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Nutrition and Nursing Practice
Published in Gia Merlo, Kathy Berra, Lifestyle Nursing, 2023
Deborah Chielli, Caroline Trapp, Cody Stubbe, Tammy Robertson, Gia Merlo
The nurse uses clinical reasoning to identify and prioritize nursing diagnoses – the human responses to actual or potential health problems (Ackley et al. 2017). The North American Nursing Diagnosis Association – International (NANDA-I) sets the standardized nursing diagnostic terminology “to ensure patient safety through evidence-based care, thereby improving the health care of all people” (NANDA International, 2021, para. 4). Diagnoses may be problem focused, a risk, health promoting, a syndrome, or a possibility. Nursing diagnosis can be independently treated by the nurse (Ackley et al., 2017). In Box 2.5, we consider some sample NANDA diagnoses related to human responses to actual or potential problems connected to nutrition.
Nursing Informatics within Health Systems: Global Comparison
Published in Connie White Delaney, Charlotte A. Weaver, Joyce Sensmeier, Lisiane Pruinelli, Patrick Weber, Deborah Trautman, Kedar Mate, Howard Catton, Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 1, 2022
Fabio D'Agostino, Miriam de Abreu Almeida, Aline Tsuma Gaedke Nomura, Jude L. Tayaben
An early study conducted with data collected by the PAI system showed that standard nursing data, such as nursing diagnoses, were able to describe patients with different care complexities among several different medical conditions. This complexity was associated with hospital length of stay and mortality (D'Agostino et al., 2017). Another study provided a description of nursing care delivered in an oncology department. Through the use of a nursing minimum data set generated by the PAI system, findings show that most nursing interventions were delivered based on a nursing prescription and not on a medical order (Sanson et al., 2019a). In another study, data generated by the PAI-UDI (e.g., nursing diagnoses and interventions) was used to describe the care delivered by nurses in a community nursing-led unit. Results highlighted different medical and nursing needs of this population compared to hospitalized acute patients (Zeffiro et al., 2018).
The development of critical thinking
Published in Laura A. Jaroneski, Lori A. Przymusinski, So You Want to Teach Clinical?, 2018
Laura A. Jaroneski, Lori A. Przymusinski
Your success as a nurse and your decision to pursue the role of a clinical instructor indicates that you possess strong critical thinking skills and recognize their influence on a student nurse. The nursing process is the way your students will learn to create a plan for their assigned patients. You will guide them through deciding on a nursing diagnosis, identify outcomes, plan interventions and evaluate the plan. Nursing diagnosis, interventions, and rationale for care are what nursing education and practice own: It is the “why” of what we do versus just “completing a task”.
Moving Beyond Nursing Standardized Language for Substance Use Problems
Published in Issues in Mental Health Nursing, 2020
Paulo Rosário Carvalho Seabra, Olga Maria Martins de Sousa Valentim, Filipa Alexandra Veludo Fernandes, Sandy Silva Pedro Severino
The ICNP® is a language classification system, defined by experts in nursing, which organizes a computerized system that allows nurses to integrate their care plans. Structured by a seven-axis system (focus, judgment, client, action, resources, location and time), the nurse in their professional practice selects the necessary terms to form the respective diagnoses and interventions. The subjectivity inherent in the reasoning of each nurse when identifying a diagnosis, in the absence of predefined clinical indicators, decreases the diagnostic accuracy. In order to overcome this gap, there are initiatives to present diagnoses-results-interventions already defined for human responses to common health-disease or health problem situations. The integration of ICNP® catalogs are still in development in the most recent editions. A nursing diagnosis can be defined in a linear fashion as a label assigned by a nurse to the decision about a phenomenon, which will become the focus of nursing interventions (International Council of Nurses, 2016). It is beneficial that all nurses use the same language.
Prognostic indicators of short-term survival of ineffective airway clearance in children with acute respiratory infection: a longitudinal study
Published in Contemporary Nurse, 2020
Lívia Maia Pascoal, Marcos Venícios de Oliveira Lopes, Viviane Martins da Silva, Daniel Bruno Resende Chaves, Beatriz Amorim Beltrão, Marília Mendes Nunes, Natália Barreto de Castro
Operational definitions for the evaluation of the defining characteristics were developed from analyzing articles available electronically in databases and in technical books on anatomy, physiology, and semiology of the respiratory tract. The constructed definitions were assessed by three nurses who had teaching experience in semiology and clinical experience and research in nursing diagnoses in the pediatric population. These nurses have been intentionally selected among all the members of a research group on nursing diagnoses the greatest from your expertise including clinical practice and development of researches with pediatric patients. The relevant suggestions were adopted, and the final version of the instrument with operational definitions was subjected to a pre-test with 5% of the estimated size of the sample (14 children). This strategy was implemented to determine the suitability of the instrument for the objectives established in the research and to investigate the skills and difficulties in applying it to determine whether any adjustments were needed.
Impact of the Mental Health Care Continuity-Chain among Individuals Expressing Suicidal Behaviour in a Spanish Sample
Published in Issues in Mental Health Nursing, 2020
Rocío Albuixech-García, Rocío Juliá-Sanchis, Miguel Ángel Fernández Molina, Silvia Escribano
It is important to note that the use of proper disease diagnostic classifications in daily practice can strongly impact the measurement of results. Nursing diagnoses usually form the basis for future assessments and care provision and are a useful working tool (Escalada-Hernández & Marín-Fernández, 2016). In this study we showed that use of the 00150 NANDA “suicide risk” diagnostic code as a discriminatory element in nursing taxonomy promoted coordination between the prevention, management, intervention, and accompaniment activities used to provide care to people showing suicidal behaviour, as well as their families. Thus, using this diagnostic classification contributed to the continuity of care provided by different health system care services and facilitated communication between the different technological platforms which share information about patient clinical histories. Therefore, the application of this circuit helped to reduce the immeasurable suffering experienced by people struggling with suicidal behaviour and provides hope that such suffering is preventable.