International Journal of Nursing Knowledge最新文献

{"title":"Physical restraint intervention in the intensive care unit: An observational pilot study.","authors":"Gülendam Hakverdioğlu Yönt, Süreyya Bulut, Maria Müller-Staub, Hüseyin Kizilirmak","doi":"10.1111/2047-3095.12468","DOIUrl":"https://doi.org/10.1111/2047-3095.12468","url":null,"abstract":"<p><strong>Purpose: </strong>Physical restraint (PR) is applied for patients' safety and to prevent the removal of inserted devices. No matter how well applied, PR causes undesired effects and discomfort to patients. Because PR-Guidelines are not yet implemented in Turkey, an observational study was performed to get baseline data on the type and number of PR-activities and on patients' complications in intensive care unit (ICU) patients.</p><p><strong>Methods: </strong>An observational pilot study was conducted in anesthesia and reanimation adult ICUs in a midsized general hospital in Turkey. Included were 31 patients and two data collection tools: a basic form (patient demographics, medical information, and complications) and a PR observation guide on nurses' PR-activities. Descriptive statistics (frequencies, percentages, and mean and standard deviation) were used for data evaluation.</p><p><strong>Findings: </strong>Most patients (61.3%) were male, and 74.2% were aged 60-79 years. Almost a third was unconscious (Glasgow Coma Scale <9) and at risk for falling. Of the total 33 activities of the Nursing Interventions Classification (NIC), 13 were never applied in 33% of patients. The most applied activity was \"provide sufficient staff to assist with the safe application of physical restraining devices or manual restraints\" (96.8%). Least applied were \"explain inpatient and significant others the behaviors necessary for the termination of the intervention,\" \"Provide the dependent patient with a means of summoning help\" (6.5%), and \"Teach family the risks and benefits of restraint reduction\" (3.2%). Overall, 58.1% of patients had PR complications.</p><p><strong>Conclusions: </strong>For the first time, PR NIC activities were evaluated in a Turkish ICU. Findings show low performance of NIC activities and a high complication rate.</p><p><strong>Implications for nursing practice: </strong>The findings provide the basis to implement a PR-Guideline in Turkish ICUs to enhance patients' safety and comfort.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140899628","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":"Concept analysis of self-neglect in the elderly: a hybrid model","authors":"Farzaneh Alimohammadi-Gusheh PhD,&nbsp;Farahnaz Mohammadi-Shahboulaghi  ,&nbsp;Kian Nourozi Tabrizi  ,&nbsp;Masoud Fallahi-Khoshknab PhD,&nbsp;Maryam Rassouli PhD","doi":"10.1111/2047-3095.12466","DOIUrl":"10.1111/2047-3095.12466","url":null,"abstract":"<p>چکیده</p><p>هدف: شفاف سازی مفهوم خودغفلتی در سالمندان</p><p>متدولوژی: تجزیه و تحلیل مفهوم با استفاده از مدل هیبرید که به ترتیب شامل سه مرحله نظری، کار میدانی و تحلیل نهایی است، انجام شد. پس از بررسی گسترده ادبیات به منظور توصیف ویژگی ها و تعریف مفهوم، مرحله کار میدانی به منظور تبیین تجربی مفهوم خودغفلتی در سالمندان انجام شد. در مرحله سوم ویژگی های خودغفلتی در سالمندان از فاز اول و دوم استخراج شد.</p><p>نتیجه: خودغفلتی در سالمندان به صورت “رفتارهای پرخطر عینی و ذهنی که به صورت عمدی و غیر عمدی، توسط فرد سالمند در حوزه های سلامت جسمی، معنوی، اختلال در روابط اجتماعی، غفلت از محیط زندگی و عدم رعایت بهداشت فردی بروز می کند که به واسطه ی عواملی چون برخی ویژگی های فردی، عملکرد جسمانی ضعیف، ابتلا به اختلالات روانشناختی شایع دوران سالمندی، مشکلات و چالش های مالی، استرس های آسیب رسان، روابط اجتماعی ناموفق، عدم دسترسی به منابع حمایتی، ناکافی بودن منابع آموزشی در دسترس سالمند و باورهای نامتعارف فرهنگی ایجاد می شود و منجر به اختلال در سلامت جسمی، روانشناختی، افزایش خطر سوء رفتار و کیفیت زندگی پایین فرد سالمند و همچنین افزایش بار مراقبتی- درمانی و اختلال در امنیت روانی جامعه می شود” تعریف می شود.</p><p>نتیجه گیری: با توجه به اینکه مفهوم خودغفلتی در سالمندان یک پدیده ی نسبتا ناشناخته و جدید در کشورمان است، نتایج این مطالعه می تواند با واضح سازی این مفهوم، راه را برای انجام فعالیت های گسترده تر تحقیقاتی و ساخت ابزارهای پژوهشی در جهت مداخلات بهتر هموار سازد و همچنین نقش مهمی در ارتقاء کیفیت مراقبت های پرستاری داشته باشد.</p><p>پیامدها برای کار پرستاری: خودغفلتی در سالمندان به عنوان مفهومی که منجر به بسیاری از اختلالات در ابعاد سلامت سالمندان مقیم در جامعه می‌شود، نیاز به توجه جدی دارد. پرستاران نمی توانند با یک پدیده ناشناخته بدون کاوش و شناسایی معنای دقیق آن مقابله کنند. بنابراین برای ایجاد بینشی عمیق در پرستاران و شناسایی به موقع و انجام مداخلات مناسب در این افراد، شفاف سازی ابعاد مختلف این مفهوم ضرورت دارد.