scholarly journals Identifying Frequently Used NANDA-I Nursing Diagnoses, NOC Outcomes, NIC Interventions, and NNN Linkages for Nursing Home Residents in Korea

Author(s):  
Juh Hyun Shin ◽  
Gui Yun Choi ◽  
Jiyeon Lee

This study aimed to identify the terminologies of NANDA-I, NOC, NIC, and NNN linkages that have been used for nursing home (NH) residents. This study used a retrospective descriptive design. Data accrued from 57 registered nurses (RNs) in 25 Korean NHs. The RNs randomly selected one resident and assessed for applied NANDA-I, NOC, and NIC from the previous 7 days by reviewing nursing charts and records. Finally, the data of 57 residents in 25 NHs were collected. Results: We identified seven NNN linkages: risk for falls–fall prevention behavior–fall prevention; self-care deficit: bathing/hygiene–self-care: activities of daily living (ADL)–self-care assistance: bathing/hygiene; impaired memory–memory–cognitive stimulation; chronic confusion–neurological status: consciousness–medication management; chronic confusion–memory–medication management; impaired walking–mobility–exercise promotion: strength training; and impaired walking–ambulation–exercise promotion: strength training. The identified core NANDA-I, NOC, NIC, and NNN linkages for NH residents from this study provide a scope of practice of RNs working in NHs.

2020 ◽  
Vol 48 (6) ◽  
pp. 030006052092879
Author(s):  
Katarina Fehir Šola ◽  
Iva Mucalo ◽  
Andrea Brajković ◽  
Ivona Jukić ◽  
Donatella Verbanac ◽  
...  

Objective The aim of this study was to determine the frequency and type of drug therapy problems (DTPs) in older institutionalized adults. Method We conducted a cross-sectional observational study from February to June 2016 at a 150-bed public nursing home in Croatia, where comprehensive medication management (CMM) services were provided. A rational decision-making process, referred to as the Pharmacotherapy Workup method, was used to classify DTPs. Results Data were prospectively collected from 73 residents, among which 71% were age 75 years or older. The median number of prescribed medications per patient was 7 (2–16) and polypharmacy (> 4) was recorded for 54 (74.0%) patients. A total 313 DTPs were identified, with an average of 4.3 ± 2 DTPs per patient. The most frequent DTP was needing additional drug therapy (n = 118; 37.7%), followed by adverse drug reaction (n = 55; 17.6%). Lactulose (14.4%), tramadol (6.7%), and potassium (6.4%) were the medications most frequently related to DTPs. Conclusion The high prevalence of DTPs identified among older institutionalized adults strongly suggests the need to incorporate new pharmacist-led CMM services within existing institutional care facilities, to improve the care provided to nursing home residents.


2018 ◽  
Vol 74 (11) ◽  
pp. 2511-2522 ◽  
Author(s):  
Pei-ye Cao ◽  
Qing-hua Zhao ◽  
Ming-zhao Xiao ◽  
Ling-na Kong ◽  
Ling Xiao

2010 ◽  
Vol 11 (4) ◽  
pp. 284-293 ◽  
Author(s):  
Patricia Quigley ◽  
Tatjana Bulat ◽  
Ellen Kurtzman ◽  
Ronald Olney ◽  
Gail Powell-Cope ◽  
...  

2006 ◽  
Author(s):  
Jennifer Bambara ◽  
Alan B. Stevens ◽  
Angela K. Hochhalter ◽  
Louis D. Burgio

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