Cross‐mapping medical records to NANDA‐I to identify nursing diagnoses in a vulnerable population

ABSTRACT Purpose To assess the association between vulnerable populations and nursing care needs, using NANDA‐I diagnostics, in the population of the Canary Islands, Spain. Methods Nursing social epidemiology study. Cross Mapping of Medical Records to NANDA‐I to Identify Nursing Diagnoses in a Popul...

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Veröffentlicht in:International journal of nursing knowledge 2023-01, Vol.34 (1), p.42-54
Hauptverfasser: Fernández‐Gutiérrez, Domingo Ángel, Brito‐Brito, Pedro Ruymán, Darias‐Curvo, Sara, Cabrera‐de‐León, Antonio, Martínez‐Alberto, Carlos Enrique, Aguirre‐Jaime, Armando
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container_issue 1
container_start_page 42
container_title International journal of nursing knowledge
container_volume 34
creator Fernández‐Gutiérrez, Domingo Ángel
Brito‐Brito, Pedro Ruymán
Darias‐Curvo, Sara
Cabrera‐de‐León, Antonio
Martínez‐Alberto, Carlos Enrique
Aguirre‐Jaime, Armando
description ABSTRACT Purpose To assess the association between vulnerable populations and nursing care needs, using NANDA‐I diagnostics, in the population of the Canary Islands, Spain. Methods Nursing social epidemiology study. Cross Mapping of Medical Records to NANDA‐I to Identify Nursing Diagnoses in a Population usinga medical, epidemiological follow‐up study of a cohort of 7,190 people. The level of vulnerability of the participants was assigned, among those who were also assigned nursing diagnoses, using the “ICE index” to calculate the expected associations. Findings The most prevalent nursing diagnosis in our sample was Sedentary lifestyle (60.5%), followed by Ineffective health self‐management (33.8%) and Risk‐prone health behaviour (28.7%). Significant differences were found by sex, age group and social class, with the nursing diagnoses included in the study being more prevalent among the most socio‐economically disadvantaged social class. Conclusions : The cross‐mapping method is useful to generate diagnostic information in terms of care needs, using the NANDA‐I classification. The expected associations between high social vulnerability and care needs have been verified in a comprehensive and representative sample of the Canarian population (Spain). Implications for nursing practice From an epidemiological perspective, identifying nursing diagnoses at the population level allows us to find the most prevalent needs in the different community groups and to focus appropriate nursing interventions for their implementation and impact assessment. Resumen Objetivo Evaluar la asociación entre las poblaciones vulnerables y las necesidades de cuidados de enfermería, utilizando la clasificación diagnóstica NANDA‐I, en la población de las Islas Canarias, España. Métodos Estudio de epidemiología social enfermera. Mapeo cruzado de registros médicos con la clasificación NANDA‐I para identificar los diagnósticos de enfermería en una población mediante un estudio de seguimiento médico y epidemiológico de una cohorte de 7.190 personas. Se asignó el nivel de vulnerabilidad de los participantes, entre los que también se asignaron diagnósticos de enfermería, utilizando el “índice REI” para calcular las asociaciones esperadas. Resultados El diagnóstico de enfermería más prevalente en nuestra muestra fue Estilo de vida sedentario (60,5%), seguido de Autogestión ineficaz de la salud (33,8%) y Tendencia a adoptar conductas de riesgo para la salud (28,7%). Se encontraron diferencias
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Methods Nursing social epidemiology study. Cross Mapping of Medical Records to NANDA‐I to Identify Nursing Diagnoses in a Population usinga medical, epidemiological follow‐up study of a cohort of 7,190 people. The level of vulnerability of the participants was assigned, among those who were also assigned nursing diagnoses, using the “ICE index” to calculate the expected associations. Findings The most prevalent nursing diagnosis in our sample was Sedentary lifestyle (60.5%), followed by Ineffective health self‐management (33.8%) and Risk‐prone health behaviour (28.7%). Significant differences were found by sex, age group and social class, with the nursing diagnoses included in the study being more prevalent among the most socio‐economically disadvantaged social class. Conclusions : The cross‐mapping method is useful to generate diagnostic information in terms of care needs, using the NANDA‐I classification. The expected associations between high social vulnerability