2.50
Hdl Handle:
http://hdl.handle.net/10755/150882
Type:
Presentation
Title:
Predictor Factors of Accuracy of Nursing Diagnoses
Abstract:
Predictor Factors of Accuracy of Nursing Diagnoses
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Cruz, Dina de Almeida Lopes Monteiro, RN, PhD
P.I. Institution Name:University of Sao Paulo
Title:Associate Professor
Co-Authors:Fabiana Goncalves Matos RN, MNSc, Assistant Professor and Doctoral Student
Mariana Alvina Santos RN, MNSc, Doctoral Student
Erika de Souza Guedes RN, Master Student
[22nd International Nursing Research Congress - Research Presentation] Purpose: To describe the accuracy of nursing diagnoses in clinical practice; identify predictors of accuracy of nursing diagnoses; and to test the Accuracy Scale for Nursing Diagnosis (NDAS) - Version 2 for reliability. Methods:  A documental study conducted in a public teaching hospital in Sao Paulo, Brazil. The accuracy of nursing diagnoses documented was estimated by applying the NDAS-Version 2. The study sample was the admission records of adult patients hospitalized between July 2005 and June 2008. Association tests were performed between the degree of accuracy of diagnoses and variables of the diagnoses, of the patients, of the admission records, and of the nurses. Results: In 749 admission records that were evaluated, 3.417 diagnoses were documented by 21 nurses. The most nursing diagnoses were evaluated as highly accurate (70.4%). The model with variables of the diagnoses showed that diagnoses of low frequency (p = 0.000), diagnoses of the functional domain (p = 0.000) and actual diagnoses (p = 0.000) were predictors of a higher degrees of accuracy; the model with variables of patients and admission records showed that chronic diseases (p = 0.000), admissions to the general medical ward (p = 0.000) and a good quality of the patient records (p=0.005) were predictors of higher accuracy; and the model with variables of the nurses showed that reporting presence of theoretical and practical content of nursing diagnosis in the baccalaureate program (p = 0.011) was predictor of higher degrees of accuracy. The ICC coefficient of intra and interrater was 0.96 and 0.71, therefore demonstrating good reliability of the NDAS-Version 2.  Conclusion: This study provided empirical data to advance knowledge regarding predictors of the accuracy of nursing diagnoses.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePredictor Factors of Accuracy of Nursing Diagnosesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150882-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Predictor Factors of Accuracy of Nursing Diagnoses</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Cruz, Dina de Almeida Lopes Monteiro, RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Sao Paulo</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mtmllf@usp.br</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Fabiana Goncalves Matos RN, MNSc, Assistant Professor and Doctoral Student<br/>Mariana Alvina Santos RN, MNSc, Doctoral Student<br/>Erika de Souza Guedes RN, Master Student</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose:&nbsp;To describe the accuracy of nursing diagnoses in clinical practice; identify predictors of accuracy of nursing diagnoses; and to test the Accuracy Scale for Nursing Diagnosis (NDAS) - Version 2 for reliability.&nbsp;Methods:&nbsp;&nbsp;A documental study conducted in a public teaching hospital in Sao Paulo, Brazil. The accuracy of nursing diagnoses documented was estimated by applying the NDAS-Version 2. The study sample was the admission records of adult patients hospitalized between July 2005 and June 2008. Association tests were performed between the degree of accuracy of diagnoses and variables of the diagnoses, of the patients, of the admission records, and of the nurses. Results:&nbsp;In 749 admission records that were evaluated, 3.417 diagnoses were documented by 21 nurses. The most nursing diagnoses were evaluated as highly accurate (70.4%). The model with variables of the diagnoses showed that diagnoses of low frequency (p = 0.000), diagnoses of the functional domain (p = 0.000) and actual diagnoses (p = 0.000) were predictors of a higher degrees of accuracy; the model with variables of patients and admission records showed that chronic diseases (p = 0.000), admissions to the general medical ward (p = 0.000) and a good quality of the patient records (p=0.005) were predictors of higher accuracy; and the model with variables of the nurses showed that reporting presence of theoretical and practical content of nursing diagnosis in the baccalaureate program (p = 0.011) was predictor of higher degrees of accuracy. The ICC coefficient of intra and interrater was 0.96 and 0.71, therefore demonstrating good reliability of the NDAS-Version 2.&nbsp; Conclusion:&nbsp;This study provided empirical data to advance knowledge regarding predictors of the accuracy of nursing diagnoses.</td></tr></table>en_GB
dc.date.available2011-10-26T10:45:29Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:45:29Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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