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Formulating and Validating Nursing Diagnosis II

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Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
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Nursing Diagnosis

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SECONDs Administration Guidelines: A Fast Tool to Assess Consciousness in Brain-injured Patients

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[The Nursing Delirium Screening Scale (NU-DESC)].

Alawi Lütz¹, Finn M Radtke, Martin Franck

¹Universitätsklinik für Anästhesiologie und operative Intensivmedizin, Campus-Virchow-Klinikum und Campus Charité Mitte , Charité - Universitätsmedizin Berlin. alawi.luetz@charite.de

Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS

|February 23, 2008

Summary

The German version of the Nu-DESC delirium assessment tool was successfully translated and validated for clinical use. This tool aids in diagnosing post-operative delirium, a common psychiatric condition in intensive care settings.

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Published on: August 25, 2014

Area of Science:

Medical research
Clinical diagnostics
Psychiatric assessment

Background:

Post-operative delirium is a common psychiatric condition in recovery rooms and ICUs, affecting 15-50% of patients.
Delirium is associated with longer hospital stays and increased mortality rates.
The Nu-DESC scale is a practical tool for delirium diagnosis.

Purpose of the Study:

To translate the Nu-DESC scale from English to German.
To adapt the Nu-DESC for use in German clinical research and routine practice.

Main Methods:

Translation followed international guidelines for Patient Reported Outcomes Measures (PROMs).
A multi-step process included independent translations, back-translation, and author evaluation.
Cognitive debriefing and expert team review finalized the German version.

Main Results:

The German translation of Nu-DESC was authorized by the original author.
Cognitive debriefing yielded consistently good results.
Practicability evaluation revealed differences between physician and nursing staff perceptions.

Conclusions:

The German version of Nu-DESC is a validated instrument for delirium assessment.
It is suitable for both clinical routine and research applications in German-speaking settings.