Accuracy of nursing diagnoses of hospitalized people with HIV: implications for care.
Bruna Lixinski Zuge, Jarbas da Silva Ziani, Jenifer Harter and 3 others
PMID 41370535WHAT IT FOUND
Most nursing diagnoses for hospitalized people living with HIV were rated high accuracy (60%), but 29.82% were rated null accuracy.
Nurses should check that documented signs and symptoms actually support each diagnosis before using it to guide care.
Key findings
01From 1,328 admissions, 102 records were selected and one was excluded because no nursing diagnosis was listed, leaving 101 records with 218 nursing diagnoses.
02High accuracy was the most common category, at 60% of diagnoses, while null accuracy was 29.82%.
03The most frequent diagnoses were Risk for infection (15.60%), Risk for impaired skin integrity (7.80%), and Acute pain (5.96%), and more than 58% of listed diagnoses were maintained by the assessors.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The data came from retrospective electronic medical records, so some information was missing or uncertain, including marital status, sexual orientation, occupational status, and antiretroviral therapy adherence. The study was done in one teaching hospital in one municipality, so the findings may not apply to other settings or patient groups. The analysis was descriptive only, with no inferential statistics, so the accuracy categories cannot be compared with other hospitals or used to estimate certainty. The nurse authors who reviewed the records were also the study investigators, which may have influenced how clues were judged. The hospital's nursing diagnosis system used an older NANDA-I edition, so the listed diagnoses may not match current terminology.
Declared interests
Universidade Franciscana funded the study. No additional conflict-of-interest information is stated.
The easy way to misread this
Do not read the 60% high-accuracy result as proof that nursing diagnoses were accurate overall. Null accuracy was 29.82%, and the study was a single retrospective record review without inferential statistics.