[Nursing consultation for chronic patients]

Area of Science:

• Nursing Science
• Primary Health Care
• Chronic Disease Management

Context:

• Nursing consultations are a key primary health care service for chronic patients, generally well-received but with room for improvement.
• A need exists to reorient nursing services to strengthen the independent dimension of nursing practice.
• Traditional biomedical model training may limit nurses' development of a distinct nursing vision and practical application.

Purpose:

• To develop strategies for a pure nursing contribution to patient health, termed the independent dimension of nursing.
• To analyze patient and family tasks during physical illness stages and correlate them with NANDA nursing diagnoses.
• To validate identified nursing diagnoses against expert consensus on prevalent diagnoses in chronic patient populations.

Summary:

• The study analyzes patient and family tasks across illness stages, referencing Doka and Riopelle, to identify equivalent nursing diagnoses from NANDA.
• These derived nursing diagnoses were compared with those identified by a panel of experts from the Malaga Sanitary District.
• A high degree of coincidence was found between the study-derived and expert-identified nursing diagnoses.

Impact:

• The findings support the validity of aligning patient/family tasks with NANDA diagnoses for chronic care.
• This approach encourages the development of an independent nursing practice and enhances the quality of nursing consultations.
• The study provides a foundation for refining nursing's role in managing chronic conditions and improving patient outcomes.