bluuebunny/crossref_metadata_2025_split huggingface dataset:
Impaired Verbal Communication During Short‐Term Oral Intubation
Authors: Fowler Susan B. 
Published: February 2008

PURPOSE.
To describe the experience of impaired verbal communication during short‐term oral intubation in surgical critical care patients. METHODS.
Semi‐structured interviews(N=10) FINDINGS.
Patients identified feelings related to discomfort, fear, and frustration. Patients desired to communicate messages regarding pain and discomfort, difficulty breathing, length of intubation, use of restraints, family, physical status, and suctioning. CONCLUSION.
Findings can be used to educate patients and families and develop patient‐driven communication tools.
Cognitive Development, Clinical Knowledge, and Clinical Experience Related to Diagnostic Ability
Authors: Aquilino Mary Lober 
Published: February 2008

PURPOSE.
To examine the relationship among cognitive development, clinical knowledge, and clinical experience in nursing students. METHODS.
A survey of junior and senior baccalaureate nursing students from three Midwestern colleges (N = 55). FINDINGS.
Students' diagnostic ability increased as they gained clinical experience and clinical knowledge. However, students failed to identify many nursing diagnoses and demonstrated only moderate levels of cognitive development. CONCLUSIONS.
Nurse educators and nursing students need to change their approaches to teaching and learning to enhance students' diagnostic ability and cognitive development.
Predictive Power of Clinical Indicators for Self‐Care Deficit
Authors: Chang Betty L. , Uman Gwen C. , Hirsch Maureen 
Published: February 2008

PURPOSE. To describe the predictive power of a set of the best clinical indicators for the nursing diagnostic labels self‐care deficit (SCD) and impaired physical mobility.METHODS. Patient assessment data (physical examination and interview) were obtained from 414 hospitalized patients.FINDINGS. Patients with the diagnostic label of self‐care deficit were significantly older in age, had a greater number of nursing diagnoses, required greater assistance in activities of daily living, and were less mobile than those without the diagnostic label. While 18 of 32 clinical indicators were positively related to self‐care deficit, five clinical indicators were sufficient to diagnose SCD.CONCLUSIONS. Further development of the method may be useful in improving diagnostic accuracy and efficiency of nursing diagnoses.
The Influence of Nursing Diagnosis on Information Processing by Undergraduate Students
Authors: Cruz Diná de Almeida Lopes Monteiro da , Arcuri Edna Apparecida Moura 
Published: February 2008

PURPOSE. To examine the influence of a nursing diagnosis course on the information processing by undergraduate students.METHODS. A quasi‐experimental study conducted with two groups (experimental, n = 15; control, n = 22) of undergraduate nursing students, subjecting only one to a nursing diagnosis course. The students' ability to identify, cluster, and name clusters of relevant data were compared between and within groups.FINDINGS. After the course, the experimental group performed better than the control group in the three activities studied.CONCLUSIONS. The results of this study suggest that the nursing diagnosis content in teaching favors clinical reasoning to determine the patient's nursing care.
Nursing Diagnoses and Interventions for Post‐Acute‐Phase Battered Women
Authors: Carlson‐Catalano Judy 
Published: February 2008

PURPOSE.To identify nursing diagnoses and interventions applicable for post‐acute‐phase battered women. METHODS.Eight battered women were interviewed twice for 2 hours. Gordon's functional health patterns provided the framework for data collection. FINDINGS.Fifty‐three nursing diagnoses and 52 nursing interventions were indicated in the data; 24 nursing diagnoses and 26 nursing interventions were present in all participants' data. CONCLUSIONS.With the use of comprehensive interventions, nurses can make a major contribution to society by enabling battered women to move to a more protected lifestyle.
Nursing Diagnosis in the International Classification for Nursing Practice (ICNP)
Authors: Wake Madeline , Coenen Amy 
Published: February 2008

TOPIC.International Classification for Nursing Practice (ICNP) Classification of Nursing Phenomena. PURPOSE.Provide a historical review of nursing diagnosis in the developing ICNP. SOURCES.Literature, meeting notes, and experience. CONCLUSION.The development of the ICNP has benefited from contributions of many. Continued refinement depends on participation of nurses globally.
Moving Beyond Content Validation of Nursing Diagnoses
Authors: Parker Laurence , Lunney Margaret 
Published: February 2008

