International Journal of Nursing Terminologies and Classifications

Publications in this journal

• Article: Looking backwards, moving forward.

  Jane Flanagan
  International Journal of Nursing Terminologies and Classifications 10/2011; 22(4):147.
• Article: Perimenstrual syndrome: nursing diagnosis among Taiwanese nursing students.

  Han-Fu Cheng
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  ABSTRACT: To determine the frequency and distribution of various perimenstrual symptoms experienced by Taiwanese nursing students. A descriptive "management of menstrual cramps survey" was utilized to collect information from 2,758 female nursing students in southern Taiwan. Of the participants, the most frequently reported perimenstrual symptom was a combination of four symptom categories, including mood change, pain, gastrointestinal disturbance, and functional ability decline. A potentially new nursing diagnosis of perimenstrual syndrome including four symptom categories may be established. The results are important for the education of healthcare professionals and the public. Understanding the interaction among perimenstrual symptoms may help guide nursing professionals in women's health care.
  International Journal of Nursing Terminologies and Classifications 07/2011; 22(3):110-6.
• Article: Nursing diagnosis of activity intolerance: clinical validation in patients with refractory angina.

  Clarissa Garcia Rodrigues, Maria Antonieta Moraes, Jaquelini Messer Sauer, Renato Abdala Karam Kalil, Emiliane Nogueira de Souza
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  ABSTRACT: The study aims to clinically validate the defining characteristics (DCs) of the nursing diagnosis (ND) of Activity Intolerance for patients with ischemic heart disease and refractory angina. Cross-sectional study was used, involving 22 patients with ND of Activity Intolerance. The Fehring method was used to validate the ND. Most DCs presented reliability indexes between 0.5 and 0.79. Three DCs presented reliability indexes ≥ 0.8. All DCs were validated, and electrocardiographic changes indicating ischemia, verbal report of fatigue, and abnormal rate response to activity were considered as DC major. This study is relevant in daily nursing practice for guidance in establishing the care plan and describing the assistance for this group of patients.
  International Journal of Nursing Terminologies and Classifications 07/2011; 22(3):117-22.
• Article: Older adult who falls: a case study.

  Patricia A McLean
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  ABSTRACT: The purpose of this case study is to illustrate the nursing process by incorporating the standardized nursing languages of NANDA International, the Nursing Interventions Classification, and the Nursing Outcomes Classification to assist an older adult with a history of falls. The data sources were the author's clinical nursing practice and research-based evidence related to falls of older adults. The data were synthesized by using clinical reasoning to select the best possible nursing diagnoses, interventions, and patient outcomes. To provide a framework for nurses to achieve positive patient outcomes, standardized nursing languages should be incorporated into patients' clinical nursing databases. In determining factors that relate to falls, nurses need to obtain baseline data, set goals with patients, and identify milestones, while encouraging patients to be active participants in plans of care.
  International Journal of Nursing Terminologies and Classifications 07/2011; 22(3):142-6.
• Article: The nurse behind the label.

  Jane Flanagan
  International Journal of Nursing Terminologies and Classifications 07/2011; 22(3):109.
• Article: Minnesota nurses' perceptions of nursing diagnoses.

  Erika L Halverson, Erika L Beetcher, Cindy A Scherb, Gayle Olsen, Marlene Frost, Kathy Orth
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  ABSTRACT: The study aims to identify Minnesota nurses' perceptions regarding nursing diagnoses and to examine how these perceptions have changed over time. Five hundred sixty-four out of 2,000 randomly selected registered nurses in Minnesota responded to the Perceptions of Nursing Diagnosis Survey. Nurses have neutral to slightly negative perceptions of nursing diagnoses. These results differ slightly from the results of the original study which demonstrated neutral to slightly positive perceptions. After 30 years of use, it is concerning that more than half of nurses surveyed have a negative perception of nursing diagnosis. Consideration should be given to methods that facilitate the use of nursing diagnoses in practice, improvement of diagnostic language, or a more accepted method of planning patient care.
  International Journal of Nursing Terminologies and Classifications 07/2011; 22(3):123-32.
• Article: Consensual Validation of the Nursing Diagnoses Fear and Anxiety Identified at the Immediate Preoperative Period in Patients Undergoing Elective Surgery

