scholarly journals The Most Commonly Determined Nursing Diagnoses According to NANDA-I Taxonomy and Difficulties Using the Nursing Process in COVID-19 Outbreak

2021 ◽  
pp. 105477382110515
Author(s):  
Hale Tosun ◽  
Ayşe Tosun ◽  
Birgül Ödül Özkaya ◽  
Asiye Gül

The study was planned to determine the most common nursing diagnoses according to NANDA International (NANDA-I) taxonomy and difficulties experienced in using of nursing process in COVID-19 outbreak. The sample of the descriptive cross-sectional study consisted of nurses cared for patients with COVID-19 ( n = 114). Average age of nurses is 26.86 ± 6.68. Commonly determined nursing diagnoses according to NANDA-I taxonomy in patients with COVID-19 were imbalanced nutrition (66.7%), impaired gas exchange (40.4%), insomnia (21.1%), acute confusion (31.6%), hopelessness (96.5%), difficulty playing caregiver (84.2%), anxiety (38.6%) willingness to strengthen religious bond (71.9%), risk for infection (64.9%), nausea (49.1%). Twenty-four-years old and younger, high school graduates, caring for intubated patients, and those who stated that they did not use nursing diagnosis had more difficulty in using nursing process (<0.05). The use of nursing diagnoses and process for patients with COVID-19 is extremely important in ensuring individual and qualified nursing care.

2015 ◽  
Vol 23 (2) ◽  
pp. 234-241 ◽  
Author(s):  
Ana Paula Souza Lima ◽  
Tânia Couto Machado Chianca ◽  
Meire Chucre Tannure

OBJECTIVE: to analyze the efficacy of the Nursing Process in an Intensive Care Unit using indicators generated by software. METHOD: cross-sectional study using data collected for four months. RNs and students daily registered patients, took history (at admission), performed physical assessments, and established nursing diagnoses, nursing plans/prescriptions, and assessed care delivered to 17 patients using software. Indicators concerning the incidence and prevalence of nursing diagnoses, rate of effectiveness, risk diagnoses, and rate of effective prevention of complications were computed. RESULTS: the Risk for imbalanced body temperature was the most frequent diagnosis (23.53%), while the least frequent was Risk for constipation (0%). The Risk for Impaired skin integrity was prevalent in 100% of the patients, while Risk for acute confusion was the least prevalent (11.76%). Risk for constipation and Risk for impaired skin integrity obtained a rate of risk diagnostic effectiveness of 100%. The rate of effective prevention of acute confusion and falls was 100%. CONCLUSION: the efficacy of the Nursing Process using indicators was analyzed because these indicators reveal how nurses have identified patients' risks and conditions, and planned care in a systematized manner.


2019 ◽  
Vol 19 (1) ◽  
pp. 63-106
Author(s):  
Thais Martins Gomes de Oliveira ◽  
Cristine Alves Costa de Jesus ◽  
Ana Lúcia Da Silva ◽  
Diana Lúcia Moura Pinho

