Profile of the nursing diagnoses in stable heart disease patients.
Patrícia Cristina Cardoso, Larissa Gussatschenko Caballero, Karen Brasil Ruschel and 2 others
PMID 31487445WHAT IT FOUND
In 50 stable heart-disease outpatients, 17 cardiology nurses validated four nursing diagnoses: ineffective health management, noncompliance, sedentary lifestyle, and activity intolerance. 98% of records showed difficulty with prescribed regimens and ineffective daily choices.
Key findings
01Four nursing diagnoses were validated with 100% agreement among 17 specialists.
0298% of patient records showed difficulty with the prescribed regimen and ineffective daily choices to achieve health goals.
03Complex treatment regimen was recorded as a related factor in 46 records (92%).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study was retrospective and relied on electronic medical records, so it could only find what had been documented. It included 50 patients from one specialised outpatient clinic, so it may not apply to all people with stable heart disease. The validation was based on 17 specialist nurses agreeing with proposed diagnoses; it did not test whether the diagnoses lead to better care or patient outcomes. Only diagnoses with 100% specialist agreement were kept, so some plausible diagnoses were not validated.
The easy way to misread this
Do not read the validated diagnoses as evidence that nursing care improves outcomes. The study only validated diagnoses from records and did not test any intervention.