</p>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"90-105"},"PeriodicalIF":1.4,"publicationDate":"2024-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140678402","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":"Prevalence of NANDA-I Nursing Diagnoses in patients with heart failure: A systematic review and meta-analysis","authors":"Inmaculada Paneque-Sánchez-Toscano PhD, RN,&nbsp;Ana-María Porcel-Gálvez PhD, RN,&nbsp;Regina Allande-Cussó PhD, RN,&nbsp;María-Reyes Carrión-Camacho PhD, RN","doi":"10.1111/2047-3095.12467","DOIUrl":"10.1111/2047-3095.12467","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Aim&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This research quantitatively explored the prevalence of NANDA-I nursing diagnoses related to the care of patients experiencing heart failure.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Design&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A systematic review and meta-analysis were conducted with the systematic review protocol registered in PROSPERO (registration number: CRD42022382565).&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Systematic searches were performed between March and April 2022, including peer review for selection, quality assessment, data extraction, and analysis of all included studies. A subsequent meta-analysis was performed, focusing on the proportion of nursing diagnoses in patients with heart failure. The logistic random effects model with maximum likelihood estimation assessed the combined proportion, and heterogeneity between studies was evaluated using the &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; statistic. The goodness-of-fit of the meta-analysis results was assessed using the leave-one-out method and by evaluating publication bias through contour-enhanced funnel plots.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Data sources&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;PubMed, SCOPUS, CINAHL, WOS, and Embase were used.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Of the 11 studies that met the eligibility criteria, 44 nursing diagnoses were identified as most frequently occurring in patients experiencing heart failure, and only 16 diagnoses appeared in more than one publication. The combined mean proportion was 35.73% (95% CI = [26.67%; 48.56%]), indicating the presence of heterogeneity based on the &lt;i&gt;I&lt;/i&gt;&lt;sup&gt;2&lt;/sup&gt; value. However, no publication bias was observed.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The results of the meta-analysis suggest priority diagnoses in individuals with heart failure, such as deficient knowledge (00126). Additionally, secondary diagnoses, such as activity intolerance (00092), excess fluid volume (00026), and ineffective breathing pattern (00032), were identified as responses to decreased cardiac output (00029). Less prevalent nursing diagnoses were associated with deterioration of health status and the need for hospitalization.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objetivo&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Investigar cuantitativamente la prevalencia de diagnósticos de enfermería NANDA-I asociados ","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"106-119"},"PeriodicalIF":1.4,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/2047-3095.12467","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140596380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the nexus between the standardized nursing terminologies and the unfinished nursing care phenomenon: An empty systematic review","authors":"Luca Bertocchi PhD, RN,&nbsp;Stefania Chiappinotto PhD, RN,&nbsp;Professor Alvisa Palese PhD, RN","doi":"10.1111/2047-3095.12465","DOIUrl":"10.1111/2047-3095.12465","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To identify and synthesize evidence regarding the documented relationship between the standardized nursing terminologies and the unfinished nursing care phenomenon.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data sources</h3>\u0000 \u0000 <p>A systematic review according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. PubMed, Scopus, and Cumulative Index to Nursing and Allied Health Literature Complete databases were last consulted on November 27, 2023. The review included primary quantitative studies that reported an association between recognized standardized nursing terminologies and unfinished nursing care. Two researchers completedtitle and abstract and full-text screening.