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Nursing Diagnoses in Long-Term Care: A Longitudinal Perspective for Strategic Planning
Authors:Marilyn Rantz PhD  RN    Tari Vinz-Miller MS  RN  Sandra Matson BSN  RNC
Institution:Assistant Professor, School of Nursing, University Hospital, University of Missouri-Columbia, MO;Long-Term Care Quality Consultant, Janesville, WI;Clinical Manager of Informational Systems, Lakeland Nursing Home of Walworth County, Elkhorn, WI
Abstract:The authors analyzed nursing diagnoses recorded in care plans for a 328–bed midwestern county-owned and operated nursing home over a ZO-year period from 1984 to Z993, Data were analyzed using a test for increasing or decreasing the linear trend in the proportion of residents with a particular nursing diagnosis over the ZO-year period. Based on nursing diagnoses trends, the current population of nursing home residents has greater dependency, nutritional, and physiological needs and greater cognitive impairment than ten years ago. Analyses of nursing diagnoses can provide measurable data to assist executive and clinical nursing staff in nursing homes.
Keywords:Care planning    dependency needs    nursing diagnosis    nursing homes
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