Construction of a Full-Process Nursing Service Platform for Day Surgery Patients Based on Kano Model.

This study was based on the Kano model and rely on the Internet hospital to build a day surgery patient full-process nursing service platform. Based on the Internet hospital's HIS system, nursing Yuanzhuo system, patient mobile terminal (WeChat) and other information systems. The platform was designed by following the WHO's conceptual framework for developing a scaling-up strategy. It was tested and refined by a pilot in a hospital in China. The full-process care platform for day surgery patients realizes information interconnection and interoperability of patient surgical consultation, surgical inquiries, and postoperative follow-up. It consists of a WeChat applet (client) and an online website (server). Pre-experiment results show that patients are more likely to recommend the hospital's day surgery to others. The mHealth-based perioperative full-process nursing service platform for day surgery patients can initially meet the health education needs, surgical consultation needs and follow-up needs of day surgery patients.

Representing Nursing Practice in EMR/EHRs.

OBJECTIVE: Review of the ISO 18104 technical standard for a Nursing Categorial structure to best represent nursing practice in EMR/EHRs and digital health ecosystems. METHODS: Application of ISO standard review guidelines in consultation with ISO member stakeholders. RESULTS: Comprehensive views of the nursing practice knowledge domain are presented as mindmaps. Groups of patients can now be identified using the 'type of subject of care' category. The collaborative role of nurses is now recognized. This high level structured information model recognises nursing diagnosis, nursing actions and nurse sensitive outcomes relative to other categories and sub-categories known to influence nursing actions and nurse sensitive outcomes. DISCUSSION: This nursing practice framework reflects the nursing process. It supports conceptual and logical analysis of patient journey related nursing practice. CONCLUSION: This updated categorial structure is a good fit with today's information technologies. Its adoption enables the value of nursing services provided to be demonstrated.

Effect of PBL-INP Education on Nursing Process Confidence and Critical Thinking Deposition Among Nursing Students.

Problem-based learning (PBL) plays a pivotal role in improving the clinical competency of nursing students. We identified the effect of PBL-integrative nursing process (PBL-INP) education on teamwork, problem-solving ability, confidence in nursing process, and critical thinking disposition among nursing students.This study used a one-group pre-post-test design to verify the effects of the program. Participants were 78 second-year students from a nursing school located in Chungcheong-do, South Korea. The program was performed for eight weeks from May 1 to June 23, 2023. There were significant differences in teamwork (t = 3.76, p < .001) and problem-solving ability (t = 2.27, p = .025) before and after the PBL-INP. There was a significant difference in the confidence in the nursing process (t = 6.09, p < .001) and critical thinking disposition (t = 2.46, p = .016) before and after the intervention. The PBL-INP was effective in improving teamwork, problem-solving ability, confidence in nursing process, and clinical thinking disposition among second-year nursing students.: The PBL-INP was an effective educational method, and this study provides basic data to improve nursing students' nursing process learning ability.

Inseparability between public health, planetary health and the nursing process: premise for sustainable development.

The aim is to conduct theoretical reflection on the inseparability among public health, planetary health and the nursing process in light of complexity thinking, with the aim of contributing to healthy and sustainable development. Study with a theoretical-reflexive approach that accessed bibliographical sources from contemporary authors who defend the inseparability between public health and planetary health and, at the same time, provide theoretical-systemic support to the nursing process, under an inductive critical bias. The nursing process is conceived as a complex phenomenon, which comprises interdependent dynamics, dialogical approaches, critical-reflective perception and prospective leadership. Theoretical reflection on the nursing process and sustainable development raises an expanded, contextualized and interdependent look at the role of nursing professionals in different health contexts, in order not to compromise well-being and environmental health.

Nursing Process for institutionalized older adults: contributions from knowledge awareness workshop.

