Nursing diagnosis identification by nurses in burn wards: A descriptive cross-sectional study.

摘要: Aim To identify and document patients' care needs, it is vital to provide quality services. This study was aimed describe needs derived from records of patients with burn evaluate whether nurses employed the North American Nursing Diagnosis Association classification formulate needs. Design A descriptive cross-sectional study. Methods In this using convenient sampling method, 430 nursing reviewed in wards. Data were collected Gordon's checklist. The validity checklist assessed by content reliability them calculated inter-rater internal consistency. analysed SPSSv.24. Results mean number diagnoses per record 1.94. most frequent diagnosis domain Safety/Protection top two prevalent Sina hospital a risk for infection falls. From all detected diagnostic, about 83% determinedly not related one 247 labels Association. Given that as requested physicians patient are recorded them, can be concluded there no thinking behind their care.