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Related Experiment Videos

[Nursing consultation for chronic patients].

J C Morilla Herrera, F J Martín Santos

    Revista De Enfermeria (Barcelona, Spain)
    |May 30, 2002
    PubMed
    Summary

    This study enhances chronic patient care by aligning patient and family tasks with North American Nursing Diagnosis Association (NANDA) diagnoses. High concordance validates this approach for improving nursing consultations and independent nursing practice.

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    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.

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