Iane Ximenes TeixeiraORCID, Marcos Venícios de OliveiraLopesORCID, Camila Maciel DinizORCID
Abstract
PURPOSE
To construct a situation-specific theory (SST) to represent nutritional deficits for assessing children with cancer.
DATA SOURCES
Literature review.
DATA SYNTHESIS
The SST included the definition of key concepts, a pictorial scheme, propositions, causal relationships, and evidence for nursing practice.
CONCLUSIONS
It was possible to characterize the elements as antecedent and consequent clinical factors to allow for an understanding of the existing relationships between them and their temporality. These elements differed considerably from those included in NANDA International.
IMPLICATIONS FOR NURSING PRACTICE
This study provides additional information so that nurses in clinical practice can infer the presence of nutritional deficits in children with cancer early, given the risk already inherent in the diagnosis of cancer and treatment.
Research article
Restricted accessResearch articleFirst published January, 2021pp. 37-43
Mary Gay Tesoro, Anne Marie Simmons, Alba Lucia Bottura Leite deBarros , [...]
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Abstract
PURPOSE
To test the effects of clinical reasoning prompts on students’ clinical judgment of a written case study.
METHODS
An experimental pre- and posttest study with second semester nursing students (N = 163).
FINDINGS
The intervention was insufficient to significantly improve clinical judgment. Students identified that the prompts would help them “narrow… down the problem” and “slow… the decision-making process” to improve analysis. The most accurate patient problem was identified by 28% of students in pretest and 35% in posttest.
CONCLUSIONS
This study provides evidence of variations in nursing students’ clinical judgment and students’ desire to use decision-making algorithms.
NURSING IMPLICATIONS
Nurse educators should provide students with additional education and practice to identify and solve these types of problems.
Research article
Restricted accessResearch articleFirst published January, 2021pp. 44-52
Trinidad Jarana-Díaz RN, Macarena Romero-Martín RNORCID, José Antonio Ponce-Blandón RNORCID , [...]
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Abstract
PURPOSE
To identify the related factors that compromise family integrity and the defining characteristics of poor family integrity.
METHODS
Integrative review in databases: Pubmed, Scopus, Cinahl, PsycInfo, and Web of Science. The inclusion and exclusion criteria led to the selection of 12 articles.
FINDINGS
Family conflicts, lack of communication, and detachment from family as risk factors that have a negative impact on family integrity. A decrease in the physical and psychological quality of life as defining characteristics of poor family integrity.
CONCLUSIONS
Lack of family integrity has a significant impact on the physical, mental, and social health of its members.
IMPLICATIONS FOR NURSING PRACTICE
Findings will allow nurses to implement interventions for the maintenance or improvement of family integrity.
OBJETIVO
Identificar los factores relacionados que comprometen la integridad familiar y las características definitorias de familias con baja integridad.
MÉTODO
Se realiza una revisión sistemática acorde con las recomendaciones PRISMA, consultando las bases de datos Pubmed, Scopus, Cinahl, PsycInfo y Web Of Science. El proceso de selección de artículos siguiendo los criterios de inclusión y exclusión nos condujo a 12 trabajos seleccionados.
RESULTADOS
Los resultados señalan como factores de riesgo el conflicto familiar, la falta de comunicación y el desapego que impactan negativamente sobre la integridad; y como manifestaciones clínicas la disminución de la calidad de vida física y psicológica.
CONCLUSIONES
El deterioro de la integridad familiar tiene un importante impacto sobre la salud física, psicológica y social de sus miembros.
IMPLICACIONES PARA LA PRÁCTICA
La identificación de factores de riesgo y manifestaciones clínicas permite a los profesionales sanitarios implementar intervenciones a favor del mantenimiento o la mejora de la integridad familiar.
Research article
Restricted accessResearch articleFirst published January, 2021pp. 68-83
Elizabeth SwansonORCID, Vanessa Monteiro MantovaniORCID, Cheryl WagnerORCID , [...]
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Abstract
Purpose
To provide guidance to nurses caring for individuals with COVID-19, we developed linkages using interoperable standardized nursing terminologies: NANDA International (NANDA-I) nursing diagnoses, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC). We also identified potential new NANDA-I nursing diagnoses, NOC outcomes, and NIC interventions for future development related to nurses’ role during a pandemic.
Methods
Using a consensus process, seven nurse experts created the linkages for individuals during the COVID 19 pandemic using the following steps: (a) creating an initial list of potential nursing diagnoses, (b) selecting and categorizing outcomes that aligned with all components of each nursing diagnosis selected, and (c) identifying relevant nursing interventions.
Findings
A total of 16 NANDA-I nursing diagnoses were identified as the foundation for the linkage work, organized in two dimensions, physiological and psychosocial. A total of 171 different NOC outcomes were identified to guide care based on the nursing diagnoses and 96 NIC interventions were identified as suggested interventions. A total of 13 proposed concepts were identified for potential future development across the three classifications.
Conclusions
The linkages of nursing diagnoses, outcomes, and interventions developed in this article provide a guide to enhance nursing practice and determine the effectiveness of nurses’ contribution to patient outcomes for individuals at risk for or infected by COVID-19.
Implications for nursing practice
NANDA-I, NOC, and NIC linkages identified in this paper are an important example of the value of using standardized nursing terminologies to guide and document nursing care. When included in electronic health record databases and used widely, the data generated from the care plans can be used to create new knowledge about how to better improve outcomes for patients with COVID-19.