OBJECTIVE: To analyze the knowledge of professionals working in a Nursing Home about the Nursing Process before and after the awareness workshop. METHODS: This is strategic action research, developed with nursing professionals and managers of a Nursing Home in Rio Grande do Sul, Brazil. Data were collected between January and June 2023, through semi-structured interviews before and after an awareness workshop. Discursive textual analysis of the data was carried out. RESULTS: The central category "Understanding about the Nursing Process in Nursing Homes" emerged, which was unitized into two units of meaning and three categories of analysis. CONCLUSION: Data revealed non-use and lack of knowledge of the Nursing Process before awareness raising. Afterwards, a deeper understanding of the topic and its importance was identified. Awareness-raising workshops contribute to transformation of knowledge.

Validation of an evaluation matrix for the nursing process in the hospital context.

OBJECTIVE: To validate the content of an evaluation matrix for the nursing process in the hospital context. METHOD: A methodological study conducted in four stages, carried out from March to December 2022. Including: bibliographic research and selection of structuring foundations; construction of the logical model and analysis and judgment matrix; content validation by a committee of judges (n=11) using the Delphi technique; analysis of content validation data by calculating the Concordance Rate and Content Validity Index. RESULTS: At the end of the two rounds, the matrix had a concordance rate of 90% regarding format and 100% regarding other structural aspects. It also had a 100% concordance rate regarding the scope and representativeness of the matrix domains. Regarding the average Content Validity Index, the values were 0.97 and 0.98, for clarity and representativeness, respectively. CONCLUSION: The evaluation matrix - consisting of four dimensions and fourteen evaluation items referring to the necessary stages for the implementation and operationalization of the nursing process - demonstrated excellent content validity, which can contribute to supporting institutional initiatives for its consolidation in hospital nursing services.

Child health nursing consultation and competencies for Advanced Practice Nurses.

OBJECTIVE: To analyze nurses' practice in child health nursing consultations and the presence of care management competencies proposed for Advanced Practice Nurses (APN). METHOD: Multicenter, exploratory sequential mixed methods research, carried out in 17 Basic Health Units in four Brazilian cities. Collection was carried out from May to July 2022 through filming of consultation and analysis of medical records. Consultations with compliance with the Nursing Process ≥50% were analyzed to identify the competencies proposed for APN. RESULTS: 24 child consultations carried out by 12 nurses were filmed. In the quantitative analysis, 11 nursing consultations, carried out by seven nurses, achieved ≥50% Nursing Process compliance. In the qualitative analysis of these consultations, some APN competencies in care management were identified, but incomplete. CONCLUSION: child health nursing consultations present weaknesses in carrying out the Nursing Process, and nurses demonstrated a partial and superficial application of the care management competencies proposed for APN.

Contributions of representing the elements of nursing practice in the ISO 18.104:2023 standard: a theoretical study.

OBJECTIVE: To reflect on the contributions of representing nursing practice elements in the ISO 18.104:2023 standard. METHOD: This is a theoretical study with standard analysis. Categorical structures were described to represent nursing practice in terminological systems and contributions identified in the parts of the version were analyzed. RESULTS: There is innovation in the inclusion of nurse sensitive outcomes, nursing action, nursing diagnosis explanation as an indicator of nursing service demand and complexity of care, representation of concepts through mental maps and suggestion of use of restriction models for nursing actions. It describes that the Nursing Process is constituted by nursing diagnosis, nursing action and nurse sensitive outcomes. FINAL CONSIDERATIONS: Indicating a nursing diagnosis as an indicator will bring benefits for knowledge production and decision-making. Although care outcomes are not exclusive responses to nursing action, the modifiable attributes of a nursing diagnosis generate knowledge about clinical practice, nursing action effectiveness and subjects of care' health state. There is coherence in understanding the Nursing Process concept evolution.

Nurses' perception of the nursing process and its relationship with leadership.

