International Journal of Nursing Knowledge最新文献

{"title":"Determining awareness of and readiness for standardized nursing languages in a mid-level midwestern hospital and associated school of nursing.","authors":"Cheryl Wagner, Karen Cummins, Megan Dean","doi":"10.1111/2047-3095.12487","DOIUrl":"https://doi.org/10.1111/2047-3095.12487","url":null,"abstract":"<p><strong>Purpose: </strong>The purpose of this study was to examine knowledge, attitude, and barriers toward care planning documentation practices with standardized nursing languages (SNLs) of nurses and nursing students at a midwestern healthcare system, comparing student and nurse responses.</p><p><strong>Methods: </strong>Cross-sectional surveys were given over a 2-month period with nurses and nursing students at different sites in a midwestern healthcare system, using convenience sampling. The Knowledge, Attitude, and Barriers to Using Standardized Nursing Languages and Current Practices Survey was adapted for use and re-tested for validity/reliability (Content Validity Index 0.81-1.00; Cronbach alpha = 0.82-0.99) with 28 Likert scale items measuring knowledge, attitude, and barriers. Descriptive statistics, composite scores, correlations, t-tests, and multiple regression were used to analyze the concepts of the tool.</p><p><strong>Findings: </strong>134/400 RNs responded (34%); 109/116 students responded (93.9%). Data analyses indicate adequate to superior levels of knowledge related to SNLs and NANDA International, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC), collectively referred to as NNN (NANDA, NIC, & NOC), positive attitudes toward SNLs/NNN and for adopting SNLs/NNN into documentation practices, but moderate to great barriers for implementation in practice. Barriers included lack of financial resources for change, lack of mentors, and lack of mandates to use SNLs. Students scored significantly higher than nurses in attitude only.</p><p><strong>Conclusions: </strong>Perceptions of nurses and student nurses for current documentation indicate awareness of inadequacy in existing systems and willingness to change existing systems for standardized languages, with perceived barriers to change/implementation of SNLs. Students were more positive about SNLs than nurses.</p><p><strong>Implications for nursing practice: </strong>Major implications for nursing are to reevaluate electronic documentation systems and determine how to insert and easily apply SNLs in these systems, such that nursing care documentation is standardized, interoperable, effective, time-saving, and attainable.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037483","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":"Nursing diagnoses related to cardiovascular function in primary care: A scoping review: Diagnósticos de enfermagem relacionados a função cardiovascular na atenção primária: Scoping review.","authors":"João Cruz Neto, Marcos Venícios de Oliveira Lopes","doi":"10.1111/2047-3095.12489","DOIUrl":"https://doi.org/10.1111/2047-3095.12489","url":null,"abstract":"<p><strong>Objective: </strong>To map nursing diagnoses related to cardiovascular function reported in studies involving patients in primary care.</p><p><strong>Method: </strong>A scoping review follows JBI guidelines. Literature searches were conducted from March to May 2024. Studies included focused on nursing diagnoses for adults and older adult patients with cardiovascular conditions in primary care settings. Results were systematically presented in tables and narratively.</p><p><strong>Findings: </strong>Among the 12 included studies, the most prevalent diagnosis was \"noncompliance\" (00079), removed from NANDA-I in 2017. Sixteen other diagnoses were identified, indicating a broader clinical profile of individuals with cardiovascular health issues in primary care. Most studies involved patients with hypertension in Brazil.</p><p><strong>Conclusions: </strong>Key nursing diagnoses for patients with cardiovascular conditions in primary care were identified. Ineffective health management emerged as a common characteristic among this population.</p><p><strong>Implications for nursing practice: </strong>Identifying prevalent diagnoses allows nurses to reinforce their commitment to managing cardiovascular conditions, improve care plans, and generate practice indicators for services, thus enhancing the quality of care provided.