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Nursing Sep 2020Necrotizing soft-tissue infections (NSTIs) are rare but rapidly progressive, life-threatening bacterial infections with high morbidity and mortality. NSTIs include... (Review)
Review
Necrotizing soft-tissue infections (NSTIs) are rare but rapidly progressive, life-threatening bacterial infections with high morbidity and mortality. NSTIs include necrotizing forms of fasciitis, myositis, and cellulitis. This article focuses on necrotizing fasciitis (NF) and discusses NF classifications, clinical features, diagnostic approaches, evidence-based treatments, and nursing interventions.
Topics: Evidence-Based Medicine; Fasciitis, Necrotizing; Humans; Nursing Diagnosis
PubMed: 32826674
DOI: 10.1097/01.NURSE.0000694752.85118.62 -
Journal of Exercise Rehabilitation Oct 2022This study aimed to analyze nursing diagnoses determined by the nursing students for patients in rehabilitation unit. Data were collected from 190 case reports submitted...
This study aimed to analyze nursing diagnoses determined by the nursing students for patients in rehabilitation unit. Data were collected from 190 case reports submitted by the nursing students who practiced in the rehabilitation unit, and analyzed on the basis of North American Nursing Diagnosis Association (NANDA) International, Inc. nursing diagnoses. Thirty different diagnoses were documented in rehabilitation unit. The most frequent nursing diagnosis was impaired physical mobility (n=68, 14.6%). The 30 diagnoses were grouped into 10 domains and 20 classes of the NANDA International, Inc. human response patterns. The average quality of nursing statements corresponded to a score of 8.63, indicating relatively good quality. The results of this study will help to improve the quality of nursing process education and provide guidelines to improve the quality of nursing care for the rehabilitation nursing situation in Korea.
PubMed: 36420472
DOI: 10.12965/jer.2244336.168 -
Annals of Internal Medicine Jul 2013Pressure ulcers are associated with substantial health burdens but may be preventable. (Review)
Review
BACKGROUND
Pressure ulcers are associated with substantial health burdens but may be preventable.
PURPOSE
To review the clinical utility of pressure ulcer risk assessment instruments and the comparative effectiveness of preventive interventions in persons at higher risk.
DATA SOURCES
MEDLINE (1946 through November 2012), CINAHL, the Cochrane Library, grant databases, clinical trial registries, and reference lists.
STUDY SELECTION
Randomized trials and observational studies on effects of using risk assessment on clinical outcomes and randomized trials of preventive interventions on clinical outcomes.
DATA EXTRACTION
Multiple investigators abstracted and checked study details and quality using predefined criteria.
DATA SYNTHESIS
One good-quality trial found no evidence that use of a pressure ulcer risk assessment instrument, with or without a protocolized intervention strategy based on assessed risk, reduces risk for incident pressure ulcers compared with less standardized risk assessment based on nurses' clinical judgment. In higher-risk populations, 1 good-quality and 4 fair-quality randomized trials found that more advanced static support surfaces were associated with lower risk for pressure ulcers compared with standard mattresses (relative risk range, 0.20 to 0.60). Evidence on the effectiveness of low-air-loss and alternating-air mattresses was limited, with some trials showing no clear differences from advanced static support surfaces. Evidence on the effectiveness of nutritional supplementation, repositioning, and skin care interventions versus usual care was limited and had methodological shortcomings, precluding strong conclusions.
LIMITATION
Only English-language articles were included, publication bias could not be formally assessed, and most studies had methodological shortcomings.
CONCLUSION
More advanced static support surfaces are more effective than standard mattresses for preventing ulcers in higher-risk populations. The effectiveness of formal risk assessment instruments and associated intervention protocols compared with less standardized assessment methods and the effectiveness of other preventive interventions compared with usual care have not been clearly established.
Topics: Bandages; Bedding and Linens; Beds; Comparative Effectiveness Research; Dietary Supplements; Humans; Nursing Diagnosis; Patient Positioning; Pressure Ulcer; Risk Assessment; Skin Cream
PubMed: 23817702
DOI: 10.7326/0003-4819-159-1-201307020-00006 -
Revista Gaucha de Enfermagem 2022To map the terms recorded in medical records of patients with decompensated heart failure for nursing diagnoses and interventions from the NANDA International and...
OBJECTIVE
To map the terms recorded in medical records of patients with decompensated heart failure for nursing diagnoses and interventions from the NANDA International and Nursing Interventions Classification.
METHOD
This is an exploratory and descriptive research, carried out by a cross-mapping study. Data were collected from 107 medical records of a Hospital Institute in the city of Rio de Janeiro/Brazil, in a period between October 2017 to February 2019. The diagnoses and interventions mapped were assessed by four clinical experts. Data analysis was performed using the content validation index and the Fleiss Kappa.