OBJECTIVES: to describe Nurses' perception of the Nursing Process and its relationship with leadership. METHODS: action research conducted between September/2021 and April/2022 with nurses from a medium-sized hospital in southern Brazil. The data investigated, one of the stages of the method, was collected using the Focus Group technique and submitted to Strategic Focus Analysis. RESULTS: three categories emerged from the organized and analyzed data, namely: Nursing Process: a tool that qualifies nursing care; Conditions that weaken the Nursing Process; and Strategies that enhance the Systematization of Nursing Care. FINAL CONSIDERATIONS: the perception of the Nursing Process and its relationship with leadership are not always understood as complementary themes. Although they recognize that the Nursing Process is sometimes imposed as normative, nurses do not perceive the importance of the role of the leader, who is considered a key player in conducting and boosting the Systematization of Nursing Care.

Potencialidades e fragilidades da Sistematização da Assistência de Enfermagem no período puerperal / Strengths and weaknesses of the Systematization of Nursing Care in the postpartum period / Fortalezas y deblilidades de la Sistematización de la Atención de Enfermería en el posparto

Objetivo: identificar potencialidades e fragilidades da Sistematização da Assistência de Enfermagem no período puerperal. Método: estudo descritivo exploratório qualitativo desenvolvido entre agosto e dezembro de 2021 com 17 enfermeiros que atuam em equipes de Estratégia de Saúde da Família em um município do Rio Grande do Sul. Os dados foram coletados por meio de entrevista semiestruturada e submetidos à análise de conteúdo.Resultados: as potencialidades da Sistematização da Assistência de Enfermagemestão relacionadas à satisfação, organização do processo de trabalho e melhoria da qualidade do cuidado. E, as fragilidades estão associadas à falta de recursos humanos e de tempo, acúmulo de funções e pouco conhecimento sobre a temática. Conclusões: os enfermeiros reconhecem a importância da Sistematização da Assistência de Enfermagem, mas ainda é necessário qualificar o processo de enfermagem às mulheres no puerpério

Objective:to identify potentialities and weaknesses of the Systematization of Nursing Care in the postpartum period. Method:qualitative exploratory descriptive study developed between August and December 2021 with 17 nurses who work in Family Health Strategy teams in a city in Rio Grande do Sul. Data were collected through semi-structured interviews and subjected to content analysis. Results:the potential of Nursing Care Systematization is related to satisfaction, organization of the work process and improvement in the quality of care. And, the weaknesses are associated with the lack of human resources and time, accumulation of functions and little knowledge on the subject. Conclusions:nurses recognize the importance of Systematizing Nursing Care, but it is still necessary to qualify the nursing process for women in the postpartum period.

Objetivo: identificar potencialidades y debilidades de la Sistematización de la Atención de Enfermería en el posparto. Método:estudio descriptivo exploratorio cualitativo desarrollado entre agosto y diciembre de 2021 con 17 enfermeros que actúan en equipos de la Estrategia de Salud de la Familia en una ciudad de Rio Grande do Sul. Los datos fueron recolectados a través de entrevistas semiestructuradas y sometidos a análisis de contenido. Resultados:el potencial de la Sistematización de la Atención de Enfermería está relacionado con la satisfacción, la organización del proceso de trabajo y la mejora de la calidad de la atención. Y, las debilidades están asociadas a la falta de recursos humanos y de tiempo, acumulación de funciones y poco conocimiento sobre el tema. Conclusiones:los enfermeros reconocen la importancia de Sistematizar la Atención de Enfermería, pero aún es necesario calificar el proceso de enfermería para las mujeres en el posparto.

Clinical validation of the terminological subset for people with chronic kidney disease undergoing conservative treatment.

OBJECTIVE: To clinically validate a terminological subset of the International Classification for Nursing Practice (ICNP®) to care for people with chronic kidney disease undergoing conservative treatment. METHOD: Prospective study of clinical validation assessment of 117 nursing diagnoses/outcomes statements and 199 nursing intervention statements. It was operationalized through the following steps: implementation of the Nursing Process in an outpatient clinic in Southeast Brazil; preparation of case studies; analysis of agreement between specialist nurses. The Kappa. Kruskal-Wallis coefficient of agreement and intraclass correlation coefficient (ICC) were used. RESULTS: The sample consisted of 50 people with chronic kidney disease. Diagnoses/outcomes and interventions were evaluated with almost perfect/perfect agreement and excellent ICC. The Kruskal-Wallis test showed that there was no significant difference between the assessments. The study allowed the clinical validation of a subset with 110 nursing diagnoses/outcomes and 195 nursing interventions. CONCLUSION: Care for people with chronic kidney disease undergoing conservative treatment based on the proposed subset has become applicable to clinical practice.