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037484","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":"Nursing interventions for the proposed nursing diagnosis of puerperal fatigue: An integrative review.","authors":"Bruna Valentina Zuchatti, Raisa Camilo Ferreira, Elaine Ribeiro, Marisa Dibbern Lopes Correia, Erika Christiane Marocco Duran","doi":"10.1111/2047-3095.12490","DOIUrl":"https://doi.org/10.1111/2047-3095.12490","url":null,"abstract":"<p><strong>Introduction: </strong>The postpartum period is considered a phase of many physiological and hormonal changes that affect the individual. Fatigue is something present and can influence the postpartum woman in a negative way. In this way, the nurse has an essential role, and the nursing process can be used to establish an efficient care plan.</p><p><strong>Objective: </strong>To present the main nursing interventions and activities of the nursing diagnosis (ND) fatigue (00093) in individuals/people in the immediate postpartum period obtained through an integrative literature review and correlate with the proposed ND puerperal fatigue/excessive burden of fatigue in the postpartum period.</p><p><strong>Methods: </strong>Integrative literature review, carried out in the databases Cochrane, Scopus and Medical Literature Analysis and Retrieval System Online (MEDLINE), Web of Science (WoS), Virtual Health Library (VHL), and Cumulative Index to Nursing and Allied Health Literature (CINAHL), following rigorous methodological standards.</p><p><strong>Results: </strong>Six articles were included that identified the main nursing interventions related to the proposed ND puerperal fatigue.</p><p><strong>Conclusions: </strong>The integrative review highlighted the main nursing interventions and activities, and this study will be the basis for the next stages of the validation process for the ND puerperal fatigue/excessive fatigue in the postpartum period.</p><p><strong>Implications for nursing practice: </strong>This work can help nurses in clinical practice establish an efficient care plan through the most accurate nursing interventions and thus improve the quality of nursing services.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019224","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":"Nursing outcome \"Knowledge: Wound management\" for surgical incision wound care: Update, translate, and culturally adapt.","authors":"Giovanny Andres Perez-Jaimes, Luis Fernando Arévalo Viveros, Leidy Johanna Rueda-Díaz","doi":"10.1111/2047-3095.12488","DOIUrl":"https://doi.org/10.1111/2047-3095.12488","url":null,"abstract":"<p><strong>Purpose: </strong>This study has two objectives: (1) to identify the indicators of the nursing outcome \"Knowledge: Wound management (3209)\" related to the evaluation of knowledge about the care of surgical wounds; (2) to translate and culturally adapt the nursing outcome \"Knowledge: Wound management (3209)\" into Brazilian Portuguese and Colombian Spanish.</p><p><strong>Methods: </strong>This is a methodological study with two steps. Initially, a scoping review was conducted based on the methodology of the Joanna Briggs Institute. Subsequently, the translation and cultural adaptation of the outcome were performed by adapting Beaton's recommendations, which included the label, definition, indicators, and measurement scale.</p><p><strong>Findings: </strong>The review identified 31 indicators to evaluate knowledge about surgical wound care. Of these, 16 are described in the original outcome, and 15 new indicators are proposed to be included in the classification. Following this, the label, definition, indicators, and outcome measurement scale were reviewed, translated, and adapted with appropriate terminology for the cultural contexts of Brazil and Colombia.</p><p><strong>Conclusion: </strong>The outcome \"Knowledge: Wound management (3209)\" for evaluating the knowledge of surgical wounds consists of 31 indicators, all supported by scientific literature. The translated and adapted versions into Brazilian Portuguese and Colombian Spanish were found to be equivalent to the original. It is inferred that the identified indicators and the translated versions of the outcome will provide nursing professionals with an accurate assessment of knowledge about surgical incision wound care in daily practice.