Taxonomy Of Nursing Diagnoses Research Articles

Cuidados de Enfermería en paciente con pie diabético amputado

Diabetes Mellitus is a chronic condition caused by an excessive increase of blood glucose; it is associated with many complications, and one of the most severe is diabetic foot, characterized by clinical deterioration causing a lesion or ulcer in the foot, which tends to get easily infected. Amputation is a complication of diabetic foot, with impact on the quality of life of persons with diabetes. The Nursing professional plays an essential role in the process of care for persons with diabetes, both in the prevention of complications and in the intervention for solving them. The case report of a 79-year-old diabetic woman is presented; she was admitted due to infection of the supracondylar stump of her lower right limb. At arrival at the unit of reference, there was assessment according to Marjory Gordon’s functional patters, and eleven Nursing diagnoses were identified in total. During the Nursing assessment, it was found that the lack of commitment by the patient in terms of self-care had contributed to the development of diabetic foot and amputation, leading to an alteration in her general functioning regarding management of her health, nutrition, activity and exercise, perception, self-esteem, and concern for changes at personal and family level. The Nursing Care Process based on the use of Nursing Diagnosis Taxonomy (NANDA), Outcomes (NOC) and Interventions (NIC) allowed to apply care in a safe and effective way in order to reach patient improvement.

Nursing diagnoses of preterm infants in the neonatal intensive care unit: A cross sectional study

Background and aimNursing diagnoses help nurses in effective intervention to get the best results. This study aimed to identify common nursing diagnoses of some of domains of NANDA taxonomy in premature infants admitted to the neonatal intensive care unit. MethodIn this descriptive cross-sectional study, a researcher-made instrument was used. The instrument contained two sections on maternal and neonatal demographic information and a checklist, extracted from literature, on infant-related nursing diagnoses. After obtaining the necessary permits, 96 infants were evaluated during a six-month period at the neonatal intensive care unit of Taleghani Hospital, according to inclusion criteria, and using the convenience sampling method. Data on each infant was collected and categorized into six domains of NANDA nursing diagnosis taxonomy based on the relevant checklist. ResultsThe most common actual nursing diagnoses included interrupted breastfeeding (00105), ineffective breastfeeding (00104), impaired gas exchange (00030), ineffective airway clearance (00031). The most common risk for nursing diagnoses in the first assessment were risk for infection (00004), risk for injury (00035), risk for delayed development (00112). risk for electrolyte imbalance (00195), risk for unstable blood glucose level (00179), risk for hypothermia (00253), and risk for neonatal jaundice (00230). ConclusionSome of the common nursing diagnoses in some domains of NANDA taxonomy were determined for preterm infants and can help nurses to develop more specialized care plan for this age group.

Plan de cuidados de enfermería en prematuro con enfermedad de membrana hialina

La enfermedad de membrana hialina es una causa del síndrome de dificultad respiratoria muy frecuente en el recién nacido pretérmino. Se ha realizado el plan de cuidados mediante las intervenciones de enfermería a un prematuro de 31 semanas que ingresó a la unidad de cuidados intensivos neonatales por presentar enfermedad de membrana hialina. Se aplicó la valoración según dominios de NANDA hallándose los siguientes diagnósticos significativos “00032 Patrón respiratorio ineficaz”, “00030 Deterioro del intercambio gaseoso”, “00107 Patrón de alimentación ineficaz del lactante”, “00132 Dolor agudo” y “00126 Conocimientos deficientes”. Por lo cual se aplicaron las intervenciones de enfermería según la taxonomía II de los diagnósticos, intervenciones y resultados de enfermería. La oxigenoterapia fue una de las principales intervenciones de enfermería que se aplicaron con la técnica de presión positiva continua en la vía aérea nasal. Un modo no invasivo de poder cubrir la necesidad de ventilación en el prematuro. Como resultado se obtuvo la disminución del FiO2 de 30% a 25% mejorando su patrón respiratorio. El aspecto de la buena comunicación entre enfermera y la madre del paciente fue fundamental para poder tranquilizar su estado tenso y aumentar su nivel de conocimiento, encontrando así un apoyo emocional dentro del ambiente hospitalario.

온톨로지에 기반한 간호진단 지식모델의 설계

간호사는 NANDA, NIC, NOC과 같은 간호과정의 표준 가이드라인에 따라 간호 실무를 수행하고, 간호과정에 대한 정보를 전자의무기록 시스템에 기록하고 있다. 특히, NANDA는 간호진단 분류체계로써 간호진단의 추상적인 개념을 나타내고 있어, 상세한 간호진단 내용의 표현에 어려움이 있다. 그로 인해, 국내 병원에서는 자체적으로 간호진단 목록을 정의하여 사용하고 있으나, 이들은 표준이 적용되지 않아 간호기록의 전산화가 어려운 문제점이 있다. 따라서 본 논문에서는 NANDA와 SNOMED-CT와 같은 표준 용어체계를 참조하여 간호진단 개념을 표현하기 위한 온톨로지로 구축 방법론을 제시한다. 제안한 방법은 각 병원 및 분야에서 주로 사용하는 간호진단 목록을 체계적으로 구축함으로써 의료정보 시스템 간의 상호운용이 가능하고 지식의 확장이 용이하도록 한다. 제안한 방법에 따라 경북대학교병원의 여성건강 간호기록 진술문을 분석하고, 간호진단 정보의 추출 및 정련을 통해 112개의 간호진단 용어를 생성하였다. 그리고 이 용어를 이용하여 여성건강 간호진단 온톨로지를 구축하였고, 전문가 평가 및 실험을 통해 개발한 온토롤지의 타당도와 실용성을 확인하였다. Nurses have performed their nursing practice according to the standard guidelines such as NANDA, NIC, and NOC, and recorded the information on nursing process into EMR system. In particular, NANDA, nursing diagnosis taxonomy, has difficulty expressing nursing diagnosis in detail because it represents abstract concepts of nursing diagnosis. So, the hospitals in KOREA have developed and used the list of nursing diagnosis on their own without referring the international standard terminologies, and it caused the delay of computerization of nursing records. Therefore, we proposed a ontology development methodology on nursing diagnosis based on NANDA and SNOMED-CT. The developed ontology, systematically developed with the frequently used nursing diagnosis terminologies in each hospital, based on the proposed methodology enables knowledge expansion and interoperable exchange of nursing records between EMR systems. We developed an ontology using the 112 nursing diagnosis terms defined by extracting and refining information on nursing diagnosis recorded in Kyungpook National University Hospital. We also confirmed the content validity and the usefulness of the developed ontology through expert assessment and experiment.

