Caritasmotivet är kärnan i den vårdvetenskapliga värdegrunden. Det innebär att motivet för vårdandet är medmänsklig kärlek, medlidande och barmhärtighet. God vård utgår från ett genuint intresse att lindra patientens lidande och värna om dennes värdighet. Vårdandet är mer än vårdåtgärder och behandling. Det finns en efterfrågan av att kunna mäta och utveckla kvaliteten på omvårdnaden. Sjuksköterskors omvårdnadsarbete ska vara möjligt att se, följa och utvärdera. Ett sätt att synliggöra omvårdnaden är genom dokumentation. Hur påverkas sjuksköterskors dokumentation genom utbildning i eller implementering av dokumentationsmodellerna NANDA (North American Nursing Diagnostic Association) och VIPS (välbefinnande, integritet, prevention, säkerhet)?Syfte: Att belysa hur sjuksköterskornas dokumentation påverkas genom utbildning och implementering av dokumentationsmodellerna NANDA och VIPS. Studien är en litteraturöversikt och innehåller 9 kvantitativa artiklar. Resultatet visar att användningen av dokumentationsmodellerna NANDA och VIPS ger en tydligare omvårdnadsdokumentation och en mer synlig vårdprocess. Nackdelar som framkommer i studien är att dokumentationen tar mycket tid och att strukturen är svår att lära sig. Studierna visar att en väl genomtänkt implementering av dokumentationsmodellerna skapar förutsättningar för god följsamhet, ökad kunskap, samt stöd för att kunna bemästra dokumentationsmodellerna på ett tillfredsställande sätt. Implementeringen är viktig för att påverka inställningen till dokumentationen både hos sjuksköterskor, övrig personal samt hos chefen. Caritasmotivets psykologiska dimensioner är svåra att fånga in i en kvantitativ studie om dokumentationsmodeller. Till det behövs en annan typ av studier. Däremot går den att se i de vårdhandlingar och vårdresultat som finns beskrivna i omvårdnadsdokumentationen. / Program: Fristående kurs

The independent, complex role of a school nurse requires accurate documentation of assessments, interventions, and outcomes. Consistent documentation by all school nurses is crucial to study the impact of nursing interventions on children's health and success in school. While standardized nursing languages are available, the actual use of these languages is in the infancy stages of implementation. This national survey of school nurses reveals diverse practices in school nursing documentation. Using Everett Rogers' (2003) Diffusion of Innovation (DOI) theory, a web-based survey allowed respondents to identify their knowledge and attitude towards the use of standardized languages, including NANDA International (NANDA-I), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC). Respondents also rated barriers to adopting the use of NANDA-I, NIC, and NOC (NNN). The results of this survey serve as a foundation for moving the practice of school nursing towards consistent documentation. Ultimately, the implementation of NNN will allow school nurses to document more consistently, base practice decisions on evidence, and improve the health and academic success of children in schools.

The purpose of the study was to identify NANDA - I diagnoses, NOC outcomes, and NIC interventions used in nursing care plans for ICU patient care and determine the factors which influenced the change of the NOC outcome scores. This study was a retrospective and descriptive study using clinical data extracted from the electronic patient records of a large acute care hospital in the Midwest. Frequency analysis, one-way ANOVA analysis, and multinomial logistic regression analysis were used to analyze the data. A total of 578 ICU patient records between March 25, 2010 and May 31, 2010 were used for the analysis. Eighty - one NANDA - I diagnoses, 79 NOC outcomes, and 90 NIC interventions were identified in the nursing care plans. Acute Pain - Pain Level - Pain Management was the most frequently used NNN linkage. The examined differences in each ICU provide knowledge about care plan sets that may be useful. When the NIC interventions and NOC outcomes used in the actual ICU nursing care plans were compared with core interventions and outcomes for critical care nursing suggested by experts, the core lists could be expanded. Several factors contributing to the change in the five common NOC outcome scores were identified: the number of NANDA - I diagnoses, ICU length of stay, gender, and ICU type. The results of this study provided valuable information for the knowledge development in ICU patient care. This study also demonstrated the usefulness of NANDA - I, NOC, and NIC used in nursing care plans of the EHR. The study shows that the use of these three terminologies encourages interoperability, and reuse of the data for quality improvement or effectiveness studies.

Thesis (M.Ost.)--Unitec New Zealand, 2008. / Coda (electronic version) title-page has 2009 date. Includes bibliographical references (leaves 38-47).