RESULTS
The most frequent nursing diagnoses were: risk for infection (74.8%), decreased cardiac output (55.1%) and excessive fluid volume (49.5%). The interventions were: vital signs monitoring (79.4%), fluid monitoring (72.9%) and positioning (52.3%).
CONCLUSION
The research mapped 32 titles of nursing diagnoses from NANDA-I and 21 nursing interventions from NIC. The diagnoses and interventions mapped will contribute to the quality of the nurses' records and patient safety.
Topics: Brazil; Cardiac Output; Heart Failure; Humans; Nursing Diagnosis; Standardized Nursing Terminology
PubMed: 35920473
DOI: 10.1590/1983-1447.2022.20200400.en -
Revista Da Escola de Enfermagem Da U S P 2022To identify the main nursing diagnoses and interventions in children in the immediate postoperative period of palatoplasty.
OBJECTIVE
To identify the main nursing diagnoses and interventions in children in the immediate postoperative period of palatoplasty.
METHOD
Documentary and retrospective study, developed in a Brazilian public and tertiary hospital, between August and September 2020. Children who underwent only palatoplasty, between January and December 2019, aged between 10 and 24 months, were included. Those with medical syndromes and/or comorbidities were excluded. The Theoretical Framework of Basic Human Needs and the NANDA International and Nursing Interventions Classification Taxonomies were used. Data underwent descriptive statistical analysis.
RESULTS
The sample consisted of 126 children. Psychobiological needs such as oxygenation, hydration, nutrition, elimination, cutaneous-mucosal and physical integrity, pain and environmental perception predominated. Based on them, nine nursing diagnoses, with four focusing on the problem and five on risk, as well as 17 interventions, were identified.
CONCLUSION
The use of standardized languages to identify affected human needs and, based on them, diagnoses and interventions, favored clinical reasoning for the construction and organization of clinical nursing practice.
Topics: Child; Child, Preschool; Humans; Infant; Nursing Diagnosis; Postoperative Period; Retrospective Studies; Standardized Nursing Terminology; Vocabulary, Controlled
PubMed: 35007314
DOI: 10.1590/1980-220X-REEUSP-2020-0252 -
Revista Da Escola de Enfermagem Da U S P 2023To build and validate nursing diagnoses based on the International Classification of Nursing Practice (ICNP®) for premature newborns admitted to the Neonatal Intensive...
OBJECTIVE
To build and validate nursing diagnoses based on the International Classification of Nursing Practice (ICNP®) for premature newborns admitted to the Neonatal Intensive Care Unit.
METHOD
Methodological study based on the Brazilian method for developing subsets: use of specialized nursing language terms, construction of diagnostic statements and content validation of the statements by 40 specialist nurses. Those with a Content Validity Index (CVI) ≥ 0.80, organized according to Wanda Horta's basic human needs theory, were considered valid.
RESULTS
146 nursing diagnosis statements were constructed and 145 (93.3%) diagnoses were validated, with a predominance of the human need for cutaneous-mucosal integrity.
CONCLUSION
The specificity of neonatal care is evident when these diagnoses are presented and validated in order to support nurses in their clinical reasoning and decision-making.
Topics: Infant, Newborn; Humans; Nursing Diagnosis; Nursing Care; Intensive Care Units, Neonatal; Brazil; Standardized Nursing Terminology
PubMed: 37997880
DOI: 10.1590/1980-220X-REEUSP-2023-0167en -
Revista Brasileira de Enfermagem 2020to develop nursing diagnoses and outcomes for children with nutritional anomalies based on terms found in a children's clinical protocol and on the 2017 International...
OBJECTIVES
to develop nursing diagnoses and outcomes for children with nutritional anomalies based on terms found in a children's clinical protocol and on the 2017 International Classification for Nursing Practice.
METHODS
exploratory-descriptive study, conducted with the validation of diagnoses/outcomes by six nurses of the children's clinic of the Federal District's teaching hospital. It was based on the cross-mapping between the terms of International Classification for Nursing Practice 2017 and the terms of a children's health care protocol. The list of nursing diagnosis/outcomes was developed, then submitted to the validation process using a Likert-type scale and considering statements with content validity index > 0.79 to be validated.
RESULTS
a total of 51 diagnoses/outcomes were generated, and of those, 11 were contained in International Classification for Nursing Practice. Those that were not in it were evaluated for similarity and comprehensiveness in relation to International Classification for Nursing Practice. Thirty nursing diagnoses/outcomes were validated with CVI > 0.79 among the nurses in the validation process.
