uu.seUppsala University Publications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Nursing diagnoses related to psychiatric adult inpatient care
Psychiat Univ Hosp Zurich, Directorate Nursing Therapies & Social Work, Zurich, Switzerland..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Katholieke Univ Leuven, Dept Publ Hlth & Primary Care, Acad Ctr Nursing & Midwifery, Leuven, Belgium.;Radboud Univ Nijmegen, Sci Inst Qual Hlth Care, Med Ctr, Nijmegen, Netherlands..
Pflege PBS Projects Consulting Res, Wil, Switzerland.;Hanze Univ, Groningen, Netherlands..
2018 (English)In: Journal of Clinical Nursing, ISSN 0962-1067, E-ISSN 1365-2702, Vol. 27, no 3-4, p. e463-e475Article in journal (Refereed) Published
Abstract [en]

Aims and objectives: To detect the prevalence of NANDA-I diagnoses and possible relationships between those and patient characteristics such as gender, age, medical diagnoses and psychiatric specialty/setting.

Background: There is a lack on studies about psychiatric inpatient characteristics and possible relationships among these characteristics with nursing diagnoses.

Design: A quantitative-descriptive, cross-sectional, completed data sampling study was performed.

Methods: The data were collected from the electronic patient record system. Frequencies for the social-demographic data, the prevalence of the NANDA-I diagnoses and the explanatory variables were calculated.

Results: In total, 410 nursing phenomena were found representing 85 different NANDA-I diagnoses in 312 patients. The NANDA-I diagnosis Ineffective Coping was the most frequently stated diagnosis followed by Ineffective Health Maintenance, Hopelessness and Risk for Other-Directed Violence. Men were more frequently affected by the diagnoses Ineffective Coping, Hopelessness, Risk for Self-Directed Violence, Defensive Coping and Risk for Suicide, whereas the diagnoses Insomnia, Chronic Confusion, Chronic Low Self-Esteem and Anxiety were more common in women. Patients under the age of 45years were more frequently affected by Chronic Low Self-Esteem and Anxiety than older patients. Ineffective Coping was the most prevalent diagnosis by patients with mental disorders due to psychoactive substance use. Patients with schizophrenia were primarily affected by the diagnoses Ineffective Coping, Impaired Social Interaction and Chronic Low Self-Esteem.

Conclusions: This study demonstrates the complexity and diversity of nursing care in inpatient psychiatric settings. Patients' gender, age and psychiatric diagnoses and settings are a key factor for specific nursing diagnosis.

Relevance to clinical practice: There are tendencies for relationships between certain nursing diagnosis and patient characteristics in psychiatric adult inpatients. This enhances the specific, extended knowledge for nursing care and its demands in this setting and therefore supports the daily nursing psychiatric care and its needs.

Place, publisher, year, edition, pages
WILEY , 2018. Vol. 27, no 3-4, p. e463-e475
Keywords [en]
adult nursing, care plan, nursing diagnoses, prevalence, psychiatric nursing, quantitative approaches
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-349827DOI: 10.1111/jocn.13959ISI: 000425733600006PubMedID: 28703415OAI: oai:DiVA.org:uu-349827DiVA, id: diva2:1203689
Available from: 2018-05-04 Created: 2018-05-04 Last updated: 2018-05-04Bibliographically approved

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMed

Authority records BETA

van Achterberg, Theo

Search in DiVA

By author/editor
van Achterberg, Theo
By organisation
Caring Sciences
In the same journal
Journal of Clinical Nursing
Nursing

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 20 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf