Nursing Diagnosis and Collaborative Problem among Hospitalized Patients in University of Sumatera Utara Hospital, Medan

Background: The research regarding nursing diagnosis and collaboration problems were not very often conducted in Indonesia. Therefore, it is need to establish researches in standardized nursing language. Aims. The aim of this research was identified the nursing diagnosis and problem collaborations among hospitalized patients in University of Sumatera Utara Hospital, Indonesia. Method. This study is a quantitative research with cross-sectional approach. The data collection conducted through the nursing assessment with six steps of diagnostic reasoning method. The sampling technique was total sampling which involved hospitalized patients from March until May 2016; consisting 72 patients in inpatients unit which 19 pediatric patients, 36 adult patients, six maternity patients and 11 intensive care unit patients. The data analysis was frequency distribution from nursing diagnosis and problem collaborations. Result. The result revealed that there were 38 nursing diagnosis and collaborative problems found among pediatric patients, 56 nursing diagnosis and collaborative problems found among adult patients, 47 nursing diagnosis and collaborative problems found among intensive care patients and only eight nursing diagnosis found among maternity patients. The risk for infection was the most common nursing diagnosis among pediatric and maternity patients with thrombocytopenia as the most common collaborative problem found among pediatric patients. Acute pain was the first rank of nursing diagnosis found among adult patients. And, bleeding was the main problem collaboration. The risk for disuse syndrome was the most nursing diagnosis established among patients in intensive care unit, with pneumothorax as the common collaborative problem. Conclusion: It was found that the most common nursing diagnosis found among hospitalized patients was the risk for infection with various collaborative problems. Therefore, it is needs to establish infection precaution in every unit in the future. In fact, the nursing intervention regarding the infection control should be done in every unit

Development of Nursing Diagnosis and Intervention Instrument Based on Standardized Nursing Language (Nanda-i, Noc, Nic)

Nursing diagnosis and intervention standards, in this case was using standardized nursing language, was still a problem in the nursing profession. In order to produce a good quality of nursing diagnosis and intervention, need to be supported by good quality of instruments. The purpose of this research was to development of nursing diagnsois and intervention instrument based on Standardized Nursing Language (NANDA-I, NOC, NIC)This study was action reserach carried out in 2 phases. Participants for FGD and sample selected using purposive sampling techniques with participants were 15 and sample were 7. Participants for FGD phase 2 and sample selected with purposive sampling technique with 13 participants and 8 samples to try using instrument nursing diagnosis and intervention. Analyze data using descriptive analysis, statistical analysis Pearson Product Moment Correlation for validity test and Cronbach alpha for reliability test. The result show that the r count validity value of nursing diagnosis instruments was 0,862 and nursing intervention was 0,911. The r count reliability value of nursing diagnosis instruments was 0,862 and nursing intervention was 0,875. The development of nursing diagnosis and intervention instrument based on the Standardized Nursing Language) with an average overall instrument r count > r table (0.754) declared valid and reliableRecommendations for the Amelia Hospital Pare Kediri was always evaluate routintly the nursing diagnosis and intervention instrument appropriate with the patient condition

Differential Effects of Video Assisted Lecture and Didactic Lecture on Accuracy of Nursing Diagnosis, Satisfaction, Self-confidence and Simulation Design Among Nursing Students

The teaching of nursing process is inclusive of formulation of nursing diagnosis. Accurate formulation of nursing diagnosis is crucial to guide the nursing care for patients. Despite its importance, good formulation of nursing diagnosis is still deficientcompetency among nurses. The aim of this study was to examine the differential effects of video assisted lecture (VAL) and didactic lecture (DL) on accurate formulation of nursing diagnosis for medical and surgical scenarios among nursing students. Subsequent to this, students’ satisfaction, self-confidence and simulation design were also investigated. This experimental study employed After-Only design. Nursing students were randomly assigned to two groups either video assisted lecture group (n= 33) ordidactic lecturegroup (n= 33). The research tools used in this study were D-Catch Guide for Diagnoses and National League Nursing questionnaire. Analyses were conducted using Mann-WhitneyU test, Wilcoxon Paired Signed-Rankstest and independent t test. The mean scores differences for accuracy of nursing diagnosis were higher for Post Test 1 and Post Test 2 with VAL for both medical and surgical scenarios compared to DLscores. However, there were no significant differencesin accuracy of nursing diagnosis between VAL and DL for the Post Test 1 (p= .182) and Post Test 2 (p= .090) for medical scenario and Post Test 2 for surgical scenario,(p = .131). In addition,there was a significant difference in accuracy of nursing diagnosis between VAL and DLfor the Post Test 1 (p= .001) for surgical scenario. The Wilcoxon Paired Signed-Ranks test withinVAL for the accuracy of nursing diagnosis in medical scenario showed no significant difference (p=.102). But, there was a significant difference withinVAL for accuracy of nursing diagnosis in surgicalscenario(p= .001). In addition,the Wilcoxon Paired Signed-Ranks test withinDL for the accuracy of nursing diagnosis inmedical scenario showed no significant difference (p=.014). However, there was asignificant difference withinDL for accuracy of nursing diagnosis in surgical scenario(p=.001). Overall, the VAL revealed higher mean scores than DL for satisfaction, self-confidence and simulation design. But, there were no significant differences in satisfaction (p= .180), self-confidence (p= .586) and simulation design (p= .519) between VAL and DL. In conclusion,both the VAL and DL are apparently effective for teaching the subject on nursing diagnosis. The satisfaction, self-confidence and simulation design from both the teaching methods were the same for the nursing students. Thus,it implies that simulation such as video canbe embedded with teaching for nursingdiagnosis. (Abstract by Author

