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Outcomes related to dehydration in the pediatric population
Cindy A Scherb1, Marcia S Stevens, Carol Busman
1Graduate Nursing Program, Winona State University, Winona, MN, USA. cscherb@winona.edu
Insights
This pilot study found significant improvements in nursing-sensitive patient outcomes for children with dehydration. Nursing interventions positively impacted seven of eight measured outcomes from admission to discharge.
Area of Science:
- Pediatric Nursing
- Patient Outcomes
- Healthcare Quality
Background:
- Dehydration is a common pediatric admission diagnosis.
- Nursing care plays a vital role in pediatric patient recovery.
- Standardized nursing languages facilitate outcome measurement.
Purpose of the Study:
- To assess changes in nursing-sensitive patient outcomes from admission to discharge in pediatric dehydration cases.
- To document nursing interventions for pediatric dehydration management.
Main Methods:
- Pilot study analyzing 29 pediatric patient records.
- Utilized a computerized clinical documentation system.
- Employed standardized nursing languages: North American Nursing Diagnosis Association, Nursing Interventions Classification, and Nursing Outcomes Classification (NOC).
Main Results:
- A statistically significant improvement was observed in seven out of eight NOC outcomes.
- Identified specific nursing interventions used in pediatric dehydration care.
Conclusions:
- Nursing care significantly improves patient outcomes in pediatric dehydration.
- Standardized nursing languages effectively measure and describe nursing's impact on patient recovery.
Abstract:
The purpose of this pilot study was twofold: 1) to determine whether there was a statistically significant difference in nursing-sensitive patient outcome ratings from admission to discharge, and 2) to describe nursing interventions used to care for children admitted with a primary diagnosis of dehydration to a 272-bed Midwestern community hospital. Twenty-nine patient care records meeting study criteria were extracted from all pediatric admission records during the study period. The patient care records are part of a computerized clinical documentation system using the standardized nursing languages of the North American Nursing Diagnosis Association, the Nursing Interventions Classification, and the Nursing Outcomes Classification (NOC). A statistically significant improvement in outcome ratings from admission to discharge was demonstrated for seven of eight NOC outcomes.
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