Nursing diagnosis taxonomy across the Atlantic Ocean: congruence between nurses' charting and the NANDA taxonomy.

The purpose of this study was to analyse expressions or terms used by nurses in Iceland to describe patient problems. The classification of NANDA was used as reference. The research questions were: (a) Does NANDA terminology represent patient problems documented by Icelandic nurses? (b) If so, what kind of nursing diagnoses does it represent? (c) What kind of patient problems are not represented by NANDA terminology? (d) What are the most frequent nursing diagnoses used? A retrospective chart review was conducted in a 400 bed acute care hospital in Iceland. The sample was defined as nursing diagnosis statements in charts of patients hospitalized in two 6-month periods in two separate years. The data were analysed according to a predefined grading system based on the PES format or Problem -- (A)aetiology -- Signs and symptoms. A total of 1217 charts were used for the study, which yielded 2171 nursing diagnoses statements for analysis. Charts with at least one nursing diagnosis documented were 60.1% and the number of diagnoses per patient ranged from 0 to 10, with 65% of charts with three diagnoses or less. The number of diagnoses correlated with patients' length of stay, but not with increased age of the patients. The average number of statements per patient was 3.28. Almost 60% of the diagnoses were according to NANDA terminology, another 20% were stated as procedures, medical diagnoses or risks for complications. The 20 most frequently used nursing diagnoses accounted for 80% of all diagnoses documented. Discrepancy between nurses' documentation on emotional problems and availability of diagnosis in the NANDA taxonomy was evident. It can be concluded that the NANDA taxonomy seems to be culturally relevant for nurses in different cultures.

Nursing diagnoses: questions and controversies

This article analyses the issues and controversies surrounding nursing diagnoses. In particular, NANDA's attempt to have their nursing diagnosis taxonomy included in the WHO's 10th Revision of the International Classification of Diseases, which ultimately would have made the NANDA taxonomy the definitive nursing classification world wide. A critical analysis and discussion about nursing diagnoses within German-speaking nursing society is long overdue. Internationally, the nursing environment differs in aspects such as culture, philosophy, socio-economic status and legal context--all of which have to be taken account of when developing an international nursing classification system. In this light, the "fit" of the NANDA taxonomy has to be questioned within a European context. Further, the consequences that importing these diagnoses might have on the "profession's" development are usually neglected within the literature.

Axes: focus of taxonomy II.

A number of persistent issues in the nursing diagnosis community have challenged the ability of one nursing diagnosis taxonomy to account for nursing's practice. The North American Nursing Diagnosis Association (NANDA) Taxonomy Committee, charged with the preparation of one taxonomy for all, has struggled with some of these issues and has initiated development of axes. The issues, figuratively speaking, become the axes. The axes are intended to describe the dimensions of the human condition. This article, third in a series of four, describes the process and development of the proposed axes.

The Development of NANDA's Nursing Diagnosis Taxonomy

In the early 1970s the need for a precise and computerizable language of nursing phenomena was identified. This need stimulated the formation of the National Conference Group for the Classification of Nursing Diagnoses. The group began the work of identifying nursing diagnoses and developing a taxonomic structure for their classification. Based on the initial success with the development of nursing diagnoses, the conference group became the North American Nursing Diagnosis Association (NANDA). There are two benefits of taxonomic development within nursing: one is scientific in nature, while the other is applied or practical. The development of this taxonomy has occurred over a span of 17 years including nine national conferences. Details of this development have been abstracted from the proceedings of the nine conferences and the minutes of the Taxonomy Committee in order to explicate the taxonomic structure. The rules for the classification, developed by the committee, are presented. Future directions for taxonomic development and collaboration with other health care professions are proposed.

The nature of taxonomy.

The Winter 1986 issue of IMAGE contained a timely and much needed critical analysis of NANDA Nursing Diagnosis Taxonomy I. In this article, Porter identifies the major problem of the NANDA Nursing Diagnosis Taxonomy I—its lack of logical consistency. However, her discussion of the problem reflects some general misunderstanding within nursing about the nature or characteristics of taxonomy and the methods that may be used to develop a taxonomy.

Critical analysis of NANDA nursing diagnosis taxonomy I.

The NANDA Nursing Diagnosis Taxonomy I is analyzed in relation to standards of taxonomy in general, to nursing theory and to its application to nursing practice. An overview of an alternative taxonomic scheme is presented.