ISSN:1541-5147    

DOI:10.1111/j.1744-618X.1994.tb00360.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:1541-5147    

DOI:10.1111/j.1744-618X.1994.tb00361.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

The authors describe the development of a research tool for studies on nursing diagnosis by the Computer‐Aided Research in Nursing (CARIN) project. The tool, a computerized assessment guide, has reliable and valid items for the identification of patient problem areas. The patient information in the assessment guide, nursing diagnoses identified by the clinical nurse specialist, and a statistical interface are linked in a customized computer program for the CARIN project, providing a system capable of analyzing patient problems from several perspectives. The system provides an accurate assessment and subsequent analysis of patient problems, as well as large data sets. Implications for the future of nursing diagnosis research are discusse

ISSN:1541-5147    

DOI:10.1111/j.1744-618X.1994.tb00362.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Pain is a phenomenon that has an impact on clients in a variety of settings. Nurses have many responsibilities related to assessment, diagnosis, intervention, and evaluation when caring for the person experiencing pain. The phenomenon of pain is described through a concept analysis, which is guided by the research tradition of phenomenology. A review of both medical and nonmedical literature provides a broad base of definitions from which the attributes, antecedents, and consequences are derived. The analysis includes the construction of various cases and identification of empirical referents in the phenomenologic tradition. Suggestions for future development and implementation of the concept into clinical nursing practice and clinical nursing research are included.

ISSN:1541-5147    

DOI:10.1111/j.1744-618X.1994.tb00363.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Concerns about the clinical usefulness of altered thought processes and sensory/perceptual alterations— and the resulting avoidance of these two diagnoses—led to a study to determine how expert nurses differentiate between the diagnoses and how the diagnoses are used in practice. The authors developed a questionnaire and mailed it to 128 members of NANDA who had identified themselves as experts in the diagnoses; sixty‐six (52%) responded. Conclusions were that the defining characteristics for altered thought processes were cognitively oriented and those for sensory/perceptual alterations were perceptually oriented. The overlap of defining characteristics, such as change in problem‐solving ability, makes differential diagnosis a difficu

ISSN:1541-5147    

DOI:10.1111/j.1744-618X.1994.tb00364.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

Diagnostic content validation of nursing diagnoses is a recommended means to confirm the defining characteristics necessary to establish a specific nursing diagnosis. The diagnostic content validity model has been used in numerous studies to develop lists of major and minor defining characteristics recommended by experts as being present in patients with specific diagnoses. The authors provide an overview of the diagnostic content validity model, review the meaning and purposes of content validity, discuss problems with information processing, and suggest revisions to the diagnostic content validity model. Incorporation of these changes may improve the usability of nursing diagnoses in clinical practice, education, and research.

ISSN:1541-5147    

DOI:10.1111/j.1744-618X.1994.tb00365.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

摘要:

The purpose of this study was to examine content validity of two nursing diagnoses in the home health setting: impaired skin integrity and altered urinary elimination: total incontinence. Eighty‐two home health nurses rated the importance of each of the defining characteristics for the two nursing diagnoses. Diagnostic content validity scores (DCV) were calculated for each defining characteristic for both diagnoses using the method described by Fehring (1986). Four characteristics for each diagnosis had DCV scores greater than .75, indicating characteristics were critical indicators for the diagnosis. Erythema, denuded skin, disruptions of dermal and epidermal tissue, and lesions were critical indicators for impaired skin integrity. Lack of awareness of incontinence, constant flow of urine, lack of awareness of bladder cues to void, and incontinence refractory to other treatments were critical indicators for alteration in urinary elimination: total incontinenc

ISSN:1541-5147    

DOI:10.1111/j.1744-618X.1994.tb00366.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:1541-5147    

DOI:10.1111/j.1744-618X.1994.tb00367.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:1541-5147    

DOI:10.1111/j.1744-618X.1994.tb00368.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY

ISSN:1541-5147    

DOI:10.1111/j.1744-618X.1994.tb00369.x

出版商:Blackwell Publishing Ltd    

年代:1994

数据来源: WILEY