International Journal of Nursing Knowledge

PURPOSE.  The aim of this paper is to describe an educational strategy for teaching standardized nursing languages (SNL) used in both the classroom and clinical components of a psychiatric–mental health nursing course at the associate degree level.

DATA SOURCES.  Data included a review of the relevant literature, teaching experiences, and faculty and student experiences.

DATA SYNTHESIS.  Enhancing associate degree student nurses' competency regarding diagnosis and interventions is essential to influence positive health outcomes. Use of diagnostic, outcome, and intervention classifications for learning nursing care promotes critical thinking, individualization of nursing care, and students' fluency with SNL. One possible teaching strategy to assist students to learn and use SNL was implemented through the use of a faculty-developed Student Nurse Documentation Packet.

CONCLUSIONS.  The educational strategy provided students opportunities to enhance their experience with the SNL to plan and document care of individuals experiencing psychiatric–mental health problems.

IMPLICATIONS FOR NURSING.  The educational strategy used in this program was judged to be successful. Research is needed to provide empirical evidence of the efficacy of this pedagogical strategy for increasing knowledge and enhancing students' competency.

PURPOSE.  The purpose of this study was to conduct a content validation for the elements of the nursing diagnosis Impaired Memory and include aging as a related factor.

METHOD.  Fehring's (1987) model of diagnosis content validation was used, with the participation of 18 experts.

FINDING.  The definition, defining characteristics, and related factors of NANDA-I were evaluated by experts, as was the proposed related factor “aging.”

CONCLUSIONS.  Elements of the NANDA-I diagnosis Impaired Memory and the proposed related factor of aging were validated in the Brazilian context. A clinical validation of this related factor will be necessary to build evidence for this relationship.

IMPLICATIONS FOR NURSING PRACTICE.  NANDA-I diagnoses should be tested and validated in the elderly, in order to take their specific needs into account, thus contributing to quality nursing care for these patients.

OBJETIVO.  Realizar a validação de conteúdo dos elementos do diagnóstico de enfermagem Memória Prejudicada e incluir o envelhecimento como fator relacionado.

MÉTODO.  Utilizou-se o modelo de validação de conteúdo de diagnóstico de Fehring (1987) com a participação de 18 experts.

RESULTADOS.  A definição, as características definidoras, os fatores relacionados da NANDA-I foram validados pelos experts, assim como o proposto fator relacionado “envelhecimento”.

CONCLUSÕES.  Os elementos do diagnóstico memória prejudicada da NANDA-I e o proposto fator relacionado envelhecimento foram validados no contexto brasileiro. Faz-se necessária a realização de validação clínica de fator relacionado para aumentar as evidências dessa relação.

IMPLICAÇÕES PARA A PRÁTICA DE ENFERMAGEM.  Os diagnósticos da NANDA I devem ser testados e validados em idosos, para contemplar suas especificidades, e assim contribuir na qualidade da assistência de enfermagem a esses pacientes.

PURPOSE.  To depict what patients describe as patient participation and whether descriptions of patient participation are affected by gender, age, healthcare contact, and duration of disease.

DATA SOURCES.  Current patients (n= 362) responded to a questionnaire on participation.

DATA SYNTHESIS.  Patients' descriptions focused on having knowledge, rather than being informed, and on interacting with health professionals, rather than merely partaking in decision making.

CONCLUSIONS.  Patients' descriptions of participation correspond with the International Classification of Functioning, Disability and Health's definition, which includes “being involved in a life situation.” Healthcare legislation and professionals employ a narrower concept of patient participation as defined by, e.g., Medical Subject Headings.

PRACTICE IMPLICATIONS.  Findings suggest that health professionals need to embrace what patients describe as participation.

SYFTE.  Att skildra vad patienter beskriver som patientdelaktighet och om beskrivningarna påverkas av kön, ålder, vårdkontakt och sjukdomens varaktighet.

DATAKÄLLA.  Personer som var eller nyligen hade varit patienter (n= 362) svarade på en enkät om delaktighet.

DATASYNTES.  Patienternas beskrivningar fokuserade på att ha kunskap, hellre än att bli informerad, och på att samverka med vårdpersonal, hellre än att enbart medverka i beslut om vård och behandling.

SLUTSATS.  Patienters beskrivningar av delaktighet stämmer överens med definitionen i International Classification of Functioning, Disability and Health (ICF), vilken inkluderar “engagemang i en livssituation”. Hälso- och sjukvårdslagstiftning och vårdpersonal använder en begränsad betydelse av begreppet patientdelaktighet som beskrivs i t.ex. Medical Subject Headings (MeSH).

BETYDELSE FÖR PRAKTIK.  För att skapa förutsättningar för patientdelaktighet behöver hälso- och sjukvårdpersonal beakta vad patienter beskriver som delaktighet.

SÖKTERMER.  Begreppsanalys, enkät, innehållsanalys, patientdelaktighet

PURPOSE.  This case study was written to demonstrate the usefulness of standardized nursing diagnoses, outcomes, and interventions in nurse anesthetist care of an adolescent trauma patient.

DATA SOURCES.  Literature reviews using Academic Premier, Google Scholar, and CINAHL databases were done to find current, relevant articles concerning evaluation and support of female African-American adolescents living in socially vulnerable and economically exploited environments.

DATA SYNTHESIS.  A case is presented and evidence from current publications is analyzed to support the diagnosis, outcomes, and interventions.

CONCLUSION.  The investment in extra time, care, and effort sometimes required for the full development of a treatment plan for teenagers who live where they are at high risk for violence and other consequences of stressful environments is a worthwhile one, even if results may require contact over an extended time period.

PRACTICE IMPLICATIONS.  Nurses of all specialty backgrounds need to be concerned with the progress of their patients. Sometimes nurses can best serve their patients by stepping away from the physiological event and focusing instead on responses in the domain of coping and stress tolerance as the root of difficulties.