</p><p><strong>Implications for nursing practice: </strong>This study reviews the scientific literature on the outcome \"Knowledge: Wound management (3209),\" facilitating the comprehensive measurement of specific knowledge about the care of surgical wounds in practice, education, or research. Additionally, it makes available the translated and adapted versions of the outcome in Brazilian Portuguese and Colombian Spanish. PROPÓSITO: Este estudio tiene dos objetivos: (1) Identificar los indicadores del resultado de enfermería \"Knowledge: Wound Management (3209)\" relacionados a la evaluación del conocimiento sobre el cuidado de las heridas quirúrgica; (2) traducir y adaptar culturalmente el resultado de enfermería \"Knowledge: Wound Management (3209)\" al portugués de Brasil y al español de Colombia. MÉTODOS: Estudio metodológico de dos pasos. Inicialmente, fue realizada una revisión de alcance orientados en la metodología de la Joanna Briggs Institute. Posteriormente, se realizó la traducción y adaptación cultural del resultado adaptando las recomendaciones de Beaton e incluyó la etiqueta, definición, indicadores y escala de medición.</p><p><strong>Hallazgos: </strong>En la revisión fueron identificados 31 indicadores para evaluar el conocimiento sobre el","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898727","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 validation of \"spiritual distress (00066)\" in parents of children with chronic diseases.","authors":"Fateme Eshghi, Azam Shirinabadi Farahani, Armin Zareiyan","doi":"10.1111/2047-3095.12486","DOIUrl":"https://doi.org/10.1111/2047-3095.12486","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to determine the clinical validation of the nursing diagnosis (ND) of \"spiritual distress (00066)\" and the sensitivity, specificity, likelihood ratio, and predictive value in parents of children with chronic diseases.</p><p><strong>Methods: </strong>This cross-sectional study was conducted using the clinical diagnostic validity method proposed by Fehring. The data were collected through structured interviews and using a researcher-made list that included 5 parts of demographic information, parents' opinions about spiritual distress, the researcher's diagnosis, 74 defining characteristics (DCs) of the ND of spiritual distress, and the Spiritual Well-being Questionnaire. Data were analyzed using descriptive statistics as well as sensitivity, specificity, likelihood ratio, and predictive value.</p><p><strong>Findings: </strong>The prevalence of diagnosis was 70% in a sample of 120 parents. Out of the 74 DCs, 39 criteria were validated. Questioning meaning of illness and suffering had the highest sensitivity (98.8%), the highest negative predictive value (88.88%), and the lowest negative likelihood ratio (0.05%). Expressing the lack of meaning in life demonstrated the highest specificity (97.22%), the highest positive predictive value (98.33%), and the highest positive likelihood ratio (25.26%).</p><p><strong>Conclusions: </strong>Parents who search for meaning of illness and suffering related to a lack of meaning in life are in spiritual distress. The ND was validated.</p><p><strong>Implications for nursing practice: </strong>These findings can empower clinical nurses to confidently assess and identify patients experiencing spiritual distress, bridging the gaps caused by the absence of standardized tools for assessing spiritual distress in the inpatient setting.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141856920","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":"Development and content validity of educational videos on self-management of fluid restriction and thirst for individuals with heart failure.","authors":"Sophia Costa Rossetto, Daniele Cristina Bosco Aprile, Daiane Lopes Grisante, Milena Gomes Vancini, Fabio D'Agostino, T Heather Herdman, Juliana de Lima Lopes, Vinicius Batista Santos, Camila Takáo Lopes","doi":"10.1111/2047-3095.12483","DOIUrl":"https://doi.org/10.1111/2047-3095.12483","url":null,"abstract":"<p><strong>Objective: </strong>To create and evaluate the content validity of educational videos on self-management of fluid restriction and thirst for individuals with heart failure (HF).</p><p><strong>Method: </strong>A psychometric study was conducted in three stages: (1) an integrative literature review to identify strategies for self-management of fluid restriction and thirst by individuals with HF; (2) creation of animated videos about strategies for self-management of fluid restriction and thirst; and (3) analysis of the content validity of the educational videos by 11 experts. For each criterion, the content validity ratio (CVR) was calculated; it was considered adequate when <0.636. Suggestions were evaluated by the researchers, and the videos were modified.