Key result
Cross-sectional analysis identifies 4 core nursing diagnoses and 2 key interventions in older HF patients.
Why the study?
Ranking and comparing the most frequent nursing diagnoses, interventions, and patient outcomes for hospitalized older adults with heart failure can inform quality and effectiveness of nursing care.
Observational (n=302)
Yes
Standardized nursing terminologies reveal common patterns of documented care for older adults hospitalized with heart failure across multiple sites, which can be used to monitor care quality.
Limited overlap in documented HF nursing care across sites suggests caution against assuming uniformity; leaves open standardization of NANDA/NIC/NOC for research and practice.
PURPOSE: Rank and compare the 10 most frequently documented nursing diagnoses, interventions, and patient outcomes using NANDA International, Nursing Interventions Classification, and Nursing Outcomes Classification for care of patients with heart failure (HF). METHODS: A descriptive comparative multisite study of documented care for 302 older adults with HF. FINDINGS: There were four common nursing diagnoses, two interventions, and only three common outcomes across three sites. CONCLUSIONS: This and similar analyses of clinical nursing data can be used by nursing administrators and clinicians to monitor the quality and effectiveness of nursing care. IMPLICATIONS: Similar analyses may be used for continuing education, quality improvement, and documentation system refinement. Part 2 will discuss data retrieval and implications for building a multiorganizational data warehouse.
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Scherb et al. (2011) conducted an observational in Heart failure (n=302). Documented nursing care was evaluated on Most frequently documented nursing diagnoses, interventions, and patient outcomes. Analysis of documented nursing care for older adults with heart failure identified four common nursing diagnoses, two interventions, and three common outcomes across three sites.
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