Nursing Diagnosis in Perioperative Cataract and Comorbidity

Nurses are essential in providing nursing care to patients for pre, intra, and postoperative cataracts. An appropriate nursing diagnosis can help clients achieve optimal health. The purpose of the study was to identify nursing diagnoses in pre,intra, and postoperative cataracts. The design of the study used qualitative descriptive research design. The population of all patients undergoing surgery was 30, and data was collected through interviews and observations. The results of the study: preoperative nursing diagnosis consisted of sensory perception and anxiety disorders 30 (100%), impaired physical mobility, activity intolerance, and risk of falling 3 (10%), knowledge deficit 2(6,7%), body image disorders 1 (3,3%). Intraoperative nursing diagnosis: impaired tissue integrity 30 (100%), acute pain 7(23,3%), hypothermia 4 (13%), hypothermia risk 3 (10%). Postoperative nursing diagnosis, all participants experienced sensory perception disorders 30 (100%), acute pain 7(23.3%), infection risk 5(16,7%), impaired physical mobility, activity intolerance and fall risk 3 (10%), knowledge deficit 2(6.7%). Comorbidity affects the enforcement of nursing diagnoses. The correct nursing diagnosis is a reference for nurses in providing continuous intervention so that quality nursing services are obtaine

Descriptive Study of Children’s Nutritional Status and Identification of Community-Level Nursing Diagnoses in a School Community in Africa

Effectively responding to children’s nutritional status and eating behaviors in Mozambique requires a community-based care approach grounded in sound nursing research that is evidence-based. The Community Assessment, Intervention, and Empowerment Model (MAIEC) is a nursing theoretical model that is based upon clinical decision-making for community health nurses using communities as a unit of care. We used the MAIEC to identify a community-based nursing diagnosis to address children’s nutritional status and eating behaviors in Mozambique. Objectives: (1) to conduct a descriptive study of children’s nutritional status and eating behaviors in a school community in Mavalane, Mozambique, and (2) to identify a community-based nursing diagnosis using the MAIEC clinical decision-making matrix in the same school community. Method: a cross-sectional, quantitative study was conducted to assess the nutritional status of children using anthropometric data, including brachial perimeter and the tricipital skinfold, and standard deviation for the relation of weight–height, in a sample of 227 children. To assess community management of the problem and identify a community-based nursing diagnosis, we surveyed 176 parents/guardians and 49 education professionals, using a questionnaire based on the MAIEC clinical decision matrix as a reference. Results: malnutrition was identified in more than half of the children (51.3%). We also identified a community-based nursing diagnosis of impaired community management related to the promotion of child health and healthy eating evidenced by the lack of community leadership, participation, and processing among more than 70% of the community members (parents/guardians and education professionals). Conclusion: a nursing diagnosis and diagnostic criteria for nutritional status and community management were identified. The need to intervene using a multidisciplinary public health approach is imperative, with the school community as the unit of care. In addition, reliable anthropometric data were identified as important criteria to complement the nursing diagnosis and guide future public health interventions

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

Evaluation of the Implementation of the Documentation of Indonesian Nursing Diagnosis Standards in the Patient Room of RS Dr. R. Soetijono Blora

Research background, Documenting standard nursing diagnoses in Indonesia is very important, however in practice there are still many obstacles that result in incomplete documentation. Nursing diagnosis as a component of Nursing Care Standards needs to be carried out properly as mandated in Law no. 38 of 2014 concerning Nursing in article 30 that in carrying out their duties as nursing care providers, nurses have the authority to determine nursing diagnoses.Research purposesto evaluate the implementation of the standard documentation of Indonesian nursing diagnoses in the Inpatient Hospital of dr. R. Soetijono Blora.Research methodsThe method used is the Observational Survey with a sample of 60 respondents. The instrument used was a questionnaire for the implementation of documenting standard nursing diagnoses in Indonesia.Research resultobtained the implementation of the Indonesian Nursing Diagnosis Standards documentation in the Inpatient Hospital of dr. R. Soetijono Blora was generally good 66.7%, 18.3% very good, and 15% less good. Documentation implementation that needs to be improved includes writing actual nursing diagnoses that must be supported by major and minor signs / symptoms, writing nursing diagnoses of risk and nursing diagnoses that have not been maximized, and writing nursing diagnosis code numbers.Research discussionrelating to the implementation of the Indonesian Nursing Diagnosis Standards documentation in dr. R. Soetijono Blora got poor results, one thing that needs to be anticipated is that nurses who do not have sufficient experience need to do training and habituation to carry out the process of enforcing nursing diagnoses systematically.Research conclusions In general, the implementation of the Indonesian Nursing Diagnosis Standards documentation has been carried out well, but it is necessary to carry out training and habituation to carry out the process of enforcing nursing diagnoses systematically

Multinational Validation of \u3cem\u3eAnxiety\u3c/em\u3e, \u3cem\u3eHopelessness\u3c/em\u3e, and \u3cem\u3eIneffective Airway Clearance\u3c/em\u3e

The effective use of nursing diagnosis internationally depends in part on incorporating language and cultural difference into the common language of nursing. International validation studies can provide a basis for this effort. This study tested three diagnoses—anxiety, hopelessness, and ineffective airway clearance—through multinational validation. The Diagnostic Content Validity (DCV) model was used to collect data from critical care nurses in six countries. Defining characteristics rated as critical (\u3e .80) by the total sample were dyspnea for ineffective airway clearance and panic and nervousness for anxiety. No critical defining characteristics for hopelessness were identified. DCV ratios for all defining characteristics are compared by country