Abstract

ObjectiveNursing care plans for oncology patients are complex and overlapping enough to warrant the need for systematised documentation that ensures high quality, flawless and comprehensive care. Addressing the patients’ needs through nursing diagnoses is the initial step that shapes the subsequent care. Therefore, the current study aimed to identify the frequent NANDA-I diagnoses reported in nursing care plans for medical oncology patients.Data sourcesA retrospective design was used to collect data from 260 electronic nursing care records of oncology patients admitted to medical floors at an accredited oncology centre in Jordan.ConclusionThe complexity of nursing care for oncology patients can be inferred from the high number of reported nursing diagnoses. This study summarises the most common nursing diagnoses and their combinations that can be used as a guide to formulate nursing care plans for oncology patients in medical units.Implications for nursing practiceOncology nurses may refer to this study to guide and support their care and documentations to maintain a high standard of nursing practice. Besides, the reported diagnoses can be integrated to generate pre-printed, standardised nursing care plans, where diagnoses are listed for nurses to select the applicable ones for their patients. Similarly, the combinations of nursing diagnoses may guide nurses to search for a concurrent diagnosis, thus improving patients’ outcomes. This study revealed the complexity of patients’ care in medical oncology units, which alarms the nursing managers to reconsider the nurse–patient ratio in these settings to meet patients’ care demands and maintain their safety.

Highlights

  • BackgroundWith an estimated 9.6 million deaths in 2018, cancer is the second leading cause of mortality [1]

  • This study summarises the most common nursing diagnoses and their combinations that can be used as a guide to formulate nursing care plans for oncology patients in medical units

  • Implications for nursing practice: Oncology nurses may refer to this study to guide and support their care and documentations to maintain a high standard of nursing practice

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Summary

Introduction

BackgroundWith an estimated 9.6 million deaths in 2018, cancer is the second leading cause of mortality [1]. The standardised nursing terminology is used to plan the nursing process, guide nursing actions and documentation and improve communications about patients’ health [3]. The development of standardised nursing classification systems began in the 1970s [4] These classification systems are classified into three categories: (1) nursing diagnoses or problems, such as the NANDA-I; (2) nursing interventions or actions, such as the nursing interventions classification (NIC) and (3) nursing outcomes or assessment, such as the nursing outcomes classification (NOC) [5]. Nursing interventions (derived from the NIC) are central for caring for patients with cancer [8]. The NANDA-NOC-NIC linkage can collectively contribute to support the nursing process, care plans applications and encourages the development of standards in nursing practice for patients with cancer [9, 10]

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