CONCLUSIONS
this study will allow the formation of a terminological International Classification for Nursing Practice subset aimed at children's nutrition.
Topics: Child; Humans; Nursing Diagnosis; Nutrition Disorders; Outcome Assessment, Health Care; Pediatrics; Standardized Nursing Terminology
PubMed: 32321129
DOI: 10.1590/0034-7167-2018-0809 -
Revista Da Escola de Enfermagem Da U S P 2020To determine NANDA-I nursing diagnoses and NIC nursing interventions in patients who underwent radical prostatectomy.
OBJECTIVE
To determine NANDA-I nursing diagnoses and NIC nursing interventions in patients who underwent radical prostatectomy.
METHOD
A cross-sectional and descriptive study was conducted in a research and teaching hospital in western Turkey between June 2016 and June 2017. The sample included adult patients diagnosed with prostate cancer in the immediate postoperative period of radical prostatectomy. Data collection was performed using Gordon's Functional Health Patterns, NANDA-International and Nursing Interventions Classification Taxonomy Systems.
RESULTS
Participants were 54 adult patients. The main nursing diagnoses were in the classes of "physical injury", "self-care", "hydration" and "physical comfort". Some nursing diagnoses were identified in all patients, namely: "risk for deficient fluid volume", "risk for imbalanced fluid volume", "impaired urinary elimination". The most selected NIC interventions were in the classes of "risk management", "elimination management", "coping assistance", "tissue perfusion management" and "self-care facilitation".
CONCLUSION
future studies with larger populations are needed to explore the nursing diagnoses and effects of nursing interventions on patients who underwent radical prostatectomy.
Topics: Adult; Aged; Cross-Sectional Studies; Humans; Male; Middle Aged; Nursing Diagnosis; Postoperative Care; Prostatectomy; Prostatic Neoplasms; Standardized Nursing Terminology; Turkey
PubMed: 32187316
DOI: 10.1590/S1980-220X2018038003541 -
Revista Brasileira de Enfermagem 2021To validate the defining characteristics of the nursing diagnoses, impaired memory and chronic confusion for older adults, by testing diagnostic concept definitions...
OBJECTIVE
To validate the defining characteristics of the nursing diagnoses, impaired memory and chronic confusion for older adults, by testing diagnostic concept definitions among expert nurses.
METHODS
We used a Diagnostic content validation using an online survey of expert clinical nurses.
RESULTS
195 expert nurses performed the diagnostic validations. Findings provided validity of impaired memory with 11 major defining characteristics and chronic confusion, with 11 major and one minor defining characteristics. In both diagnoses, content validity index was 0.85. Factor analysis provided four and five supported factors for impaired memory and chronic confusion, respectively.
CONCLUSION
The study provided evidence of validity of the two diagnoses and made them clearer. Using these updated nursing diagnoses, nurses have the potential to improve accuracy and quality of care for elderly patients, contributing to more accurate nursing gerontological care.
Topics: Aged; Confusion; Factor Analysis, Statistical; Geriatric Nursing; Humans; Memory Disorders; Nursing Diagnosis; Reproducibility of Results; Surveys and Questionnaires
PubMed: 33624690
DOI: 10.1590/0034-7167-2020-0370 -
Revista Da Escola de Enfermagem Da U S P 2022To construct and validate nursing diagnoses statements of the International Classification for Nursing Practice (ICNP®) for the person with diabetic foot ulcer being...
OBJECTIVE
To construct and validate nursing diagnoses statements of the International Classification for Nursing Practice (ICNP®) for the person with diabetic foot ulcer being followed up in primary health care.
METHOD
This is a methodological study structured in four stages: identification of terms; cross-mapping of identified terms with ICNP terms®, version 2019/2020; construction of nursing diagnoses statements and organization with Orem's Theory of Self-care; and content validation by expert nurses working in primary care, with those with Content Validity Index (CVI) ≥ 0.80 being considered valid.
RESULTS
Eighty-one diagnostic statements were constructed, five of which were positive, 67 negative, and nine risky. Of these, 58 were included in ICNP® and 23 were not, 51% of which were categorized as self-care requirements related to health changes.
CONCLUSION
ICNP® subsidized the construction of a technical product, which can be consulted and used by nurses and will allow the strengthening of the standardization of a specific language in the context of care for people with diabetic foot ulcers in primary health care.
Topics: Diabetes Mellitus; Diabetic Foot; Humans; Nursing Diagnosis; Self Care; Standardized Nursing Terminology; Vocabulary, Controlled
PubMed: 35510834
DOI: 10.1590/1980-220X-REEUSP-2022-0022en