Impact of standardized nursing terminologies on patient and organizational outcomes: A systematic review and meta-analysis. 2023

Luca Bertocchi, and Angelo Dante, and Carmen La Cerra, and Vittorio Masotta, and Alessia Marcotullio, and Dorothy Jones, and Cristina Petrucci, and Loreto Lancia
Department of Health, Life, and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.

To explore the impact of 12 American Nurses Association recognized standardized nursing terminologies (SNTs) on patient and organizational outcomes. Previous studies reported an effect of SNTs on outcomes, but no previous frameworks nor meta-analyses were found. Systematic review and meta-analyses. PubMed, Scopus, CINAHL, and OpenGrey databases were last consulted in July 2021. All abstracts and full texts were screened independently by two researchers. The review included primary quantitative studies that reported an association between recognized SNTs and outcomes. Two reviewers independently assessed the risk of bias and certainty of evidence for each meta-analyzed outcome using the "Grading of Recommendations, Assessment, Development and Evaluation" (GRADE) approach. Fifty-three reports were included. NANDA-NIC-NOC and Omaha System were the most frequently reported SNTs used in the studies. Risk of bias in randomized controlled trials and not-randomized controlled trials ranged from high to unclear, this risk was low in cross-sectional studies. The number of nursing diagnoses NANDA-I moderately correlated with the intensive care unit length of stay (r = 0.38; 95% CI = 0.31-0.44). Using the Omaha System nurse-led transitional care program showed a large increase in both knowledge (d = 1.21; 95% CI = 0.97-1.44) and self-efficacy (d = 1.23; 95% CI = 0.97-1.48), while a reduction on the readmission rate (OR = 0.46; 95% CI = 0.09-0.83). Nursing diagnoses were found to be useful predictors for organizational (length of stay) and patients' outcomes (mortality, quality of life). The GRADE indicated that the certainty of evidence was rated from very low to low. Studies using SNTs demonstrated significant improvement and prediction power in several patients' and organizational outcomes. Further high-quality research is required to increase the certainty of evidence of these relationships. SNTs should be considered by healthcare policymakers to improve nursing care and as essential reporting data about patient's nursing complexity to guide reimbursement criteria.

UI MeSH Term Description Entries
D007362 Intensive Care Units Hospital units providing continuous surveillance and care to acutely ill patients. ICU Intensive Care Units,Intensive Care Unit,Unit, Intensive Care
D011788 Quality of Life A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral, social environment as well as health and disease. HRQOL,Health-Related Quality Of Life,Life Quality,Health Related Quality Of Life
D003430 Cross-Sectional Studies Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time. Disease Frequency Surveys,Prevalence Studies,Analysis, Cross-Sectional,Cross Sectional Analysis,Cross-Sectional Survey,Surveys, Disease Frequency,Analyses, Cross Sectional,Analyses, Cross-Sectional,Analysis, Cross Sectional,Cross Sectional Analyses,Cross Sectional Studies,Cross Sectional Survey,Cross-Sectional Analyses,Cross-Sectional Analysis,Cross-Sectional Study,Cross-Sectional Surveys,Disease Frequency Survey,Prevalence Study,Studies, Cross-Sectional,Studies, Prevalence,Study, Cross-Sectional,Study, Prevalence,Survey, Cross-Sectional,Survey, Disease Frequency,Surveys, Cross-Sectional
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000072917 Standardized Nursing Terminology Standardized terms used in the nursing field (e.g., NURSING INFORMATICS). ICNP Terminology,International Classification for Nursing Practice,NANDA-I,NANDA-International,NANDA-International Terminology,NIC Terminology,NOC Terminology,Nursing Interventions Classification,Nursing Outcomes Classification Terminology,Nursing Terminology,Classification, Nursing Interventions,Classifications, Nursing Interventions,ICNP Terminologies,Interventions Classification, Nursing,Interventions Classifications, Nursing,NANDA International,NANDA International Terminology,NANDA-International Terminologies,NANDA-Internationals,NIC Terminologies,NOC Terminologies,Nursing Interventions Classifications,Nursing Terminologies,Nursing Terminologies, Standardized,Nursing Terminology, Standardized,Standardized Nursing Terminologies,Terminologies, ICNP,Terminologies, NANDA-International,Terminologies, NIC,Terminologies, NOC,Terminologies, Nursing,Terminologies, Standardized Nursing,Terminology, ICNP,Terminology, NANDA-International,Terminology, NIC,Terminology, NOC,Terminology, Nursing,Terminology, Standardized Nursing

Related Publications

Luca Bertocchi, and Angelo Dante, and Carmen La Cerra, and Vittorio Masotta, and Alessia Marcotullio, and Dorothy Jones, and Cristina Petrucci, and Loreto Lancia
October 2021, International journal of nursing knowledge,
Luca Bertocchi, and Angelo Dante, and Carmen La Cerra, and Vittorio Masotta, and Alessia Marcotullio, and Dorothy Jones, and Cristina Petrucci, and Loreto Lancia
January 2007, Nursing economic$,
Luca Bertocchi, and Angelo Dante, and Carmen La Cerra, and Vittorio Masotta, and Alessia Marcotullio, and Dorothy Jones, and Cristina Petrucci, and Loreto Lancia
April 2021, Neurosurgical review,
Luca Bertocchi, and Angelo Dante, and Carmen La Cerra, and Vittorio Masotta, and Alessia Marcotullio, and Dorothy Jones, and Cristina Petrucci, and Loreto Lancia
April 2003, The Journal of nursing administration,
Luca Bertocchi, and Angelo Dante, and Carmen La Cerra, and Vittorio Masotta, and Alessia Marcotullio, and Dorothy Jones, and Cristina Petrucci, and Loreto Lancia
February 2022, Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus,
Luca Bertocchi, and Angelo Dante, and Carmen La Cerra, and Vittorio Masotta, and Alessia Marcotullio, and Dorothy Jones, and Cristina Petrucci, and Loreto Lancia
August 2014, International journal of nursing studies,
Luca Bertocchi, and Angelo Dante, and Carmen La Cerra, and Vittorio Masotta, and Alessia Marcotullio, and Dorothy Jones, and Cristina Petrucci, and Loreto Lancia
September 2023, Healthcare (Basel, Switzerland),
Luca Bertocchi, and Angelo Dante, and Carmen La Cerra, and Vittorio Masotta, and Alessia Marcotullio, and Dorothy Jones, and Cristina Petrucci, and Loreto Lancia
March 2011, Archives of internal medicine,
Luca Bertocchi, and Angelo Dante, and Carmen La Cerra, and Vittorio Masotta, and Alessia Marcotullio, and Dorothy Jones, and Cristina Petrucci, and Loreto Lancia
December 2017, Journal of clinical nursing,
Luca Bertocchi, and Angelo Dante, and Carmen La Cerra, and Vittorio Masotta, and Alessia Marcotullio, and Dorothy Jones, and Cristina Petrucci, and Loreto Lancia
November 2020, Western journal of nursing research,
Copied contents to your clipboard!