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data synthesis</h3>\u0000 \u0000 <p>Our search identified 149 citations. A full-text review of one paper was undertaken. No studies met our inclusion criteria. We report an empty review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Standardized nursing terminologies and Unfinished Care are two sides of the same coin: despite their potential commonalities, no studies have documented their potential links. Digital systems, such as electronic health records and decision support systems, could foster this linkage.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>This review suggests that linking the conceptual frameworks can promote the diffusion of standardized nursing terminologies in clinical practice and increase accuracy in the measurement of Unfinished Care. This synergy could promote the contribution of nursing knowledge to patient care, nursing visibility, and be beneficial to clinical nurses, managers, and healthcare systems to international level.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"81-89"},"PeriodicalIF":1.4,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337414","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 nursing diagnosis risk for unstable blood pressure","authors":"Gabrielle P Silva MSN,&nbsp;Ryanne C. M. G. Mendes PhD,&nbsp;Camila T Lopes PhD,&nbsp;Marcos VO Lopes PhD,&nbsp;Jaqueline GA Perrelli PhD,&nbsp;Suzana O Mangueira PhD,&nbsp;Francisca MP Linhares PhD","doi":"10.1111/2047-3095.12464","DOIUrl":"10.1111/2047-3095.12464","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To analyze evidence of content validity of the nursing diagnosis (ND) Risk for Unstable Blood Pressure in incarcerated women. </p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A methodological study assessing the content validity of an ND, was performed in Brazil, between June and September 2022, with 49 nurses as experts. The label, definition, and relevance of the 19 risk factors of the ND Risk for Unstable Blood Pressure were appraised. Based on the predictive diversity model, the content validity index (CVI) and respective 95% confidence intervals were calculated for each risk factor. A CVI ≥ 0.8 was considered adequate evidence of content validity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The label and the definition of the diagnosis was reformulated. The relevance of 19 etiological factors showed a CVI ≥ 0.8. According to the recommendation of the panel of experts, one of the etiological factors was split in two and two label of etiological factors were changed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A new label (Risk for Imbalanced Blood Pressure), new definition, and 20 etiological factors (11 risk factors, five associated conditions, and four at-risk populations) of the ND Risk for Unstable Blood Pressure in incarcerated women were considered valid.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>NANDA-I accepted the proposal for this nursing diagnosis; hence this study contributed to updating the classification based on scientific evidence. This evidence will favor diagnostic reasoning and recognition of the diagnosis during clinical assessment, and support studies assessing the clinical validity of these elements in incarcerated women.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"73-80"},"PeriodicalIF":1.4,"publicationDate":"2024-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974125","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":"The effect of the mind–body intervention on depression in people with cognitive impairment: A systematic review and meta-analysis","authors":"Dongpo Song BS,&nbsp;Ying Liu MS,&nbsp;Shuang Zhang MS,&nbsp;Shuyan Fang MS,&nbsp;Juanjuan Sun BS,&nbsp;Xiangning Zhu BS,&nbsp;Yueyang Dong BS,&nbsp;Meng He BS,&nbsp;Jiao Sun PhD","doi":"10.1111/2047-3095.12463","DOIUrl":"10.1111/2047-3095.12463","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To assess the effect of the mind–body intervention on depression in people with cognitive impairment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Five databases (PubMed, Web of Science, Embase, Cochrane Library, and PsycINFO) were systematically searched, the Cochrane Collaboration's tool was used for quality assessment, and subgroup analyses were performed according to participant types, intervention types, and duration of interventions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>A total of 16 randomized controlled trials were included, two of which were unable to obtain complete data and one had high heterogeneity. The overall meta-analysis of 13 articles showed that