{"title":"建立心理健康护理诊断子集：来自e-Delphi调查的结果。","authors":"Claudia Fantuzzi, Valentina Zeffiro, Gianfranco Sanson","doi":"10.1111/2047-3095.70005","DOIUrl":null,"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":1.4000,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"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\":null,\"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\":1.4000,\"publicationDate\":\"2025-02-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Nursing Knowledge\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1111/2047-3095.70005\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"NURSING\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Nursing Knowledge","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/2047-3095.70005","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
Building a nursing diagnosis subset for mental health care: Results from an e-Delphi survey.
Purpose: 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).
Methods: 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.
Findings: 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.
Conclusions: 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.
Implications for nursing practice: 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.
期刊介绍：
The International Journal of Nursing Knowledge, the official journal of NANDA International, is a peer-reviewed publication for key professionals committed to discovering, understanding and disseminating nursing knowledge.
The Journal aims to clarify the knowledge base of nursing and improve patient safety by developing and disseminating nursing diagnoses and standardized nursing languages, and promoting their clinical use. It seeks to encourage education in clinical reasoning, diagnosis, and assessment and ensure global consistency in conceptual languages.
The International Journal of Nursing Knowledge is an essential information resource for healthcare professionals concerned with developing nursing knowledge and /or clinical applications of standardized nursing languages in nursing research, education, practice, and policy.
The Journal accepts papers which contribute significantly to international nursing knowledge, including concept analyses, original and applied research, review articles and international and historical perspectives, and welcomes articles discussing clinical challenges and guidelines, education initiatives, and policy initiatives.
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