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Wahyuni, Erna Dwi
Universitas Airlangga Surabaya
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Health Professions Immunology & microbiology Languange, Linguistic, Communication & Media Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Other

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The application of nursing diagnoses in Intensive Care Units: A scoping review of clinical indicators and patient outcomes Erna Dwi Wahyuni; Nursalam Nursalam; Yulis Setiya Dewi; Novalia Puspitasary; Sirikanok Klankhajhon; Jia-You Ye; Hidayat Arifin
Jurnal Keperawatan Padjadjaran Vol. 13 No. 3 (2025): Jurnal Keperawatan Padjadjaran
Publisher : Faculty of Nursing Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkp.v13i3.2841

Abstract

Introduction: Nursing diagnoses are essential in Intensive Care Units (ICUs) for guiding decisions, prioritizing care, and improving outcomes. However, inconsistent terminology and documentation burdens hinder their effective implementation and evaluation. The aimed of this study was to examine the application of nursing diagnoses in ICUs, exploring their relationships with clinical indicators, patient outcomes, and the impact of standardized diagnostic frameworks on nursing practice. Methods: This scoping review followed PRISMA-ScR guidelines We searched PubMed, CINAHL, Scopus, and Web of Science from 2019 to 2024. Studies examining nursing diagnoses in ICU settings were included. The reviewers independently screened 527 records, with nineteen full-text articles assessed for eligibility, resulting in thirteen included studies. Results: Thirteen studies with diverse methodologies from multiple countries were analyzed. Four key themes emerged: 1) Clinical indicators linked to specific nursing diagnoses, particularly respiratory conditions where impaired spontaneous ventilation was associated with dyspnea, fever, fatigue, and cough; 2) Implementation processes for nursing diagnoses, including electronic health records and nurse-delivered thoracic ultrasound that enhanced clinical decision-making; 3) Diagnostic validation and prevalence studies highlighting the importance of standardized frameworks for accurate diagnosis; and 4) Interventions that improved nursing practice and patient outcomes, including the institutionalization of nursing processes and development of electronic care plans. Conclusion: Standardized nursing diagnoses optimize ICU patient care by providing a structured approach to assessment, intervention planning, and outcome evaluation. Technology integration and consistent terminology enhance diagnostic accuracy and intervention effectiveness. Future research should focus on validating these frameworks across diverse ICU settings and patient populations to establish best practices for implementation.
Co-Authors Abit Mawan Dayoko Abu Bakar Ah Yusuf, Ah Ah. Yusuf Alfaruq, Muhammad Fikri Alfi Syahri Alit Armini, Ni Ketut Amellia Mardhika Ananta Baru Wijaya Andri Setiya Wahyudi Anestasia Pangestu Mei Tyas Anita Dwi Ariyani Arifin, Hidayat Arina Qona'ah Ayu Permata Sari Candra Panji Asmoro, Candra Panji Dance Nong Daniel nong dance Deka Ade Yussmawan Deni Yasmara Devi Rahmaningrum Wardani Diah Lestari, Diah Dimas Satrya Sukma Wijaya Dinda Dhia Aldin Kholidiyah Dwi Ferafurisca Desi Dwi Susi Pristiwatin Edy Nugroho Eka Misbahatul Mar'ah Has Ekawati, Shintia Elok Faradisa Eti Rahmawati Ferry Efendi Fitria, Mawaddah Gunawan Gunawan Gunawan Gunawan Hakim Zulkarnain Hakim Zulkarnain Haris Widodo Harmayetti Harmayetti Hartono Hartono Hery Sasongko Hidayat Arifin Hikmah Lia Basuni I Ketut Sudiana Ika Nur Pratiwi Ika Yuni Widyawati Indarwati , Retno Intan Widiastuti Jia-You Ye Joni Haryanto Jujuk Proboningsih, Jujuk Kinanthi Rosyana Konita Shafira Kristiningrum, Sifira Kurniawati, Ninuk Dian Kusnanto Kusnanto Lailatun Ni'mah Laili, Nadia Rohmatul Lucy Kartika Dewi Lutfiyah, Kharisma Nuur M. Zakariya Mabda Novalia Istafa Made Mahaguna Putra Makhfudli Makhfudli María Pilar Mosteiro-Diaz Maropi, Anuchit Martini Sriwulaningdyah Mosteiro-Diaz, María Pilar Nadia Rohmatul Laily Neisya Pratiwindya Sudarsiwi Nihayati, Hanik Endang Nimah, Lailatun Novalia Puspitasary Novita Fajriyah Nursalam . Nursalam Nursalam Nursalam Nursalam Nursalam, Nursalam Nurwahyuni, Tutuk Praba Diyan Rachmawati, Praba Diyan Prabawati, Dita Dwi Oktav Primadiana, Dinda Berlian Qona'ah, Arina Ratri Ismiwiranti Rifky Octavia Pradipta Rizki Dwi Cahyono Rizki Dwi Cahyono Rizki Nur Azhadin S.Pd. M Kes I Ketut Sudiana . Safrullah Safrullah Sena Wahyu Purwanza, Sena Wahyu Setho Hadisuyatmana Silvia Lusiana Suwandi Sirikanok Klankhajhon Siska Ayu Soares, Domingos Sriyono Sriyono Sriyono Sriyono Sriyono Sriyono Suadyani, I Ketut Suarilah, Ira Sudarmaji, Wikan Purwihantoro Sukma Randani I Susiana, Endang Tintin Sukartini Sukartini, Tintin Sukartini Wieji Santosa Wikan Purwihantoro Sudarmaji Wimar Anugrah Romadhon Wimar Anugrah Romadhon Wisnu Guntur Prakoso Yahaya, Nor Aziyan Yety Elina Yonia Rafika Nanda Yulis Setiya Dewi Yulis Setiya Dewi Yulmira Tisel Zuhriya, Cholilatul