Mapeamento das ações do enfermeiro de prática avançada em uma instituição de ensino superior / Mapping the actions of advanced practice nurses in a higher education institution

Mapear as ações do Enfermeiro de Prática Avançada nos campos de ensino clínico e estágio curricular supervisionado de um curso de graduação em enfermagem. Métodos: estudo transversal, descritivo, incluindo 21 enfermeiros. A coleta de dados deu-se por questionário sócio-profissiográfico, alinhado às competências do Conselho Internacional de Enfermeiros no tocante à Prática Avançada de Enfermagem. Resultados: Os enfermeiros demonstraram médio conhecimento em Prática Avançada de Enfermagem, e ações de prática avançada mapeadas como prescrição de agentes terapêuticos para lesões, procedimento de catéter central de inserção periférica, solicitação de exames de imagem e swab peri-anal, pareceres em lesão, manejo e consulta de enfermagem no pré-parto, assistência no parto. Competências no domínio do cuidado e no domínio da gestão/educação foram evidenciadas. Conclusão: evidenciou-se potenciais de ação de Prática Avançada na Instituição de Ensino.(AU)

To map the actions of Advanced Practice Nurses in the clinical teaching and supervised curricular internship fields of an undergraduate nursing course. Methods: A cross-sectional, descriptive study including 21 nurses. Data was collected using a socio-professional questionnaire, aligned with the International Council of Nurses' competencies regarding Advanced Nursing Practice. Results: The nurses demonstrated medium knowledge of Advanced Nursing Practice, and mapped advanced practice actions such as prescribing therapeutic agents for injuries, peripherally inserted central catheter procedures, requesting imaging tests and peri-anal swabs, injury opinions, management and nursing consultation in the prepartum period, and assistance in childbirth. Skills in the care domain and the management/education domain were highlighted. Conclusion: There was potential for action in Advanced Practice at the Teaching Institution.(AU)

Mapear las acciones de las Enfermeras de Práctica Avanzada en los campos de la enseñanza clínica y de las prácticas curriculares supervisadas de un curso de enfermería de pregrado. Métodos: Se trató de un estudio transversal, descriptivo, en el que participaron 21 enfermeras. Los datos fueron recogidos a través de un cuestionario socio-profesional, alineado con las competencias del Consejo Internacional de Enfermería en relación a la Práctica Avanzada de Enfermería. Resultados: Las enfermeras demostraron conocimiento medio de la Práctica Avanzada de Enfermería, y mapearon acciones de práctica avanzada como prescripción de agentes terapéuticos para lesiones, procedimientos de catéter central de inserción periférica, solicitud de pruebas de imagen e hisopos perianales, emisión de dictámenes sobre lesiones, manejo y consulta de enfermería en el período preparto, asistencia al parto. Se destacaron las competencias en el ámbito de los cuidados y en el de la gestión/educación. Conclusión: Hubo potencial de actuación en la Práctica Avanzada en la Institución de Enseñanza.(AU)

Design and implementation of an automatic nursing assessment system based on CDSS technology.

BACKGROUND: Various quantitative and quality assessment tools are currently used in nursing to evaluate a patient's physiological, psychological, and socioeconomic status. The results play important roles in evaluating the efficiency of healthcare, improving the treatment plans, and lowing relevant clinical risks. However, the manual process of the assessment imposes a substantial burden and can lead to errors in digitalization. To fill these gaps, we proposed an automatic nursing assessment system based on clinical decision support system (CDSS). The framework underlying the CDSS included experts, evaluation criteria, and voting roles for selecting electronic assessment sheets over paper ones. METHODS: We developed the framework based on an expert voting flow to choose electronic assessment sheets. The CDSS was constructed based on a nursing process workflow model. A multilayer architecture with independent modules was used. The performance of the proposed system was evaluated by comparing the adverse events' incidence and the average time for regular daily assessment before and after the implementation. RESULTS: After implementation of the system, the adverse nursing events' incidence decreased significantly from 0.43 % to 0.37 % in the first year and further to 0.27 % in the second year (p-value: 0.04). Meanwhile, the median time for regular daily assessments further decreased from 63 s to 51 s. CONCLUSIONS: The automatic assessment system helps to reduce nurses' workload and the incidence of adverse nursing events.