and care needs have been verified in a comprehensive and representative sample of the Canarian population (Spain). Implications for nursing practice From an epidemiological perspective, identifying nursing diagnoses at the population level allows us to find the most prevalent needs in the different community groups and to focus appropriate nursing interventions for their implementation and impact assessment. Resumen Objetivo Evaluar la asociación entre las poblaciones vulnerables y las necesidades de cuidados de enfermería, utilizando la clasificación diagnóstica NANDA‐I, en la población de las Islas Canarias, España. Métodos Estudio de epidemiología social enfermera. Mapeo cruzado de registros médicos con la clasificación NANDA‐I para identificar los diagnósticos de enfermería en una población mediante un estudio de seguimiento médico y epidemiológico de una cohorte de 7.190 personas. Se asignó el nivel de vulnerabilidad de los participantes, entre los que también se asignaron diagnósticos de enfermería, utilizando el “índice REI” para calcular las asociaciones esperadas. Resultados El diagnóstico de enfermería más prevalente en nuestra muestra fue Estilo de vida sedentario (60,5%), seguido de Autogestión ineficaz de la salud (33,8%) y Tendencia a adoptar conductas de riesgo para la salud (28,7%). Se encontraron diferencias significativas por sexo, grupo de edad y clase social, siendo los diagnósticos de enfermería incluidos en el estudio más prevalentes entre la clase social más desfavorecida socioeconómicamente. Conclusiones El método de mapeo cruzado es útil para generar información diagnóstica en términos de necesidades de cuidados, utilizando la clasificación NANDA‐I. Se han verificado las asociaciones esperadas entre alta vulnerabilidad social y necesidades de cuidados en una muestra amplia y representativa de la población canaria (España). Implicaciones para la práctica enfermera Desde una perspectiva epidemiológica, la identificación de los diagnósticos de enfermería a nivel poblacional permite encontrar las necesidades más prevalentes en los diferentes grupos de la comunidad y focalizar las intervenciones enfermeras adecuadas para su implementación y evaluación de impacto.</description><identifier>ISSN: 2047-3087</identifier><identifier>EISSN: 2047-3095</identifier><identifier>DOI: 10.1111/2047-3095.12371</identifier><identifier>PMID: 35451572</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Community organizations ; Cross‐mapping ; Epidemiology ; Follow-Up Studies ; Health behavior ; Humans ; Islands ; Mapping ; Medical diagnosis ; Medical Records ; Nursing ; Nursing care ; Nursing Diagnosis ; nursing epidemiology ; Original ; Professional practice ; Sedentary ; Social classes ; social determinants of health ; Social epidemiology ; Standardized Nursing Terminology ; Vulnerability ; Vulnerable Populations</subject><ispartof>International journal of nursing knowledge, 2023-01, Vol.34 (1), p.42-54</ispartof><rights>2022 The Authors. published by Wiley Periodicals LLC on behalf of NANDA International.</rights><rights>2022 The Authors. International Journal of Nursing Knowledge published by Wiley Periodicals LLC on behalf of NANDA International.</rights><rights>2022. This article is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4281-979a5e62654cd3d1c8c35235eb602a6aa5ecb7f63f5640c4b12504fdf0dc2e8f3</citedby><cites>FETCH-LOGICAL-c4281-979a5e62654cd3d1c8c35235eb602a6aa5ecb7f63f5640c4b12504fdf0dc2e8f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2F2047-3095.12371$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2F2047-3095.12371$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,1411,27903,27904,30978,45553,45554</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35451572$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fernández‐Gutiérrez, Domingo Ángel</creatorcontrib><creatorcontrib>Brito‐Brito, Pedro Ruymán</creatorcontrib><creatorcontrib>Darias‐Curvo, Sara</creatorcontrib><creatorcontrib>Cabrera‐de‐León, Antonio</creatorcontrib><creatorcontrib>Martínez‐Alberto, Carlos Enrique</creatorcontrib><creatorcontrib>Aguirre‐Jaime, Armando</creatorcontrib><title>Cross‐mapping medical records to NANDA‐I to identify nursing diagnoses in a vulnerable population</title><title>International journal of nursing knowledge</title><addtitle>Int J Nurs Knowl</addtitle><description>ABSTRACT Purpose To assess the association between vulnerable populations and nursing care needs, using NANDA‐I diagnostics, in the population of the Canary Islands, Spain. Methods Nursing social epidemiology study. Cross Mapping