</p><p><strong>Results: </strong>Ten scripts and videos were created, averaging 30 s each. The videos' contents were based on 11 studies retrieved from the review and one specialized website. The videos were evaluated by experts, and adjustments were made when CVR < 0.636 and when allowed by the video production platform.</p><p><strong>Conclusions: </strong>Educational videos were developed and have satisfactory content validity evidence according to expert opinions.</p><p><strong>Implications for nursing practice: </strong>These videos are expected to be used as educational strategies in clinical practice to prevent episodes of decompensation due to excessive fluid volume.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141789561","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 reasoning and clinical judgment in nursing research: A bibliometric analysis.","authors":"Odette Doyon, Louis Raymond","doi":"10.1111/2047-3095.12484","DOIUrl":"https://doi.org/10.1111/2047-3095.12484","url":null,"abstract":"<p><strong>Aims: </strong>To characterize the thematic foci, structure, and evolution of nursing research on clinical reasoning and judgment.</p><p><strong>Design: </strong>Bibliometric analysis.</p><p><strong>Methods: </strong>We used a bibliometric method to analyze 1528 articles.</p><p><strong>Data source: </strong>We searched the Scopus bibliographic database on January 7, 2024.</p><p><strong>Results: </strong>Through a keyword co-occurrence analysis, we found the most frequent keywords to be clinical judgment, clinical reasoning, nursing education, simulation, nursing, clinical decision-making, nursing students, nursing assessment, critical thinking, nursing diagnosis, patient safety, nurses, nursing process, clinical competence, and risk assessment. The focal themes, structure, and evolution of nursing research on clinical reasoning and judgment were revealed by keyword mapping, clustering, and time-tracking.</p><p><strong>Conclusion: </strong>By assessing key nursing research areas, we extend the current discourse on clinical reasoning and clinical judgment for researchers, educators, and practitioners. Critical challenges must still be met by nursing professionals with regard to their use of clinical reasoning and judgment within their clinical practice. Further knowledge and comprehension of the clinical reasoning process and the development of clinical judgment must be successfully translated from research to nursing education and practice.</p><p><strong>Implications for the profession: </strong>This study highlights the nursing knowledge gaps with regard to nurses' use of clinical reasoning and judgment and encourages nursing educators and professionals to focus on developing nurses' clinical reasoning and judgment with regard to their patients' safety.</p><p><strong>Impact: </strong>In addressing nurses' use of clinical reasoning and judgment, and with regard to patient safety in particular, this study found that, in certain clinical settings, the use of clinical reasoning and judgment remains a challenge for nursing professionals. This study should thus have an effect on nursing academics' research choices, on nursing educators' teaching practices, and on nurses' clinical practices.</p><p><strong>Reporting method: </strong>Relevant EQUATOR guidelines have been adhered to by employing recognized bibliometric reporting methods.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761996","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":"Making room for occupational health nursing in Nanda‐I: “Impaired foot health” as a diagnosis.","authors":"Rafael A Bernardes, Sílvia Caldeira, Arménio Cruz","doi":"10.1111/2047-3095.12485","DOIUrl":"https://doi.org/10.1111/2047-3095.12485","url":null,"abstract":"<p><strong>Objective: </strong>Discuss the label \"impaired foot health\" to be considered a problem-focused nursing diagnosis according to the taxonomy of NANDA-I.</p><p><strong>Methods: </strong>Discussion article based on literature reviews and observational studies based on the authors' PhD ongoing research about foot health among nursing students and professionals.</p><p><strong>Findings: </strong>Attending to the definition of nursing diagnosis and the scope of nursing practice internationally, several human responses and contexts should be considered, opening new opportunities for NANDA-I completeness.</p><p><strong>Conclusions: </strong>A new nursing diagnosis has been disclosed, opening new dimensions to the NANDA-I taxonomy.