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Restricted accessOtherFirst published October, 2015pp. i-ii
Restricted accessEditorialFirst published October, 2015pp. 147-147
Restricted accessAnnouncementFirst published October, 2015pp. 148-148
Restricted accessArticle commentaryFirst published October, 2015pp. 149-149
Restricted accessResearch articleFirst published October, 2015pp. 150-155To analyze the statistical characteristics of the weighted inter-rater reliability index for validating nursing diagnoses.
From a computational algorithm, the index values were compared with the sample size, frequency of the clinical indicator, number of agreements between raters, and three other agreement estimators.
The index moderately correlated with the frequency of the clinical indicator and strongly correlated with the number of agreements and disagreements between the raters. This index showed a poor correlation with sample size.
This index selects those clinical indicators with high frequency and/or absolute agreement and therefore has a high sensitivity.
The high sensitivity may result in incorporating false positive clinical indicators.
Analisar as características estatísticas do índice de confiabilidade ponderada inter-avaliador para validação de diagnósticos de enfermagem.
A partir de um algoritmo computacional, os valores do índice foram comparados com o tamanho da amostra, frequência do indicador clínico, número de concordâncias entre os avaliadores, e outros três estimadores de concordância.
O índice é moderadamente correlacionado com a frequência do indicador clínico e fortemente correlacionado com o número de concordâncias / discordâncias entre os avaliadores. Este índice mostrou baixa correlação com o tamanho da amostra.
Este índice seleciona indicadores clínicos com alta frequência e / ou concordância absoluta, apresentando alta sensibilidade.
A alta sensibilidade pode resultar na incorporação de indicadores clínicos falso-positivos.
Restricted accessResearch articleFirst published October, 2015pp. 156-162A historical perspective on how the writings of Plato influenced Florence Nightingale in the formation of nursing as a respected profession for women. Comparing Nightingale's life and legacy to Platonic philosophy demonstrates how philosophy continues to speak to the profession of nursing practice as guardians of society in the 21st century.
A review of the literature using EBSCO, SAGEpub, MEDLINE, and CINAHL databases and hand searches of literature were initiated for the years 1990–2014 using the terms “Plato,” “Nightingale,” and “nursing” restricted to English.
Florence Nightingale, known as the mother of modern-day nursing, embodied her life and work after the philosophic tenets of Plato. Plato's Allegory of the Cave influenced Nightingale's attitudes with regard to the value of education, knowledge of the good, and the importance of imparting learned knowledge to others. Plato's work spoke of educating both men and women to seek the truth, affording both sexes to become competent as future leaders in the role of guardians to society. Nightingale's emphasis of education for women as a conduit for their usefulness to society mirrored Plato's philosophy.
Over 100 years after her death, the impact Florence Nightingale still has on professional nursing practice remains. Scholarship in nursing education today is infused with a liberal arts background in philosophy, ethics, and the sciences. Nightingale's holistic concepts of person, health, and environment in the practice of nursing coalesced with her statistical analyses in validating nursing actions foreshadowed the development of universal nursing knowledge and language base and meta-paradigm concepts in nursing. Further classification and categorization of Nightingale's concepts of assessing, implementing, and evaluating delivery of care became the linguistic precursors for the identification of nursing process, nursing actions, and nursing diagnoses.
Plato's and Nightingale's holistic, scientific, and humanistic approach to living, and to care practice in all its dimensions, grounds the discipline of nursing in a liberal arts and critical thinking matrix, elevating nursing to higher ethical, safe, and professional levels of standards.
Restricted accessResearch articleFirst published October, 2015pp. 163-169This study was conducted to determine the attitudes and practices of nurses working in intensive care units of four different hospitals regarding oral care.
One hundred eighty-five nurses who worked in adult intensive care units comprised the sample of this cross-sectional descriptive study.
It can be said that intensive care nurses perform oral care without an oral care protocol and assessment guideline, and that the methods and frequency of oral care and solutions and tools used for oral care differ from one institution to another.
The results emphasized the need for continuing training in this area.
Bu araştırma, dört farklı hastanede yoğun bakım ünitelerinde çalışan hemşirelerin ağız bakımına ilişkin tutum ve uygulamalarını saptamak amacıyla yapılmıştır.
Kesitsel tanımlayıcı tipteki bu çalışmanın örneklemini yetişkin yoğun bakım ünitelerinde çalışan 185 hemşire oluşturmuştur. Verilerin değerlendirilmesinde yüzdelik dağılım ve ki-kare testi kullanılmıştır.
Yoğun bakım hemşirelerinin değerlendirme rehberi ve protokolü olmadan ağız bakımı yaptığı, ağız bakım yöntem, sıklık, solüsyon ve araçlarının kurumlara göre farklılık gösterdiği söylenebilir.
Sonuçlar bu alanda sürekli eğitime ihtiyaç olduğunu vurgulamaktadır.
Restricted accessResearch articleFirst published October, 2015pp. 170-177To elaborate, propose, and validate risk for urinary tract injury as a nursing diagnosis.