of Medical Records to NANDA‐I to Identify Nursing Diagnoses in a Population usinga medical, epidemiological follow‐up study of a cohort of 7,190 people. The level of vulnerability of the participants was assigned, among those who were also assigned nursing diagnoses, using the “ICE index” to calculate the expected associations. Findings The most prevalent nursing diagnosis in our sample was Sedentary lifestyle (60.5%), followed by Ineffective health self‐management (33.8%) and Risk‐prone health behaviour (28.7%). Significant differences were found by sex, age group and social class, with the nursing diagnoses included in the study being more prevalent among the most socio‐economically disadvantaged social class. Conclusions : The cross‐mapping method is useful to generate diagnostic information in terms of care needs, using the NANDA‐I classification. The expected associations between high social vulnerability and care needs have been verified in a comprehensive and representative sample of the Canarian population (Spain). Implications for nursing practice From an epidemiological perspective, identifying nursing diagnoses at the population level allows us to find the most prevalent needs in the different community groups and to focus appropriate nursing interventions for their implementation and impact assessment. Resumen Objetivo Evaluar la asociación entre las poblaciones vulnerables y las necesidades de cuidados de enfermería, utilizando la clasificación diagnóstica NANDA‐I, en la población de las Islas Canarias, España. Métodos Estudio de epidemiología social enfermera. Mapeo cruzado de registros médicos con la clasificación NANDA‐I para identificar los diagnósticos de enfermería en una población mediante un estudio de seguimiento médico y epidemiológico de una cohorte de 7.190 personas. Se asignó el nivel de vulnerabilidad de los participantes, entre los que también se asignaron diagnósticos de enfermería, utilizando el “índice REI” para calcular las asociaciones esperadas. Resultados El diagnóstico de enfermería más prevalente en nuestra muestra fue Estilo de vida sedentario (60,5%), seguido de Autogestión ineficaz de la salud (33,8%) y Tendencia a adoptar conductas de riesgo para la salud (28,7%). Se encontraron diferencias significativas por sexo, grupo de edad y clase social, siendo los diagnósticos de enfermería incluidos en el estudio más prevalentes entre la clase social más desfavorecida socioeconómicamente. Conclusiones El método de mapeo cruzado es útil para generar información diagnóstica en términos de necesidades de cuidados, utilizando la clasificación NANDA‐I. Se han verificado las asociaciones esperadas entre alta vulnerabilidad social y necesidades de cuidados en una muestra amplia y representativa de la población canaria (España). Implicaciones para la práctica enfermera Desde una perspectiva epidemiológica, la identificación de los diagnósticos de enfermería a nivel poblacional permite encontrar las necesidades más prevalentes en los diferentes grupos de la comunidad y focalizar las intervenciones enfermeras adecuadas para su implementación y evaluación de impacto.</description><subject>Community organizations</subject><subject>Cross‐mapping</subject><subject>Epidemiology</subject><subject>Follow-Up Studies</subject><subject>Health behavior</subject><subject>Humans</subject><subject>Islands</subject><subject>Mapping</subject><subject>Medical diagnosis</subject><subject>Medical Records</subject><subject>Nursing</subject><subject>Nursing care</subject><subject>Nursing Diagnosis</subject><subject>nursing epidemiology</subject><subject>Original</subject><subject>Professional practice</subject><subject>Sedentary</subject><subject>Social classes</subject><subject>social determinants of health</subject><subject>Social epidemiology</subject><subject>Standardized Nursing Terminology</subject><subject>Vulnerability</subject><subject>Vulnerable Populations</subject><issn>2047-3087</issn><issn>2047-3095</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkc9OGzEQxq2qVUGUc2_IEpdeAv7v3VMVhQJBKL3Qs-X1eoORYy92liq3PkKfkSfBS2hEuTAXezy_-TTjD4CvGJ3gEqcEMTmhqOYnmFCJP4D93cvH3b2Se-Aw5ztUQiIqq_oz2KOcccwl2Qd2lmLOj3_-rnTfu7CEK9s6oz1M1sTUZriOcDFdnE0LMh8T19qwdt0GhiHlsaF1ehlithm6ADV8GHywSTfewj72g9drF8MX8KnTPtvDl_MA_Dr_cTO7nFz_vJjPptcTw0iFJ7WsNbeCCM5MS1tsKkM5odw2AhEtdCmaRnaCdlwwZFiDCUesazvUGmKrjh6A71vdfmjKIqaMmrRXfXIrnTYqaqf-rwR3q5bxQWGEKkaruih8e1FI8X6wea1WLhvrvQ42DlmNsxFZMS4KevwGvYtDCmU_RaTAuK5FTQp1uqXM-NHJdrtpMFKjjWo0So2mqWcbS8fR6yV2_D_TCiC2wG_n7eY9PTW_WtxslZ8AFL-p7A</recordid><startdate>202301</startdate><enddate>202301</enddate><creator>Fernández‐Gutiérrez, Domingo