</p><p><strong>Implications for nursing: </strong>This nursing diagnosis represents an opening door for the taxonomy, particularly for occupational health nursing in an international context.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761997","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":"Role of the health literacy assessment in healthcare: Content validation of \"Health Literacy Behaviour\" nursing outcome.","authors":"Alba Correro-Bermejo, Pilar Bas-Sarmiento, José Manuel Romero-Sánchez, Olga Paloma-Castro, Miriam Poza-Méndez, Martina Fernández-Gutiérrez","doi":"10.1111/2047-3095.12482","DOIUrl":"https://doi.org/10.1111/2047-3095.12482","url":null,"abstract":"<p><strong>Purpose: </strong>To validate the content of the \"Health Literacy Behaviour\" nursing outcome (NO).</p><p><strong>Methods: </strong>A content validation study was conducted during 2022. Each indicator was included in the NO, and its response levels were operationally defined. The initial version of each indicator and its response levels were refined and validated through the Delphi method. A panel of health literacy (HL) and nursing taxonomies experts evaluated the content through two content validity indicators. The content validity of the NO and each index was determined by calculating the content validity index (CVI). A qualitative analysis of the recommendations provided by the experts was carried out to improve the understanding of the indicators and their levels.</p><p><strong>Findings: </strong>A total of 108 experts participated in this study. Mostly females with more than 10 years of professional experience. The results demonstrated a high CVI of the indicators and the NO \"Health Literacy Behaviour.\" All indicators achieved excellent (CVI ≥ 0.80) relevance and clarity. The CVI universal average method (CVI-p) of the NO achieved an excellent result of 0.90.</p><p><strong>Conclusions: </strong>The indicators included in the NO \"Health Literacy Behaviour\" have content validity.</p><p><strong>Implications for nursing practice: </strong>These findings provide evidence-based indicators to measure the patient's actions to obtain, process, and understand information about health and disease, interact with the health system, and make informed health decisions. The validation of this NO would identify populations with low HL, allowing the health of this community to be promoted. Health literacy should be a priority objective of health management and policies.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617471","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 the defining characteristics of respiratory nursing diagnoses in patients with COVID-19.","authors":"Aline Batista Maurício, Agueda Maria Ruiz Zimmer Cavalcante, Erika Silva de Sá, Larissa Giardini Bruni, Larissa Gabrielle Dias Vieira, Adriana Costa, Letícia Diniz França, Marcos Venícios de Oliveira Lopes, Alba Lucia Bottura Leite de Barros, Viviane Martins da Silva","doi":"10.1111/2047-3095.12481","DOIUrl":"https://doi.org/10.1111/2047-3095.12481","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the accuracy of the defining characteristics of four respiratory nursing diagnoses (ND) in patients with COVID-19 and on oxygen therapy.</p><p><strong>Methods: </strong>This is a cross-sectional study conducted in four Brazilian public hospitals in two regions of the country. A total of 474 patients with COVID-19 receiving oxygen therapy were assessed. Latent-adjusted class analysis with random effects was used to establish the sensitivity (Se) and specificity (Sp) of the defining characteristics evaluated for each ND.</p><p><strong>Results: </strong>Among the ND that constituted the study (impaired spontaneous ventilatory, impaired gas exchange, ineffective airway clearance, and dysfunctional ventilatory weaning response), the following defining characteristics had the highest simultaneous Se and Sp (>0.8): decrease in tidal volume, confusion, irritability, dyspnea, decreased breath sounds, orthopnea, impaired ability to cooperate and respond to coaching, and decrease in the level of consciousness.</p><p><strong>Conclusions: </strong>Recognizing the clinical signs that predict respiratory ND in patients affected by COVID-19 can contribute to the nurse's accurate diagnostic inference and designate the appropriate nursing interventions to achieve the desired results and avoid complications.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141477822","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}