  PhD Maria Lucia Fernandez Suriano RN, PhD Jeanne Marlene Michel RN, PhD Sandra Salloum Zeitoun RN, PhD T. Heather Herdman RN, PhD Alba Lucia Botura Leite de Barros RN
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  ABSTRACT: PURPOSE. To identify the most frequent defining characteristics (DCs) for the diagnoses fear and anxiety in Brazilian patients in the immediate preoperative period following elective cardiac surgery; to develop conceptual and operational definitions for the DCs; to develop consensual validation.METHODS. Clinical and observational, descriptive study developed in two phases.FINDINGS. Forty DCs were identified for fear and 19 for anxiety. One expert judged it necessary to include “altered bowel motility” as a DC for fear. There was 100% agreement among the five experts in relation to the DCs.CONCLUSIONS. To add “altered bowel motility” to the DCs for the nursing diagnosis fear.IMPLICATIONS FOR PRACTICE. To enable nurses to more accurately assess patients for these diagnoses.OBJETIVOS. Selecionar as características definidoras mais freqüentes dos diagnósticos de enfermagem de medo e ansiedade em pacientes brasileiros no pré-operatório imediato submetidos à cirurgia cardíaca eletiva; formular definições conceituais e operacionais para as características definidoras; realizar a validação consensual.MÉTODOS. Estudo clínico e observacional desenvolvido em duas fases.RESULTADOS. Foram identificadas 14 características definidoras para medo e 19 para ansiedade. Inicialmente, um especialista julgou necessária a inclusão de “mobilidade intestinal alterada” para medo. Posteriormente, foram atingidos 100% de concordância entre os cinco especialistas em relação às características definidoras.CONCLUSÃO. Acrescentar “mobilidade intestinal alterada” para o diagnóstico de enfermagem de medo.IMPLICACÕES PARA A PRÁTICA. Fornecer subsídios para uma melhor avaliação dos pacientes com tais diagnósticos.
  International Journal of Nursing Terminologies and Classifications 04/2011; 22(3):133 - 141.
• Source

  Available from: fy.edu.tw

  Article: Perimenstrual Syndrome: Nursing Diagnosis Among Taiwanese Nursing Students

  PhD Han-Fu Cheng RN
  [show abstract] [hide abstract]
  ABSTRACT: PURPOSE.  To determine the frequency and distribution of various perimenstrual symptoms experienced by Taiwanese nursing students.METHODS.  A descriptive “management of menstrual cramps survey” was utilized to collect information from 2,758 female nursing students in southern Taiwan.FINDINGS.  Of the participants, the most frequently reported perimenstrual symptom was a combination of four symptom categories, including mood change, pain, gastrointestinal disturbance, and functional ability decline.CONCLUSIONS.  A potentially new nursing diagnosis of perimenstrual syndrome including four symptom categories may be established.PRACTICE IMPLICATIONS.  The results are important for the education of healthcare professionals and the public. Understanding the interaction among perimenstrual symptoms may help guide nursing professionals in women's health care.
  International Journal of Nursing Terminologies and Classifications 04/2011; 22(3):110 - 116.
• Article: Nursing Diagnoses (NANDA‐I) in Hematology–Oncology: A Delphi‐Study

