Nursing diagnoses in patients with COVID-19 admitted to the intensive care unit: CROSS-MAPPING
Objective: To identify and analyze the nursing diagnoses listed in the medical records of COVID-19 patients admitted to an intensive care unit using Taxonomy II of NANDA-I. Background: COVID-19 is a complex disease with heterogeneous behaviors, and the role of intensive care nurses in accurately ide...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-03-01
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| Series: | Heliyon |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2405844024031190 |
| _version_ | 1827316381404626944 |
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| author | Cyntia Leenara Bezerra da Silva Ericles Lopes de Moura Thuanny Nayara do Nascimento Dantas Karolayne Cabral Matias Leandro Melo de Carvalho Allyne Fortes Vitor |
| author_facet | Cyntia Leenara Bezerra da Silva Ericles Lopes de Moura Thuanny Nayara do Nascimento Dantas Karolayne Cabral Matias Leandro Melo de Carvalho Allyne Fortes Vitor |
| author_sort | Cyntia Leenara Bezerra da Silva |
| collection | DOAJ |
| description | Objective: To identify and analyze the nursing diagnoses listed in the medical records of COVID-19 patients admitted to an intensive care unit using Taxonomy II of NANDA-I. Background: COVID-19 is a complex disease with heterogeneous behaviors, and the role of intensive care nurses in accurately identifying related signs and symptoms has become even more critical during the pandemic. Nurses rely on classification systems or taxonomies to standardize concepts and language in practice. Method: This quantitative study employed a descriptive and individual approach, utilizing the cross-mapping method. Data were collected from 57 medical records of critical care patients in a hospital in northeastern Brazil between July 2020 and March 2021. Three researchers analyzed the mapped diagnoses, and agreement was assessed using the Content Validation Index and Fleiss' Kappa. Results: Among the listed nursing diagnoses, 54.28% were found to be standardized, 45.71% had corresponding nursing diagnoses, and 5.71% did not have an equivalent diagnosis in the reference taxonomy used in the study. Due to the possibility of multiple nursing diagnoses in the same patient, the most frequent diagnoses were Risk of pressure injury in adults (66.66%), Risk of falls in adults (64.91%), and Risk of infection (45.61%). Among the 37 diagnoses mapped, the risk diagnoses were the most prevalent and could be prevented if identified early. Conclusions: The study highlights the importance of standardized nursing diagnoses in the ICU for COVID-19 patients and the need for accurate identification and prevention of risk diagnoses to enhance patient care and improve outcomes. |
| first_indexed | 2024-03-07T16:22:30Z |
| format | Article |
| id | doaj.art-3a78852946974fcdbc710d565c686805 |
| institution | Directory Open Access Journal |
| issn | 2405-8440 |
| language | English |
| last_indexed | 2024-04-24T23:14:47Z |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Heliyon |
| spelling | doaj.art-3a78852946974fcdbc710d565c6868052024-03-17T07:57:18ZengElsevierHeliyon2405-84402024-03-01105e27088Nursing diagnoses in patients with COVID-19 admitted to the intensive care unit: CROSS-MAPPINGCyntia Leenara Bezerra da Silva0Ericles Lopes de Moura1Thuanny Nayara do Nascimento Dantas2Karolayne Cabral Matias3Leandro Melo de Carvalho4Allyne Fortes Vitor5Corresponding author. Campus Universitário Lagoa Nova, S/N, Natal, RN, 59078-970, Brazil.; Department of Nursing, Federal University of Rio Grande do Norte, BrazilDepartment of Nursing, Federal University of Rio Grande do Norte, BrazilDepartment of Nursing, Federal University of Rio Grande do Norte, BrazilDepartment of Nursing, Federal University of Rio Grande do Norte, BrazilDepartment of Nursing, Federal University of Rio Grande do Norte, BrazilDepartment of Nursing, Federal University of Rio Grande do Norte, BrazilObjective: To identify and analyze the nursing diagnoses listed in the medical records of COVID-19 patients admitted to an intensive care unit using Taxonomy II of NANDA-I. Background: COVID-19 is a complex disease with heterogeneous behaviors, and the role of intensive care nurses in accurately identifying related signs and symptoms has become even more critical during the pandemic. Nurses rely on classification systems or taxonomies to standardize concepts and language in practice. Method: This quantitative study employed a descriptive and individual approach, utilizing the cross-mapping method. Data were collected from 57 medical records of critical care patients in a hospital in northeastern Brazil between July 2020 and March 2021. Three researchers analyzed the mapped diagnoses, and agreement was assessed using the Content Validation Index and Fleiss' Kappa. Results: Among the listed nursing diagnoses, 54.28% were found to be standardized, 45.71% had corresponding nursing diagnoses, and 5.71% did not have an equivalent diagnosis in the reference taxonomy used in the study. Due to the possibility of multiple nursing diagnoses in the same patient, the most frequent diagnoses were Risk of pressure injury in adults (66.66%), Risk of falls in adults (64.91%), and Risk of infection (45.61%). Among the 37 diagnoses mapped, the risk diagnoses were the most prevalent and could be prevented if identified early. Conclusions: The study highlights the importance of standardized nursing diagnoses in the ICU for COVID-19 patients and the need for accurate identification and prevention of risk diagnoses to enhance patient care and improve outcomes.http://www.sciencedirect.com/science/article/pii/S2405844024031190Nursing diagnosisSARS-CoV-2COVID-19Critical careStandardized nursing terminology |
| spellingShingle | Cyntia Leenara Bezerra da Silva Ericles Lopes de Moura Thuanny Nayara do Nascimento Dantas Karolayne Cabral Matias Leandro Melo de Carvalho Allyne Fortes Vitor Nursing diagnoses in patients with COVID-19 admitted to the intensive care unit: CROSS-MAPPING Heliyon Nursing diagnosis SARS-CoV-2 COVID-19 Critical care Standardized nursing terminology |
| title | Nursing diagnoses in patients with COVID-19 admitted to the intensive care unit: CROSS-MAPPING |
| title_full | Nursing diagnoses in patients with COVID-19 admitted to the intensive care unit: CROSS-MAPPING |
| title_fullStr | Nursing diagnoses in patients with COVID-19 admitted to the intensive care unit: CROSS-MAPPING |
| title_full_unstemmed | Nursing diagnoses in patients with COVID-19 admitted to the intensive care unit: CROSS-MAPPING |
| title_short | Nursing diagnoses in patients with COVID-19 admitted to the intensive care unit: CROSS-MAPPING |
| title_sort | nursing diagnoses in patients with covid 19 admitted to the intensive care unit cross mapping |
| topic | Nursing diagnosis SARS-CoV-2 COVID-19 Critical care Standardized nursing terminology |
| url | http://www.sciencedirect.com/science/article/pii/S2405844024031190 |
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