Published Research Articles (published + research_article)

Distribution by Scientific Domains


Selected Abstracts


Contamination: Nursing Diagnoses with Outcome and Intervention Linkages

INTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 2 2007
Laura V. Polk DNSc
PURPOSE.,To relate the collaborative processes involved in the evolution of environmental nursing diagnoses and the linkages between two new nursing diagnoses and their associated interventions and outcomes; to describe the environmental health implications of contamination. DATA SOURCES.,Published research articles, official reports, textbooks, and collaborative discussion with experts in community and global health. DATA SYNTHESIS.,Reflection following review of the literature and collaboration with experts led to the development of a new schema for environmental diagnoses and development of two new diagnoses, allowing for greater clarity and distinction between the contamination diagnoses and risk for poisoning diagnosis. CONCLUSIONS.,An environmental nursing diagnosis schema, with its emphasis on contamination, infection, and violence, provides nurses with a holistic framework for making judgments about environmental influences related to individual, family, community, and global health. The diagnoses of Contamination and Risk for Contamination provide necessary language to describe human responses and risk states that may arise following exposure to environmental contaminants. PRACTICE IMPLICATIONS.,Development of environmental diagnostic labels and delineation of the linkages to nursing outcomes and interventions will allow nurses to take active roles in identifying environmental components that affect health and planning care that responds to environmental health needs. Greater clarity in the use of language will allow nurses to incorporate environmental concepts appropriately in nursing assessments and improve the accuracy of the diagnostic process and selection of distinct interventions and outcomes. This will result in better outcomes for patients and communities and permit greater accountability of nursing's contribution to environmental health. [source]


Ineffective Family Participation in Professional Care: A Concept Analysis of a Proposed Nursing Diagnosis

INTERNATIONAL JOURNAL OF NURSING TERMINOLOGIES AND CLASSIFICATION, Issue 1 2002
Aeran Lee MS
PURPOSE. To discuss the label, definition, defining characteristics, and related factors of a proposed nursing diagnosis, "ineffective family participation in professional care." DATA SOURCES. Published research articles, clinical handbooks, textbooks. DATA SYNTHESIS. Although a number of familyrelated nursing diagnoses exist, none really addresses the problems encountered if family members are unwilling or unable to participate in patient care. This is critical because the bulk of care occurs outside the hospital setting. CONCLUSIONS. A new nursing diagnosis, "Ineffective family participation in professional care" is needed. This diagnosis has been submitted to the Nursing Diagnosis Extension and Classification for consideration. PRACTICE IMPLICATIONS. With this diagnosis nurses could encourage family participation in care more effectively by focusing on assessment and interventions. Participation familiale inefficace aux soins professionnels: Analyse conceptuelle d'un diagnostic infirmier proposé BUTS. Discuter du titre, de la définition, des caractéristiques et des facteurs favorisants d'un nouveau diagnostic infirmier: "participation familiale inefficace aux soins professionnels". SOURCES. Articles de recherche, extraits d'ouvrages cliniques. RÉSULTATS. Malgré la présence d'un certain nombre de diagnostics infirmiers centrés sur la famille, aucun d'entre eux ne désigne les problèmes posés par les familles qui ne souhaitent pas ou ne sont pas capables de participer aux soins du patient. Ce phénomène est important, compte tenu de la grande quantité de soins extrahospitaliers. CONCLUSIONS. II semble nécessaire de disposer d'un nouveau diagnostic infirmier "Participation familiale inefficace aux soins professionnels". Ce diagnostic a été soumis au Groupe d'Extension et de Classification des Diagnostics Infirmiers, afin qu'il soit étudié. IMPLICATIONS PRATIQUES. L'utilisation de ce diagnostic devrait permettre aux infirmières de focaliser l'évaluation et les interventions de soins, afin d'impliquer plus efficacement la famille dans les soins. Participação familiar ineficaz no cuidado profissional: Análise de conceito de um diagnóstico de enfermagem proposto OBJETIVO. Discutir o titulo, definição, características definidoras e fatores relacionados de um diagnóstico de enfermagem proposto, "participação familiar ineficaz no cuidado profissional". FONTES DE DADOS.Artigos de pesquisa publicados, manuais clínicos, livros-texto. ACHADOS.Embora exista um certo número de diagnósticos de enfermagem relacionados à família, nenhum deles trata realmente dos problemas encontrados quando membros da família não desejam ou não conseguem participar do cuidado do paciente. Isto é crítico, porque uma grande parte dos cuidados ocorre fora do ambiente hospitalar. CONCLUSãO.É necessário um novo diagnóstico de "Participação familiar eficaz no cuidado profissional". Este diagnóstico foi submetido à apreciação da Extensão e Classificação de Diagnósticos de Enfermagem. IMPLICAÇõES PARA A PRÁTICA.Com este diagnóstico, as enfermeiras podem encorajar a participação da família no cuidado de maneira mais efetiva, com enfoque em levantamento de dados e intervenções. Palavras para busca:Análise de conceito, diagnóstico de enfermagem, participação familiar Participación familiar ineficaz en cuidados profesionales: Análisis de concepto de este diagnóstico enfermero que se ha propuesto PROPÓSITO.Discutir la etiqueta, definición, características definitorias y factores relacionados del diagnóstico propuesto "participation familiar ineficaz en cuidados profesionales." FUENTES DE DATOS.Artículos de investigación publicados, manuales clínicos, libros de texto. RESULTADOS.Aunque existen varios diagnóstics enfermeros relacionados con la familia, ninguno realmente enfoca los problemas encontrados, si las familias no quieren o no pueden participar en el cuidado del paciente. Esto es crítico, porque la mayor parte de los cuidados tienen lugarfuera del entorno del hospital. CONCLUSIONES.Se necesita un nuevo diagnóstico de enfermería "participación familiar ineficaz en cuidados profesionales". Este diagnóstico ha sido presentado a Nursing Diagnosis Extension and Classification para su consideración. IMPLICACIONES PARA LA PRÁCTICA.Con este diagnóstico, las enfermeras podrían animar la participación familiar en los cuidados más eficazmente, centrándose en la valoración y las intervenciones. Términos de búsqueda:Análisis de concepto, diagnóstico enfermero, participación familiar [source]


