International Journal of Nursing Knowledge

Evaluate nurse's role in management of patients with rheumatoid arthritis (RA).

Modified Delphi with two rounds of questionnaires, followed by in-person meeting. International group of 12 nurses experienced with RA patients receiving biologic therapy.

Nurses often spend more time with patients than doctors do. Nurse is in unique position to explore patient needs; educate about treatment, administration, product storage, and self-injection technique; determine readiness for and understanding of treatment; monitor safety and progress; and coordinate care within multidisciplinary setting.

Nurse's role is complex and vitally important to optimal RA patient care. Additional nurse involvement may address unmet needs.

Rheumatology nurses can address unmet patient needs by expanding current roles and by adopting additional functions.

To identify the definition and defining characteristics (DCs) of spiritual distress (00066).

Integrative literature review.

Thirty-seven articles and 35 DCs were identified. Spiritual distress as a response to health problems in the context of nursing care is different from an impaired ability to experience and integrate meaning in life.

The diagnosis misses some DCs that emerged from the literature review and lacks comprehensiveness. The domain and the class are reductionist toward its meaning. The taxonomy lacks a spiritual domain to include this and other diagnoses currently dispersed in other domains.

Further content and clinical validation is needed, as well as an assessment, to determine the diagnosis' class and domain.

Identificar o conceito e as características definidoras (CDs) de angústia espiritual (00066).

Revisão integrativa de literatura.

A amostra é constituída por 37 artigos e foram identificadas 35 CDs. Como resposta a problemas de saúde no contexto de cuidados de enfermagem, a angústia espiritual é diferente de uma capacidade prejudicada de integrar sentido à vida.

O diagnóstico não inclui características definidoras que foram identificadas na revisão integrativa de literatura e é subjetivo. O domínio e a classe são reducionistas perante seu significado.A taxonomia carece de um domínio espiritual que integre este e outros diagnósticos dispersos em outros domínios.

Novos estudos de validação de conteúdo e clínica devem ser realizados bem como uma avaliação da classe e domínio do diagnóstico.

To validate the content of nursing outcomes for pediatric patients hospitalized with a nursing diagnosis of deficient diversional activity.

The nursing outcomes were evaluated by expert nurses from a Brazilian hospital; the nurses used a Likert-type scale. We considered those that had a weighted average of ≥0.80 as valid outcomes.

Eight (57.14%) nursing outcomes and 54 (45.38%) indicators were validated.

The study suggests that nursing outcomes validated by the experts are pertinent for Brazilian pediatric patients hospitalized and diagnosed with deficient diversional activity.

Nursing Outcomes Classification is a viable alternative for the assessment of nursing care outcomes. Further studies should investigate the applicability of these data in clinical practice.

Validar o conteúdo (Modelo de Fehring adaptado) dos Resultados de Enfermagem NOC para pacientes pediátricos hospitalizados com o diagnóstico de enfermagem Atividade de Recreação Deficiente.

Os Resultados de Enfermagem foram avaliados por sete enfermeiros experts de um hospital brasileiro, utilizando-se uma escala Likert, validando-se aqueles que atingiram o escore de ≥0,80.

Oito (57,14%) Resultados de Enfermagem e 54 (45,38%) indicadores foram validados.

Os Resultados de Enfermagem validados foram considerados importantes pelos experts para pacientes pediátricos brasileiros hospitalizados com este diagnóstico.

A NOC consiste em alternativa para avaliar os resultados dos cuidados de enfermagem. Em continuidade ao estudo, será investigada a aplicabilidade destes dados na prática clínica.

 To describe what electronic health record meaningful use requirements mean for nursing clinical information system (CIS) development.

 The nursing CIS in many, if not most hospitals, has a number of critical design inadequacies that constrain the meaningful use of nursing data to ensure quality outcomes for patients and data-based maturing of the nursing profession.

 It is the responsibility and obligation of nurses to ensure that CISs are designed for the meaningful use of nursing clinical data. To accomplish these ends, interoperable clinical nursing data must be documented in a properly integrated operational CIS, and must be retrievable and stored in data repositories for analysis and reports.

The aim of this study was to determine how the use of diagnostic resources influences nurses' communication during admission interviews.

A randomized controlled trial was performed. Actors simulated patients based on case studies. We analyzed transcriptions of 60 interviews and video recordings using the Roter Method of Interaction Process Analysis.

Nurses mainly asked closed-ended questions. The use of knowledge sources, such as forms in the PES format or an assessment format, affected communication significantly in several aspects.

Prestructured forms may promote comprehensive interviews, but nurses need to be aware that using certain kinds of diagnostic resources may hinder them from asking open-ended questions.

Nurses need to increase their use of open-ended questions.

De invloed van het gebruik van diagnostische kennishulpmiddelen op de verpleegkundige communicatie met simulatiepatiënten gedurende opnamegesprekken.

Het doel van deze studie was te bepalen hoe diagnostische kennishulpmiddelen de communicatie van verpleegkundigen kunnen beïnvloeden bij opnamegesprekken.

Een gerandomiseerd onderzoek met controlegroep werd uitgevoerd. Simulatiepatiënten (acteurs) representeerden patiëntencasuïstiek. We analyseerden transcripties van 60 interviews en video-opnames met gebruikmaking van de Roter Method of Interaction Process Analysis.

Verpleegkundigen stelden overwegend gesloten vragen. Het gebruik van diagnostische kennishulpmiddelen, zoals het PES-format en een voorgestructureerd opnameformulier, beïnvloedde de communicatie significant op verschillende aspecten.

Het gebruik van voorgestructureerde formulieren kan uitgebreide opnamegesprekken ondersteunen, echter verpleegkundigen moeten er op bedacht zijn dat deze hulpmiddelen ook belemmerend kunnen werken bij het stellen van open vragen.

Verpleegkundigen zouden meer open vragen moeten stellen ten behoeven van het verkrijgen van volledige en evenwichtige informatie in het opnamegesprek.

To measure the effect of an educational package on documentation of care among public health nurses (PHNs).

A quasi-experimental design was adopted. Forty PHNs working in primary healthcare settings were selected. Education was given through a 5-day workshop. Documentation of care was assessed using a modified “Muller-Staub Q-DIO instrument.” Data were analyzed using t test third and twelfth months postintervention.

There was a significant improvement on documentation of care at p = .0001.

Educating PHNs and providing them with standardized nursing care plans enhance documentation of care.

A combination of education on the use of standardized nursing languages and standardized nursing care plans can enhance documentation of care. There is a need for more research on the use of standardized nursing languages in developing nations.