International Journal of Nursing Knowledge

The purpose of this study was to develop and implement the clinical decision support system (CDSS) for oncology nurses in the care of patients with cancer and to explore the nurses' experiences about the system.

The study was conducted using a mixed-methods research design with 14 nurses working at a gynecological oncology clinic at a university hospital in Turkey.

The nurses stated that they did not experience any problems during the implementation of the CDSS, and its usage facilitated the assessment of patients' needs and care management.

The results indicated that the CDSS supported the nurses' decision-making process about patients' needs and preparation of individual care plans.

The CDSS should be developed and implemented by the nurses working with patients with cancer.

Amaç kanser hastalarının bakımına yönelik klinik karar destek sistemi oluşturmak, uygulamak (KKDS) ve sistemi kullanan hemşirelerin deneyimlerini incelemektir.

Çalışma kalitatif ve kantitatif araştırma yöntemleri kullanılarak Türkiyede'ki bir üniversite hastanesinin jinekolojik onkoloji servisinde çalışan 14 hemşire ile yürütülmüştür.

Hemşireler KKDS'ni kullanırken herhangi bir sorun yaşamadıklarını ve sistemin hasta gereksinimlerini değerlendirmeyi ve bakım yönetimini kolaylaştırdığını belirtmişlerdir.

Bulgular hastanın gereksinimlerine karar verme sürecinde ve bireysel bakım planları hazırlamada KKDS'nin hemşireleri desteklediğini göstermektedir.

Kanserli hastaların bakımına yönelik KKDS geliştirilebilir ve hemşireler tarafından klinikte kullanılabilir.

To assess the perceptions and attitudes of undergraduate nursing students toward NANDA-I nursing diagnosis.

A descriptive cross-sectional design was used. A convenient sample was recruited from nursing students at Zarqa University/Jordan. Perceptions toward NANDA-I Nursing Diagnosis scale and Positions on Nursing Diagnosis scale were used.

A total of 101 nursing students were included. A correct perception toward NANDA-I nursing diagnosis was evident. Attitudes toward NANDA appeared positive. However, insufficient distinction between nursing diagnosis and medical diagnosis and feeling less comfort while using NANDA-I were reported.

Nursing students showed correct perceptions and positive attitudes toward the application of NANDA-I.

Proper implementation of NANDA-I is a prerequisite to the better understanding of nursing language.

To identify available literature concerning the factors that contribute to nurses and midwives making sound clinical decisions.

This is an integrative literature review.

Thirty-eight articles revealed four main domains that influence nurses’ and midwives’ clinical decision making—nurses and midwives’ personal characteristics (n = 30), e.g., clinical experience; organizational factors (n = 26), e.g., colleagues; patient characteristics (n = 26), e.g., physical and clinical status; and environmental factors (n = 9), e.g., time. These four domains of factors combined influence sound clinical decision making in the context of nursing and midwifery.

Understanding the role of the factors influencing clinical decision making will help to improve patient and health outcomes.

Further understanding about the extent of the impact some factors have on clinical decision making is needed.

The purpose of the study was to identify key nursing diagnoses with related factors and signs/symptoms using NANDA-I for patients with heart failure (HF).

A retrospective descriptive design was used to address the research questions. Data were obtained from the records of patients discharged for 1 year with the medical diagnoses of HF from a Midwestern community hospital. A total of 272 inpatient records were analyzed to describe the frequency and percentage of NANDA-I diagnosis with related factors and signs/symptoms.

The top 10 NANDA-I diagnoses associated with related factors and signs/symptoms were identified.

Further research related to standardized nursing terminologies such as NANDA-I using large clinical databases from health information systems is needed to support evidence-based nursing diagnosis decision making.

To report the results of an evolutionary concept analysis of caring in facilities that provide care for elders.

Cumulative indices for CINAHL, ERIC, Academic Search Complete, PsychINFO, Medline, and CEPTS.

Caring is an interactive process characterized by seeing, helping, and communicating, which are analogous to two wheels with one axle. Caring is preceded by individuality and followed by well-being.

The findings explicate the core components of caring in facilities that provide care for elders.

The metaphor of an axle and wheel can guide caregivers in delivering effective care as the demand for improved well-being of residents of eldercare facilities increases.

Validate the nursing diagnosis spiritual distress in cancer patients.

Cross-sectional approach using Richard Fehring's Clinical Diagnostic Validity Model.

The prevalence of diagnosis was 40.8% in a sample of 170 patients. A total of 16 defining characteristics were validated. Expresses suffering had the highest sensitivity value and lack of meaning in life had the highest specificity value.

The diagnosis was validated. Cancer patients in spiritual distress are in a state of suffering related to lack of meaning in life.

Sensitive diagnosis tools and language are required for nurses to make accurate judgments in situations of spiritual distress. Validation in different contexts would increase the clinical evidence of this diagnosis.

Validar o diagnóstico de enfermagem angústia espiritual em pacientes com cancro.

Estudo transversal, segundo o modelo de validação clínica de Richard Fehring.

A prevalência foi de 40.8% em 170 pacientes. Um total de 16 características definidoras foram validadas. Expressa sofrimento obteve valor mais elevado de sensibilidade e falta de sentido na vida obteve valor mais elevado de especificidade.

O diagnóstico foi validado e os pacientes com cancro em angústia espiritual estão em estado de sofrimento relacionado com a falta de sentido na vida.

São necessários linguagens e instrumentos de diagnóstico sensíveis que ajudem os enfermeiros a diagnosticar com acurácia em situações de angústia espiritual. Estudos de validação em diferentes contextos, incluindo a validação diferencial, poderão melhorar a evidência científica do diagnóstico.

To describe a predictive middle range theory (MRT) that provides a process for validation and incorporation of nursing diagnoses in clinical practice.

Literature review.

The MRT includes definitions, a pictorial scheme, propositions, causal relationships, and translation to nursing practice.

The MRT can be a useful alternative for education, research, and translation of this knowledge into practice.

This MRT can assist clinicians in understanding clinical reasoning, based on temporal logic and spectral interaction among elements of nursing classifications. In turn, this understanding will improve the use and accuracy of nursing diagnosis, which is a critical component of the nursing process that forms a basis for nursing practice standards worldwide.