- Email: [email protected]
IPV and Late Preterm Birth
On Nursing Diagnoses
O
n a recent flight back from the International North American Nursing Diagnosis Association (NANDA-I) conference in Miami, I was reading Nursing for Women’s Health and was quite surprised at the first paragraph in Dr. Katz’s “Perspectives” editorial (Katz, 2008), in which she writes, “I don’t use nursing diagnoses and I think they’re useless and serve only to highlight weaknesses (all those ‘deficit of ’s).” My purpose for attending the NANDA-I conference was to present the perinatal nursing diagnosis I authored this year entitled “Risk for Disturbed Maternal/Fetal Dyad.” This new diagnosis, defined as “at risk for the disruption in the symbiotic maternal/fetal dyad as a result of comorbid or pregnancy-related conditions” was well received and I believe will assist nursing students and nurses alike to identify outcomes and interventions for their patients. As more hospitals implement an electronic medical record and move away from paper care plans, nurses will find value in the standardized nomenclature of NANDA, Nursing Outcomes Classification (NOC) and Nursing Interventions Classification (NIC) as a means for documenting as well as
abstracting data to further improve patient care and safety. One presenter from Spain demonstrated how her large organization had improved nursing care. By identifying that patients with a medical diagnosis of stroke required more nursing hours on the night shift than on the evening shift, they changed their staffing patterns, based on the nursing care plan documentation using a standardized taxonomy. Sheri Holmes, MSN, APRN, BC Wausau, WI
Reference Katz, A. (2008). In appreciation of the positive. Nursing for Women’s Health, 12(5), 369–370.
Respect in the Workplace
Reference Henrikson, M. (2008). Respect in the workplace: Tips and tools for creating an environment of respect. Nursing for Women’s Health, 12(4), 332–336.
Images of Laboring Women
T
hank you very much for the article on using a coping algorithm to assess pain in laboring women (Gulliver, Fisher, & Roberts, 2008). After reading this article, I feel that the coping algorithm will be widely utilized. However, I was puzzled by the two photos of laboring women—both are in bed with an IV running. Can we visualize a woman freely moving and not tethered by an IV? She might cope much better!
T
hank you for the article on respect in the workplace (Henrikson, 2008). During this unsettled time of budget crisis in health care coupled with the gloomy economy, many of us in administrative roles are faced with tough issues at work, including the ugly “Rs” of reorganizing and restructuring. I really appreciated reading your words, which came at a soul-searching time for me as I weigh difficult decisions.
Judith Lienhard, RNC Portland, OR
Reference Gulliver, B. G., Fisher, J. & Roberts, L. (2008). A new way to assess pain in laboring women: Replacing the rating scale with a “coping” algorithm. Nursing for Women’s Health, 12(5), 404–408.
Joyce Volsch, RN, MS Redlands, CA
Get Involved!
Do you have good communication skills?
Are you knowledgeable about the latest advances in your field of nursing?
For questions, email [email protected].
February | March 2009
Would you like to have a say in what gets published in these pages?
Then consider becoming a reviewer for Nursing for Women’s Health. All manuscripts submitted to Nursing for Women’s Health are reviewed by a panel of volunteer reviewers who critique papers and provide constructive feedback to authors. For more information, visit our website at http://nwh.awhonn.org.
Nursing for Women’s Health
13
O
n a recent flight back from the International North American Nursing Diagnosis Association (NANDA-I) conference in Miami, I was reading Nursing for Women’s Health and was quite surprised at the first paragraph in Dr. Katz’s “Perspectives” editorial (Katz, 2008), in which she writes, “I don’t use nursing diagnoses and I think they’re useless and serve only to highlight weaknesses (all those ‘deficit of ’s).” My purpose for attending the NANDA-I conference was to present the perinatal nursing diagnosis I authored this year entitled “Risk for Disturbed Maternal/Fetal Dyad.” This new diagnosis, defined as “at risk for the disruption in the symbiotic maternal/fetal dyad as a result of comorbid or pregnancy-related conditions” was well received and I believe will assist nursing students and nurses alike to identify outcomes and interventions for their patients. As more hospitals implement an electronic medical record and move away from paper care plans, nurses will find value in the standardized nomenclature of NANDA, Nursing Outcomes Classification (NOC) and Nursing Interventions Classification (NIC) as a means for documenting as well as
abstracting data to further improve patient care and safety. One presenter from Spain demonstrated how her large organization had improved nursing care. By identifying that patients with a medical diagnosis of stroke required more nursing hours on the night shift than on the evening shift, they changed their staffing patterns, based on the nursing care plan documentation using a standardized taxonomy. Sheri Holmes, MSN, APRN, BC Wausau, WI
Reference Katz, A. (2008). In appreciation of the positive. Nursing for Women’s Health, 12(5), 369–370.
Respect in the Workplace
Reference Henrikson, M. (2008). Respect in the workplace: Tips and tools for creating an environment of respect. Nursing for Women’s Health, 12(4), 332–336.
Images of Laboring Women
T
hank you very much for the article on using a coping algorithm to assess pain in laboring women (Gulliver, Fisher, & Roberts, 2008). After reading this article, I feel that the coping algorithm will be widely utilized. However, I was puzzled by the two photos of laboring women—both are in bed with an IV running. Can we visualize a woman freely moving and not tethered by an IV? She might cope much better!
T
hank you for the article on respect in the workplace (Henrikson, 2008). During this unsettled time of budget crisis in health care coupled with the gloomy economy, many of us in administrative roles are faced with tough issues at work, including the ugly “Rs” of reorganizing and restructuring. I really appreciated reading your words, which came at a soul-searching time for me as I weigh difficult decisions.
Judith Lienhard, RNC Portland, OR
Reference Gulliver, B. G., Fisher, J. & Roberts, L. (2008). A new way to assess pain in laboring women: Replacing the rating scale with a “coping” algorithm. Nursing for Women’s Health, 12(5), 404–408.
Joyce Volsch, RN, MS Redlands, CA
Get Involved!
Do you have good communication skills?
Are you knowledgeable about the latest advances in your field of nursing?
For questions, email [email protected].
February | March 2009
Would you like to have a say in what gets published in these pages?
Then consider becoming a reviewer for Nursing for Women’s Health. All manuscripts submitted to Nursing for Women’s Health are reviewed by a panel of volunteer reviewers who critique papers and provide constructive feedback to authors. For more information, visit our website at http://nwh.awhonn.org.
Nursing for Women’s Health
13