(1) Background: this review aims to identify the human responses exhibited by adult patients with COVID-19, by listing the corresponding nursing diagnoses. Nursing diagnosis it's a clinical analysis ...of human responses to a person, family, or community. Therefore, it is possible to state that nursing diagnoses represent human responses. (2) Methods: a scoping review was conducted following recommendations provided by the Joanna Briggs Institute (JBI) and the research was carried out between December 2020 and 15 January, 2021, via CINAHL Complete, Complementary Index, MEDLINE, Science Direct, Academic Search Complete, Science Citation Index, Directory of Open Access Journals, Scopus, Social Sciences Citation Index, Business Source Complete, eBook Index (by B-on), and the Cochrane Database of Systematic Reviews (by Cochrane Library). (3) Results: with respect to studies using the NANDA-I taxonomy, the findings have shown that "impaired gas exchange" was the most highlighted nursing diagnosis. ICNP taxonomy, the relevant nursing diagnosis is "cough present". (4) Conclusions: concurrently, as suggested by the human responses documented in this review, throughout the pandemic, the requirements for adequate care provision have been constantly updated, to improve the quality of life of those patients, as much as possible.
Introduction: In nursing practice, this concept has been identified in studies that address the nursing diagnosis of impaired spontaneous ventilation. Nursing performance facing this unwanted human ...response is considered essential for the maintenance and control of vital signs, cardiovascular monitoring, gas exchange and respiratory pattern, as well as constant surveillance aimed at signs of hypoventilation and inadequate ventilation. Objective: To analyze the concept of impaired spontaneous ventilation in critically ill patients in an intensive care unit. Methodology: This study is a concept analysis, according to Walker’s and Avant’s method, conducted using an integrative review. All the referential steps were followed: concept selection, determining the objectives and proposals for concept analysis, identifying the possible uses of the concept, determining the defining attributes, identifying a model case, identifying a contrary case, and identifying the precedents and consequences of the concept. Results: A sample of 38 studies was selected. The following were identified as attributes: distress and fatigue, respiratory distress, tachycardia, hemodynamic instability, altered mental status, abnormal arterial blood gas results, dyspnea, anxiety, agitation, sweating, hypoxemia and hypercapnia. Antecedents: sex, age, oxygen saturation lower than 90%, diseases of the respiratory, cardiovascular, neurological, gastrointestinal, neuromuscular, and metabolic systems, respiratory infections, trauma, poisons, toxins, and sedatives. Consequences: increased heart rate, decreased partial oxygen saturation, increased use of respiratory muscles, dyspnea, increased metabolic rate and restlessness. The model case and the contrary case were used to illustrate the attributes, antecedents, and consequences. Conclusion: The study directed the strengthening of evidence about the phenomenon and demonstrated a strong occurrence in patients who need assistance in intensive care units, thus demanding critical care.
This study aims to identify NANDA-I nursing diagnoses that midwives working in obstetrics and gynecologic service use while managing the electronic nursing care process.
This retrospective study was ...conducted in a descriptive way to evaluate electronic care plan records of 3025 patients staying in obstetrics and gynecologic service between April 1, 2020. and April 1, 2021. Diagnoses in the records of the electronic care process were digitalized by two faculty members. Then, NANDA-I nursing diagnoses used by midwives were identified. NANDA-I nursing diagnoses used by midwives were identified.
It was determined that diagnoses in care plans documented from the system within the 1-year period fell into eight domains and 10 classes, and 5819 diagnoses were given in total. The most frequent diagnoses given in obstetrics and gynecologic service were "acute pain" and "risk for bleeding."
Findings of this study revealed that nursing care records in obstetrics and gynecologic service did not have a large number of diagnoses and interventions.
Care plans directly reflect the contribution of the care to the patient. Consequently, midwives being aware of and recording nursing diagnoses while giving care will ensure a standardized language and visibility in care. More coverage of midwifery-related diagnoses in the midwifery curriculum will make NANDA-I nursing diagnoses more visible in midwifery as well.
The aim of this study is to identify the key functional care problems, NANDA-I nursing diagnoses, and intervention plans related to function-focused care (FFC) using a web-based case management ...system for patients who present different cognitive status.
This study employed a retrospective descriptive research design. Data were obtained from system records on patients after the research team trained the case management system at a nursing home in Dangjin in South Chungcheong Province, South Korea. A total of 119 inpatient records were analyzed.
The key physical, cognitive, and social functional problems, nursing diagnoses in six domains (health promotion, elimination and exchange, activity/rest, perception/cognition, coping/stress tolerance, and safety/protection), and intervention plans were identified.
The identified FFC case management information of interdisciplinary caregivers will provide evidence for the implementation of effective interventions according to a patient's functional status. Additional studies related to the establishment of a large clinical database of advanced case management systems focusing on interdisciplinary caregivers' functional management are needed to support the prioritization of functional care.
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.
Aims and objectives
To detect the prevalence of NANDA‐I diagnoses and possible relationships between those and patient characteristics such as gender, age, medical diagnoses and psychiatric ...specialty/setting.
