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Related Concept Videos

Documentation of Nursing Diagnosis

Documentation of Nursing Diagnosis

The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters assessment...

Nursing Diagnosis

Nursing Diagnosis

Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...

Formulating and Validating Nursing Diagnosis II

Formulating and Validating Nursing Diagnosis II

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.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...

Formulating and Validating Nursing Diagnosis I

Formulating and Validating Nursing Diagnosis I

A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains for...

Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis

Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis

The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data from the...

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Role of Communication in the Nursing Process I: Assessment and Diagnosis

The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
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Related Experiment Videos

Estimating nurses' workload using the Diagnosis Procedure Combination in Japan.

Y Kamijo¹, K Kanda

¹Division of Nursing, School of Health Sciences, Faculty of Medicine, Shinshu University, Nagano, Japan. ukamijo@gipac.shinshu-u.ac.jp

International Nursing Review

|June 16, 2009

Summary

Diagnosis Procedure Combination (DPC) groups for cardiovascular and cerebral surgeries can estimate nurse workload in acute care settings. This study examined nursing care time and intensity for accurate nurse staffing level estimation.

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Area of Science:

Healthcare Management
Nursing Workforce Research
Health Economics

Background:

Accurate nurse staffing is crucial for patient safety and quality of care in acute settings.
Diagnosis Related Groups (DRGs) are widely used for healthcare reimbursement and resource allocation.
Japan utilizes Diagnosis Procedure Combination (DPC) codes, analogous to DRGs, for classifying patient cases.

Purpose of the Study:

To investigate the utility of Japanese Diagnosis Procedure Combination (DPC) codes for estimating nurse staffing requirements.
To analyze nursing care time and intensity across different DPC categories in acute care.

Main Methods:

Four DPC groups were selected: myocardial infarction with stenting, angina with bypass grafting, sub-arachnoid hemorrhage with clipping, and cerebral infarction with endarterectomy.
Experienced registered nurses in Tokyo university hospitals completed self-report questionnaires on nursing care time and intensity.
Kendall's coefficient of concordance and time series analysis were used to assess data reliability and relationships.

Main Results:

High concordance rates (0.848-0.896) were observed among nurses for care time and intensity estimations across DPC groups.
Distinct patterns in nursing care time and intensity were identified for each DPC group.
The study demonstrated a relationship between care time and intensity, varying by patient case mix.

Conclusions:

Diagnosis Procedure Combination (DPC) codes for cardiovascular and cerebral surgical procedures are suitable for estimating nurse workload.
This approach can inform more accurate nurse staffing level calculations in Japanese acute care settings.
The findings support the use of DPC data for optimizing nursing resource allocation.