title: Nursing diagnosis in intensive care unit: the Turkey experience.
abstract: OBJECTIVE
  The purpose of this study was to determine intensive care unit nurses diagnostic abilities and diagnoses that they provide.
  A vignette study was performed. The vignette contained a patient's history, treatment, and signs/symptoms of 18 nursing diagnoses based on NANDA-I as the criterion standard. Turkish intensive care unit nurses (N = 45) stated nursing diagnoses described by patient data in the vignette. The resulting nursing diagnoses were grouped into Gordon's Functional Health Patterns, and descriptive analyses were performed. One-way analysis of variance was used to detect possible differences in diagnostic abilities based on nurses' education levels.
  
  
  CONCLUSIONS
  Nurses identified 14 nursing diagnoses. Four of the predetermined psychosocial nursing diagnoses were not identified. The highest percentage of diagnoses was risk for impaired skin integrity (62.2%) and impaired oral mucous membrane (60.0%). The lowest number of diagnoses was impaired verbal communication (2.2%). A statistically significant difference was found between the educational level of nurses and their abilities to determine nursing diagnoses (P < .05). The findings are important for nursing education. They demonstrate the need to focus on patients as complete human beings, covering not only biological aspects but also cultural and social values, as well as emotional and spiritual care needs.
authors.affiliation: Department of Nursing, Faculty of Health Sciences, Izmir Katip Çelebi University, Izmir, Turkey (Dr Korhan); Department of Nursing, Faculty of Health Sciences, Sifa University, Izmir, Turkey (Dr Yönt); Department of Health Sciences, Adıyaman University, Adıyaman, Turkey (Dr Erdemir); and ZHAW University Winterthur & Pflege PBS, Bronschhofen, Switzerland (Dr Müller-Staub).
authors.forename: Esra Akn
authors.initials: EA
authors.lastname: Korhan
authors.forename: Gülendam Hakverdioğlu
authors.initials: GH
authors.lastname: Yönt
authors.forename: Firdevs
authors.initials: F
authors.lastname: Erdemir
authors.forename: Maria
authors.initials: M
authors.lastname: Müller-Staub
mesh_terms: D000704:Analysis of Variance; D002983:Clinical Competence; D064648:Critical Care Nursing / Q000592:standards* / Q000639:trends; D004506:Education, Nursing; D004522:Educational Status; D005260:Female; D006785:Hospitals, University; D006801:Humans; D007362:Intensive Care Units; D009733:Nursing Diagnosis / Q000379:methods / Q000592:standards*; D015403:Nursing Evaluation Research; D018570:Risk Assessment; D014421:Turkey