International Journal of Nursing Knowledge

The objective of this article is to describe the developmental processes for the creation of the new diagnosis risk for complicated immigration transition for the NANDA-I.

The study followed the recommended steps of developmental processes for NANDA-I. The identification of risk factors,which cause those who have migrated to feel vulnerable, is the result of two different research studies aimed at identifying nursing diagnosis related to the immigration process.

A proposal of label, definition and risk factors of risk for complicated immigration transition.

This new nursing diagnosis will reinforce the strategies for nursing interventions directed to empower immigrant people to acquire and/or develop the resources needed to cope with the immigration process.

To identify the frequency of the nursing diagnoses, ineffective breathing pattern, impaired gas exchange and impaired spontaneous ventilation in newborns; and, to analyze the accuracy of diagnostic indicators identified for each of these diagnoses.

This was a cross-sectional study conducted with a nonprobability sample of 92 infants. Data collected were represented by demographic and clinical variables, clinical indicators of the three respiratory nursing diagnoses from NANDA International, and were analyzed according to frequency and agreement between pairs of expert nurses (Kappa).

Ineffective breathing pattern was identified in 74.5% of infants; impaired gas exchange was noted in 31.5%; impaired spontaneous ventilation was found in 16.8% of subjects. Use of accessory muscles to breathe showed the highest sensitivity for ineffective breathing pattern; abnormal blood gases had the best predictive value for impaired gas exchange. Use of accessory muscles to breathe had the highest sensitivity for impaired spontaneous ventilation.

Ineffective breathing pattern was the most frequently identified; use of accessory muscles, alteration in depth of breathing, abnormal breathing, and dyspnea were the most representative signs/symptoms.

Early recognition of respiratory conditions can support safe interventions to ensure appropriate outcomes.

To select outcomes from the Nursing Outcomes Classification (NOC) to evaluate impaired tissue integrity in patients undergoing orthopedic surgeries, and develop conceptual and operational definitions for their indicators.

A consensus study involving 10 nurses from clinical practice. A 100% consensus was established in the outcomes selection.

Wound Healing: Primary intention (1102) with two indicators: (110214) Scar formation, and (110201) Skin approximation were selected. Four indicators were grouped to evaluate inflammatory signs together with foul wound odor and six for drainage.

These indicators direct the outcomes evaluation for wound healing.

Support to the definition the priority interventions in nursing process documentation.

To establish prognostic indicators of survival for impaired gas exchange (IGE) (00030).

Secondary analysis of data from an open prospective cohort developed with a group of 136 children with acute respiratory infection (ARI).

On Day 1, IGE (00030) was present in 42.6% of the sample. New cases arose until the last day of evaluation. With regards to defining characteristics, only hypoxemia and abnormal skin color were associated with a higher risk of developing diagnosis.

Children with ARI who exhibit hypoxemia and abnormal skin color had a worse prognosis for IGE (00030).

Nurses can use the research findings as a predictive marker of the evolution of the patient's health status.

Nurses are uniquely positioned to implement behavior change interventions. Yet, nursing interventions have traditionally resulted from nurses problem-solving rather than allowing the patient to self-generate possible solutions for attaining specific health outcomes.

The purpose of this review is to clarify the meaning of possible solutions in behavior change interventions.

Walker and Avant's method on concept analysis serves as the framework for examination of the possible solutions.

Possible solutions can be defined as continuous strategies initiated by patients and families to overcome existing health problems.

As nurses engage in behavior change interventions, supporting patients and families in problem-solving will optimize health outcomes and transform clinical practice.

Much of our practice as nurses is predicated on the development of a trusting relationship between patient and nurse. Through this, the nurse and patient can identify the issues which are challenging health, the desired outcomes of care and the interventions that will be enacted, by both parties, in order to achieve these outcomes. Often, though, both nurses and patients find it difficult to put aside the relative roles that they play in health care and the level of engagement that is possible may not be achieved.

In this theoretical paper, I will explore the importance of human engagement to nursing practice, drawing, in a reflective and personal manner, on experiences gained throughout my 30 years of providing nursing service.

Human engagement is central to the practice of nursing, but if engagement is to be valid, it must involve a dialogic transaction between the nurse and patient such that both parties are changed and there is a commitment to journey together, as humans, in the hope of finding positive outcomes for both.

In a time of increasing tendency to build boundaries between people and communities, it is imperative that nursing does not lose its most essential quality: the coming together of human beings in dialogic engagement.

This article aims to define the concept of maintenance of continuity in older adulthood (MCOA) and assist nurses to better understand the concept of MCOA.

The method by Walker and Avant was used for this concept analysis.

In the literature, MCOA is defined as a psychosocial adaptation strategy by searching for preference and familiarity, making a sense of connection, and creating coherence.

MCOA has potential to improve psychosocial adjustment to difficult life transitions as a coping mechanism.

Insights about MCOA in nursing may contribute to improved patient care outcomes by assisting nurses to understand the elderly's experience during age-related challenges from a life course perspective.

To select and refine the outcomes and indicators of Nursing Outcomes Classification for the diagnosis of risk for perioperative positioning injury.

Validation study on expert consensus and refinement through pilot study.

Eight outcomes and 35 indicators were selected in consensus. After clinical testing was performed, in which 10 patients were assessed at five different times. Eight outcomes and 33 indicators remained in the protocol.

This study made it possible to select the most relevant outcomes and indicators to be measured for this diagnosis in clinical practice.

Validation studies by consensus and clinical testing are important to promote the accuracy, creating opportunities to legitimize, and improve the concepts of taxonomies.