International Journal of Nursing Knowledge

To evaluate the effect of web-based nursing process teaching on senior nursing students’ care plan preparation skills.

Pretest-posttest intervention design was used. A total of 131 senior nursing students were evaluated for 5 weeks. Data were collected using a datasheet, a nursing care plan (pretest-posttest), and a self-efficacy form.

The intervention group had significantly higher data collection, planning stage scores, and a total care plan score than the others. The intervention group was competent in all self-efficacy items, except the one concerning prioritizing nursing diagnoses.

Web-based nursing process teaching offered with the curriculum helps students to develop care planning skills.

It is necessary to focus on different teaching methods and using standardized terminology in teaching the nursing process.

Web tabanlı hemşirelik süreci öğretiminin son sınıf hemşirelik öğrencilerinin bakım planı hazırlama becerisine etkisini değerlendirmektir.

ön test son test kontrol gruplu desen kullanılmıştır. Toplam 131 öğrenci katılmış ve müdahale 5 hafta sürmüştür. Veriler, tanıtıcı özellikler formu, hemşirelik bakım planı (ön test-son test) ve öz yeterlilik formu ile toplanmıştır.

Müdahale grubunun veri toplama, planlama ve toplam bakım planı puanları kontrol grubundan istatistiksel olarak anlamlı bir şekilde yüksek bulunmuştur. Ayrıca müdahale grubundaki öğrenciler öz yeterlilikle ilgili maddelerde hemşirelik tanılarını önceliklendirme dışındaki tüm maddelerde kendilerini yeterli hissettikleri belirtilmiştir.

Müfredat programına ek olarak verilen web tabanlIJ hemşirelik süreci öğretimi, öğrencilerin bakım planlama becerilerini geliştirmelerine yardımcı olur.

Hemşirelik sürecinin öğretiminde farklı öğretim yöntemlerine ve standart terminolojiye odaklanmak gerekir.

To determine the psychometric properties of the CoNOCidiet-Diabetes, a new instrument based on nursing outcome “Knowledge: prescribed diet.”

Methodological design. The participant were 359 patients diagnosed with diabetes visiting 27 primary healthcare centers in Spain. Reliability (internal consistency and test-retest), validity (convergent criterion validity, concurrent content validity and known-groups validity), and sensitivity to change was tested.

CoNOCidiet-Diabetes has shown evidence of acceptable psychometric properties as instrument but some items should be revised.

This research provides a new instrument developed to specifically measure dietary knowledge in individuals with diabetes.

For nursing practice: The literalness of the CoNOCidiet-Diabetes with the nursing outcome “Knowledge: prescribed diet” facilitate its measurement using the patient's statements.

Determinar las propiedades psicométricas del CoNOCidiet-Diabetes, un nuevo instrumento basado en el resultado enfermero “Conocimiento: dieta prescrita”.

Diseño metodológico. Los participantes fueron 359 pacientes diagnosticados de diabetes que acudieron a 27 centros de atención primaria de salud en España. Se comprobó la fiabilidad (consistencia interna y test-retest), la validez (validez de criterio convergente, validez de contenido concurrente y validez de grupos conocidos) y la sensibilidad al cambio.

El CoNOCidiet-Diabetes ha mostrado evidencias de tener unas propiedades psicométricas aceptables como instrumento, pero algunos ítems deben ser revisados.

Esta investigación proporciona un nuevo instrumento desarrollado para medir específicamente el conocimiento sobre dieta en personas con diabetes.

La literalidad del CoNOCidiet-Diabetes con el resultado enfermero “Conocimiento: dieta prescrita” facilita la medición de este último utilizando las declaraciones del paciente.

To construct a situation-specific theory (SST) to represent nutritional deficits for assessing children with cancer.

Literature review.

The SST included the definition of key concepts, a pictorial scheme, propositions, causal relationships, and evidence for nursing practice.

It was possible to characterize the elements as antecedent and consequent clinical factors to allow for an understanding of the existing relationships between them and their temporality. These elements differed considerably from those included in NANDA International.

This study provides additional information so that nurses in clinical practice can infer the presence of nutritional deficits in children with cancer early, given the risk already inherent in the diagnosis of cancer and treatment.