The Living Tree of Nursing Theories

NURSING FORUM, Issue 3 2003
Charlotte Tourville RN
TOPIC Three behavioral theories have been used to develop major nursing theories: interactive, systems, and developmental. PURPOSE To provide a symbolic image as a framework for nurses to visualize the multitude of nursing theories starting with the first nurse theorist, Florence Nightingale. SOURCES Published research articles, authors' experience, educational classes and workshops. CONCLUSIONS The Living Tree helps organize various nursing theories so a nurse can apply the theories to practice. [source]


Diagnosis and management of geriatric insomnia: A guide for nurse practitioners

JOURNAL OF THE AMERICAN ACADEMY OF NURSE PRACTITIONERS, Issue 12 2008
MN (Nurse Practitioner), Preetha Krishnan RN
Abstract Purpose: To discuss the assessment, diagnosis, and management of geriatric insomnia, a challenging clinical condition of older adults frequently seen by primary care providers. Data sources: Extensive literature review of the published research articles and textbooks. Conclusions: Complaints of insomnia among older adults are frequently ignored, considered a part of the normal aging process or viewed as a difficult to treat condition. Geriatric insomnia remains a challenge for primary care providers because of the lack of evidence-based clinical guidelines and limited treatment options available. Effective management of this condition is necessary for improved quality of life, which is a primary issue for the elderly and their families. Therefore, geriatric insomnia warrants thorough attention from the nurse practitioners (NPs) who provide care for older adults. Implications for practice: Undiagnosed or under treated insomnia can cause increased risk for falls, motor vehicle accidents, depression, and shorter survival. Insomniacs double their risk for cardiovascular disease, stroke, cancer, and suicide compared to their counterparts. Insomnia is also associated with increased healthcare utilization and institutionalization. NPs could play a central role in reducing the negative consequences of insomnia through a systematic approach for diagnosis, evaluation, and management. [source]