Psychometric evaluation of the Functional Health Pattern Assessment Screening Tool - Modified Brazilian Version / Evaluación psicométrica del instrumento Functional Health Pattern Assessment Screening Tool - Versión modificada para Brasil / Avaliação psicométrica do Functional Health Pattern Assessment Screening Tool - Versão Brasileira Modificada

Objective: to test the factorial structure, reliability and convergent validity of the Functional Health Pattern Assessment Screening Tool - Modified Brazilian Version. Method: this was a psychometric evaluation of the Functional Health Pattern Assessment Screening Tool - Modified Brazilian Version. Seven hundred and seventeen participants answered the data collection instrument consisting of two parts. Part I included a structured questionnaire to collect sociodemographic data and the participants' perceptions and satisfaction with their current health status. Part II consisted of the tool being tested. The internal structure was assessed using Confirmatory Factor Analysis. Convergent validity was evaluated by the correlation of the tool scores with the rates corresponding to self-perception and satisfaction with current health status. Reliability was assessed using Cronbach's alpha. Results: the Confirmatory Factor Analysis confirmed a three-factor solution. The factor loadings were significant and varied from 0.16 to 0.75; the fit indices suggested moderate fit of the model. Internal consistency for all three components varied between 0.779 and 0.919. Conclusion: the findings suggest that the tool is valid and reliable to be used in the Brazilian population, although caution is recommended when interpreting the results due to the moderate fit of the model.

Objetivo: someter a prueba la estructura factorial, confiabilidad y validez convergente del instrumento Functional Health Pattern Assessment Screening Tool - Versión modificada para Brasil. Método: evaluación psicométrica del instrumento Functional Health Pattern Assessment Screening Tool - Versión modificada para Brasil. Setecientos diecisiete participantes respondieron el instrumento de recolección de datos, compuesto por dos partes. La Parte I incluyó un cuestionario estructurado para recopilar datos sociodemográficos y las percepciones y el nivel de satisfacción de los participantes con respecto a su estado de salud actual. La Parte II consistió en la herramienta sometida a prueba. La estructura interna se evaluó empleando Análisis Factorial Confirmatorio. La validez interna se evaluó por medio de la correlación entre las puntuaciones obtenidas en la herramienta y los índices correspondientes a los niveles de autopercepción y satisfacción con respecto al estado de salud actual. La confiabilidad se evaluó utilizando el coeficiente alfa de Cronbach. Resultados: el Análisis Factorial Confirmatorio confirmó una solución con tres factores. Las cargas factoriales fueron significativas y variaron entre 0,16 y 0.75; los índices de ajuste sugirieron ajuste moderado del modelo. La consistencia interna correspondiente a los tres componentes varió entre 0,779 y 0,919. Conclusión: los hallazgos sugieren que la herramienta es válida y confiable para ser usada en la población de Brasil, aunque se recomienda interpretar los resultados con precaución debido al moderado ajuste del modelo.

