Computer-Aided Research on Nursing Diagnoses. This research involves five phases and is designed to develop a Computer-Aided Nursing Diagnosis and Intervention (CANDI) system that would facilitate research on nursing diagnoses Phase I was to develop and refine the content and format of a pen and paper assessment guide based on the Unitary Person Framework. This application is for the accomplishment of Phases II and III. Phases IV and V will be addressed in a future proposal. The objective of Phase II is to automate the assessment guide in a computer system. The objective of Phase III is to develop and test a computer-aided system for diagnoses in the area of self-care deficit. Literature also will be reviewed for examining the state of the art in interventions for specific diagnoses in the area of self-care deficit.
Specific aims are to: (1) complete the development of an automated guide, (2) develop a knowledge based system for generation of selected nursing diagnoses in the self- care category, (3) evaluate the concurrent validity of the nursing diagnoses, (4) evaluate the discriminant validity of client data vis a vis these diagnoses, and (5) review the literature for interventions and expected outcomes for the selected diagnoses. Evaluation/analysis for aims are:
aim (1): evaluation of the system by the research team;
aim (2) development/on-going evaluation of the system by the research team;
aim (3) comparison of system generated diagnoses with diagnoses formulated by a panel of 10 clinical nurse specialists for 10 actual patients;
aim (4): performance of a discriminant analysis and testing the discriminant model with data from 414 patients;
aim (5): expert opinion evaluations of lists of intervention labels and expected outcomes for specific nursing diagnoses.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Research Project (R01)
Project #
5R01NR001297-07
Application #
3391212
Study Section
Nursing Research Study Section (NURS)
Project Start
1988-01-01
Project End
1993-12-31
Budget Start
1992-01-01
Budget End
1993-12-31
Support Year
7
Fiscal Year
1992
Total Cost
Indirect Cost
Name
University of California Los Angeles
Department
Type
Schools of Nursing
DUNS #
119132785
City
Los Angeles
State
CA
Country
United States
Zip Code
90095
Chang, B L; Uman, G C; Hirsch, M (1998) Predictive power of clinical indicators for self-care deficit. Nurs Diagn 9:71-82
Chang, B L; Vredevoe, D; Hirsch, M (1995) Allergy as a risk factor for nursing care problems in the elderly cancer patient. Cancer Nurs 18:83-8
Chang, B L (1995) Nursing diagnoses and construct validity of pain, self-care deficit and impaired mobility. Int J Nurs Stud 32:556-67
Chang, B L; Hirsch, M (1994) Nursing diagnosis research: computer-aided research in nursing. Nurs Diagn 5:6-13
Chang, B L (1994) Validity of concepts for selected nursing diagnoses. Clin Nurs Res 3:183-203;discussion 204-8
Chang, B L; Hirsch, M (1991) Knowledge acquisition and knowledge representation in a rule-based expert system. Comput Nurs 9:174-8
Hirsch, M; Chang, B L (1990) Collaboration for the development of a nursing diagnosis system. West J Nurs Res 12:693-7
Chang, B L; Hirsch, M; Brazal-Villanueva, E et al. (1990) Self-care deficit with etiologies: reliability of measurement. Nurs Diagn 1:31-6
Hirsch, M; Chang, B L; Gilbert, S (1989) A computer program to support patient assessment and clinical decision-making in nursing education. Comput Nurs 7:157-60