{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:13:49Z","timestamp":1787015629369,"version":"build-2736575974"},"reference-count":60,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T00:00:00Z","timestamp":1705536000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2024,8]]},"abstract":"Abstract<\/jats:title>\n \n Aim<\/jats:title>\n To determine the prevalence and clustering of NANDA\u2010International nursing diagnoses in patients assisted by pre\u2010hospital emergency teams.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n Retrospective descriptive study of electronic record review.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n Episodes recorded during 2019, including at least a nursing diagnosis, were recovered from the electronic health records of a Spanish public emergency agency (\n N<\/jats:italic>\n \u2009=\u200928,847). Descriptive statistics were used to characterize the sample and determine prevalence. A two\u2010step cluster analysis was used to group nursing diagnoses. A comparison between clusters in sociodemographic and medical problems was performed. Data were accessed in November 2020.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Risk for falls (00155) (27.3%), Anxiety (00146) (23.2%), Acute pain (00132), Fear (00148) and Ineffective breathing pattern (00032) represented 96.1% of all recorded diagnoses. A six\u2010cluster solution (\n n<\/jats:italic>\n \u2009=\u200926.788) was found. Five clusters had a single high\u2010prevalence diagnosis predominance: Risk for falls (00155) in cluster 1, Anxiety (00146) in cluster 2, Fear (00148) in cluster 3, Acute pain (00132) in cluster 4 and Ineffective breathing pattern (00032) in cluster 6. Cluster 5 had several high prevalence diagnoses which co\u2010occurred: Risk for unstable blood glucose level (00179), Ineffective coping (00069), Ineffective health management (00078), Impaired comfort (00214) and Impaired verbal communication (00051).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n Five nursing diagnoses accounted for almost the entire prevalence. The identified clusters showed that pre\u2010hospital patients present six patterns of nursing diagnoses. Five clusters were predominated by a predominant nursing diagnosis related to patient safety, coping, comfort, and activity\/rest, respectively. The sixth cluster grouped several nursing diagnoses applicable to exacerbations of chronic diseases.<\/jats:p>\n <\/jats:sec>\n \n Implications for the profession and\/or patient care<\/jats:title>\n Knowing the prevalence and clustering of nursing diagnoses allows a better understanding of the human responses of patients attended by pre\u2010hospital emergency teams and increases the evidence of individualized\/standardized care plans in the pre\u2010hospital clinical setting.<\/jats:p>\n <\/jats:sec>\n \n Impact<\/jats:title>\n \n What problem did the study address?\n \n \n There are different models of pre\u2010hospital emergency care services.<\/jats:p>\n <\/jats:list-item>\n \n The use of standardized nursing languages in the pre\u2010hospital setting is not homogeneous.<\/jats:p>\n <\/jats:list-item>\n \n Studies on NANDA\u2010I nursing diagnoses in the pre\u2010hospital context are scarce, and those available are conducted on small samples.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n \n What were the main findings?\n \n \n This paper reports the study with the largest sample among the few published on NANDA\u2010I nursing diagnoses in the pre\u2010hospital care setting.<\/jats:p>\n <\/jats:list-item>\n \n Five nursing diagnoses represented 96.1% of all recorded. These diagnoses were related to patients' safety\/protection and coping\/stress tolerance.<\/jats:p>\n <\/jats:list-item>\n \n Patients attended by pre\u2010hospital care teams are grouped into six clusters based on the nursing diagnoses, and this classification is independent of the medical conditions the patient suffers.<\/jats:p>\n <\/jats:list-item>\n <\/jats:list>\n <\/jats:p>\n Where and on whom will the research have an impact?<\/jats:p>\n Knowing the prevalence of nursing diagnoses allows a better understanding of the human responses of patients treated in the pre\u2010hospital setting, increasing the evidence of individualized and standardized care plans for pre\u2010hospital care.<\/jats:p>\n <\/jats:sec>\n \n Reporting method<\/jats:title>\n STROBE checklist has been used as a reporting method.<\/jats:p>\n <\/jats:sec>\n \n No Patient or Public Contribution<\/jats:title>\n Only patients' records were reviewed without further involvement.