Background
There is a lack on studies about psychiatric inpatient characteristics and possible relationships among these characteristics with nursing diagnoses.
Design
A quantitative‐descriptive, cross‐sectional, completed data sampling study was performed.
Methods
The data were collected from the electronic patient record system. Frequencies for the social‐demographic data, the prevalence of the NANDA‐I diagnoses and the explanatory variables were calculated.
Results
In total, 410 nursing phenomena were found representing 85 different NANDA‐I diagnoses in 312 patients. The NANDA‐I diagnosis “Ineffective Coping” was the most frequently stated diagnosis followed by “Ineffective Health Maintenance,” “Hopelessness” and “Risk for Other‐Directed Violence”. Men were more frequently affected by the diagnoses “Ineffective Coping,” “Hopelessness,” “Risk for Self‐Directed Violence,” “Defensive Coping” and “Risk for Suicide,” whereas the diagnoses “Insomnia,” “Chronic Confusion,” “Chronic Low Self‐Esteem” and “Anxiety” were more common in women. Patients under the age of 45 years were more frequently affected by “Chronic Low Self‐Esteem” and “Anxiety” than older patients. “Ineffective Coping” was the most prevalent diagnosis by patients with mental disorders due to psychoactive substance use. Patients with schizophrenia were primarily affected by the diagnoses “Ineffective Coping,” “Impaired Social Interaction” and “Chronic Low Self‐Esteem.”
Conclusions
This study demonstrates the complexity and diversity of nursing care in inpatient psychiatric settings. Patients’ gender, age and psychiatric diagnoses and settings are a key factor for specific nursing diagnosis.
Relevance to clinical practice
There are tendencies for relationships between certain nursing diagnosis and patient characteristics in psychiatric adult inpatients. This enhances the specific, extended knowledge for nursing care and its demands in this setting and therefore supports the daily nursing psychiatric care and its needs.
Nursing diagnoses constitute an essential step to the nursing process and a challenging goal in embedding them into clinical practice. The study aimed to explore registered nurses’ perceptions ...towards the implementation of nursing diagnoses in perioperative care and the factors affecting their applicability.
A qualitative study with open-ended questions was carried out between February and April 2020. The study convenient sample consisted of 35 registered nurses working in the operating room and surgical clinics of a university hospital in Greece. Data were analyzed using qualitative content analysis with an inductive approach.
Three themes emerged from this analysis justifying participants’ agreement with the implementation of nursing diagnoses: ‘quality of the perioperative nursing care’, ‘interdisciplinary collaboration and communication’ and ‘ethical issues’. In addition, facilitating and hindering factors for their implementation in clinical practice were identified. Three themes emerged functioning as facilitators: ‘role of the nurse and nursing care organization’, ‘role of the patient’ and ‘interdisciplinary collaboration’. The themes which were identified as hindering factors were: ‘work organization’, ‘patient needs’ and ‘necessary requirements’.
Registered nurses in Greece expressed positive perceptions towards the implementation of nursing diagnoses in perioperative care, highlighting their importance and utilization in the care process. These results can be used to develop strategies to promote nursing diagnosing in perioperative nursing and can be used for further research.
Aims
The aim of this study is to verify the clinical validity of clinical indicators and aetiological factors of sedentary lifestyle in individuals with arterial hypertension.
Background
Diagnostic ...validation is performed to expand nursing taxonomies and to revise or confirm the described concepts. New elements listed in the literature and those identified by the NANDA International definition for sedentary lifestyle need to be evaluated.
Design
This is a cross‐sectional and diagnostic validation study. The STROBE guidelines were used in this study.
Methods
Two hundred and fifty subjects aged over 18 years were evaluated. The diagnostic status of the participants was obtained by latent class analysis. Logistic regression was used to identify aetiological factors with the manifestation of sedentary lifestyle, considering a significance level of 5%.
Results
A total of 57.8% of the study participants met the diagnostic criteria for sedentary lifestyle. The clinical indicators with high sensitivity were as follows: "Average daily physical activity is less than recommended for gender and age"; "Does not perform physical activity during leisure time"; "Preference for activity low in physical activity" and "Overweight.” The significantly related factors associated with the diagnosis of sedentary lifestyle were as follows: "Insufficient knowledge on physical activity," "Lack of time," "Negative self‐perception of health," "Lack of security," "Lack of appropriate place," "Lack of motivation," "Activity intolerance," "Lack of sports ability," "Having a partner," "Using public transportation," "Perception of physical disability," "Pain," "Having a job/studying," "Laziness," "Impaired mobility," "Living in an urban area," "Education in a public institution," "Female gender," "Lack of confidence to practice physical exercise," "Education level," "Age" and "Lack of social support for the practice of physical exercise."
Conclusion
Four out of eight clinical indicators had a good adjustment by the latent class analysis. Of the 27 aetiological factors, 22 were significantly associated with sedentary lifestyle.
Relevance to practice
The correct identification of sedentary lifestyle and its elements supports care planning, especially for health promotion and disease prevention.
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