International Journal of Nursing Knowledge最新文献

{"title":"Diagnostic accuracy of nurse‑performed lung ultrasound for pulmonary congestion in acute kidney injury: An exploratory study.","authors":"Bruna Gomes Barbeiro, Patricia Rezende do Prado, Vinicius Batista Santos, Mayra Gonçalves Menegueti, Bryan Boling, Fernanda Raphael Escobar Gimenes","doi":"10.1111/2047-3095.70018","DOIUrl":"https://doi.org/10.1111/2047-3095.70018","url":null,"abstract":"<p><strong>Purpose: </strong>To estimate the diagnostic accuracy of nurse-performed lung ultrasound (LUS) for detecting pulmonary congestion in adults with acute kidney injury (AKI) and to relate ultrasound findings to the defining characteristics of the NANDA-I nursing diagnosis excess fluid volume.</p><p><strong>Methods: </strong>In this prospective exploratory diagnostic accuracy study, conducted between October 2022 and September 2023, a critical care nurse performed bedside LUS, following the bedside lung ultrasound in emergency protocol, in a convenience sample of 64 intensive care unit patients with AKI in a general hospital in Brazil. Pulmonary congestion was defined as ≥3 B-lines in ≥2 intercostal spaces per hemithorax. The reference standard was radiological evidence of vascular congestion on chest radiograph or computed tomography interpreted by blinded intensivists. Sensitivity, specificity, positive and negative predictive values were calculated with 95% confidence intervals. Agreement between LUS and radiologic findings was assessed using Gwet's AC1 coefficient. The COVID-19 pandemic limited patient flow; therefore, no formal sample-size calculation was feasible. Results should be considered preliminary.</p><p><strong>Findings: </strong>Pulmonary congestion was present in 14/64 patients (21.9%). LUS sensitivity was 50% (95% CI 23%-77%) and specificity 94 % (89%-99%). Positive and negative predictive values were 70% and 87%, respectively. Agreement between LUS and radiology was substantial (AC1 = 0.77, 0.63-0.92). No LUS-related adverse events occurred. Presence of ≥3 B-lines-an objective ultrasonographic marker of interstitial fluid-corresponded to the defining characteristic \"pulmonary congestion\" of NANDA-I diagnosis 00026.</p><p><strong>Conclusions: </strong>A single well-trained nurse achieved high specificity using LUS to rule out pulmonary congestion in critically ill patients with AKI. Limited sensitivity and wide confidence intervals highlight the need for larger, multicenter studies with sufficient positive cases. Linking B-lines to the defining characteristic of Excess Fluid Volume supports integration of point-of-care ultrasound into nursing diagnostic reasoning.</p><p><strong>Implications for nursing practice: </strong>Bedside nurse-performed LUS can strengthen clinical decision-making by quickly excluding pulmonary congestion-thereby informing volume-management interventions aligned with the NANDA-I taxonomy.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144762001","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":"Clinical indicators of ineffective health maintenance behaviors in women who do not wish to become pregnant: A systematic review.","authors":"Nathaly B M Fróes, Dayane Dos R A R Holanda, Mariana G Pagio, Rebeca R M Nunes, Nirla G Guedes, Viviane M da Silva, Marcos V de O Lopes","doi":"10.1111/2047-3095.70017","DOIUrl":"https://doi.org/10.1111/2047-3095.70017","url":null,"abstract":"<p><strong>Background: </strong>Clinical indicators (CI) of the nursing diagnosis (ND) ineffective health maintenance behaviors (IHMB) (00292) may be present in women who do not wish to become pregnant. Thus, nurses should to be attentive of the individual, cultural, and social characteristics of these women in order to identify behaviors (CI) that may represent a risk for unwanted pregnancy.</p><p><strong>Purpose: </strong>This study aimed to identify CI of IHMB in women of childbearing age who do not wish to become pregnant.</p><p><strong>Design: </strong>Systematic review of diagnostic test accuracy.</p><p><strong>Data sources: </strong>Scopus, PubMed/MEDLINE, Embase, Biblioteca Virtual em Saúde, PsycINFO (Searched on November 12, 2023) and Ovid, Web of Science, CINAHL, Google Scholar, and ProQuest (searched on June 10, 2024).</p><p><strong>Data synthesis: </strong>The final sample resulted in five articles, in which two CI were identified in women who manifested the ND IHMB. \"Ineffective choices in daily life for meeting health goals\" was identified in women when they did not discuss contraceptive methods with their partners. \"Failure to perceive health risk\" was identified when women had low or no perception of pregnancy risk.</p><p><strong>Conclusion: </strong>Two CI of IHMB were identified in women who do not wish to become pregnant: \"ineffective choices in daily life for meeting health goals\" and \"failure to perceive health risk.\"</p><p><strong>Implications for the profession and/or patient care: </strong>These findings will provide nurses a better understanding of behaviors expressed by women who do not wish to become pregnant that prevent them to use contraception, that way nurses can make specific interventions on these issues. Including the indicator failure to perceive health risk to the NANDA International can broaden the spectrum of nurse's assessment for the study population.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610126","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":"Content validation of the new nursing intervention \"0565 - ultrasonography: bladder\".","authors":"Vítor Monteiro Moraes, Ana Clara de Brito Cruz, Taline Bavaresco, Amália de Fátima Lucena, Cheryl Marie Wagner, Miriam de Abreu Almeida","doi":"10.1111/2047-3095.70016","DOIUrl":"https://doi.org/10.1111/2047-3095.70016","url":null,"abstract":"<p><strong>Purpose: </strong>To validate the content of the nursing intervention \"0565 - ultrasonography: bladder.