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/jocn.16996","type":"journal-article","created":{"date-parts":[[2024,1,18]],"date-time":"2024-01-18T04:09:28Z","timestamp":1705550968000},"page":"3128-3144","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Prevalence and clustering of NANDA\u2010I nursing diagnoses in the pre\u2010hospital emergency care setting: A retrospective records review study"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8227-9161","authenticated-orcid":false,"given":"Jos\u00e9 Manuel","family":"Romero\u2010S\u00e1nchez","sequence":"first","affiliation":[{"name":"Nursing and Physiotherapy Department, Faculty of Nursing and Physiotherapy Universidad de C\u00e1diz C\u00e1diz Spain"},{"name":"Biomedical Research and Innovation Institute of Cadiz (INiBICA) C\u00e1diz Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6585-9367","authenticated-orcid":false,"given":"C\u00e9sar Pedro","family":"S\u00e1nchez\u2010Almagro","sequence":"additional","affiliation":[{"name":"Medical Emergency Center 061 (CES 061), Andalusian Health Service, Provincial Service 061 in C\u00e1diz, Regional Government of Andalusia C\u00e1diz Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"White\u2010R\u00edos","sequence":"additional","affiliation":[{"name":"Hospital Punta de Europa Andalusian Health Service Algeciras, C\u00e1diz Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4225-9307","authenticated-orcid":false,"given":"Olga","family":"Paloma\u2010Castro","sequence":"additional","affiliation":[{"name":"Nursing and Physiotherapy Department, Faculty of Nursing and Physiotherapy Universidad de C\u00e1diz C\u00e1diz Spain"},{"name":"Biomedical Research and Innovation Institute of Cadiz (INiBICA) C\u00e1diz Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,1,18]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2011.03.001"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2016.12.001"},{"key":"e_1_2_15_4_1","volume-title":"SPSS TwoStep Cluster\u2010a first evaluation","author":"Bacher J.","year":"2004"},{"key":"e_1_2_15_5_1","unstructured":"Bocanegra\u2010P\u00e9rez A. Rojas\u2010Jim\u00e9nez A. M. R\u00edos\u2010\u00c1ngeles A. Mart\u00edn\u2010Reyes B. S\u00e1nchez\u2010Almagro C. &Coca\u2010Boronat E.(2017).Pre\u2010hospital nursing care. In EPES (Ed.) Andalusian regional Ministry of Health.http:\/\/www.epes.es\/wp\u2010content\/uploads\/manual\u2010cuidados\u2010enfermeria.pdf"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0266-612X(91)90047-U"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18189786"},{"issue":"3","key":"e_1_2_15_8_1","first-page":"1","article-title":"Necessities detected in patients deived to sanitary center in an ambulance of the urgent transport network after being treated by the 061 emergency team","volume":"27","author":"C\u00e1mara S.","year":"2007","journal-title":"Nure Investigaci\u00f3n"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/17482631.2021.1901449"},{"issue":"3","key":"e_1_2_15_10_1","first-page":"632","article-title":"Nursing interventions for patients with acute pain","volume":"13","author":"Cavalheiro J.","year":"2019","journal-title":"The Journal of Nursing"},{"key":"e_1_2_15_11_1","unstructured":"Chiu T. Fang D. Chen J. Wang Y. &Jeris C.(2001).Proceedings of the seventh ACM SIGKDD international conference on knowledge discovery and data mining\u2010KDD \u201801."},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/2055102919865161"},{"key":"e_1_2_15_13_1","first-page":"211","article-title":"Prevalence of out\u2010of\u2010hospital nursing diagnosis for patients with chronic conditions: Improving our understanding of complexity","volume":"32","author":"Coca E.","year":"2020","journal-title":"Emergencias"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.5216\/ree.v11i4.33235"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13285"},{"key":"e_1_2_15_16_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781452272047.n2"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11414\u2010018\u20109598\u20107"},{"key":"e_1_2_15_18_1","unstructured":"EPES. (2020).Annual Report 2019.http:\/\/www.epes.es\/wp\u2010content\/uploads\/Memoria\u2010EPES\u20102019.pdf"},{"key":"e_1_2_15_19_1","unstructured":"EPES. (2021).Annual Report 2020.http:\/\/www.epes.es\/wp\u2010content\/uploads\/Memoria\u2010061\u20102020\u2010WEB.pdf"},{"key":"e_1_2_15_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/MEJ.0000000000000737"},{"key":"e_1_2_15_21_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034\u20107167.2016690214i"},{"key":"e_1_2_15_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13049\u2010018\u20100521\u20102"},{"key":"e_1_2_15_23_1","volume-title":"NANDA international nursing diagnoses: Definitions & calsification, 2015\u20132017","author":"Herdman T. H.","year":"2014"},{"key":"e_1_2_15_24_1","volume-title":"NANDA International Nursing Diagnoses: Definitions & Classification, 2021\u20102023","author":"Herdman T. H.","year":"2021"},{"key":"e_1_2_15_25_1","volume-title":"TwoStep cluster node model options","author":"IBM