TOPIC.Studies to establish construct and criterion‐related validity of nursing diagnoses. PURPOSE.The overwhelming majority of previous studies addressed content validation by nurse experts. This paper describes strategies to move beyond content validation research to construct and criterion‐related validation. SOURCES.The range of studies that should be conducted for development of nursing diagnoses are reviewed with examples drawn from the field of psychology. Existing studies on the diagnoses of ineffective breathing pattern, ineffective airway clearance and impaired gas exchange are used as examples. CONCLUSIONS.Many types of studies are needed for each nursing diagnosis. Increased funding and support for nursing diagnosis research will be facilitated by attention to the accuracy of nurses' diagnoses and outcomes of the diagnostic process.
Marketing Nursing in a Nurse Practitioner Practice
Authors: Carlson‐Catalano Judy , Judge M. Kay M. 
Published: February 2008

This issue of our journal contains the inaugural column of a new feature. When the Editorial Board of the journal met in St. Louis at NANDA's 25th year anniversary celebration, we discussed strategies to further spread the word that nursing diagnosis is alive, well, and at work daily in clinical settings. The idea for this column was born, and it will appear regularly from now on.I can think of no better beginning than the one Dr. Judy Carlson‐Catalano has given us. Dr. Catalano not only uses nursing diagnosis in her private nursing practice; she uses nursing diagnosis to advertise her work. I invite you to read and enjoy the first column of Nursing Diagnosis at Work. MKMJ.
Concept Analysis of Relating: A Human Response Pattern
Authors: Lamb Margaret Anne 
Published: February 2008

TOPIC.
An investigation of relating, one of the nine human response patterns, used as the conceptual basis for the classification of nursing diagnoses. PURPOSE.
A formal linguistic analysis of each of the nine human response patterns is warranted in order to allow a continuation of the exploration, definition, and development of research‐based practice based on the NANDA framework. SOURCE.
“Human Response Patterns” developed by NANDA, historical foundations of the concept of relating, the use of this construct by nursing and other disciplines. CONCLUSIONS.
Concept analysis of relating resulted in conceptual and operational definitions. The efficacy of further developing nursing's taxonomic tree on the nine human response patterns has been advanced.
Validation of the Defining Characteristics of Body Image Disturbance in Japan
Authors: Ogasawara Chie , Matsuki Mitsuko , Egawa Takako , Ohno Yuko , Masutani Eiko , Yamamoto Yuko , Kume Yasuko 
Published: February 2008

PURPOSE.
To examine the validity of the nursing diagnosis body image disturbance and to specify its major and minor defining characteristics in Japanese culture. METHODS.
A qualified sample of 149 RNs with an average of 10 years of clinical experience and knowledge of nursing diagnosis was given a questionnaire consisting of 21 defining characteristics from NANDA, 8 additional items from the literature, and 2 distracting characteristics. FINDINGS.
Four major diagnostic content validation (DCV) scores of 0.75 and higher and 15 minor defining characteristics with DCV scores from 0.60 to 0.74 were identified. CONCLUSIONS.
This study provides a foundation for further study of culturally appropriate defining characteristics for use in Japan.
Notes on NDEC: Nursing Diagnosis Extension and Classification (NDEC) Report
Authors: Craft‐Rosenberg Column Editor: Martha , Craft‐Rosenberg Martha , Delaney Connie , Denehy Janice 
Published: February 2008

This marks the beginning of a new column, Notes on NDEC. This column will appear in each issue to describe the work of the Nursing Diagnosis Extension and Classification (NDEC) research team. We hope you will read it carefully and send your responses to the principal investigator of NDEC, Martha Craft‐Rosenberg, at the University of Iowa College of Nursing (martha-craft-rosm-berguicmn.edu) or to the Editor (jsimon6721aol.com). Your responses will facilitate an open dialogue on conceptual and methodological issues in nursing diagnosis. This first column reports on the work completed by Spring 1998, the work in progress, and the work planned for the future. We are pleased to provide these Notes on NDEC. MCR.
A Review of the Use of Nursing Diagnosis in U.S. Nurse Practice Acts
Authors: Lavin Mary Ann , Meyer Geralyn , Carlson Judith H. 
Published: February 2008

