{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T03:33:26Z","timestamp":1784172806616,"version":"3.55.0"},"reference-count":34,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T00:00:00Z","timestamp":1712707200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["0001"],"award-info":[{"award-number":["0001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim(s)<\/jats:title><jats:p>To demonstrate how interoperable nursing care data can be used by nurses to create a more holistic understanding of the healthcare needs of multiple traumas patients with Impaired Physical Mobility. By proposing and validating linkages for the nursing diagnosis of Impaired Physical Mobility in multiple trauma patients by mapping to the Nursing Outcomes Classification (NOC) and Nursing Interventions Classification (NIC) equivalent terms using free\u2010text nursing documentation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A descriptive cross\u2010sectional design, combining quantitative analysis of interoperable data sets and the Kappa's coefficient score with qualitative insights from cross\u2010mapping methodology and nursing professionals' consensus.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Cross\u2010mapping methodology was conducted in a Brazilian Level 1 Trauma Center using de\u2010identified records of adult patients with a confirmed medical diagnosis of multiple traumas and Impaired Physical Mobility (a nursing diagnosis). The hospital nursing free\u2010text records were mapped to NANDA\u2010I, NIC, NOC and NNN linkages were identified. The data records were retrieved for admissions from September to October 2020 and involved medical and nursing records. Three expert nurses evaluated the cross\u2010mapping and linkage results using a 4\u2010point Likert\u2010type scale and Kappa's coefficient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The de\u2010identified records of 44 patients were evaluated and then were mapped to three NOCs related to nurses care planning: (0001) Endurance; (0204) Immobility Consequences: Physiological, and (0208) Mobility and 13 interventions and 32 interrelated activities: (6486) Environmental Management: Safety; (0840) Positioning; (3200) Aspiration Precautions; (1400) Pain Management; (0940) Traction\/Immobilization Care; (3540) Pressure Ulcer Prevention; (3584) Skincare: Topical Treatment; (1100) Nutrition Management; (3660) Wound Care; (1804) Self\u2010Care Assistance: Toileting; (1801) Self\u2010Care Assistance: Bathing\/Hygiene; (4130) Fluid Monitoring; and (4200) Intravenous Therapy. The final version of the constructed NNN Linkages identified 37 NOCs and 41 NICs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These valid NNN linkages for patients with multiple traumas can serve as a valuable resource that enables nurses, who face multiple time constraints, to make informed decisions efficiently. This approach of using evidence\u2010based linkages like the one developed in this research holds high potential for improving patient's safety and outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>No Patient or Public Contribution<\/jats:title><jats:p>In this study, there was no direct involvement of patients, service users, caregivers or public members in the design, conduct, analysis and interpretation of data or preparation of the manuscript. The study focused solely on analysing existing de\u2010identified medical and nursing records to propose and validate linkages for nursing diagnoses.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.17140","type":"journal-article","created":{"date-parts":[[2024,4,10]],"date-time":"2024-04-10T10:54:23Z","timestamp":1712746463000},"page":"2562-2577","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Using interoperable nursing care data to improve outcomes for multiple traumas patients with Impaired Physical Mobility"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7461-8143","authenticated-orcid":false,"given":"Raisa","family":"Camilo\u00a0Ferreira","sequence":"first","affiliation":[{"name":"School of Nursing, State University of Campinas  Campinas SP Brazil"},{"name":"College of Nursing, University of Iowa  Iowa City Iowa USA"},{"name":"Coordination for the Improvement of Higher Education Personnel (CAPES)  Campinas SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Dunn\u2010Lopez","sequence":"additional","affiliation":[{"name":"Center for Nursing Classification &amp; Clinical Effectiveness College of Nursing, University of Iowa  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sue","family":"Moorhead","sequence":"additional","affiliation":[{"name":"College of Nursing, University of Iowa  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruna Valentina","family":"Zuchatti","sequence":"additional","affiliation":[{"name":"School of Nursing, State University of Campinas  Campinas SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula Cristina","family":"Pereira","sequence":"additional","affiliation":[{"name":"School of Nursing, State University of Campinas  Campinas SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika Christianne","family":"M\u00a0Duran","sequence":"additional","affiliation":[{"name":"School of Nursing, State University of Campinas  Campinas SP Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,4,10]]},"reference":[{"key":"e_1_2_18_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13054\u2010020\u201002951\u20101"},{"key":"e_1_2_18_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.108"},{"key":"e_1_2_18_4_1","volume-title":"Nursing interventions classification (NIC)","author":"Bulechek G. 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