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KMID : 1164520070250010005
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Journal of Military Nursing Research
2007 Volume.25 No. 1 p.5 ~ p.39
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The Development of the Standardized Nursing Diagnosis-Intervention Protocol for the Critically Ill Patients in the Military Hospital
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Lee Soon-Young
Seo Mi-Young
Lee Eun-Joo
Kim Hye-Hyun
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Abstract
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The purpose of the study was to develop the standardized nursing diagnosis-intervention protocol which can be applied to critically ill patients who are under critical care in military hospitals. The specific aims are to select the medical diagnoses dealt in the protocol through the analysis of cases hospitalized in the ICU, to identify the nursing diagnoses based on the NANDA classification, to identify the nursing interventions from NIC related to the identified nursing diagnoses, and to develop and validate the nursing protocol that is applicable. The study was conducted from March. 2 to September 30 in 2006. The Cases admitted in the ICU of the Military Capital Hospital during last 3 years were analyzed, and 52 medical diagnoses were selected. Based on the list of selected medical diagnoses, nursing diagnoses and interventions were identified while chart review and reference review from NANDA classification and NIC. The results of the study were as follow. 1. Fifty two medical diagnoses in 8 systems were decided to deal in the protocol in consideration of the severity, frequency, and validity. 2. Forty seven nursing diagnoses, which are considered applicable during acute phase, were identified. Twenty two diagnoses in respiratory, 20 in cardiovascular, 33 in neurologic, 16 in renal, 20 in digestive, 11 hematologic, 14 in endocrine system, and 33 in others were suggested after modification. Forty four collaborative problems were suggested because nursing officers should monitor to detect and prevent the physiological complication 3. 117 nursing interventions and 1,905 nursing activities were selected to solve the nursing diagnoses identified. This study has a limitation in generalizing to all the critical care settings in the military because the cases in the OO military hospital were reviewed. According to the results, a follow-up study is recommended to study the clinical applicability of the protocol.
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KEYWORD
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Nursing Diagnosis, Nursing Intervention, Development of Protocol, Intensive Care
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