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Journal Article

Citation

Frauenfelder F, van Achterberg T, Müller Staub M. J. Clin. Nurs. 2018; 27(3-4): e463-e475.

Affiliation

Nursing Diagnostics Hanze University Groningen, Obere Hofbergstrasse 10, CH-9500 Wil, The Netherlands.

Copyright

(Copyright © 2018, John Wiley and Sons)

DOI

10.1111/jocn.13959

PMID

28703415

Abstract

AIMS AND OBJECTIVES: The study aimed to detect the prevalence of NANDA-I diagnoses and possible relationships between those and patient characteritics such as gender, age, medical diagnoses and psychiatric specialty/setting.

BACKGROUND: There is a lack on studies about psychiatric inpatient characteristics and possible relationships among these characteristics with nursing diagnoses.

DESIGN: A quantitative-descriptive, cross-sectional, completed data sampling study was performed.

METHODS: The data were collected from the electronic patient record system. Frequencies for the social demographic data, the prevalence of the NANDA-I diagnoses and the explanatory variables were calculated.

RESULTS: In total, 410 nursing phenomena were found representing 85 different NANDA-I diagnoses in 312 patients. The NANDA-I diagnosis "Ineffective Coping" was the most frequently stated diagnosis followed by "Ineffective Health Maintenance", "Hopelessness", and "Risk for other-directed violence". Men were more frequently affected by the diagnoses "Ineffective Coping", "Hopelessness", "Risk for Self-Directed Violence", "Defensive Coping" and "Risk for Suicide", whereas the diagnoses "Insomnia", "Chronic Confusion", "Chronic Low Self-Esteem", and "Anxiety" were more common in women. Patients under the age of 45 years were more frequently affected by "Chronic Low Self-Esteem" and "Anxiety" than older patients. "Ineffective Coping" was the most prevalent diagnosis by Patients with mental disorders due to psychoactive substance use. Patients with schizophrenia were primarily affected by the diagnoses "Ineffective Coping", "Impaired Social Interaction", and "Chronic Low Self-Esteem".

CONCLUSIONS: This study demonstrates the complexity and diversity of nursing care in inpatient psychiatric settings. Patients' gender, age and psychiatric diagnoses and settings are a key factor for specific nursing diagnosis. This article is protected by copyright. All rights reserved.

This article is protected by copyright. All rights reserved.


Language: en

Keywords

Adult nursing; care plan; nursing diagnoses; prevalence; psychiatric nursing; quantitative approaches

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