Ángel</creator><creator>Brito‐Brito, Pedro Ruymán</creator><creator>Darias‐Curvo, Sara</creator><creator>Cabrera‐de‐León, Antonio</creator><creator>Martínez‐Alberto, Carlos Enrique</creator><creator>Aguirre‐Jaime, Armando</creator><general>Blackwell Publishing Ltd</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>4T-</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>202301</creationdate><title>Cross‐mapping medical records to NANDA‐I to identify nursing diagnoses in a vulnerable population</title><author>Fernández‐Gutiérrez, Domingo Ángel ; 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Methods Nursing social epidemiology study. Cross Mapping of Medical Records to NANDA‐I to Identify Nursing Diagnoses in a Population usinga medical, epidemiological follow‐up study of a cohort of 7,190 people. The level of vulnerability of the participants was assigned, among those who were also assigned nursing diagnoses, using the “ICE index” to calculate the expected associations. Findings The most prevalent nursing diagnosis in our sample was Sedentary lifestyle (60.5%), followed by Ineffective health self‐management (33.8%) and Risk‐prone health behaviour (28.7%). Significant differences were found by sex, age group and social class, with the nursing diagnoses included in the study being more prevalent among the most socio‐economically disadvantaged social class. Conclusions : The cross‐mapping method is useful to generate diagnostic information in terms of care needs, using the NANDA‐I classification. The expected associations between high social vulnerability and care needs have been verified in a comprehensive and representative sample of the Canarian population (Spain). Implications for nursing practice From an epidemiological perspective, identifying nursing diagnoses at the population level allows us to find the most prevalent needs in the different community groups and to focus appropriate nursing interventions for their implementation and impact assessment. Resumen Objetivo Evaluar la asociación entre las poblaciones vulnerables y las necesidades de cuidados de enfermería, utilizando la clasificación diagnóstica NANDA‐I, en la población de las Islas Canarias, España. Métodos Estudio de epidemiología social enfermera. Mapeo cruzado de registros médicos con la clasificación NANDA‐I para identificar los diagnósticos de enfermería en una población mediante un estudio de seguimiento médico y epidemiológico de una cohorte de 7.190 personas. Se asignó el nivel de vulnerabilidad de los participantes, entre los que también se asignaron diagnósticos de enfermería, utilizando el “índice REI” para calcular las asociaciones esperadas. Resultados El diagnóstico de enfermería más prevalente en nuestra muestra fue Estilo de vida sedentario (60,5%), seguido de Autogestión ineficaz de la salud (33,8%) y Tendencia a adoptar conductas de riesgo para la salud (28,7%). Se encontraron diferencias significativas por sexo, grupo de edad y clase social, siendo los diagnósticos de enfermería incluidos en el estudio más prevalentes entre la clase social más desfavorecida socioeconómicamente. Conclusiones El método de mapeo cruzado es útil para generar información diagnóstica en términos de necesidades de cuidados, utilizando la clasificación NANDA‐I. Se han verificado las asociaciones esperadas entre alta vulnerabilidad social y necesidades de cuidados en una muestra amplia y representativa de la población canaria (España). Implicaciones para la práctica enfermera Desde una perspectiva epidemiológica, la identificación de los diagnósticos de enfermería a nivel poblacional permite encontrar las necesidades más prevalentes en los diferentes grupos de la comunidad y focalizar las intervenciones enfermeras adecuadas para su implementación y evaluación de impacto.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>35451572</pmid><doi>10.1111/2047-3095.12371</doi><tpages>13</tpages><oa>free_for_read</oa></addata></record>
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subjects Community organizations
Cross‐mapping
Epidemiology
Follow-Up Studies
Health behavior
Humans
Islands
Mapping
Medical diagnosis
Medical Records
Nursing
Nursing care
Nursing Diagnosis
nursing epidemiology
Original
Professional practice
Sedentary
Social classes
social determinants of health
Social epidemiology
Standardized Nursing Terminology
Vulnerability
Vulnerable Populations
title Cross‐mapping medical records to NANDA‐I to identify nursing diagnoses in a vulnerable population
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