Improved Quality of Nursing Documentation: Results of a Nursing Diagnoses, Interventions, and Outcomes Implementation Study. [Int J Nurs Terminol Classif] Journal article | | Title | Improved Quality of Nursing Documentation: Results of a Nursing Diagnoses, Interventions, and Outcomes Implementation Study. | | Author(s) | Müller-Staub M, Needham I, Odenbreit M, Ann Lavin M, van Achterberg T | | Institution | Stettlerstrasse 15, CH-3006 Bern, Switzerland. | | Source | Int J Nurs Terminol Classif 2007 Jan; 18(1):5-17. | | Abstract | PURPOSE. To evaluate the impact of the quality of nursing diagnoses, interventions, and outcomes in an acute care hospital following the implementation of an educational program.
METHOD. In a pretest-posttest experimental design study, nurses from 12 wards of a Swiss hospital received an educational intervention-an introductory class and consecutive classes, using a case discussion method-to implement nursing diagnoses, interventions, and outcomes. Two sets of 36 randomly selected nursing records were evaluated before and after implementation. The quality of documented nursing diagnoses, interventions, and nursing-sensitive patient outcomes was assessed by 29 Likert-type items with a 0-4 scale instrument, called Quality of Nursing Diagnoses, Interventions, and Outcomes (Q-DIO) and tested using t-tests. FINDINGS. Significant enhancements in the quality of documented nursing diagnoses, interventions, and outcomes were found following the implementation of a planned educational program.
CONCLUSIONS. The implementation of NANDA, NIC, and NOC (NNN) nursing diagnoses, interventions, and outcomes led to higher quality of nursing diagnosis documentation, etiology-specific nursing interventions, and nursing-sensitive patient outcomes. IMPLICATIONS FOR NURSING PRACTICE. Educational measures support nurses to improve documentation of diagnoses, interventions, and outcomes. The Q-DIO is a useful audit tool. | | Language | ENG | | Pub Type(s) | JOURNAL ARTICLE
| | PubMed ID | 17430533 |
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