Developing a Mental Illness Nursing Diagnoses subSET: study protocol for a e-delphi survey (MINDSET study)

Claudia Fantuzzi; Valentina Zeffiro; Gianfranco Sanson

doi:10.54103/dn/23742

Autori

Claudia Fantuzzi Dipartimento di Biomedicina e Prevenzione, Università di Roma Tor Vergata https://orcid.org/0000-0001-7077-8596
Valentina Zeffiro Università di Roma Tor Vergata https://orcid.org/0000-0002-1701-1879
Gianfranco Sanson Università degli Studi di Trieste https://orcid.org/0000-0001-8319-635X

DOI:

https://doi.org/10.54103/dn/23742

Parole chiave:

sondaggio e-Delphi, Disturbo mentale, Salute mentale, NANDA-I, Diagnosi infermieristiche, Linguaggio infermieristico standardizzato

Abstract

Introduzione: L'assistenza infermieristica, pur rappresentando una parte significativa dei costi sanitari, è spesso trascurata nei sistemi informativi, che si concentrano principalmente sui dati medici. L'integrazione di un linguaggio infermieristico standardizzato nelle cartelle cliniche elettroniche ha dimostrato di poter predire gli esiti in vari contesti clinici. Tuttavia, la scarsa familiarità degli infermieri con le terminologie standardizzate rappresenta un ostacolo significativo. Le diagnosi infermieristiche (DI) di NANDA-I offrono una valida opzione, ma la loro applicazione nei contesti di salute mentale è ancora poco esplorata.

Obiettivi: Questo studio mira a stabilire un consenso tra gli infermieri di salute mentale per sviluppare un sottoinsieme di DI adatto ai contesti di salute mentale e dipendenze.

Metodi: Lo studio e-Delphi multifase coinvolgerà infermieri di salute mentale esperti in DI da vari Paesi. Attraverso round successivi di sondaggi online, gli esperti valuteranno la rilevanza delle DI NANDA-I nei contesti di salute mentale, ottenendo il consenso per il sottoinsieme finale.

Risultati: Il risultato atteso è un sottoinsieme ristretto di DI concordato tra esperti, che faciliterà l'integrazione nella pratica clinica poiché sarà più gestibile e strettamente pertinente ai contesti di salute mentale, migliorando l’applicabilità e l'utilità nella pratica quotidiana. Ricerche successive potrebbero esplorare la prevalenza di queste diagnosi e le loro associazioni con gli esiti per l’utenza.

Impatto: Lo sviluppo di un sottoinsieme personalizzato di DI potrebbe migliorare la pratica infermieristica nei contesti di salute mentale, consentendo strategie di valutazione e intervento più efficaci, migliorando in ultima analisi gli esiti per l’utenza.

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