PURPOSE.
To determine how many state nurse practice acts include the term or concept of “nursing diagnosis” and describe their similarities and differences. METHODS.
Investigators independently divided the practice acts of the 50 states and the District of Columbia into those that did or did not include the term “nursing diagnosis” or the word “diagnosis” within a nursing context. To describe other differences, the investigators operationally defined and independently categorized each act as trendsetting, contemporary, or traditional. FINDINGS.
Thirty‐three of the 51 practice acts used the term “diagnosis” within nursing context. Of these 33, 13 were identified as trendsetters and 20 as contemporary. Seven trendsetting and 5 contemporary practice acts used the NANDA‐based language or “response” when describing the “what” of nursing diagnosis. None of the trendsetting practice acts, but 8 of the contemporary acts, used the NANDA‐based “individual, family or community” when describing the “who” of nursing diagnosis. CONCLUSIONS.
The language of nursing is changing. The majority of practice acts now define the practice of professional nursing as including the diagnostic act, although the manner in which they use the term varies.
Toward an Unequivocal Definition and Classification of Patient Outcomes
Authors: Van der Bruggen Harry , Groen Maike 
Published: February 2008

PURPOSE.
To determine the extent possible of developing an unequivocal formulation of a conceptual, structural, and contextual definition of “patient outcomes,” and the possibility of coming to an agreement on the criteria for classification of patient outcomes. METHODS.
An international Delphi survey of 33 experts. FINDINGS.
A conceptual, structural, and contextual definition of patient outcomes and priorities for the characteristics of patient outcome classification. CONCLUSIONS.
The authors recommend the unequivocalness of nursing terminology, not only for reasons of effectiveness and efficiency, but also to clarify the nursing vocabulary for epistemological reasons.
Fear and Anxiety: A Simultaneous Concept Analysis
Authors: Bay Esther Jean , Algase Donna L. 
Published: February 2008

TOPIC.
A simultaneous concept analysis of fear and anxiety. PURPOSE.
To develop a process model that reflects distinct characteristics of fear and anxiety. SOURCES.
Existing biopsychology empirics and theory from peer review with and external to nursing literature. CONCLUSIONS.
Fear and anxiety are distinct diagnoses guided by separate brain mechanisms. The author offers a process model for further critique by peers and clinical populations.
Utilization of Nursing Diagnoses in Iowa Child Health Specialty Clinics
Authors: Sieleman Jane 
Published: February 2008

PURPOSE.
To determine nursing diagnoses utilization in the Iowa Child Health Specialty Clinics (CHSC). METHODS.
A review of charts of 631 children seen in CHSC's Integrated Evaluation and Planning Clinic (IEPC) and of 108 children served in the CHSC Home and Community Care (HCC) programs. FINDINGS.
For the 21 patients in the HCC group, 12 (57%) had at least one documented nursing diagnosis. Forty‐six different nursing diagnoses were documented, with a range of 2 to 8 nursing diagnoses (average 3.75) per patient. Of the 46 nursing diagnoses, 12 (26%) were exact matches, 25 (54%) were close matches, and 9 (20%) were no matches to NANDA. For the IEPC group, 126 children (46%) had at least one documented nursing diagnosis. Ninety different nursing diagnoses were used 157 times, with a range of 1 to 8 diagnoses (average 2.6) per patient. Nineteen (21%) different nursing diagnoses used 27 times were considered to be exact matches to NANDA diagnoses. Fifteen (17%) different diagnoses used 28 times were considered to be close NANDA matches. Fifty‐six (62%) different nursing diagnoses used 102 times were considered to be no matches. CONCLUSIONS.
The documentation of nursing diagnoses for select groups of CHSC patients has provided information about the patient phenomena of concern addressed by CHSC nurses.
Factors Associated With Nursing Diagnosis Utilization in Canada
Authors: Higuchi Kathryn A. Smith , Dulberg Corinne , Duff Viola 
Published: February 2008

