International Journal of Nursing Knowledge

To apply the Rasch model to test the psychometric assessment of the nursing outcome Swallowing status among poststroke patients.

Cross-sectional study was conducted with 227 poststroke patients, which were evaluated by a nurse. The Rasch model was used to examine psychometric properties.

Indicators fit the Rasch model and presented good reliability and good ability for separation index. The 5-point Likert scale did not present adequate discrimination and classification levels were compiled into three.

Data evidenced the use of a robust method to perform a clinical validity of the Swallowing status, complementing previous validation studies.

Using Rasch analysis serve as reference points to assess Swallowing status on a single scale.

Aplicar o modelo Rasch para testar as medidas psicométricas do resultado de enfermagem Estado da deglutição em pacientes acometidos por acidente vascular cerebral.

Estudo transversal, realizado com 227 pacientes após AVC avaliados por um único enfermeiro. O modelo Rasch foi usado para examinar propriedades psicométricas.

Os indicadores se ajustaram ao modelo Rasch e apresentam boa confiabilidade e boa capacidade de separação. A escala Likert de 5 pontos não apresentou discriminação adequada e os níveis de classificação foram compilados em três pontos.

Os dados evidenciaram o uso de um método robusto para a validade clínica do Estado da deglutição, complementando os estudos de validação anteriores.

O uso do modelo Rasch serve como ponto de referência para avaliar o Estado da deglutição em uma única escala.

To determine nursing diagnoses in people with a digestive stoma and their relationship with sociodemographic and clinical variables.

A cross-sectional descriptive study of 102 subjects in the General Surgery Unit of a first-level hospital (Granada, Spain) was conducted. Data were collected on the presence of nursing diagnoses, sociodemographic and clinical variables.

NANDA-I: “Deficient knowledge (00126)” and “Readiness for enhanced health management (00162)” were present in the entire sample studied. The period of care (postoperative vs. follow-up) was the most common significant variable among diagnoses.

This work contributes to the determination of NANDA-I diagnoses in people with digestive stomas.

The results provide a guide to help nursing professionals develop individual care plans.

To validate the content of the NANDA-I diagnosis “death anxiety” (00147).

Descriptive study using the Fehring model with 202 Spanish nurses who were expert in end-of-life care to explore the adequacy of the components of the NANDA-I diagnosis “death anxiety” (00147) in the Spanish edition.

None of the diagnosis definitions were considered as representative. Furthermore, 5 of the 56 defining characteristics and 5 of the 26 related factors were validated as major.

In general, the components of the diagnosis “death anxiety” (00147) in the Spanish edition are not representative according to experts.

The results support the need to either exclude the diagnosis from the taxonomy or adjust its content.

To evaluate the effect of electronic and paper-based standardized nursing care plans (SNCPs) use on quality of nurses’ documentation.

Using quasi-experimental design, two wards were grouped into electronic and paper-based wards. Nurses were trained to use electronic- and paper-based SNCPs for care-planning and documentation. Data was collected before, 3, and 6 months postintervention and analyzed with SPSS version 20.

There was improvement in documentation quality in the two wards after introducing SNCPs with higher quality scores in the electronic ward postintervention.

Providing SNCPs in electronic and paper formats is critical to improving nursing documentation.

Adequate training and support for nurses are needed for successful implementation of SNCPs in electronic health records (EHRs) in developing nations.

To assess the surgical wound (SW) healing in orthopedic patients with Impaired tissue integrity according to the Nursing Outcomes Classification (NOC).

A prospective longitudinal study performed with 24 patients. Data collection was performed through an instrument containing the NOC indicators.

The indicators skin approximation, drainage, surrounding skin erythema, periwound edema, increased skin temperature, and foul wound odor presented a statistically significant increase when compared the means between the first and the last day of evaluation.

The NOC indicators allowed to monitor the SW healing indicating an improvement.

The NOC can favor an earlier identification of the degree of commitment for each patient and enables implementation of care to achieve target outcomes.

To identify the prevalence of Sedentary Lifestyle (SL) and associations between its defining characteristics (DC) and related factors (RF) in patients with acute coronary syndrome (ACS).

123 patients with ACS were assessed for SL through the International Physical Activity Questionnaire. Associations between DC and RF was investigated by Pearson's Chi square and Fisher's exact test.

56.1% had SL. Insufficient motivation and Insufficient resources for physical activity were associated with two DC.

SL was frequent and there were associations between RF and DC.

Multi-professional interventions should aim at motivating patients to adopt physical activities.

This research was performed to compare Islamic and Western ethical values in health services management.

Whittemore and Knafl's integrative review was employed.

Eight final categories of Islamic values (i.e., honesty, piety, foresight, dignity, justice, good temperament, widened heart, and certainty to God) and nine final categories of Western values in health services management (i.e., honesty, freedom, forgiveness, altruism, justice, dignity, responsibility, tolerance, and wisdom) were extracted in this study.

The results showed some discrepancy between Islamic and Western ethical values, which are partially due to a different definition of values in Islam and the West.

The comparison of ethical values can facilitate the exchange of intellectual, cultural, and experimental ideas between Islamic and Western healthcare management.

To evaluate the benefits of NIC interventions in postoperative patients with ineffective airway clearance (00031).

Quasi-experimental study with interrupted time-series design. A total of 101 patients were evaluated during 4 days based on the nursing outcome Respiratory Status: Airway Patency (0410).

Interventions such as cough enhancement (3250), ventilation assistance (3390), and airway management (3140) contributed to significative improvements of the patients’ airway patency. Site of surgery and patients’ intrinsic characteristics were proven to have influence in the NOC ratings.

Interventions implemented during the research contributed to improvement of clinical indicators of airway patency.

Postoperative respiratory complications can be minimized by the use of standardized nursing languages.