Comparison of Importance and Performance of Nursing Interventions linked to Nursing Diagnoses in Cerebrovascular Disorder Patients.
- Author:
Young Ae KIM
1
;
Sang Youn PARK
;
Eunjoo LEE
Author Information
1. Kyungpook National University Hospital, Korea.
- Publication Type:Original Article
- Keywords:
Nursing diagnosis;
Cerebrovascular disorders;
Nursing process;
Classification
- MeSH:
Acute Pain;
Cerebrovascular Disorders;
Hospitals, General;
Humans;
Nursing Diagnosis;
Nursing Process;
Nursing Records;
Nursing Services;
Perfusion
- From:Journal of Korean Academy of Adult Nursing
2008;20(2):296-310
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The purpose of this study was to compare the importance and performance of nursing interventions linked to five nursing diagnoses in CVA patients. METHODS: First, total 37 nursing diagnoses were identified from the analysis of 78 nursing records of CVA patients, and then top 5 diagnoses were mapped with nursing interventions. Second, each intervention was compared in terms of importance and performance by 80 nurses working at neurosurgical units from 5 general hospitals. Data were analyzed using mean, SD, and t-test using the SPSS program. RESULTS: Selected the top five nursing diagnoses were Acute Pain, Risk for Disuse Syndrome, Decreased Intracranial Adaptive Capacity, Ineffective Cerebral Tissue Perfusion and Acute Confusion. In general, most of the interventions were scored higher in importance than performance and most of independent interventions were not performed as frequently as it perceived in importance. The interventions which scored high in performance were the interventions ordered by physician or interventions related to medication behavior. CONCLUSION: We identified which nursing interventions should be performed more frequently and more critically important to nursing diagnoses. We recommend further research that enhances the performance of nursing interventions to provide better quality of nursing services to the patients in practice.