the mind–body intervention was not effective in promoting depression in individuals with cognitive impairment (standardized mean difference [SMD] = −0.08; 95% confidence interval (CI) [−0.27, 0.11]; <i>p</i> = 0.419; <i>I</i>²= 52.4%, 13 studies, 1406 participants) compared with the control group. Subgroup analysis showed that depression was significantly improved in the dementia subgroup after the mind–body intervention compared to the control group (SMD = −0.31; 95% CI [−0.57, −0.05]; <i>p</i> = 0.021. <i>I</i>²= 29.2%, six studies, 399 participants), while no significant changes were observed in the mild cognitive impairment subgroup. Among different intervention types and durations, no intervention was found to have a significant positive effect on depression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The mind–body intervention is an effective intervention for improving depression in people with dementia, but its effect is not significant in individuals with overall cognitive impairment. Follow-up high-quality studies are needed to further verify the effects of different mind–body interventions on depression in people with different severities of cognitive impairment.</p>\u0000 \u0000 <p><b>Implications for Nursing Practice</b>: By proving the effectiveness of the mind–body intervention in improving depression in people with dementia, it will provide evidence for the further development and improvement of the mode and content of the mind–body intervention and increase the attention and support of the healthcare system and society for the mind–body intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"57-72"},"PeriodicalIF":1.4,"publicationDate":"2024-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139753419","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":"Compromised end-of-life syndrome in cancer patients: A clinical validation study","authors":"Antônia Rios Almeida MD,&nbsp;Rosimere Ferreira Santana PhD,&nbsp;Marcos Venicios de Oliveira Lopes PhD,&nbsp;Thalita Gomes do Carmo PhD,&nbsp;Daniel Espirito Santo da Silva MD,&nbsp;Dayana Medeiros do Amaral MD","doi":"10.1111/2047-3095.12462","DOIUrl":"10.1111/2047-3095.12462","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To identify the prevalence of the nursing diagnosis of compromised end-of-life syndrome in patients in end-of-life care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is a clinical validation based on a cross-sectional epidemiological clinical study conducted at the National Cancer Institute in Rio de Janeiro, Brazil. The defining characteristics of a syndrome diagnosis were identified, defined as a “subset of nursing diagnoses,” using sensitivity and specificity measures through the application of latent class statistical methods.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The statistical results revealed seven nursing diagnoses characterizing the syndrome: imbalanced nutrition: less than body requirements, nausea, anxiety, ineffective breathing pattern, disturbed sleep pattern, ineffective thermoregulation, and fatigue. Compromised end-of-life syndrome was present in 76% of the sample.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study demonstrated the presence of compromised end-of-life syndrome in most end-of-life patients from the sample.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>Recognizing the presence of the syndrome diagnosis enables nurses to have efficient and effective clinical reasoning for implementing the nursing process in palliative care. CAAE Number: 85415618.0.3001.5274.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"48-56"},"PeriodicalIF":1.4,"publicationDate":"2024-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643177","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":"Peer reviewers—Thank you","authors":"Jane Flanagan PhD, RN, AHN-BC, ANP-BC, FNI, FAAN","doi":"10.1111/2047-3095.12461","DOIUrl":"10.1111/2047-3095.12461","url":null,"abstract":"","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"35 1","pages":"3"},"PeriodicalIF":1.4,"publicationDate":"2024-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467302","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 the nursing diagnosis of impaired mood regulation among individuals with experience of mood disorders","authors":"Munirat Olayinka Oladokun RN, MSc.,&nbsp;Adenike Ayobola Olaogun RN, PhD,&nbsp;Samuel Kolawole Mosaku FMCPSYCH, PhD","doi":"10.1111/2047-3095.12460","DOIUrl":"10.1111/2047-3095.12460","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The aim of the study was to validate the defining characteristics (DCs) of the nursing diagnosis impaired mood regulation using related criteria in an African context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This descriptive study was conducted in two tertiary mental healthcare institutions in Nigeria. Richard Fehring's clinical diagnostic validity model was employed to collect data from 87 individuals experiencing mood problems. Their scores were validated with other criteria, and the influence of socio-demographic and clinical variables on participants’ identification of the DCs was determined using analysis of covariance (ANCOVA). The significance level was 0.05.