Methodology was divided into three phases: analysis of the concept of urinary tract injury, elaboration of the diagnosis, and validation by a group of specialists.
Diagnosis label, definition, and inclusion in taxonomy were validated. In 15 risk factors proposed, 12 were validated.
Risk of urinary tract injury was validated as a nursing diagnosis to contemplate the vulnerability of patients using urinary catheters.
Identification of these risk factors contributes to the elaboration of care plans to improve quality of care.
Elaborar, propor e validar risco de lesão do trato urinário como diagnóstico de enfermagem.
A metodologia foi dividida em três fases: análise do conceito lesão do trato urinário, elaboração do diagnóstico e validação por especialistas.
O enunciado do diagnostico, sua definição e inserção na taxonomia foram validadas. Dos 15 fatores de risco propostos, 12 foram validados.
Risco de lesão do trato urinário foi validado como um diagnóstico de enfermagem que contempla a vulnerabilidade de pacientes em uso de cateteres vesicais.
A identificação destes fatores de risco contribui para a elaboração de planos de cuidado para melhorar a qualidade do atendimento.
Diagnóstico de enfermagem; Estudos de validação; Cateteres; Sistema urinário.
Restricted accessResearch articleFirst published October, 2015pp. 178-186
The purpose of the study is (a) to describe care needs derived from records of patients in Dutch hospitals, and (b) to evaluate whether nurses employed the NANDA-I classification to formulate patients' care needs.
A stratified cross-sectional random-sampling nursing documentation audit was conducted employing the D-Catch instrument in 10 hospitals comprising 37 wards.
The most prevalent nursing diagnoses were acute pain, nausea, fatigue, and risk for impaired skin integrity.
Most care needs were determined in physiological health patterns and few in psychosocial patterns.
To perform effective interventions leading to high-quality nursing-sensitive outcomes, nurses should also diagnose patients' care needs in the health management, value-belief, and coping stress patterns.
Het doel van de studie is: (a) te beschrijven wat de gezondheidsproblemen / verpleegkundige diagnosen zijn die beschreven staan in patiëntendossiers in ziekenhuizen in Nederland en (b) te evalueren of verpleegkundigen de NANDA-I classificatie gebruiken om gezondheidsproblemen te formuleren.
Uit alle ziekenhuizen in Nederland werd een willekeurige steekproef getrokken om aan de hand van het D-Catch instrument een review naar verpleegkundige documentatie uit te voeren in 10 ziekenhuizen, op 37 verschillende verpleegafdelingen.
De meest prevalente verpleegkundige diagnosen waren: Acute pijn, Misselijkheid, Vermoeidheid, Risico op huidbeschadiging i.c. decubitus.
De meeste gezondheidsproblemen werden gevonden in het fysiologische domein. Er werden aanmerkelijk minder psychologische gezondheidsproblemen gevonden. De NANDA-I classificatie was herkenbaar in de documentatie. Meer eenheid in het gebruik van diagnostische begrippen is gewenst.
Om effectieve interventies uit te kunnen voeren is het van belang specifiek en nauwkeurig te documenteren wat gezondheidsproblemen van patiënten zijn. Meer aandacht voor diagnostische domeinen die gerelateerd zijn aan gezondheidsbevordering, rollen en relaties, coping en stresstolerantie en welbevinden lijkt gewenst.
Restricted accessResearch articleFirst published October, 2015pp. 187-193The main purpose of the study was to validate the defining characteristics and related factors of the nursing diagnosis “chronic pain” in Slovakia and the Czech Republic.
This is a descriptive study. The validation process involved was based on Fehring's Diagnostic Content Validity Model.
Three defining characteristics (reports pain, altered ability to continue previous activities, and depression) were classified as major by Slovak nurses, and one defining characteristic (reports pain) was classified as major by Czech nurses.
The results of the study provide guidance in devising strategies of pain assessment and can aid in the formulation of accurate nursing diagnoses.
The defining characteristic “reports pain” is important for arriving at the nursing diagnosis “chronic pain.”
Hlavným cieľom práce bola validácia definujúcich charakteristík a súvisiacich faktorov ošetrovateľskej diagnózy Chronická bolesť v Slovenskej republike a v Českej republike.
Ide o deskriptívnu štúdiu. Validácia bola realizovaná prostredníctvom Fehringovho modelu validity diagnostického obsahu.
Za hlavné boli súborom slovenských expertov označené tri definujúce charakteristiky (udáva bolesť, zmenená schopnosť pokračovať v predchádzajúcich aktivitách, depresia) a českým súborom expertov jedna definujúca charakteristika (udáva bolesť).
Výsledky štúdie poskytujú návod pre zameranie posúdenia a môžu pomôcť pri presnej formulácii ošetrovateľskej diagnózy.
Definujúca charakteristika “udáva bolesť” je dôležitá pri určení ošetrovateľskej diagnózy Chronická bolesť.