Ercole Vellone, Gianluca Pucciarelli, Fabio D'Agostino","doi":"10.1111/2047-3095.70001","DOIUrl":"https://doi.org/10.1111/2047-3095.70001","url":null,"abstract":"<p><strong>Aim: </strong>This review identifies technologies used to teach Standardized Nursing Languages and their impact on nursing students' educational outcomes.</p><p><strong>Methods: </strong>A literature review, updated to June 14, 2024, was conducted by consulting the PubMed, CINAHL, Scopus, and Cochrane databases. The main inclusion criterion was primary studies in which technology was used to educate students on Standardized Nursing Languages.</p><p><strong>Results: </strong>Three types of technology were addressed: Computerized Aids and Electronic Devices, Decision Support Systems, and Diagnostic Reasoning Software. Most of these technologies were found to positively impact knowledge, performance, application of the nursing process, diagnostic accuracy, and clinical reasoning.</p><p><strong>Conclusions and implications for nursing education: </strong>Integrating technology into nursing education enhances nursing students' skills and equips them to handle the digital aspects of modern health care. Technologies must support all stages of the nursing process, reinforce clinical reasoning, and offer timely feedback. Additionally, the presence of teachers during technology training is crucial to ensure proper functioning, provide technical support, manage the learning environment, and verify students' skills. Nursing students with technological skills will become nurses capable of producing complete and quality clinical documentation and supporting their professional achievements.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Accuracy of nursing diagnoses identified at admission and discharge of patients with decompensated heart failure.","authors":"Larissa Maiara da Silva Alves Souza, Agueda Maria Ruiz Zimmer Cavalcante, Marcos Venícios de Oliveira Lopes, Ana Paula Dias De Oliveira, Laura Rossi, Viviane Martins da Silva, Alba Lucia Bottura Leite de Barros","doi":"10.1111/2047-3095.70000","DOIUrl":"https://doi.org/10.1111/2047-3095.70000","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the accuracy of nursing diagnoses at hospital admission and discharge for patients with heart failure (HF).</p><p><strong>Methods: </strong>This comparative study examined the documentation in 155 medical records of patients with an admitting diagnosis of HF during August 2018 and July 2019. An audit tool was used to record the diagnoses made by nurses during routine care at the time of admission and discharge. Two researchers (L.S. and A.C.) examined the records and evaluated the documented nursing diagnoses using the Nursing Diagnosis Accuracy Scale version 2. Kappa was used for agreement between them. Patient social and clinical characteristics were described using percentages, absolute frequencies, means, and standard deviations.</p><p><strong>Findings: </strong>A total of 18 unique nursing diagnoses were identified across the 155 patients. Among the 754 nursing diagnoses recorded, 85% of those identified at admission (n = 644) were deemed highly accurate. At discharge, of the 527 diagnoses recorded, 66% (n = 349) were rated as highly accurate. Excess fluid volume was the most common diagnosis (85% at admission, 49% at discharge). Three risk diagnoses were frequent at both points: risk for infection, risk for falls, and risk for decreased cardiac output. Agreement between evaluators ranged from Κ = 0.234 to 1.00.</p><p><strong>Conclusions: </strong>Greater agreement in nursing diagnoses at discharge likely reflects ongoing patient monitoring. Persistent diagnoses at discharge highlight the need for continued nursing care post-discharge.</p><p><strong>Implications for nursing practice: </strong>This study encourages nurses to improve clinical evaluation for HF patients from admission to discharge. As key clinical indicators are identified, nurses can improve the accuracy of their diagnoses and plan more effective interventions to achieve positive health outcomes and reduce unnecessary hospitalization.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061178","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence of content validity of the \"Blood Transfusion Reaction\" (code 0700) nursing outcome from the nursing outcomes classification.","authors":"Adriana Aparecida Timoteo Simoes, Juliana de Lima Lopes, Sue Moorhead, Elizabeth A Swanson, Vinicius Batista Santos, Alba Lucia Bottura Leite de Barros","doi":"10.1111/2047-3095.70004","DOIUrl":"https://doi.org/10.1111/2047-3095.70004","url":null,"abstract":"<p><strong>Objective: </strong>The objective of study was to present evidence of the content validity of conceptual and operational definitions of the \"Blood Transfusion Reaction (code 0700)\" nursing outcome from the Nursing Outcomes Classification (NOC).