The thesis deals with the application of NIC, NOC classifications in cases of patients with chest drainage. Nurses use nursing classification, nursing process and nursing documentation for their work to make the patient care more effective. Several objectives were set to meet the main target of the thesis. Firstly, to map nursing care specifics of patients with chest drainage; secondly, to map nurses' knowledge of chest drainage care; thirdly, to map nurses' satisfaction with nursing documentation; fourthly, to find out which NIC activities are usually used by nurses in the care of patients with chest drainage; fifthly, to find out which NOC indicators are usually judged by nurses in the care of patients with chest drainage; sixthly, to find out the benefits of NIC, NOC classification in the care of patients with chest drainage. For the practical part of the thesis, the combination of qualitative and quantitative research was chosen. The quantitative research was conducted by a survey. The studied group consisted of 152 nurses. For the quantitative research, we set up the following hypothesis. H1 - the care of patients with chest drainage depands on particular department. H2 - nurses' knowledge of chest drainage care depands on particular department. H3 - nurses' satisfaction with nursing documentation depends on their education. The qualitative reserch was hold in two phases. In the first phase, a nursing documentation was created on the basis of NIC and NOC classification related to care of chest tubes. In the second phase of the qualitative research, we used a semi-structured interview to interview ten nurse who had worked with the particular nursing documentation and who had met the criteria for the selection of experts acording to Fehring . Several research questions were set for the qualitative research. What do the nurses think about the particular nursing documentation?

In this thesis, we deal with the issue of invasive methods of prenatal care from a nursing perspective using standardized classification schemes NANDA, NIC and NOC, which offer many opportunities to streamline, simplify and improve the care of women who undergo invasive procedures. The theoretical part is focused on screening in prenatal care, individual invasive methods and the most common congenital malformations of the child. Furthermore, standardized classification systems NANDA, NIC and NOC, which represent a common nursing language. The empirical part of the dissertation is processed using qualitative strategy. To collect data, we selected the following research methods: content analysis of documents, evaluation using Fehring's model. The first goal was to detect and identify the problems that women face after amniocentesis (AMC), chorionic villus sampling (CVS) and cordocentesis and second goal was to assess the applicability of selected issues of classification systems NANDA, NIC and NOC with Fehring's model of validation of nursing diagnoses. Using content analysis, we have selected three nursing diagnosis from the NANDA International Taxonomy II, from publication of Nursing Interventions clasification (NIC) 3 nursing interventions and from Nursing Outcomes Clasification (NOC) 4 expected results, which are focused on the respondents after invasive methods. From selected nursing diagnoses of NANDA, NIC interventions and NOC expected results, we have developed a research form, specific questionnaire we submitted to the validation by respondents. The survey was carried out from January to March 2015 in the polyclinic GENNET Ltd. - Centrum of Medical genetics and reproductive medicine and in a private clinic OG Medical Center Ltd. The sample consisted of 34 intentionally selected respondents who underwent amniocentesis, chorionic villus sampling, or cordocentesis. The outcome of this thesis is the basic concept of the nursing diagnosis, according to NANDA-I, NIC and NOC aimed at women after invasive methods for prenatal care. Research has shown that with the the vast majority of respondents significantly exhibited symptoms of fear and anxiety. In contrast, in terms of the respondents reported that the knowledge of the issue is sufficient. This result is influenced by the fact that respondents find a lot of information on the Internet, but that may not always be true. Unfortunately, the results showed that it is more a problem of communication and interest of the medical staff.

We have dealt in this thesis with problems of nursing care of the newborn from the perspective of standardized classification systems NANDA, NIC and NOC which offer many opportunities for streamlining, simplifying and improving of the quality of care. The theoretical part of this thesis focuses on nursing care of physiological newborn during the first moments after the birth until leaving hospital. Furthermore, the common nursing language which is included in standardized classification systems NANDA, NIC and NOC.The empirical part of the thesis was prepared with the help of qualitative - quantitative strategy. We chose to collect valid data a research method of content analysis of documents, modelling, thought experiment and a structured interview. The first aim of the research was to identify the use file from various classification systems related to nursing care of physiological newborn. We selected 9 nursing diagnoses from the publication NANDA International Taxonomy II through content analysis, 9 nursing interventions from Nursing Interventions Classification (NIC), 5 expected results related to the care of physiological newborn from the publication Nursing Outcomes Classification (NOC). We worked out a research form and submitted it in the way of a specific questionnaire to the validation of respondents ? who were experts in the field of nursing care of the newborn, it was made from the selected NANDA nursing diagnoses, NIC interventions and expected results of NOC. The second aim was to verify the usability of the selected files from the classification systems NANDA, NIC and NOC in clinical practice. The results of validation of NANDA nursing diagnoses were done by Diagnostic Content Validity Model ? DCV by Fehring. We determined the absolute and relative frequency of their designation within classification systems NIC and NOC. Nurses working at neonatal wards were our basic research populations; we created a targeted selection of two research samples divided by educational attainment. The first research sample consisted of 20 nurses with university education. The second research group was represented by 18 nurses with secondary education. The survey was realised in the time from January to March 2013 in the neonatal wards of the Hospital České Budějovice, a.s. Hospital Strakonice, a.s., Hospital Písek, a.s. Our third aim was to determine the attitudes of neonatal nurses to usage of classification systems in daily practice. We focused questions directed to the respondents on the knowledge and source of acquired knowledge, their attitude and possible reasons preventing the implementation of classification systems into clinical practice. The results showed nurses are reluctant to the usage and implementation of new standardized classification systems into clinical practice. The output of this thesis is the basic concept of nursing diagnosis according to NANDA-I, NIC and NOC focused on nursing care of physiological new-born in the area of the Czech Republic. 12 NANDA nursing diagnoses taxonomies was verified with 128 characteristics, 9 NIC nursing intervention taxonomies with 183 activities and 5 results of NOC nursing care with 72 areas of evaluation. There was selected in this survey 100 characteristics of NANDA taxonomy (62 %). It was chosen as being applicable in practice 130 from 9 selected files of NIC (71 %). It was selected 39 indicators (54 %) within 5 files of expected NOC results. The survey brought a lot of interesting information and also revealed even the lacks in the area of nursing care of physiological new-born; research also showed the lack in the area of nursing care of physiological newborn.

