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Nursing Care Plans Diagnoses Interventions And Outcomes 8e Pdf

nursing care plans diagnoses interventions and outcomes 8e pdf

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A two-year prospective follow-up study, in routine clinical practice conditions. We analyzed data adjustming by the baseline value for these variables and variables with statistically significant differences between groups at baseline visit.

Results indicated a lowering of all parameters except HbA1c, but a statistically significant reduction was only observed with diastolic blood pressure results. However, the adjusted reduction of diastolic blood pressure is of little clinical relevance. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing interests: The authors have declared that no competing interests exist. Type 2 Diabetes Mellitus T2DM is a chronic disease that has increased its prevalence and incidence rates in recent years [1] , and some authors consider it the most important epidemic of the 21 st century [2].

It is also associated with premature morbidity and mortality [3] , [4] as well as with an increase in healthcare costs [5].

Glycated hemoglobin HbA1c is an important indicator of diabetic control, because it provides an average of all the blood glucose readings for the previous two-three months [6]. Currently, the responsibility for the care of patients with diabetes has shifted to a primary health care setting, and, more specifically, to nurses.

They have a central role in the treatment of patients with T2DM and have been implementing a wide range of interventions aimed at improving the provision of diabetes care and achieving better metabolic control [11]. In Spain since , these taxonomies have been progressively incorporated into normal clinical practice and Computerized Clinical Records CCR.

However, there is still no common language in Spanish nursing practice [14]. The aim of the study was to evaluate the effectiveness of implementing SNCP in CCR registration in the improvement of metabolic, weight, and blood pressure control of patients with T2DM after two—year follow-up. A two-year prospective follow-up study, carried out during the period from March to February These patients were identified using the CCR and were comprised of patients who regularly visit at least two records in the CCR over the past year the 31 primary health care centers in the northeastern urban area of Madrid, Spain.

Patients were not included if they met any of the following exclusion criteria: gestational diabetes, patients involved in clinical trials, patients with life expectancy of less than one year according to clinical judgment , and homebound patients. Figure 1 show the flowchart of the study. Training consisted of eight classes of two hours, taught by a specialized nurse.

The first group applied UNC which is defined as: direct nursing care, non standardized clinical interventions that contribute to the health or recovery of a patient. UNC for patients with T2DM are defined as: the treatment and monitoring of T2DM including interventions at different levels such as: controlling blood sugar levels, control of cardiovascular risk factors, drug therapy compliance, change in lifestyles, health education, and self-management [18]. UNC were identified in the CCR based on the non-standardized languages in nursing care or the standardized nursing cares based on other taxonomies.

A SNCP describes the care to be provided to a specific group of patients and contains a diagnostic statement, nursing goals, implementation and evaluation [19] ; based on up-to-date, evidence-based knowledge. The CCR has been previously validated [21]. Data extraction of patient information was conducted at four time points: baseline, 12 and 18 months and after complete follow-up of the study two-year follow-up.

Data included variables and date on which data had been recorded in the CCR. The collection of variables was performed in routine clinical practice conditions. Only patients with laboratory values and anthropometric records in the CCR at baseline and at final visit were included to determine the effect of SNCP and achievement of control objectives. Blood pressure was measured according to the recommendations of the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure [22] ; these recommendations were the most current at the start of this study.

The Committee for the Protection of Human Subjects determined that no informed consent was necessary in this type of study. First, a descriptive analysis was carried out for each variable included in this study, involving the mean and standard deviation for the quantitative variables and frequencies measured for the qualitative variables.

The covariables adjustment variables were: the baseline value for these variables and variables with statistically significant differences between groups at baseline visits age, drinking, physical activity — sedentary, BMI, and type of treatment or clinical relevance gender. In order to adjust for significantly different variables at baseline and between both groups multivariate techniques ANCOVA, logistic regression were performed in order to adjust by variables imbalanced at baseline values between both groups.

In all instances, the accepted level of significance was 0. All the analyses were carried out using the intention-to-treat principle. Statistical analysis of the data was carried out with SPSS A total of 23, patients were included, of which Table 3 show baseline characteristics of the study population.

The two groups were homogeneous in gender, but not in age, and diabetes evolution time. Patients in the SNCP group had a higher prevalence of poorer personal health habits drinking and sedentary physical activity , dyslipidemia and complications retinopathy.