To test the effects of clinical reasoning prompts on students’ clinical judgment of a written case study.

An experimental pre- and posttest study with second semester nursing students (N = 163).

The intervention was insufficient to significantly improve clinical judgment. Students identified that the prompts would help them “narrow… down the problem” and “slow… the decision-making process” to improve analysis. The most accurate patient problem was identified by 28% of students in pretest and 35% in posttest.

This study provides evidence of variations in nursing students’ clinical judgment and students’ desire to use decision-making algorithms.

Nurse educators should provide students with additional education and practice to identify and solve these types of problems.

To identify the related factors that compromise family integrity and the defining characteristics of poor family integrity.

Integrative review in databases: Pubmed, Scopus, Cinahl, PsycInfo, and Web of Science. The inclusion and exclusion criteria led to the selection of 12 articles.

Family conflicts, lack of communication, and detachment from family as risk factors that have a negative impact on family integrity. A decrease in the physical and psychological quality of life as defining characteristics of poor family integrity.

Lack of family integrity has a significant impact on the physical, mental, and social health of its members.

Findings will allow nurses to implement interventions for the maintenance or improvement of family integrity.

Identificar los factores relacionados que comprometen la integridad familiar y las características definitorias de familias con baja integridad.

Se realiza una revisión sistemática acorde con las recomendaciones PRISMA, consultando las bases de datos Pubmed, Scopus, Cinahl, PsycInfo y Web Of Science. El proceso de selección de artículos siguiendo los criterios de inclusión y exclusión nos condujo a 12 trabajos seleccionados.

Los resultados señalan como factores de riesgo el conflicto familiar, la falta de comunicación y el desapego que impactan negativamente sobre la integridad; y como manifestaciones clínicas la disminución de la calidad de vida física y psicológica.

El deterioro de la integridad familiar tiene un importante impacto sobre la salud física, psicológica y social de sus miembros.

La identificación de factores de riesgo y manifestaciones clínicas permite a los profesionales sanitarios implementar intervenciones a favor del mantenimiento o la mejora de la integridad familiar.

To verify the relevance of the clinical indicators, the clarity and precision of the conceptual, and operational definitions for Ineffective breathing pattern (IBP).

A content analysis by 39 judges.

The results showed 28 clinical indicators for IBP. However, only seven were not considered relevant for the diagnosis. These are not listed in NANDA International taxonomy. All conceptual and operational definitions were adequate, according to the analysis of the judges.

The list of 28 clinical indicators of IBP was submitted for analysis by judges, which then resulted in the validation of 21 of these elements.

This study clarifies that gaps in the structure of diagnoses, helping nurses' diagnostic reasoning process in clinical practice.

To provide guidance to nurses caring for individuals with COVID-19, we developed linkages using interoperable standardized nursing terminologies: NANDA International (NANDA-I) nursing diagnoses, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC). We also identified potential new NANDA-I nursing diagnoses, NOC outcomes, and NIC interventions for future development related to nurses’ role during a pandemic.

Using a consensus process, seven nurse experts created the linkages for individuals during the COVID 19 pandemic using the following steps: (a) creating an initial list of potential nursing diagnoses, (b) selecting and categorizing outcomes that aligned with all components of each nursing diagnosis selected, and (c) identifying relevant nursing interventions.

A total of 16 NANDA-I nursing diagnoses were identified as the foundation for the linkage work, organized in two dimensions, physiological and psychosocial. A total of 171 different NOC outcomes were identified to guide care based on the nursing diagnoses and 96 NIC interventions were identified as suggested interventions. A total of 13 proposed concepts were identified for potential future development across the three classifications.

The linkages of nursing diagnoses, outcomes, and interventions developed in this article provide a guide to enhance nursing practice and determine the effectiveness of nurses’ contribution to patient outcomes for individuals at risk for or infected by COVID-19.

NANDA-I, NOC, and NIC linkages identified in this paper are an important example of the value of using standardized nursing terminologies to guide and document nursing care. When included in electronic health record databases and used widely, the data generated from the care plans can be used to create new knowledge about how to better improve outcomes for patients with COVID-19.