Thesis: The main contribution of D. Orem's self-care theory is that, using adequate methods, it leads the nurses to respect patients' own conception of self-care. Key words: Patient - nurse relationships, Self-Care Deficit Nursing Theory, D. E. Orem, human actions, respect for autonomy, NANDA taxonomy, non-compliance, responsibility. This dissertation thesis deals with the issues of a relationship between a patient and a healthcare worker, or more precisely a nurse, all from the point of view of patient self-care in the sense of deliberate action that is conducted by the patient for the purpose of sustaining their health and realizing their life plans. Ethical aspects of Orem's Self-Care Deficit Theory consist in the approach to a person that emphasizes the human nature of a human being that develops within the community - among other people, that becomes unique and that cares about their own being. Self-care deficit nursing theory is compared to NANDA taxonomy II with respect to a patient's autonomy. Both approaches to nursing care are studied from the point of view of their assumptions, theoretical basis, the diagnostic process, communication, personal competence of nurses and the aims of health care. Attention is also paid to the situations when a patient is not willing to take part in the...

v AJ: This diploma thesis deals with the field of nursing diagnosis in internal intensive care units. The theoretical part describes the basics of the nursing process and mainly focuses on the nursing diagnosis. Subsequently, it informs the reader about history, development and structure of the NANDA Taxonomy II. The main part of the thesis consists of a quantitative survey which aims at general nurses' knowledge about the nursing diagnosis NANDA - International. It also comments on how nursing diagnoses are made and what opinion general nurses have about making nursing diagnosis and NANDA taxonomy II. Finally, it provides the reader with overview of nursing diagnoses that general nurses often come across in intensive care units. And these diagnoses create uniform file according to the NANDA Taxonomy I I. Klíčová slova v AJ: Nursing diagnosis, nursing process, nursing diagnoses, NANDA- International, intenzive care unit

The aim of Graduation thesis is utilisation of classifying systems NANDA International, NIC and NOC by solving of nursing issue Acute pain at children after orthopaedical major surgeries. Part of successful and well adjusted treating of pain is its careful recording into medical documentation. For the goal of creating of the documentation there could be used international classification systems NANDA Intermational, NIC and NOC, with their aid it is possible to complete comprehensive aid, which describes each step of the treatment praxis. The first goal of the thesis was to map awareness of the nursing staff of systems mentioned. The second goal was creating of an aid using separate parts of system NANDA International, NIC and NOC aimed to diagnostics, solving and evaluation of the Problem of Acute pain at children after major surgeries. The last goal was verifying of beneficial effect of the new created documentation in praxis. The first research specimen was build by 58 nurses from four hospitals in Czech Republic working in children's departments. It was approached 8 hospitals altogether, nursing staff of four of them participated in the survey. The second research specimen was build by nurses from Children department in Hospital Pribram. The third part of research was built by 5 children admitted to hospital. The criterion for their attendance was their major surgery operation and their diagnosis Acute Pain. We used the half structured questionnaire for collecting of figures, models method and ideas of content analysis of documents and quasi experiment. Particular steps of research were realised as following: In the period of time February 2013 till March 2013, 60 questionnaires were distributed. Return was 100%. Cooperation with nurses from hospital Pribram lasted from 1. 3. 2013 until 29. 3. 2013. The medical documentation was created during this period of time, the method was tested and evaluated from nurses point of view. We found out, the nurses are familiar with system NANDA International but not aware of other two systems mentioned above. It was researched on statistical basis dependency between awareness of the specific classifications and the highest education grade and age of the nurses was considered, as well. During our stay in Hospital in Pribram, the practical aid was created aimed to evaluation and solving of the issue Acute Pain after orthopedical surgeries. This aid was tested in the same department then. A record was taken into amended forms by children after major surgeries. Concerning forms aimed for nursing praxis there were recorded not only intensity, characters and localisation of the pain, there were recorded which significant marks and connected factors from NANDA International Taxonomie II were possible to observe by particular children. There were recorder information which activities were used for children into forms containing interventions and activities drawn from from classification NIC. Last but not least, the pain was considered on the daily basis using classification NOC. As we found out from discussions with nurses cooperating during the research, more than a half of them perceive the use of the above mentioned aid very contributive. One idea appeared, the aid is needed in the Czech nursing practice. From this point of view, it would be beneficial to pay attention to this issue in the future.