\"</p><p><strong>Method: </strong>The content validation study was conducted from September to November 2022, with a sample of 22 specialists who evaluated the components of the nursing intervention \"0565 - ultrasonography: bladder,\" according to the Nursing Interventions Classification, considering the pertinence, relevance, and clarity of the title, definition, and 17 activities of the intervention as well as education level and estimated time to perform. Data collection used an online form followed by a focus group. For analysis, the content validity index with a minimum agreement proportion of 85% was used. Items that did not achieve agreement through the online form were discussed in the focus group.</p><p><strong>Results: </strong>Of the 21 items evaluated, 13 were validated in the first stage of the study. The remaining eight were evaluated in the focus group, modified, and consensually approved.</p><p><strong>Conclusion: </strong>The nursing intervention \"0565 - ultrasonography: bladder\" had its content completely validated.</p><p><strong>Implications for nursing practice: </strong>The validation of this intervention allows its application in clinical practice with standardized nursing languages that give visibility to the profession, highlighting the use of technology in the patient care process and promoting evidence-based practice.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477474","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":"Transformative caring theory: A theoretical synthesis.","authors":"Kerry A Richardson, Mary K McCurry, Susan Hunter Revell","doi":"10.1111/2047-3095.70014","DOIUrl":"https://doi.org/10.1111/2047-3095.70014","url":null,"abstract":"<p><strong>Purpose: </strong>To develop an integrated nursing educational theory using Walker and Avant's theoretical synthesis methodology.</p><p><strong>Data sources: </strong>Watson's Theory of Human Caring, Mezirow's Transformative Learning Theory, and nursing literature related to undergraduate nursing students' perceptions of caring.</p><p><strong>Data synthesis: </strong>Key concepts from these theories were synthesized in the formation of the transformative caring theory.</p><p><strong>Conclusions: </strong>The transformative caring theory provides a framework for nurse educators to foster nursing students' development of caring behaviors and caring competencies through emancipatory and transformative education.</p><p><strong>Implications for nursing practice: </strong>To assist undergraduate students to gain an understanding of the importance of developing new caring meaning perspectives and caring attributes in their becoming contemporary, caring, compassionate professional nurses. Harnessed with this knowledge, students can become empowered as patient advocates through humanistic, emancipatory, and relational caring praxis to potentiate health, reduce human suffering, and address issues of social injustices and health inequities.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327456","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":"Analysis of the nursing diagnosis of [ineffective breathing pattern (00032)] in patients hospitalized with COVID-19: A cross-sectional study.","authors":"Caio Rodrigo Menezes Dos Santos, Thiago de Jesus Santos, Andreia Centenaro Vaez, Damião da Conceição Araújo","doi":"10.1111/2047-3095.70007","DOIUrl":"https://doi.org/10.1111/2047-3095.70007","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the prevalence, accuracy of clinical indicators and related factors of the nursing diagnosis of ineffective breathing pattern (00032) in patients hospitalized due to COVID-19.</p><p><strong>Methods: </strong>This is a cross-sectional study conducted in a public hospital, involving 250 adult hospitalizations between 2020 and 2021. Data were collected retrospectively from electronic medical records. Latent class analysis and multivariate logistic regression were performed to analyze the nursing diagnosis of ineffective breathing pattern.</p><p><strong>Findings: </strong>The prevalence of the ineffective breathing pattern diagnosis was 62%. The main clinical indicators identified included tachypnea, use of accessory muscles for breathing, abdominal paradoxical breathing pattern, and hypoxemia. Latent class analysis indicated that the three-class model was the most suitable, with Class 3 showing the highest prevalence. Indicators such as tachypnea and use of accessory muscles demonstrated high sensitivity, while hypoxemia exhibited high specificity. The presence of fatigue, pain, body position that inhibits lung expansion, and obesity significantly increased the likelihood of the ineffective breathing pattern diagnosis.</p><p><strong>Conclusions: </strong>The diagnosis of ineffective breathing pattern is prevalent in patients hospitalized with COVID-19, with precise clinical indicators. Fatigue, pain, inadequate body position, and obesity were associated factors.</p><p><strong>Implications for nursing practice: </strong>The clinical validation of the ineffective breathing pattern diagnosis in the population of individuals infected with SARS-CoV-2 is essential for improving the level of evidence. Additionally, it contributes to the nurse's diagnostic inference in clinical practice and decision making for appropriate treatment.