PURPOSE. To investigate factors associated with nursing diagnosis utilization. METHODS.
A retrospective chart audit was conducted on four hospital units over a 5‐month period and linked to the nurses (N =65) who participated in a survey on attitudes toward nursing diagnosis. FINDINGS.
Computer‐generated nursing care plans resulted in the greatest frequency of nursing diagnosis documentation. Nurses who did not document nursing diagnoses, and nurses employed in hospitals without nursing diagnosis implementation programs, had more positive attitudes toward the value of nursing diagnosis in practice compared with nurses who documented nursing diagnoses and nurses employed in hospitals with implementation programs. CONCLUSIONS.
Nurses have a greater tendency to document nursing diagnoses when institutions have formal educational programs and computer‐generated care plans.
Environmental Nursing Diagnoses for Aggregates and Community
Authors: Green Pauline M. , Slade Diane S. 
Published: February 2008

PURPOSE.To describe the application of group‐appropriate methods to derive actual nursing diagnoses for a community. METHODS.A triangulation method using multiple sources of data, including an environmental survey, fish consumption survey, government reports, publications, and community assessments FINDINGS.
Three priority community environmental nursing diagnoses for aggregates within the community: Knowledge deficit among community residents related to lack of awareness of contaminants in the Anacostia River; “risk for adverse human health effects” among pregnant and nursing women and preschoolers related to consumption of chemically contaminated fish; and knowledge deficit among community residents related to lack of awareness of health effects of consuming chemically contaminated fish. CONCLUSIONS. The diagnoses serve as the basis for community education and other interventions. The methods are practical and useful for this type of research. PRACTICE IMPLICATIONS. The nursing profession is experiencing a growing awareness of the close relationship between environmental health and the health of individuals and communities. There is a need for diagnostic labels to describe the responses of aggregates and communities to environmental hazards and conditions.
Environmental Nursing Diagnoses: A Proposal for Further Development of Taxonomy II
Authors: Green Pauline M. , DNSc Laura V. Polk , Slade Diann S. 
Published: February 2008

PURPOSE. To propose further development of environmental diagnoses and to offer recommendations for expanding Taxonomy II to include more diagnostic labels that encompass the environmental domain.SOURCES. Literature in the disciplines of nursing, biology, toxicology, public health, sociology, and anthropology.DATA SYNTHESIS. Nurses need language to describe the human responses of individuals, families, communities, and global society to environmental health threats.CONCLUSIONS. New environmental diagnoses will lead to refinement of language that describes the contribution of nursing to an emerging international and community health priority.PRACTICE IMPLICATIONS. Environmental diagnostic labels will allow nurses to name responses and plan interventions that respond to instances or risks of exposure to threats from the physical and sociocultural environment.Search terms: Environmental contamination, environmental health threats, exposure, nursing diagnoses
Clinical Validation of Dysfunctional Ventilatory Weaning Response: The Spanish Experience
Authors: Giménez Ana M. , Serrano Pilar , Marín Blanca 
Published: February 2008

PURPOSE. To validate dysfunctional ventilatory weaning response (DVWR). METHODS. Descriptive, longitudinal, and prospective study of 80 patients from three different university hospitals in Spain.FINDINGS. Twenty defining characteristics were associated with DVWR; eight factors from the NANDA model and four non‐NANDA factors were associated with the diagnosis. Adventitious breath sounds, decreased air entry on auscultation, anxiety, and adverse environment resulted as predictive variables of dysfunctional response.CONCLUSIONS. The incidence of DVWR is high, although clinical nurses do not always recognize it. DVWR has different manifestations and associated factors along the course of the weaning stage, but anxiety is associated with DVWR across the time continuum.PRACTICE IMPLICATIONS. Validation of DVWR for use in nursing clinical practice is supported. Early detection of predictive variables could help to identify DVWR and facilitate the diagnosis in the clinical practice.Search terms: Clinical validation, dysfunctional weaning, mechanical ventilation, nursing diagnoses
Policy on Acute Toxic Ingestion or Dermal or Inhalation Exposure
Authors: Goolsby Mary Jo 
Published: February 2008

