Müller-Staub Maria
Pflege PBS, Selzach, Schweiz.
Pflege Z. 2009 Jun;62(6):354-9.
Many nurses are not well educated in the use of nursing classifications. Shortcomings in application of nursing diagnoses and missing coherence with nursing interventions and outcomes were described in various studies. The following studies aimed to analyse the effects of implementing nursing diagnoses on nursing interventions and outcomes.
Two systematic literature reviews, instrument development and testing, and two experimental studies to implement nursing diagnostics were carried out.
Careful implementation of nursing classifications into practice by means of educational measures resulted in accurate nursing diagnoses. Accordingly, nurses chose more effective nursing interventions that led to significantly enhanced patient outcomes.
Based on the results of these studies we recommend implementation of NANDA-I nursing diagnoses with related, theory based nursing interventions and nursing outcomes into clinical practice.
许多护士在护理分类的使用方面未接受良好教育。各项研究描述了护理诊断应用中的缺陷以及护理干预与结果缺乏连贯性的情况。以下研究旨在分析实施护理诊断对护理干预和结果的影响。
开展了两项系统文献综述、工具开发与测试以及两项实施护理诊断的实验研究。
通过教育措施将护理分类谨慎地应用于实践中,从而得出准确的护理诊断。相应地,护士选择了更有效的护理干预措施,这显著改善了患者的治疗效果。
基于这些研究结果,我们建议将带有相关的、基于理论的护理干预和护理结果的北美护理诊断协会(NANDA - I)护理诊断应用于临床实践。