Objetivo: Identificar el perfil de los diagnósticos de enfermería de la NANDA-I de pacientes quirúrgicossometidos a la retirada de órgano fundamentado por el uso de las escalas de evaluación y trazar elperfil socio clínico demográfico de esa población.Método: Estudio transversal. Población compuesta por 60 pacientes quirúrgicos hospitalizados enpostoperatorio de cirugía de retirada de órgano, después del cálculo muestral. El análisis fue realizadopor medio de medidas de tendencia central, media y mediana, y de dispersión, frecuencia absoluta ysimple de las variables cuantitativas. Se utilizó el software Excel ® 2016. Los resultados fueronexpresados por medio de tablas.Resultados: Se aplicaron cinco escalas de evaluación. Se obtuvieron 1022 diagnósticos de enfermeríabasados en la NANDA-I, 93 diagnósticos diferentes, con media de 16,39 por paciente. Siendo 67 confoco en el problema, 23 de riesgo y 3 de promoción de la salud. Los diagnósticos con frecuenciasuperiores al 50% totalizaron 11, los cuales fueron discutidos. Los dominios sobresalientes fueron:Actividad/Hogar y Seguridad/Protección.Conclusión: Se identificó una alta concentración de diagnósticos en esa población. La cantidad dediagnósticos planteados y su diversidad identifican las diferentes áreas del cuidado que el enfermerodebe estar apto para prestar sus cuidados, además identificar esas informaciones deposita en elenfermero mayor poder de cuidado sobre el paciente. El estudio demostró la importancia del uso deescalas de evaluación que subsidien los diagnósticos de enfermería. La investigación aún apunta laimportancia del uso del diagnóstico de enfermería como forma de cuidado efectivo. Main goal: Perform the survey of NANDA-I nursing diagnoses profile of surgical patients submitted toorgan removal based on the use of the evaluation scales and to trace the socio-demographic clinicalprofile of this population.Methods: Cross-sectional study. The population comprised of 60 surgical patients hospitalized inpostoperative of organ removal surgery, after sample calculation. The analysis was performed bymeans of central, middle and median trend measures, and dispersion, absolute and simple frequency ofquantitative variables. Excel ® 2016 software was used. The results were expressed by means oftables.Results: Five scales of evaluation were applied. There were 1022 nursing diagnoses based onNANDA-I, with 93 different diagnostic titles, with an average of 16.39 per patient. Being 67 focused onthe problem, 23 risk and 3 health promotion. The diagnoses with frequency greater than 50% totaledeleven, which were discussed. The domains that concentrated the majority of the nursing diagnoseswere: Activity/Rest and Safety/Protection.Conclusion: A high concentration of diagnoses in this population was identified. The number ofdiagnoses raised and their diversity identifies the different areas of care that the nurse must be able toprovide care, and the collection of this information places the nurse greater power of care on the patient.The study demonstrated the importance of the use of evaluation scales that subsidize nursingdiagnoses. The research also points out the importance of using nursing diagnosis as a form of effectivecare. Objetivo: Realizar o levantamento do perfil dos diagnósticos de enfermagem da NANDA-I de pacientescirúrgicos submetidos à retirada de órgão fundamentado pelo uso das escalas de avaliação e traçar operfil sócio clínico demográfico dessa população.Método: Estudo transversal. População composta por 60 pacientes cirúrgicos hospitalizados em pósoperatóriode cirurgia de retirada de órgão, após cálculo amostral. A análise foi realizada por meio demedidas de tendência central, média e mediana, e de dispersão, frequência absoluta e simples dasvariáveis quantitativas. Utilizou-se o software Excel ® 2016. Os resultados foram expressos por meiode tabelas.Resultados: Foram aplicadas cinco escalas de avaliação. Obtiveram-se 1022 diagnósticos deenfermagem baseados na NANDA-I, 93 títulos diagnósticos distintos, com média de 16,39 porpaciente. Sendo 67 com foco no problema, 23 de risco e 3 de promoção da saúde. Os diagnósticoscom frequência superior a 50% totalizaram onze, os quais foram discutidos. Os domínios queconcentraram a maior parte dos diagnósticos de enfermagem foram: Atividade/Repouso eSegurança/Proteção.Conclusão: Foi identificada uma alta concentração de diagnósticos nessa população. A quantidade dediagnósticos levantadas e sua diversidade identificam as diferentes áreas do cuidado que o enfermeirodeve estar apto para prestar seus cuidados, além de que o levantamento dessas informações depositano enfermeiro maior poder de cuidado sobre o paciente. O estudo demonstrou a importância do uso deescalas de avaliação que subsidiem os diagnósticos de enfermagem. A pesquisa ainda aponta aimportância do uso do diagnóstico de enfermagem como forma de cuidado efetivo.


2012 ◽  
Vol 20 (5) ◽  
pp. 903-908 ◽  
Author(s):  
Joseba Xabier Huitzi-Egilegor ◽  
Maria Isabel Elorza-Puyadena ◽  
Jose Maria Urkia-Etxabe ◽  
Jaime Zubero-Linaza ◽  
Xabier Zupiria-Gorostidi

AIM: to analyze whether the nursing process method is used at public and private centers in the health area Gipuzkoa (Basque Country) and, if yes, to analyze in the framework of which model and how it is used. METHOD: cross-sectional study, based on the analysis of the nursing records used at the 158 centers studied. RESULTS: the nursing process is applied at 98% of the centers. It is applied at all public and 18 out of 21 private centers. Virginia Henderson's model is the most used to apply it, and most centers use nursing diagnoses, the NIC-NOC terminology and standardized care plans. CONCLUSION: the use of the nursing process is widespread in Gipuzkoa, with greater use at public than at private centers.


2014 ◽  
Vol 27 (1) ◽  
pp. 35-39 ◽  
Author(s):  
Rosimere Ferreira Santana ◽  
Dayana Medeiros do Amaral ◽  
Shimmenes Kamacael Pereira ◽  
Tallita Mello Delphino ◽  
Keila Mara Cassiano

OBJECTIVE: To compare the occurrence of the nursing diagnosis of delayed surgical recovery among the adult and elderly population.METHODS: This was an observational, cross-sectional study conducted with 72 patients followed after the fifth postoperative day. For data collection, a form with conceptual and operational definitions of the defining characteristics and related factors of the nursing diagnosis was used.RESULTS: The rate of the diagnosis of delayed surgical recovery was slightly higher in the elderly, which was 77.1%, compared to adults, which was 75.7%, but there was no significant difference (0.421). Different defining characteristics prevailed: "difficulty moving about" (0.045), "perception that more time is needed to recover," and "requires help to complete self-care" (0.000).CONCLUSION: To differentiate adult and elder care favors the specialization of perioperative nursing care and surgical recovery in the time desired.