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144327455","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":"Related factors of the nursing diagnosis \"ineffective health self-management\" in people living with human immunodeficiency virus: A validation study.","authors":"Nádia A V de Moura, Aurean D'Eça Júnior, Richardson A R da Silva, Isaura L T P Rolim, Poliana P C Rabêlo, Joselany A Caetano","doi":"10.1111/2047-3095.70015","DOIUrl":"https://doi.org/10.1111/2047-3095.70015","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to analyze evidence of content validity of the related factors (RFs) of the nursing diagnosis (ND) \"ineffective health self-management\" in people living with the human immunodeficiency virus (HIV).</p><p><strong>Methods: </strong>It is a methodological study carried out between April/2022 and May/2023 in three stages: scoping review aimed at the RFs of the ND \"ineffective health self-management\" for people living with HIV (PLHIV); elaboration of conceptual definitions (CDs) and operational definitions (ODs) of the RFs and proposition of new RFs for the ND studied; and content validation of the constructed definitions of the RFs. A sample of 31 expert nurses was selected for content validation. A binomial test was used, with a significance level of 5%, p < 0.05, and a percentage of 85% in the attribution of definitions considered adequate. The content validity index (CVI) was calculated, and when ≥ 0.80, they were considered relevant.</p><p><strong>Results: </strong>Three new RFs were proposed as components of the diagnosis, adding to the 30 already included in the NANDA-I version (2021-2023). Expert nurses analyzed these components, and all 33 RFs were considered adequate (>85%). All 33 CDs and 33 ODs were validated with CVI ≥ 0.80.</p><p><strong>Conclusions: </strong>In addition to constructing and validating definitions for the 30 existing RFs, this study identified and validated three new proposed RFs of the diagnosis \"ineffective health self-management\": (1) unrealistic perception of vulnerability to other diseases and health problems; (2) chemical dependency and escape from reality; and (3) lack of structuring of health services and inefficiency of public policies for PLHIV.</p><p><strong>Implications for nursing: </strong>The content analysis of the diagnosis \"ineffective health self-management\" contributes to nursing as a science and provides specific knowledge for building the care plan, in addition to bringing professionals closer to the specific terminologies of the profession.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227351","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 on the foundations: A critical commentary on \"mental health literacy among primary healthcare workers in South Africa and Zambia\".","authors":"Tânia Vilar","doi":"10.1111/2047-3095.70013","DOIUrl":"https://doi.org/10.1111/2047-3095.70013","url":null,"abstract":"","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121162","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":"Investigating nursing documentation quality using Q-DIO: A multilevel regression analysis.","authors":"Laura Elena Gligor, Horațiu Rusu, Carmen Daniela Domnariu, Maria Müller-Staub","doi":"10.1111/2047-3095.70012","DOIUrl":"https://doi.org/10.1111/2047-3095.70012","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the factors influencing the completion quality of nursing documentation (NDoc) in Romania using multilevel modeling.</p><p><strong>Design: </strong>Retrospective descriptive study.</p><p><strong>Methods: </strong>A mixed-effect logistic regression analysis was conducted to identify factors affecting the completion of NDoc by using the Q-DIO instrument. A total of 395 NDocs were selected by probabilistic sampling.</p><p><strong>Findings: </strong>The study identified significant correlations among the Q-DIO sub-concepts. Specifically, \"Nursing Diagnoses as Process\" was significantly correlated with both \"Nursing Diagnoses as Product\" and \"Nursing-Sensitive Patient Outcomes.\" Additionally, \"Nursing Diagnoses as Product\" is correlated with \"Nursing Interventions.\" Among the external factors, the number of nurses involved in documentation was significantly linked to the completeness of both \"Nursing Diagnoses as Product\" and \"Nursing Interventions.\" Documentation quality also varied by hospital specialty, whereas the length of stay did not show any significant correlation with the Q-DIO sub-concepts.</p><p><strong>Conclusions: </strong>The relationships between Q-DIO sub-concepts underscore the importance of addressing every phase of the nursing process for meaningful nursing-sensitive patient outcomes. External factors significantly affect documentation completion, requiring the consideration of organizational aspects when implementing NDoc.</p><p><strong>Implications for nursing practice: </strong>This study highlights the need for nurses to systematically collect and document data across all phases of the nursing process. Training and support should be provided to improve the accuracy and completeness of nursing diagnoses and their linkage to interventions and outcomes. Additionally, organizational factors, such as staffing levels and the type of hospital specialty, should be carefully considered when implementing documentation innovations, as they significantly impact the quality and completeness of NDoc.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121171","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":"Bridging NANDA-I and the Omaha System in nursing education: Enhancing diagnostic competency for family-centered care","authors":"Yayun Song PhD, MSN, RN","doi":"10.1111/2047-3095.70011","DOIUrl":"10.1111/2047-3095.70011","url":null,"abstract":"","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 2","pages":"240-241"},"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}