+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Nursing diagnoses, outcomes and interventions as measures of patient complexity and nursing care requirement in Intensive Care Unit

Nursing diagnoses, outcomes and interventions as measures of patient complexity and nursing care requirement in Intensive Care Unit

Journal of Advanced Nursing 72(6): 1273-1286

To describe the nursing diagnoses, outcomes and interventions for patients admitted to intensive care units and to assess their possible relation with classical outcomes like length of stay and mortality. The analysis of nursing diagnosis frequencies may help to estimate the patients' complexity and the need for nursing interventions and can predict hospital outcomes. Nonetheless, few studies were conducted on critical patients. Prospective cohort observational study. Between 15 July-31 October 2013 we collected the above-described nursing parameters of 100 subjects throughout their stay in intensive care. We classified the parameters according to established taxonomies. The independent association between the number of nursing diagnoses and length of stay/mortality was investigated with multiple regressions. We found an average of 19 diagnoses, 24 outcomes and 60 interventions per patient. Most frequently, the plans of care involved support for self-care deficits or interrupted family processes. They also included strategies to prevent infection, disuse syndrome and impairment of skin integrity. Nineteen nursing diagnoses were significantly related with mortality or length of stay in bivariate analyses. In regression models, the number of such diagnoses explained 29·7% of the variance in length of stay and was an independent predictor of mortality. In critically ill patients, the analysis of nursing diagnoses, outcomes and interventions confirmed an intense activity in response to a broad spectrum of patient needs. The number of nursing diagnoses allowed to predict patient outcomes.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 058439927

Download citation: RISBibTeXText

PMID: 26857799

DOI: 10.1111/jan.12913

Related references

The effect of nocturnal patient care interventions on patient sleep and satisfaction with nursing care in neurosurgery intensive care unit. Journal of Neuroscience Nursing 47(2): 104-112, 2016

Nursing diagnoses and interventions for a child after cardiac surgery in an intensive care unit. Revista Brasileira de Enfermagem 68(1): 155-160, 2017

Nursing specialty certification and nursing-sensitive patient outcomes in the intensive care unit. American Journal of Critical Care 19(6): 490-8; Quiz 499, 2011

Rationing of nursing care interventions and its association with nurse-reported outcomes in the neonatal intensive care unit: a cross-sectional survey. Bmc Nursing 15: 46, 2016

The effect of continuity in nursing care on patient outcomes in the pediatric intensive care unit. Journal of Nursing Administration 43(7-8): 394-402, 2013

Intensive Care Nursing Scoring System Part 2: nursing interventions and nursing outcomes. Intensive and Critical Care Nursing 17(1): 16-27, 2001

3rd ACENDIO (Association for Common European Nursing Diagnoses, Interventions and Outcomes) in Berlin: the language of nursing care as an uncut diamond. Pflege Zeitschrift 54(5): 313-314, 2002

Most frequent nursing diagnoses, nursing interventions, and nursing-sensitive patient outcomes of hospitalized older adults with heart failure: part 1. International Journal of Nursing Terminologies and Classifications 22(1): 13-22, 2011

Differences in perception of intensive care unit nursing care requirement physicians vs. nurses. Clinical Research 31(2): 259A, 1983

Mapping nursing goals of an intensive care unit to the Nursing Outcomes Classification. Revista Latino-Americana de Enfermagem 20(5): 854-862, 2013

Nursing diagnoses in a Brazilian intensive care unit. International Journal of Nursing Terminologies and Classifications 17(3): 139-146, 2006

Nursing categories as a basis for the determination of the expenditures for intensive care nursing. A model from the intensive care unit of the neurosurgery department of the Heidelberg University Hospital. Pflege Zeitschrift 52(9): Suppl 1-15, 1999

Use of the nursing minimum data set to describe nursing interventions for select nursing diagnoses and related factors in an acute care setting. Nursing Diagnosis 6(3): 108-114, 1995

Nursing in the intensive care unit. Nursing of a semiconscious patient with brain tumor. Nursing Technique 19(8): 70-79, 1973

Nursing student expectations regarding the teaching unit "Nursing care for the patient in intensive therapy". Revista Da Escola de Enfermagem Da U S P 25(1): 113-120, 1991