  RN Herma T. Speksnijder MSc, Arno P. Mank RN, RN Theo van Achterberg PhD, Herma T. Speksnijder, Arno P. Mank, Theo van Achterberg
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  ABSTRACT: PURPOSE:  To identify NANDA-I diagnoses that are most relevant to hematology–oncology nursing in Europe.METHODS:  In a two-round, electronic, quantitative Delphi study, 28 experts from nine European countries assessed the relevance of NANDA-I diagnoses and health problems.FINDINGS:  This study identified 64 relevant diagnoses and three health problems. All experts listed 11 diagnoses: “imbalanced nutrition: less than body requirements,”“diarrhea,”“fatigue,”“risk for bleeding,”“risk for infection,”“impaired oral mucous membrane,”“risk for impaired skin integrity,”“impaired skin integrity,”“hyperthermia,”“nausea,”“acute pain,” and the health problem “pruritis.”CONCLUSIONS AND IMPLICATIONS FOR PRACTICE:  The “NANDA-I classification 2009–2011” describes, in almost all disease- and treatment-related problems, nursing diagnoses as relevant to the adult patient with hematological malignancy. These diagnoses are therefore recommended.Dutch Version AbstractDOEL:  Onderzoeken welke NANDA-I diagnoses het meest relevant zijn voor de hemato-oncologische verpleegkundige zorgverlening in Europa.METHODEN:  In een elektronische, kwantitatieve Delphistudie (twee rondes) beoordeelden 28 experts uit negen Europese landen de relevantie van NANDA-I diagnoses en gezondheidsproblemen.RESULTATEN:  Er werden 64 relevante diagnoses en drie gezondheidsproblemen geïdentificeerd. Alle experts beoordeelden 11 diagnoses relevant: “Voedingstekort,”“Diarree,”“Oververmoeidheid,”“Bloedinggevaar,”“Infectiegevaar,”“Beschadigd mondslijmvlies,”“Dreigend huiddefect,”“Huiddefect,”“Hyperthermie,”“Misselijkheid,”“Acute pijn” en het gezondheidsprobleem “Jeuk.”CONCLUSIES EN AANBEVELINGEN:  De “NANDA-I classificatie 2009–2011” beschrijft in bijna alle ziekte- en behandelingsgerelateerde situaties verpleegkundige diagnoses voor de volwassen patiënt met een hematologische maligniteit. NANDA-I diagnoses worden om deze reden aanbevolen.
  International Journal of Nursing Terminologies and Classifications 03/2011; 22(2):77 - 91.
• Article: Most Frequent Nursing Diagnoses, Nursing Interventions, and Nursing‐Sensitive Patient Outcomes of Hospitalized Older Adults With Heart Failure: Part 1

  RN Cindy A. Scherb PhD, RN Barbara J. Head PhD, Meridean L. Maas PhD, RN, FAAN, RN Elizabeth A. Swanson PhD, RN Sue Moorhead PhD, David Reed PhD, Deborah Marks Conley MSN, APRN-CNS-BC, GCNS-BC, FNGNA, Marie Kozel RN, BSN, MBA
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  ABSTRACT: Purpose.  Rank and compare the 10 most frequently documented nursing diagnoses, interventions, and patient outcomes using NANDA International, Nursing Interventions Classification, and Nursing Outcomes Classification for care of patients with heart failure (HF).Methods.  A descriptive comparative multisite study of documented care for 302 older adults with HF.Findings.  There were four common nursing diagnoses, two interventions, and only three common outcomes across three sites.Conclusions.  This and similar analyses of clinical nursing data can be used by nursing administrators and clinicians to monitor the quality and effectiveness of nursing care.Implications.  Similar analyses may be used for continuing education, quality improvement, and documentation system refinement. Part 2 will discuss data retrieval and implications for building a multiorganizational data warehouse.
  International Journal of Nursing Terminologies and Classifications 01/2011; 22(1):13 - 22.
• Article: Letter to the editor: the importance of using a cross-cultural adaptation in nursing questionnaires and tools.

  Cristóbal Rengel Díaz
  International Journal of Nursing Terminologies and Classifications 01/2011; 22(1):2-3.
• Article: Special report: Nursing diagnoses and interventions for a child with dilated cardiomyopathy requiring intra-aortic balloon pump support--case report.