Objetivo: testar a estrutura fatorial, a confiabilidade e a validade convergente do Functional Health Pattern Assessment Screening Tool - Versão Brasileira Modificada. Método: avaliação psicométrica do Functional Health Pattern Assessment Screening Tool - Versão Brasileira Modificada. Setecentos e dezessete participantes responderam os itens do instrumento de coleta de dados composto por duas partes. A Parte I incluiu um questionário estruturado contendo dados sociodemográficos e a percepção e satisfação dos participantes com seu estado de saúde atual. A Parte II consistiu no instrumento testado. A estrutura interna foi avaliada por meio de Análise Fatorial Confirmatória. A validade convergente foi avaliada pela correlação dos escores do instrumento com os índices correspondentes à autopercepção e à satisfação com o estado de saúde atual. A confiabilidade foi avaliada pelo alfa de Cronbach. Resultados: a Análise Fatorial Confirmatória confirmou uma solução de três fatores. As cargas fatoriais foram significativas e variaram de 0,16 a 0,75; os índices de ajuste sugeriram ajuste moderado do modelo. A consistência interna dos três componentes variou entre 0,779 e 0,919. Conclusión: os achados sugerem que o instrumento é válido e confiável para ser utilizado na população brasileira, embora seja recomendada cautela na interpretação dos resultados devido ao ajuste moderado do modelo.

Terminology subset for the International Classification of Nursing Practice in Diabetes Mellitus / Subconjunto terminológico para la Clasificación Internacional para la Práctica de Enfermería en Diabetes Mellitus / Subconjunto terminológico para la Clasificación Internacional para la Práctica de Enfermería en Diabetes Mellitus

Objective: to describe the process of developing a terminological subset for the International Classification of Nursing Practice in Diabetes Mellitus, based on Horta's Basic Human Needs Theory and Bandura's Social Cognitive Theory. Method: a methodological study based on the identification in the literature of 313 statements of nursing diagnoses pertinent to diabetes care, selected and validated by a consensus of nurses from different states of Brazil, specialists in diabetes, using the nominal group technique. Results: 156 nursing diagnosis/result statements were selected, of which 111 (71.15%) related to psychobiological needs, 42 (26.92%) to psychosocial needs and three (1.92%) to psychospiritual needs. A total of 433 nursing interventions were developed. The diagnostic statements were validated on the basis of a consensus among the experts, with an average content validity index of 0.89: 0.87 for psychobiological needs, 0.93 for psychosocial needs, and 0.77 for psychospiritual needs. Conclusion: the study validated the terminological subset for the International Classification of Nursing Practice in Diabetes, favoring clinical reasoning, the qualification of the Nursing Process, and the improvement of self-care practices in diabetes. It has made it possible to use nursing's own language based on a globally recognized classification.

Objetivo: describir el proceso de elaboración de un subconjunto terminológico para la Clasificación Internacional para la Práctica de Enfermería en Diabetes Mellitus , basado en la Teoría de las Necesidades Humanas Básicas de Horta y en la Teoría Social Cognitiva de Bandura. Método: estudio metodológico realizado a partir de la identificación en la literatura de 313 enunciados de diagnósticos de Enfermería pertinentes al cuidado en diabetes, seleccionados y validados por consenso de enfermeras especializadas en diabetes, provenientes de diferentes estados de Brasil, utilizando la técnica de grupo nominal. Resultados: fueron seleccionados 156 enunciados diagnósticos/resultados de Enfermería, así relacionados: 111 (71,15%) con las necesidades psicobiológicas; 42 (26,92%) con las psicosociales y tres (1,92%) con las psicoespirituales. Fueron construidas 433 intervenciones de Enfermería. Los enunciados diagnósticos fueron validados a partir del consenso entre las especialistas con índice de validez de contenido medio de 0,89; siendo: 0,87 para las necesidades psicobiológicas; 0,93 para las psicosociales y 0,77 para las psicoespirituales. Conclusión: el estudio validó los enunciados del subconjunto terminológico para la Clasificación Internacional para la Práctica de Enfermería en diabetes, favoreciendo el raciocinio clínico, la calificación del Proceso de Enfermería y la mejora de las prácticas de autocuidado en diabetes. También, posibilitó la utilización de lenguaje propio de la Enfermería basado en una clasificación reconocida mundialmente.

