Get access

Utility of a Standardized Nursing Terminology to Evaluate Dosage and Tailoring of an HIV/AIDS Adherence Intervention

Authors

  • Suzanne Bakken,

    1. Suzanne Bakken, RN, DNSc, FAAN, Alpha Eta, Alumni Professor of Nursing and Professor of Biomedical Informatics, Columbia University, New York, NY; William L. Holzemer, RN, PhD, FAAN, Alpha Eta, Professor; Carmen J. Portillo, RN, PhD, FAAN, Alpha Eta, Associate Professor; both at the University of California, San Francisco, CA; Richard Grimes, PhD, Associate Professor, University of Texas, Houston, TX; Jennifer Welch, RN, BSN, MBA, Alpha Delta, Sales Representative, Cardinal Health, Houston, TX; Dean Wantland, RN, MS, Doctoral Candidate, University of California, San Francisco, CA. This study was funded by the National Institute of Nursing Research (R01 NR004849, William L. Holzemer, Principal Investigator). Preparation of the manuscript was partially supported by P20 NR007799, Suzanne Bakken, Principal Investigator. The study protocol was approved by the University of California, San Francisco Institutional Review Board. Correspondence to Dr. Bakken, Columbia University, 630 W. 168th Street, Mailbox 6, New York, NY 10032. E-mail: sbh22@columbia.edu
    Search for more papers by this author
  • William L. Holzemer,

    1. Suzanne Bakken, RN, DNSc, FAAN, Alpha Eta, Alumni Professor of Nursing and Professor of Biomedical Informatics, Columbia University, New York, NY; William L. Holzemer, RN, PhD, FAAN, Alpha Eta, Professor; Carmen J. Portillo, RN, PhD, FAAN, Alpha Eta, Associate Professor; both at the University of California, San Francisco, CA; Richard Grimes, PhD, Associate Professor, University of Texas, Houston, TX; Jennifer Welch, RN, BSN, MBA, Alpha Delta, Sales Representative, Cardinal Health, Houston, TX; Dean Wantland, RN, MS, Doctoral Candidate, University of California, San Francisco, CA. This study was funded by the National Institute of Nursing Research (R01 NR004849, William L. Holzemer, Principal Investigator). Preparation of the manuscript was partially supported by P20 NR007799, Suzanne Bakken, Principal Investigator. The study protocol was approved by the University of California, San Francisco Institutional Review Board. Correspondence to Dr. Bakken, Columbia University, 630 W. 168th Street, Mailbox 6, New York, NY 10032. E-mail: sbh22@columbia.edu
    Search for more papers by this author
  • Carmen J. Portillo,

    1. Suzanne Bakken, RN, DNSc, FAAN, Alpha Eta, Alumni Professor of Nursing and Professor of Biomedical Informatics, Columbia University, New York, NY; William L. Holzemer, RN, PhD, FAAN, Alpha Eta, Professor; Carmen J. Portillo, RN, PhD, FAAN, Alpha Eta, Associate Professor; both at the University of California, San Francisco, CA; Richard Grimes, PhD, Associate Professor, University of Texas, Houston, TX; Jennifer Welch, RN, BSN, MBA, Alpha Delta, Sales Representative, Cardinal Health, Houston, TX; Dean Wantland, RN, MS, Doctoral Candidate, University of California, San Francisco, CA. This study was funded by the National Institute of Nursing Research (R01 NR004849, William L. Holzemer, Principal Investigator). Preparation of the manuscript was partially supported by P20 NR007799, Suzanne Bakken, Principal Investigator. The study protocol was approved by the University of California, San Francisco Institutional Review Board. Correspondence to Dr. Bakken, Columbia University, 630 W. 168th Street, Mailbox 6, New York, NY 10032. E-mail: sbh22@columbia.edu
    Search for more papers by this author
  • Richard Grimes,