ABSTRACTMany nurse practitioners (NPs) practice in emergency and urgent‐care settings, and fir more practical remote settings. NPs in each of these settings should be familiar with the assessment, stabilization, and treatment of patients who seek treatment for suspected intentional or accidental poisoning. This month's Clinical practice guideline (CPG) column reviews the “Clinical Policy for the Initial Approach to Patients Presenting With Acute Toxic Ingestion or Dermal or Inhalation Exposure.”SUMMARYThe ACEP “Clinical Policy for the Initial Approach to Patients Presenting With Acute Toxic Ingestion or Dermal or Inhalation Exposure” includes several helpful resources. In addition to recommending specific clinical actions in response to patient variables, the document includes a table identifying the antidote for many of the most commonly ingested drugs. These include digoxin, iron, opioids, salicylates, acetaminophen, and tricyclic antidepressants. The table also includes both the adult and pediatric dose of each listed antidote. A quick reference is included. This form can be used to guide the history, physical examination, and subsequent actions for treating patients with acute toxic ingestion or dermal or inhalation exposure. Finally, there is a quality assurance form to guide chart reviews.Many of the attributes of a well‐developed guideline are identified in the report. The authors clearly identify the situations for which the recommendations are intended as well as those in which they do not apply. For instance, the guidance is not intended for use when patients are unstable and stabilization is the primary focus. It is also not intended for cases of radiation, parenteral, or eye exposure or of food poisoning. The authors describe the process used to develop the recommendations and identify the strength of the evidence on which each recommendation is based. The role of provider judgment in application of the guidance is addressed. Prior to its dissemination, the CPG was subjected to external review by dinical experts.This ACEP policy has applicability for the growing number of NPs working in emergency and urgent cafe settings as well as for those who must provide front line emergency care in remote settings. It provides a framework for responding to acute toxic exposures and provides several useful resources to assist the clinician in responding to situations in which accidental or intentional poisoning is suspected.
What Nurse Practitioners Should Know About Direct‐to‐Consumer Advertising of Prescription Medications
Authors: Viale Pamela Hallquist 
Published: February 2008

PurposeTo describe the marketing strategies of direct‐to‐consumer (DTC) advertising and the risks, benefits, and potential influence on the prescribing practices of nurse practitioners (NPs).Data SourcesJournal articles, media sources, and clinical experience.ConclusionsThe effect of DTC advertising of prescription medications on NPs has not been well studied. Although there are studies that examine the effects of DTC advertising on physician prescribing as well as the effects of this practice on the consumer, opinions on the benefits of DTC advertising are varied.Implications for PracticeNPs need to recognize the potential influence of DTC advertising and to be prepared to guide patients toward appropriate medication choices by participating in a partnership with patients. Health care providers, including NPs, need to work with the pharmaceutical industry to encourage accountability of DTC advertising, thus improving dissemination of correct information and promoting positive outcomes for health consumers and patients.
Simplified Regimens for Treating HIV Infection and AIDS
Authors: Piliero Peter J. , Colagreco Joseph P. 
Published: February 2008

PurposeTo review the variables that greatly affect adherence to the complex treatment regimens used in HIV disease and to examine available options that could improve patient outcomes.Data SourcesComprehensive review of current medical and scientific literature, drug‐prescribing literature, and randomized clinical trials of drug treatments.ConclusionsEffective treatment of HIV infection is dependent on consistent adherence to prescribed antiretroviral medications. A large pill burden, multiple daily doses, and adverse events are some of the complexities that negatively impact patient adherence. For example, lipodystrophy and hyperlipidemia are two serious side effects associated with some agents. Once‐daily antiretroviral agents offer many advantages over historical treatment options but are associated with possible drawbacks.Implications for PracticeCurrently, four single agents are available for once‐daily administration, and a few others are under investigation. In addition, combination therapy with either dual or boosted protease inhibitor regimens is becoming a popular way of overcoming the poor pharmacokinetic characteristics of individual protease inhibitors.