Identification of nursing diagnoses and defining characteristics: two research models.
Nursing diagnoses and their defining characteristics associated with one Diagnosis Related Group (DRG) were identified and validated. The clinical-retrospective model and the nurse validation model were used to identify high-volume nursing diagnoses associated with DRG 366, transurethral prostatectomy, and to validate related defining characteristics. For the clinical-retrospective model, 34 patient records classified as DRG 366 were reviewed, nursing diagnoses and their associated defining characteristics were identified and retrospectively validated. The nurse-validation model was implemented by assessing nine patients within DRG 366 over 22 shifts. Analysis using descriptive statistics demonstrated 80% level of agreement on five most frequently identified nursing diagnoses, but lack of agreement on the associated defining characteristics.
Woodtli
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College of Nursing, University of Arizona, Tucson 85721.
D003953:Diagnosis-Related Groups; D006801:Humans; D008962:Models, Theoretical; D009730:Nursing Assessment / Q000592:standards*; D009733:Nursing Diagnosis / Q000592:standards*; D015404:Nursing Methodology Research / Q000379:methods*; D015399:Nursing Research / Q000379:methods*