  Juliana de Lima Lopes, Silmara Meneguim, Claudia Cristina Soares Muniz, Jurema da Silva Herbas Palomo
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  ABSTRACT: The study aims to identify the nursing diagnoses and interventions for a child requiring intra-aortic balloon pump support. This was a case study of a 7-year-old child. The nursing diagnoses and interventions were obtained by three cardiology and pediatric specialist nurses, familiar with NANDA-International and Nursing Intervention Classification taxonomies. Many nursing diagnoses and interventions were identified, but the main diagnosis for this patient was decreased cardiac output. The nursing care for a child with an intra-aortic balloon requires well-qualified professionals, prepared to handle the diagnoses and interventions identified in this study. The use of a standard language system is essential to guide professionals in the caring process, providing essential elements to optimize interpretations.
  International Journal of Nursing Terminologies and Classifications 01/2011; 22(1):23-32.
• Article: Clinical indicators of ineffective breathing pattern in children with congenital heart diseases.

  Beatriz Amorim Beltrão, Viviane Martins da Silva, Thelma Leite de Araujo, Marcos Venícios de Oliveira Lopes
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  ABSTRACT: The study aims to assess indicators of Nursing Outcomes Classification (NOC) related to the nursing diagnosis Ineffective Breathing Pattern (IBP) in children with congenital heart disease (CHD). The study used a cross-sectional study carried out in 63 children with CHD up to 2 years old. Seventeen operational indicators of NOC related to IBP were evaluated. Seven indicators presented statistically significant differences between children with and without IBP. Impaired expiration was the indicator assessed with greatest frequency in both groups. The study showed differences in the clinical indicators between children with and without IBP. The use of NOC indicators allowed an assessment of the differences and the level of respiratory impairment among children with and without IBP.
  International Journal of Nursing Terminologies and Classifications 01/2011; 22(1):4-12.
• Article: Most frequent nursing diagnoses, nursing interventions, and nursing-sensitive patient outcomes of hospitalized older adults with heart failure: part 1.

  Cindy A Scherb, Barbara J Head, Meridean L Maas, Elizabeth A Swanson, Sue Moorhead, David Reed, Deborah Marks Conley, Marie Kozel
  [show abstract] [hide abstract]
  ABSTRACT: Rank and compare the 10 most frequently documented nursing diagnoses, interventions, and patient outcomes using NANDA International, Nursing Interventions Classification, and Nursing Outcomes Classification for care of patients with heart failure (HF). A descriptive comparative multisite study of documented care for 302 older adults with HF. There were four common nursing diagnoses, two interventions, and only three common outcomes across three sites. This and similar analyses of clinical nursing data can be used by nursing administrators and clinicians to monitor the quality and effectiveness of nursing care. Similar analyses may be used for continuing education, quality improvement, and documentation system refinement. Part 2 will discuss data retrieval and implications for building a multiorganizational data warehouse.
  International Journal of Nursing Terminologies and Classifications 01/2011; 22(1):13-22.
• Article: Content validation of hopelessness in Slovakia and Czech Republic.

  Elena Gurková, Katarína Ziaková, Juraj Cáp
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  ABSTRACT: The purpose of this study was to validate the content of nursing diagnosis hopelessness in Slovak and Czech social and cultural contexts. The Fehring's Diagnostic Content Validity Model was used to measure the importance of diagnostic characteristics of hopelessness. Only three NANDA characteristics and five Nowotny Hope Scale characteristics have reached the value of weighted average of the scores for defining characteristics. NANDA characteristics are concerned with the affective-behavioral dimension of hopelessness. Nowotny Hope Scale characteristics that reached high importance in our study are concerned with its cognitive-temporal dimension. The defining characteristics of hopelessness identified in our study could be tested in the development of instrument to measure hope in clinical practice.
  International Journal of Nursing Terminologies and Classifications 01/2011; 22(1):33-9.
• Article: A Case Study of Teen Parenting