Corporation","year":"2021"},{"key":"e_1_2_15_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12873\u2010020\u201000363\u20106"},{"key":"e_1_2_15_27_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13049\u2010016\u20100305\u20105"},{"key":"e_1_2_15_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.22190"},{"key":"e_1_2_15_29_1","doi-asserted-by":"publisher","DOI":"10.1155\/2019\/2304507"},{"key":"e_1_2_15_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.12652"},{"key":"e_1_2_15_31_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD012829.pub2.www.cochranelibrary.com"},{"key":"e_1_2_15_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ienj.2021.100999"},{"key":"e_1_2_15_33_1","doi-asserted-by":"publisher","DOI":"10.1590\/2177\u20109465\u2010EAN\u20102020\u20100189"},{"key":"e_1_2_15_34_1","first-page":"340","article-title":"Factors related to lack of autonomous mobility during out\u2010of\u2010hospital emergency care objectives","volume":"28","author":"Montero A.","year":"2016","journal-title":"Emergencias"},{"key":"e_1_2_15_35_1","doi-asserted-by":"publisher","DOI":"10.12707\/RV20114"},{"key":"e_1_2_15_36_1","doi-asserted-by":"publisher","DOI":"10.21675\/2357\u2010707X.2019.v10.n5.3908"},{"key":"e_1_2_15_37_1","unstructured":"M\u00fcller\u2010Staub M. Abt J. Brenner A. &Hofer B.(2015).Expert report on the responsibility of Nursing.https:\/\/www.vfp\u2010apsi.ch\/fileadmin\/user_upload\/Dokumente\/Expertenbericht_Englisch.pdf"},{"key":"e_1_2_15_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2018.06.044"},{"key":"e_1_2_15_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/2047\u20103095.12044"},{"key":"e_1_2_15_40_1","unstructured":"Noru\u0161is M. J.(2012).IBM\u00ae SPSS\u00ae statistics 19 guide to data analysis. Prentice Hall."},{"key":"e_1_2_15_41_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102702.2010.03573.x"},{"key":"e_1_2_15_42_1","unstructured":"Palma J. Rodr\u00edguez M. &Aza\u00f1\u00f3n R.(2005).Nursing process and pre\u2010hospital emergency care. In Tempus Vitalis."},{"key":"e_1_2_15_43_1","doi-asserted-by":"publisher","DOI":"10.1111\/2047-3095.12010"},{"key":"e_1_2_15_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12543"},{"key":"e_1_2_15_45_1","first-page":"1","volume-title":"Factors influencing the perception of feeling safe in pre\u2010hospital emergency care\u2009: A mixed\u2010methods systematic review","author":"P\u00e9culo\u2010Carrasco J. A.","year":"2022"},{"key":"e_1_2_15_46_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.15513"},{"issue":"2","key":"e_1_2_15_47_1","first-page":"383","article-title":"The most used nursing diagnoses at an emergency service","volume":"20","author":"Pinto Okuno M. F.","year":"2015","journal-title":"Cogitare Enfermagem"},{"issue":"3","key":"e_1_2_15_48_1","first-page":"7","article-title":"Fear and Anguish: The patient's experience in the intensive care unit","volume":"17","author":"Ruidiaz\u2010G\u00f3mez K. S.","year":"2020","journal-title":"Revista Ciencia y Cuidado"},{"key":"e_1_2_15_49_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15280"},{"key":"e_1_2_15_50_1","doi-asserted-by":"publisher","DOI":"10.5811\/westjem.2017.2.32570"},{"key":"e_1_2_15_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/2047\u20103095.12307"},{"issue":"2","key":"e_1_2_15_52_1","first-page":"907","article-title":"Determining Patients' risk of falling in the emergency department","volume":"10","author":"Tanrikulu F.","year":"2017","journal-title":"International Journal of Caring Sciences"},{"key":"e_1_2_15_53_1","doi-asserted-by":"publisher","DOI":"10.9789\/2175\u20105361.2018.v10i3.675\u2010682"},{"key":"e_1_2_15_54_1","doi-asserted-by":"publisher","DOI":"10.1177\/0047287509336470"},{"key":"e_1_2_15_55_1","first-page":"1","article-title":"Estimation of the incidence of human responses in critically ill patients","volume":"2","author":"Torres L.","year":"2002","journal-title":"Tempus Vitalis"},{"key":"e_1_2_15_56_1","doi-asserted-by":"publisher","DOI":"10.1002\/widm.1444"},{"key":"e_1_2_15_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/s0212\u20105382(11)70272\u20102"},{"key":"e_1_2_15_58_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-030-54338-9"},{"key":"e_1_2_15_59_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0964\u20103397(97)80271\u20106"},{"key":"e_1_2_15_60_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14867"},{"key":"e_1_2_15_61_1","doi-asserted-by":"publisher","DOI":"10.1111\/2047\u20103095.12187"}],"container-title":["Journal of Clinical Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jocn.16996","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T12:19:29Z","timestamp":1764677969000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jocn.16996"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,18]]},"references-count":60,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2024,8]]}},"alternative-id":["10.1111\/jocn.16996"],"URL":"https:\/\/doi.org\/10.1111\/jocn.16996","archive":["Portico"],"relation":{},"ISSN":["0962-1067","1365-2702"],"issn-type":[{"value":"0962-1067","type":"print"},{"value":"1365-2702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1,18]]},"assertion":[{"value":"2023-08-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}