Objetivo: descrever o processo de elaboração de um subconjunto terminológico para a Classificação Internacional para a Prática de Enfermagem em Diabetes Mellitus , baseado na Teoria das Necessidades Humanas Básicas de Horta e na Teoria Social Cognitiva de Bandura. Método: estudo metodológico realizado a partir da identificação na literatura de 313 enunciados de diagnósticos de Enfermagem pertinentes ao cuidado em diabetes, selecionados e validados por consenso de enfermeiras especialistas em diabetes, provenientes de diferentes estados do Brasil, utilizando a técnica de grupo nominal. Resultados: foram selecionados 156 enunciados diagnósticos/resultados de Enfermagem, sendo relacionados: 111 (71,15%) às necessidades psicobiológicas; 42 (26,92%) às psicossociais e três (1,92%) às psicoespirituais. Foram construídas 433 intervenções de Enfermagem. Os enunciados diagnósticos foram validados a partir do consenso entre os especialistas com índice de validade de conteúdo médio de 0,89, sendo: 0,87 para as necessidades psicobiológicas; 0,93 para as psicossociais e 0,77 para as psicoespirituais. Conclusão: o estudo validou os enunciados do subconjunto terminológico para a Classificação Internacional para a Prática de Enfermagem em diabetes, favorecendo o raciocínio clínico, a qualificação do Processo de Enfermagem e a melhoria das práticas de autocuidado em diabetes. Possibilitou a utilização de linguagem própria da Enfermagem com base em uma classificação reconhecida mundialmente.

Intervenções de enfermagem para pessoas com dor crônica em paliação: protocolo de revisão de escopo / Intervenciones de enfermería para personas con dolor paliativo crónico: protocolo de revisión del alcance / Nursing interventions for people with chronic palliation pain: scoping review protocol

Objetivo: mapear intervenções de enfermagem no manuseio da dor crônica em adultos e idosos em cuidados paliativos. Método: trata-se de um protocolo de revisão de escopo, alicerçado nas diretrizes do Joanna Briggs Institute e nas recomendações do Preferred Reporting Items for Systematic Reviews and Meta-analysis Protocols. Serão utilizadas cinco bases de dados: MEDLINE/PubMed, Scopus, Web of Science, CINAHAL e National Grey Literature Collection, utilizando os descritores em saúde, a fim de responder a pergunta de pesquisa: "Quais intervenções de enfermagem são realizáveis no cuidado da dor crônica em indivíduos adultos e idosos em cuidados paliativos no campo da Enfermagem?" O processo de busca, identificação e avaliação será realizado por dois avaliadores independentes. Serão incluídos artigos nos idiomas inglês, português e espanhol, que atendiam ao objetivo. Os dados serão incluídos em uma planilha previamente construída e apresentados em tabelas, figuras e diagramas.

Objetivo: mapear las intervenciones de enfermería en el manejo del dolor crónico en adultos y adultos mayores en cuidados paliativos. Método: se trata de un protocolo de revisión exploratoria, basado en las directrices del Joanna Briggs Institute y las recomendaciones de los Preferred Reporting Items for Systematic Reviews and Meta-analysis Protocols. Se utilizarán cinco bases de datos: MEDLINE/PubMed, Scopus, Web of Science, CINAHL y National Grey Literature Collection, utilizando los descriptores de salud, con el fin de responder a la pregunta de investigación: "¿Qué intervenciones de enfermería son alcanzables en el cuidado del dolor crónico en adultos y ancianos en cuidados paliativos en el campo de la Enfermería?" El proceso de búsqueda, identificación y evaluación estará a cargo de dos evaluadores independientes. Se incluirán artículos en inglés, portugués y español, que cumplieron con el objetivo. Los datos se incluirán en una hoja de cálculo previamente construida y se presentarán en tablas, figuras y diagramas.

Objective: mapping nursing interventions in the management of chronic pain in adults and elderly in palliative care. Method: this is a scope review protocol, based on the guidelines of the Joanna Briggs Institute and the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-analysis Protocols. Five databases will be used: MEDLINE/PubMed, Scopus, Web of Science, CINAHL and National Grey Literature Collection, using the descriptors in health, to answer the research question: "Which nursing interventions are feasible in the care of chronic pain in adults and elderly in palliative care in the field of Nursing?" The search, identification and evaluation process will be performed by two independent evaluators. Articles in English, Portuguese and Spanish will be included, which met the objective. The data will be included in a previously constructed spreadsheet and presented in tables, figures and diagrams.