2018 ◽  
Vol 12 (10) ◽  
pp. 2727
Author(s):  
Nailde Cristina de Freitas ◽  
Ana Paula da Conceição

RESUMOObjetivo: analisar o grau de acurácia diagnóstica dos enfermeiros clínicos de uma instituição de cardiologia. Método: trata-se de estudo quantitativo, observacional, transversal, realizado com 53 enfermeiros que utilizavam os diagnósticos de Enfermagem no trabalho. Utilizaram-se dois instrumentos: um para a caracterização do perfil sociodemográfico e o caso clínico para o levantamento dos diagnósticos de Enfermagem. Mensurou-se o grau de acurácia diagnóstica por meio da Escala de Acurácia de Diagnósticos de Enfermagem (EADE-2). Resultados: revela-se que enfermeiros que participavam da Visita Clínica Setorial e atuavam em unidades não críticas elencaram significativamente menor número de diagnósticos de Enfermagem de acurácia baixa/nula. Não houve diferença em relação ao levantamento de diagnósticos de Enfermagem com acurácia alta/moderada. Conclusão: contribui-se para a melhora da acurácia diagnóstica dos enfermeiros por meio de programas de treinamento para o exercício do raciocínio clínico. Sugere-se que a educação permanente em serviço aconteça de forma efetiva com o objetivo de melhorar a acurácia dos diagnósticos de Enfermagem dos enfermeiros possibilitando-se o levantamento de diagnósticos acurados, de intervenções direcionadas e o estabelecimento de metas possíveis. Descritores: Enfermagem; Diagnóstico de Enfermagem; Processo de Enfermagem; Competência Clínica; Treinamento em Serviço; Educação.  ABSTRACT Objective: to analyze the degree of diagnostic accuracy of the clinical nurses of a cardiology institution. Method: this is a quantitative, observational, cross-sectional study conducted with 53 nurses who used nursing diagnoses at work. Two instruments were used: one for the characterization of the sociodemographic profile and the clinical case for the survey of nursing diagnoses. The degree of diagnostic accuracy was measured using the Nursing Diagnostic Accuracy Scale (NDAS-2). Results: it is revealed that nurses who participated in the Sectorial Clinical Visit and worked in non-critical units listed significantly fewer Nursing diagnoses of low / null accuracy. There was no difference in relation to the survey of Nursing diagnoses with high/moderate accuracy. Conclusion: it contributes to the improvement of the diagnostic accuracy of nurses through training programs for the exercise of clinical reasoning. It is suggested that permanent in-service education take place in an effective way with the objective of improving the accuracy of nursing diagnoses of nurses, making it possible to obtain accurate diagnoses, targeted interventions and the establishment of possible goals. Descriptors: Nursing; Nursing Diagnosis; Nursing Process; Clinical Competence; Inservice Training; Education.RESUMEN Objetivo: analizar el grado de exactitud diagnóstica de los enfermeros clínicos de una institución de cardiología. Método: estudio cuantitativo, observacional, transversal, realizado con 53 enfermeros que utilizaban diagnósticos de enfermería en el trabajo. Se utilizaron dos instrumentos: uno para caracterización del perfil sociodemográfico y el caso clínico para el levantamiento de los diagnósticos de enfermería. El grado de exactitud diagnóstica fue mezclado por medio de la Escala de Precisión de Diagnósticos de Enfermería (EADE-2). Resultados: enfermeros que participaban de la Visita Clínica Sectorial y actuaban en unidades no críticas, consideraron significativamente menor número de diagnósticos de enfermería de precisión baja / nula. No hubo diferencia en relación al levantamiento de diagnósticos de enfermería con precisión alta / moderada. Conclusión: los programas de entrenamiento para el ejercicio de raciocinio clínico contribuyen a mejorar la exactitud diagnóstica de los enfermeros. Se sugiere que la educación permanente en servicio ocurra de forma efectiva con el objetivo de mejorar la exactitud de los diagnósticos de enfermería de los enfermeros posibilitando el levantamiento de diagnósticos precisos, intervenciones dirigidas y establecimiento de metas posibles. Descriptores: Enfermería; Diagnóstico de Enfermería; Proceso de Enfermería Competencia Clínica; Capacitación em Servicio; Educación.


Author(s):  
Darja Jarošová ◽  
Elena Gurková ◽  
Renáta Zeleníková ◽  
Ilona Plevová ◽  
Eva Janíková

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