At the two-year follow-up, both groups experienced a modest decline in their parameter values Table 4. After adjusting for baseline parameter values and age, sex, type of treatment and physical inactivity, a lowering effect on all health outcomes was observed except for HbA1c.

A statistically significant reduction was only observed with DBP. However, the reduction of DBP was of little clinical relevance. Table 5 shows the proportion of patients who achieved the target of glycemic, blood pressure, lipid and weight control, at baseline, 12, 18 and 24 months, in both groups. However, a reduction in DBP values has little clinical relevance. SNCP group demonstrated a favourable trend toward the glycemic control in previously poorly controlled patients, after adjusting for age, gender, and type of treatment.

The main predictors variables were treatment with oral antidiabetic agents, and insulin treatment; that previously, in our country, had been associated with glycemic control [24]. Preceding studies have shown that the implementation of standardized languages in nursing care plans enhances the quality of documented patient assessments, the identification of commonly occurring diagnoses within similar settings, and coherence among nursing diagnoses, interventions and outcomes [17] , [18] , but that better documentation did not necessarily lead to better patient care outcomes [17].

However, there is a gap in the literature about the potential relationship between the implementation of standardized languages in nursing care plans and health outcomes for chronic patients in primary health care settings [16] , [17].

One meta-analysis of nine trials that included 1, patients showed limited evidence that standardized electronic documentation of nursing diagnosis and related interventions led to better health outcomes [16]. The utilization of standardized languages in nursing care plans may be interpreted as an organizational intervention aimed at improving the process of care or patient outcomes.

In a systematic review [27] , which included nine studies of organizational interventions in patients with diabetes, there was no evaluation of the effectiveness of SNCP or nursing diagnoses.

For this reason, our study cannot be compared with similar efficacy studies. The patients in the SNCP group had a greater risk profile. This is consistent with the findings of Paans et al. For this reason, we adjusted for baseline differences with a multivariate analysis ANCOVA , in spite of this there is still a possibility of bias in favor of the null hypothesis.

The study sample was composed of patients with T2DM who regularly visited primary health care centers. This may not be representative of the entire T2DM patient community. However, the prevalence of diabetes mellitus recorded in the 31 participating primary health care centers [21] is similar to that found in a population based study carried out in our city [29] 5. Finally, the level of evidence from cohort studies is lower than clinical trials, so our results should be interpreted with caution.

Despite the limitations, this research analyzed a gap in the literature about the unclear relationship between the application of SNCP and patient outcomes. Other control parameters blood pressure are slightly improved compared to UNC. Clinical trials are needed to confirm our findings. Browse Subject Areas?

Click through the PLOS taxonomy to find articles in your field. Methods A two-year prospective follow-up study, in routine clinical practice conditions. Trial Registration ClinicalTrials. Introduction Type 2 Diabetes Mellitus T2DM is a chronic disease that has increased its prevalence and incidence rates in recent years [1] , and some authors consider it the most important epidemic of the 21 st century [2].

Download: PPT. Methods Design A two-year prospective follow-up study, carried out during the period from March to February Sample 24, T2DM patients were potentially eligible to be included in the study. Table 4. Mean values SD and changes of baseline and final parameters in both groups. Table 5. Table 6. Statistical Analysis First, a descriptive analysis was carried out for each variable included in this study, involving the mean and standard deviation for the quantitative variables and frequencies measured for the qualitative variables.

Results A total of 23, patients were included, of which Acknowledgments We thank the primary health care practitioners who took part in this study. References 1. Epidemiol Community Health —6. View Article Google Scholar 2.

Med Clin Barc —5. View Article Google Scholar 3. BMJ — View Article Google Scholar 4. Diabetes Care 31 Suppl. American Diabetes Association Economic costs of diabetes in the U. In Diabetes Care — View Article Google Scholar 6. Lancet — View Article Google Scholar 7. The Diabetes Control and Complications Trial research Group The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus.

N Engl J Med — View Article Google Scholar 8. UK Prospective Diabetes Study Intensive blood glucose control with sulfonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes UKPDS View Article Google Scholar 9.

Nursing Care Plans: Diagnoses, Interventions, and Outcomes (8th Edition) – eBooks

A two-year prospective follow-up study, in routine clinical practice conditions. We analyzed data adjustming by the baseline value for these variables and variables with statistically significant differences between groups at baseline visit. Results indicated a lowering of all parameters except HbA1c, but a statistically significant reduction was only observed with diastolic blood pressure results. However, the adjusted reduction of diastolic blood pressure is of little clinical relevance. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing interests: The authors have declared that no competing interests exist.

