Newborn physiological immaturity: a concept analysis.

Adv Neonatal Care

IDIBELL Institute of Research, University of Barcelona School of Nursing, Catalonia, Spain (Drs Juvé-Udina, Fabrellas-Padrés, and Delgado-Hito); Sant Joan de Déu School of Nursing, Catalonia, Spain (Mrs Hurtado-Pardos); Department of Nursing Informatics and Knowledge, Verge de la Cinta Community Hospital, and Rovira i Virgili University School of Nursing, Tortosa, Catalonia, Spain (Mrs Martí-Cavallé); Department of Nursing Informatics and Knowledge, Dr. Josep Trueta University Hospital, Girona, Catalonia, Spain (Mrs Gironès-Nogué); Vall d'Hebron University Hospital, Barcelona, Catalonia, Spain (Mrs García-Berman); and Germans Trias i Pujol University Hospital, Badalona, Catalonia, Spain (Mr Alonso-Fernandez).

Published: April 2015

Background: Most standardized nursing care plans for healthy neonates include multiple nursing diagnoses to reflect nurses' judgments on the infant's status; however scientific literature concerning this issue is scarce. Newborn physiological immaturity is a concept in the ATIC terminology (architecture, terminology, interface, information, nursing [infermeria], and knowledge [coneixement]) to represent the natural status of vulnerability of the healthy neonate.

Purpose: To identify the essential attributes of the concept and provide its conceptual and operational definition, using the Wilsonian approach.

Findings: The concept under analysis embeds a natural cluster of vulnerabilities and environmental interactions that enhance the evolving maturation process.

Implications For Practice: The use of this diagnosis may simplify the process of charting the nursing care plans and reduce time needed for documentation while maintaining the integrity of the information.

Implications For Research: Consistent development and use of nursing concepts is essential for knowledge building. Studies on the actual use of nursing diagnoses are needed to inform decision making.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4961275PMC
http://dx.doi.org/10.1097/ANC.0000000000000162DOI Listing

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