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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Revisiting NANDA International-Nursing Interventions Classification-Nursing Outcomes Classifications Linkages of
Juh Hyun Shin1, Chung Hyuk Park, Suhyun Park
1Schools of Nursing (Dr Shin) and Engineering and Applied Science (Dr Park and Mr Lee), George Washington University, Washington, DC; School of Nursing, Cizik School of Nursing, University of Texas Health Science Center at Houston (Dr Park); and School of Nursing, Ewha Womans University, Seoul, South Korea (Ms Kim).
Abstract:
Standardized nursing languages help nurses articulate issues with patients, forming the groundwork for the selection of nursing interventions aimed at achieving outcomes. However, the application of standardized nursing linkages on nursing processes and nursing home residents' outcomes, as well as the identification of facility and resident factors, remains unexplored. The purpose of this study was to examine nursing home facility and resident factors on the use of NANDA, Nursing Interventions Classification, and Nursing Outcomes Classification (NNN) and frequently occurring NNN linkages surrounding nursing home residents in Korea. Data were collected from 53 nurses of 273 residents in 19 nursing homes in Korea using a newly developed smartphone application. Descriptive statistics, analysis of variance, and analysis of covariance were used for the data analysis. Nine NNN linkages were identified in this study, mostly centered on fall prevention. We also identified that residents' factors (including acuity, age, and admission period) and organizational factors (including year of facility establishment and facility ownership status), were related to the use of NNN. Nursing home nurses' clinical and critical judgment and the utilization of standardized nursing languages to select proper nursing interventions and outcomes should be based on both resident and organizational factors.
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