Validation of defining characteristics of nursing diagnoses using a computerized database

2.50
Hdl Handle:
http://hdl.handle.net/10755/160856
Type:
Presentation
Title:
Validation of defining characteristics of nursing diagnoses using a computerized database
Abstract:
Validation of defining characteristics of nursing diagnoses using a computerized database
Conference Sponsor:Midwest Nursing Research Society
Conference Year:1991
Author:Kruckeberg, Thomas, MS/MSc
P.I. Institution Name:The University of IowaCollege of Nursing
Title:Systems Programmer II
Contact Address:RM 476 NB, Iowa City, IA, 52242, USA
Contact Telephone:3193357127
As the utilization of nursing diagnoses in clinical practice

increases, systematic research is necessary to appropriately

validate those nursing diagnoses. Validity studies could be

expedited by the use of information technology and computerized

clinical databases. The purpose of the following descriptive

study was to validate, using a Nursing Minimum Data Set (NMDS)

collected from a computerized nursing database, the defining

characteristics (risk factors for potential diagnoses) of the

four nursing diagnoses related to alteration in fluid volume

proposed by the North American Nursing Diagnosis Association. A

sensitivity measure, the proportion of subjects with specific

defining characteristics for a given diagnosis among the total

number of subjects with the respective diagnosis, was used to

estimate validity. The study was conducted in a 265 bed,

midwestern community hospital in which computerized nursing

diagnosis care planning is used. The element of the NMDS and

defining characteristics were collected from a systematic random

sample (N = 191). The sample consisted of about one-half of the

computerized discharge patient care plan summaries from each of

the four diagnostic labels being studied. These were obtained

from medical records of the 1987 calendar year and contained at

least one of the four nursing diagnoses related to alteration in

fluid volume. The results evidence the existence of individual

defining characteristics as well as combinations of defining

characteristics meeting validation criterion for each diagnostic

label. Previously undocumented defining characteristics were

also identified.



Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleValidation of defining characteristics of nursing diagnoses using a computerized databaseen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160856-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Validation of defining characteristics of nursing diagnoses using a computerized database</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">1991</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Kruckeberg, Thomas, MS/MSc</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The University of IowaCollege of Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Systems Programmer II</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">RM 476 NB, Iowa City, IA, 52242, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">3193357127</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value"> </td></tr><tr><td colspan="2" class="item-abstract">As the utilization of nursing diagnoses in clinical practice<br/><br/>increases, systematic research is necessary to appropriately<br/><br/>validate those nursing diagnoses. Validity studies could be<br/><br/>expedited by the use of information technology and computerized<br/><br/>clinical databases. The purpose of the following descriptive<br/><br/>study was to validate, using a Nursing Minimum Data Set (NMDS)<br/><br/>collected from a computerized nursing database, the defining<br/><br/>characteristics (risk factors for potential diagnoses) of the<br/><br/>four nursing diagnoses related to alteration in fluid volume<br/><br/>proposed by the North American Nursing Diagnosis Association. A<br/><br/>sensitivity measure, the proportion of subjects with specific<br/><br/>defining characteristics for a given diagnosis among the total<br/><br/>number of subjects with the respective diagnosis, was used to<br/><br/>estimate validity. The study was conducted in a 265 bed,<br/><br/>midwestern community hospital in which computerized nursing<br/><br/>diagnosis care planning is used. The element of the NMDS and<br/><br/>defining characteristics were collected from a systematic random<br/><br/>sample (N = 191). The sample consisted of about one-half of the<br/><br/>computerized discharge patient care plan summaries from each of<br/><br/>the four diagnostic labels being studied. These were obtained<br/><br/>from medical records of the 1987 calendar year and contained at<br/><br/>least one of the four nursing diagnoses related to alteration in<br/><br/>fluid volume. The results evidence the existence of individual<br/><br/>defining characteristics as well as combinations of defining<br/><br/>characteristics meeting validation criterion for each diagnostic<br/><br/>label. Previously undocumented defining characteristics were<br/><br/>also identified.<br/><br/><br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T23:11:48Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:11:48Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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