  MS Regina Cardaci CNM, Regina Cardaci
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  ABSTRACT: PURPOSE:  The purpose of this case study is to demonstrate how the use of the standard nursing languages of NANDA International (NANDA-I), the Nursing Interventions Classification (NIC), and the Nursing Outcomes Classification (NOC) help a teen mother provide safe care for her newborn. In addition, this study aims to demonstrate how important standardized nursing languages are in documenting the care provided.DATA SOURCES:  The data sources for this article are clinical nursing practice, research evidence in the form of care directives from the American Academy of Pediatrics regarding newborn safety and feeding, and the books that provide directions for the use of NANDA-I, NIC, and NOC.DATA SYNTHESIS:  This case demonstrates the use of the nursing process in providing care for a teen mother and a newborn.CONCLUSIONS:  Many new mothers, especially teens, are poorly informed regarding normal newborn care and safety upon hospital discharge. For this reason, teen mothers should be referred for nursing assessments in the home environment after discharge.IMPLICATIONS FOR NURSING:  This case demonstrates the need for education of all parents prior to hospital discharge and supports the need for home-based evaluations to ensure the safety of the infant. This case also supports the use of standardized nursing language to document the care provided.
  International Journal of Nursing Terminologies and Classifications 12/2010; 22(1):40 - 43.
• Article: Content Validation of Hopelessness in Slovakia and Czech Republic

  Elena Gurková MSc, RN, PhD, Katarína Žiaková MSc, RN, PhD, PhD Juraj Čáp MSc
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  ABSTRACT: PURPOSE.  The purpose of this study was to validate the content of nursing diagnosis hopelessness in Slovak and Czech social and cultural contexts.METHODS.  The Fehring's Diagnostic Content Validity Model was used to measure the importance of diagnostic characteristics of hopelessness.FINDINGS.  Only three NANDA characteristics and five Nowotny Hope Scale characteristics have reached the value of weighted average of the scores for defining characteristics.CONCLUSION.  NANDA characteristics are concerned with the affective–behavioral dimension of hopelessness. Nowotny Hope Scale characteristics that reached high importance in our study are concerned with its cognitive–temporal dimension.IMPLICATIONS FOR NURSING PRACTICE.  The defining characteristics of hopelessness identified in our study could be tested in the development of instrument to measure hope in clinical practice.CIEL'.  Cielom práce bola obsahová validizácia diagnózy Beznádej v slovenskom a českom socio-kultúrnom kontexte.METÓDY.  Významnost' diagnostických znakov diagnózy Beznádej bola hodnotená prostredníctvom Fehringovho modelu validity diagnostického obsahu.VÝSLEDKY.  Hodnoty hraničného váženého skóre dosiahli len tri znaky z klasifikačného systému NANDA–I a pät' charakteristík z Nowotnej škály nádeje.ZÁVER.  Charakteristiky beznádeje, ktoré vymedzuje NANDA-I sa týkajú jej afektívno-behaviorálnej oblasti. Položky z Nowotnej škály nádeje, ktoré v našej štúdii hodnotili experti ako významné, predstavujú jej kognitívno-temporálnu oblast' beznádeje.IMPLIKÁCIE PRE OŠETROVATELSKÚ PRAX.  Definujúce znaky beznádeje, identifikované v našej štúdii, môžu byt' dalej testované v rámci konštrukcie nástroja merania beznádeje v klinickej praxi.
  International Journal of Nursing Terminologies and Classifications 12/2010; 22(1):33 - 39.
• Article: News from Switzerland.

  Maria Müller-Staub
  International Journal of Nursing Terminologies and Classifications 10/2010; 21(4):185-6.
• Article: Core elements of U.S. nurse practice acts and incorporation of nursing diagnosis language.

  Olga F Jarrín
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  ABSTRACT: This paper describes the core elements of U.S. nurse practice acts and provides an update of Lavin, Meyer, and Carlson (1999) Review of the Use of Nursing Diagnosis in U.S. Nurse Practice Acts. Nurse practice acts from all states and the District of Columbia were collected and analyzed using qualitative content analysis with the software NVivo8. Major themes identified were nursing "care," nursing process, supervision/delegation, executing the medical regimen, health maintenance/prevention, and teaching nursing. The concept "diagnosis" was a subtheme in 86% of practice acts; however, only 63% utilized "diagnosis" language. The number of practice acts utilizing nursing "diagnosis" language has remained nearly constant over the past decade. Consensus on the use of nursing diagnosis language may be facilitated through linkages with nursing theory and revision of the model Nurse Practice Act.
  International Journal of Nursing Terminologies and Classifications 10/2010; 21(4):166-76.