</p><p><strong>Method: </strong>A methodological study was implemented in four phases. The first phase consisted of a narrative literature review in which the main indicators related to blood transfusion were identified: 25 new indicators that were not present in NOC, in addition to 14 existing indicators, for a total of 39 to be studied. In the second phase, conceptual and operational definitions, and magnitude of NOC indicators were developed. The third phase consisted of analysis of evidence of content validity of conceptual and operational definitions of indicators, through assessment by experts. In the fourth phase, a pilot test was applied to 40 electronic medical records of patients who received blood components and presented with a transfusion reaction.</p><p><strong>Results: </strong>A total of 27 articles were analyzed and served as support to develop conceptual and operational definitions, and magnitude of indicators, considered for the outcome under study. It was assessed by a group of 10 experts, requiring three rounds to reach the established critical content validity ratio in which four of these indicators were excluded, leaving 35 indicators in the final version. A pilot test on 40 records revealed the presence of 13 indicators, of which six were present in the classification.</p><p><strong>Conclusion: </strong>The conceptual and operational definitions and magnitude developed for the \"Blood Transfusion Reaction (code 0700)\" nursing outcome demonstrated adequate evidence of content validity in the 21 indicators found in the literature, along with 14 indicators already present in NOC, and 13 of these indicators were present in patients receiving blood components who presented a transfusion reaction.</p><p><strong>Implications for practice: </strong>Nurses can use this nursing outcome as a clinical assessment tool for monitoring blood transfusion recipients' clinical signs.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143068979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the accuracy of impaired skin integrity in critically ill patients: Key characteristics and clinical implications.","authors":"Alana Gomes Araújo de Almeida, Lívia Maia Pascoal, Paula Vitória Costa Gontijo, Marcelino Santos Neto, Maria Aparecida Alves de Oliveira Serra, Kassya Fernanda Freire Lima, Marcos Venícios Oliveira de Lopes","doi":"10.1111/2047-3095.70002","DOIUrl":"https://doi.org/10.1111/2047-3095.70002","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the accuracy of the defining characteristics of the nursing diagnosis Impaired skin integrity (00046) in patients admitted to intensive care units (ICUs).</p><p><strong>Methods: </strong>A cross-sectional diagnostic accuracy study was conducted with 105 adult patients admitted to an ICU. A latent class model with random effects was used to test the sensitivity and specificity of the defining characteristics investigated. The diagnosis Impaired skin integrity (00046) was the dependent variable, whereas sociodemographic and clinical data were the independent variables.</p><p><strong>Results: </strong>Impaired skin integrity was present in 3.75% of the sample. The defining characteristic with the best accuracy for the diagnosis was dry skin, with high sensitivity (0.9994) and specificity (0.9106). Other characteristics stood out in terms of sensitivity measures: altered skin color (0.9994) and foreign matter piercing skin (0.9994). In terms of specificity, the following stood out: desquamation (1.000), localized area hot to touch (0.9901), pruritus (0.9897), bleeding (0.9802), and hematoma (0.9208).</p><p><strong>Conclusion: </strong>The defining characteristics that helped infer the diagnosis Impaired skin integrity (00046) with greater certainty were dry skin, altered skin color, foreign matter piercing skin, desquamation, localized area hot to touch, pruritus, bleeding, and hematoma.</p><p><strong>Implications for nursing practice: </strong>Identifying defining characteristics with high diagnostic accuracy for Impaired skin integrity (00046) enables nurses to expand their clinical perspective on this dysfunction, which can affect the skin of critically ill patients, and to develop individualized care plans.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}