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Five of the 27 DCs validated were rated major, 5 considered not characteristics, and the rest were minor characteristics of the diagnosis. A two-way subject ANCOVA was significant for diagnosis alone, <i>F</i> (2, 87) = 7.41, <i>p</i> = 0.006 (after eliminating the effect of age and gender of the participants), and when combined with duration of illness, <i>F</i> (38, 87) = 2.38, <i>p</i> = 0.036. A positive but weak correlation was found between the DC scale and mood disorder questionnaire, <i>r_s</i> (85) = 0.353, <i>n</i> = 87, <i>p</i> = 001 with <i>R</i>² = 0.102, but a positive and strong correlation with patient health questionnaire, <i>r_s</i> (85) = 0.733, <i>n</i> = 87, <i>p</i> = 000 with <i>R</i>² = 0.565.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The DCs listed in NANDA-I nursing diagnoses manual were valid for the nursing diagnosis. However, there are additional characteristics that would further enhance the applicability of the diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>The result of this study will contribute immensely to the identification of individuals experiencing problems with mood regulation that would otherwise have been missed, thus facilitating early intervention and good outcome. Furthermore, additional characteristics validated in this study offered opportunity for further research on the diagnosis.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"39-47"},"PeriodicalIF":1.4,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139064994","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 educational framework: A new nurse-driven, conceptually guided approach","authors":"Ana Choperena PhD, MSc, RN,&nbsp;Virginia La Rosa-Salas PhD, MSc, RN,&nbsp;Nuria Esandi-Larramendi PhD, MSc, RN,&nbsp;Mercedes P. Diez-Del-Corral PhD, MSc, RN,&nbsp;Dorothy Jones PhD, MSc, RN","doi":"10.1111/2047-3095.12459","DOIUrl":"10.1111/2047-3095.12459","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The aim of this article is to present the <i>Nursing Educational Framework</i> (NEF) as an opportunity to integrate core elements of a humanistic person/family-centered view and as guidance in structuring a relationship-based curriculum.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data sources</h3>\u0000 \u0000 <p>Empirical and theoretical literature studies were reviewed to define the framework rationale and its components.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data synthesis</h3>\u0000 \u0000 <p>A deductive/inductive collaborative expert-informed approach was undertaken to develop this evidence-based codesigned framework. Its mission, along with unique components, implementation strategies, and outcomes, were successively integrated into the framework to guide nursing knowledge, learning, and curriculum development. A hermeneutic collaborative process of circular reflection was used in the development process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The NEF contains central guiding principles and concepts that are intended to provide structural consistency across its included programs from a humanistic person/family-centered approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for nursing practice</h3>\u0000 \u0000 <p>This comprehensive theory-guided framework allows educators to suggest specific directions for nursing practice within the nursing discipline and articulate nursing's unique and specialized approach to promoting excellent patient care outcomes. It can assist students to develop critical lens from a person/family-centered relationship-based practice approach.</p>\u0000 </section>\u0000 </div>","PeriodicalId":49051,"journal":{"name":"International Journal of Nursing Knowledge","volume":"36 1","pages":"29-38"},"PeriodicalIF":1.4,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11707981/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139040772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}