Sistematização da assistência de enfermagem: percepção de uma equipe multiprofissional na atenção primária à saúde / Sistematización de la atención de enfermería: la percepción de un equipo multiprofesional en atención primaria de la salud / Systematization of nursing care: the perception of a multiprofessional team within the primary health care scope

Objetivo: analisar a percepção da equipe multiprofissional acerca da sistematização da assistência de enfermagem na atenção primária à saúde. Método: estudo de análise temática reflexiva, com abordagem qualitativa, fundamentado no estudo de caso único, realizado no ano de 2021. O cenário constituiu-se de unidade básica de saúde, onde participaram 14 colaboradores da equipe multiprofissional. A coleta de dados foi realizada por meio de entrevistas semiestruturadas, utilizando gravadores digitais, seguindo a análise de dados indutiva. O estudo foi aprovado eticamente. Resultados: foram extraídas duas categorias empíricas referindo-se ao conhecimento da equipe face as atribuições do enfermeiro na atenção primária, bem como as facilidades e as dificuldades enfrentadas pelo enfermeiro no cotidiano de trabalho na implementação da sistematização da assistência de enfermagem. Considerações finais: a sistematização da assistência de enfermagem ainda apresenta incipiente para a equipe multiprofissional, tornando inviável a aplicação desta ferramenta pelo enfermeiro no seu processo de trabalho.

Objetivo: analizar la percepción del equipo multiprofesional acerca de la Sistematización de la Atención de Enfermería en Atención Primaria de la Salud. Método: estudio de análisis temático reflexivo con enfoque cualitativo, fundamentado en el estudio de un único caso y realizado en el año 2021. El escenario de la investigación fue una unidad básica de salud en la que participaron 14 trabajadores del equipo multiprofesional. Los datos se recolectaron por medio de entrevistas semiestructuradas, utilizando grabadoras digitales y siguiendo la técnica de análisis inductivo de datos. El estudio contó con la debida aprobación ética. Resultados: se extrajeron dos categorías empíricas referidas al conocimiento del equipe frente a los deberes de los enfermeros en Atención Primaria, al igual que las facilidades y dificultades enfrentadas por los enfermeros en la rutina de trabajo al implementar la Sistematización de la Atención de Enfermería. Consideraciones finales: la Sistematización de la Atención de Enfermería sigue siendo incipiente para el equipo multiprofesional, lo que impide que los enfermeros apliquen esta herramienta en su proceso de trabajo.

Objective: to analyze the multiprofessional team perception regarding the Systematization of Nursing Care in Primary Health Care. Method: a reflective thematic analysis study with a qualitative approach based on a single case study carried out in 2021. The scenario consisted of a basic health unit and the participants were 14 staff members from its multiprofessional team. Data collection was carried out through semi-structured interviews using digital recorders and following an inductive data analysis. The study was ethically approved. Results: two empirical categories were extracted, one referring to the team's knowledge about nurses' duties in Primary Health Care and the other related to the facilitating factors and difficulties faced by nurses in their daily effort to implement the Systematization of Nursing Care. Final considerations: the Systematization of Nursing Care still proved to be incipient for the multiprofessional team, making it unfeasible for nurses to apply this tool in their work process.

Contributions of representing the elements of nursing practice in the ISO 18.104:2023 standard: a theoretical study / Contribuições da representação dos elementos da prática de enfermagem na norma ISO 18.104:2023: estudo teórico / Aportes de la representación de los elementos de la práctica de enfermería en la norma ISO 18.104:2023: estudio teórico

ABSTRACT Objective: To reflect on the contributions of representing nursing practice elements in the ISO 18.104:2023 standard. Method: This is a theoretical study with standard analysis. