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Nursing Specialty Knowledge as Expressed by Standardized Nursing Languages
Authors:Asta Thoroddsen RN  MS  Margareta Ehnfors RN  Dipl Nurs Ed PhD  FACMI  Anna Ehrenberg RN  PhD
Affiliation:1. School of Health and Medical Sciences, ?rebro University, ?rebro, Sweden, and University of Iceland and Landspitali University Hospital, Reykjavik, Iceland;2. School of Health and Medical Sciences, ?rebro University, ?rebro, Sweden;3. School of Health and Social Sciences, Dalarna University, and at the School of Health and Medical Sciences, ?rebro University, ?rebro, Sweden
Abstract:PURPOSE. To describe how nursing specialty knowledge is demonstrated in nursing records by use of standardized nursing languages. METHODS. A cross‐sectional review of nursing records (N = 265) in four specialties. FINDINGS. The most common nursing diagnoses represented basic human needs of patients across specialties. The nursing diagnoses and related interventions represented specific knowledge in each specialty. Sixty‐three nursing diagnoses (nine appeared in four specialties) and 168 nursing interventions were used (24 appeared in four specialties). CONCLUSIONS. Findings suggest that standardized nursing languages are capable of distinguishing between specialties. Further studies with large data sets are needed to explore the relationships between nursing diagnoses and nursing interventions in order to make explicit the knowledge that nurses use in their nursing practice. PRACTICE IMPLICATIONS. Nursing data in clinical practice must be stored and retrievable to support clinical decision making, advance nursing knowledge, and the unique perspective of nursing.
Keywords:Nursing diagnosis  nursing interventions  standardized nursing language  nursing knowledge  record audit
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