    1. Suzanne Bakken, RN, DNSc, FAAN, Alpha Eta, Alumni Professor of Nursing and Professor of Biomedical Informatics, Columbia University, New York, NY; William L. Holzemer, RN, PhD, FAAN, Alpha Eta, Professor; Carmen J. Portillo, RN, PhD, FAAN, Alpha Eta, Associate Professor; both at the University of California, San Francisco, CA; Richard Grimes, PhD, Associate Professor, University of Texas, Houston, TX; Jennifer Welch, RN, BSN, MBA, Alpha Delta, Sales Representative, Cardinal Health, Houston, TX; Dean Wantland, RN, MS, Doctoral Candidate, University of California, San Francisco, CA. This study was funded by the National Institute of Nursing Research (R01 NR004849, William L. Holzemer, Principal Investigator). Preparation of the manuscript was partially supported by P20 NR007799, Suzanne Bakken, Principal Investigator. The study protocol was approved by the University of California, San Francisco Institutional Review Board. Correspondence to Dr. Bakken, Columbia University, 630 W. 168th Street, Mailbox 6, New York, NY 10032. E-mail: sbh22@columbia.edu
    Search for more papers by this author
  • Jennifer Welch,

    1. Suzanne Bakken, RN, DNSc, FAAN, Alpha Eta, Alumni Professor of Nursing and Professor of Biomedical Informatics, Columbia University, New York, NY; William L. Holzemer, RN, PhD, FAAN, Alpha Eta, Professor; Carmen J. Portillo, RN, PhD, FAAN, Alpha Eta, Associate Professor; both at the University of California, San Francisco, CA; Richard Grimes, PhD, Associate Professor, University of Texas, Houston, TX; Jennifer Welch, RN, BSN, MBA, Alpha Delta, Sales Representative, Cardinal Health, Houston, TX; Dean Wantland, RN, MS, Doctoral Candidate, University of California, San Francisco, CA. This study was funded by the National Institute of Nursing Research (R01 NR004849, William L. Holzemer, Principal Investigator). Preparation of the manuscript was partially supported by P20 NR007799, Suzanne Bakken, Principal Investigator. The study protocol was approved by the University of California, San Francisco Institutional Review Board. Correspondence to Dr. Bakken, Columbia University, 630 W. 168th Street, Mailbox 6, New York, NY 10032. E-mail: sbh22@columbia.edu
    Search for more papers by this author
  • Dean Wantland

    1. Suzanne Bakken, RN, DNSc, FAAN, Alpha Eta, Alumni Professor of Nursing and Professor of Biomedical Informatics, Columbia University, New York, NY; William L. Holzemer, RN, PhD, FAAN, Alpha Eta, Professor; Carmen J. Portillo, RN, PhD, FAAN, Alpha Eta, Associate Professor; both at the University of California, San Francisco, CA; Richard Grimes, PhD, Associate Professor, University of Texas, Houston, TX; Jennifer Welch, RN, BSN, MBA, Alpha Delta, Sales Representative, Cardinal Health, Houston, TX; Dean Wantland, RN, MS, Doctoral Candidate, University of California, San Francisco, CA. This study was funded by the National Institute of Nursing Research (R01 NR004849, William L. Holzemer, Principal Investigator). Preparation of the manuscript was partially supported by P20 NR007799, Suzanne Bakken, Principal Investigator. The study protocol was approved by the University of California, San Francisco Institutional Review Board. Correspondence to Dr. Bakken, Columbia University, 630 W. 168th Street, Mailbox 6, New York, NY 10032. E-mail: sbh22@columbia.edu
    Search for more papers by this author

Abstract

Purpose:To illustrate the utility of a standardized nursing terminology to calculate the dosage of the Client Adherence Profiling-Intervention Tailoring (CAP-IT) and to determine the extent to which a tailored intervention was delivered to 117 persons with HIV/AIDS who participated in the experimental arm of a randomized controlled trial (RCT).

Methods:The intervention nurse assigned nursing diagnoses from the Home Health Care Classification (HHCC) based upon CAP scores. During the IT phase of CAP-IT, the nurse delivered and documented a tailored set of nursing interventions associated with the CAP and assigned nursing diagnoses. Hierarchical linear regression was used to evaluate the extent to which the number of interventions and intervention times were tailored to client needs.

Results:Linear regression models that included CAP scores and nursing diagnoses as predictor variables explained 53.2% of the variance in total number of interventions and 58.9% of the variance in intervention time.

Conclusions:The use of the standardized nursing terminology enabled calculation of the intervention dose and documentation that a tailored intervention was delivered.

Ancillary