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.

National Institute of Health (NIH)
National Institute of Nursing Research (NINR)
Research Project (R01)
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Study Section
Nursing Research Study Section (NURS)
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University of California Los Angeles
Schools of Nursing
Los Angeles
United States
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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