Learn to think like a nurse with the bestselling nursing care planning book on the market! Covering the most common medical-surgical nursing diagnoses and clinical problems seen in adults, Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 9th Edition contains care plans, each reflecting the latest best practice guidelines. This new edition specifically features three new care plans, two expanded care plans, updated content and language reflecting the most current clinical practice and professional standards, enhanced QSEN integration, a new emphasis on interprofessional collaborative practice, an improved page design, and more. It's everything you need to create and customize effective nursing care plans! Health promotion and risk factor management care plans emphasize the importance of preventive care and teaching for self-management. Basic nursing concepts care plans focuses on concepts that apply to disorders found in multiple body systems.

[PDF] Nursing Care Plans: Diagnoses, Interventions, and Outcomes Full Collection

ISBN 13: 9780323091374

Nursing Care Plans

The bestselling nursing care planning book on the market , Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 8th Edition covers the most common medical-surgical nursing diagnoses and clinical problems seen in adults. It includes care plans, each reflecting the latest evidence and best practice guidelines. NEW to this edition are 13 new care plans and two new chapters including care plans that address health promotion and risk factor management along with basic nursing concepts that apply to multiple body systems. Written by expert nursing educators Meg Gulanick and Judith Myers, this reference functions as two books in one, with disorder-specific and health management nursing care plans and 70 nursing diagnosis care plans to use as starting points in creating individualized care plans. We are always looking for ways to improve customer experience on Elsevier. We would like to ask you for a moment of your time to fill in a short questionnaire, at the end of your visit. If you decide to participate, a new browser tab will open so you can complete the survey after you have completed your visit to this website.

Clinical judgment is an essential component of nursing education and a necessary skill for entry-level nurses. The use of traditional concept maps may not encourage adequate clinical judgment skills in nursing students. Student feedback is positive, pointing to increased ability to prioritize nursing care and simplifying a significant amount of complex information and improved critical thinking and clinical judgment. This clinical concept map increases clinical judgment by assimilating and analyzing clinical information and integrating it into the nursing process. All components are on one sheet of paper, providing students with a succinct, global picture of nursing care. Nursing practice is evolving rapidly in an ever-changing health care environment. Nurses are required to care for highly acute, complex patients with multiple comorbidities, while juggling an increasing number of work-related tasks.

Gulanick, M. Nursing care plans: diagnoses, interventions, and outcomes. Gulanick, Meg and Judith L. Gulanick, Meg. My Account.

The bestselling nursing care planning book on the market , Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 8th Edition covers the most common medical-surgical nursing diagnoses and clinical problems seen in adults. It includes more than care plans, each reflecting the latest evidence and best practice guidelines. NEW to this edition are thirteen new care plans and 2 new chapters including care plans that address health promotion and risk factor management along with basic nursing concepts that apply to multiple body systems. Written by expert nursing educators Judith Myers and Meg Gulanick, this reference functions as 2 books in 1, with disorder-specific and health management nursing care plans and 70 nursing diagnosis care plans to use as starting points in creating individualized care plans.

Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 8e

The bestselling nursing care planning book on the market , Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 8th Edition covers the most common medical-surgical nursing diagnoses and clinical problems seen in adults. It includes care plans, each reflecting the latest evidence and best practice guidelines. NEW to this edition are 13 new care plans and two new chapters including care plans that address health promotion and risk factor management along with basic nursing concepts that apply to multiple body systems.

5 Comments

  1. Charline B.

    30.04.2021 at 13:51
    Reply

    [PDF] Download Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 8e By - Meg Gulanick PhD APRN FAAN *Read Online*.

  2. Lorna G.

    02.05.2021 at 17:56
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    Covering the most common nursing diagnoses problems seen in adults, Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 9th Edition (PDF).

  3. Gaston C.

    04.05.2021 at 17:33
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    Portable and easy-to-use, Mosby's Guide to Nursing Diagnosis, 6th Edition is ideal for use in clinicals, in class, and at the bedside!

  4. Cynthia W.

    05.05.2021 at 18:07
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  5. Katrin B.

    05.05.2021 at 20:48
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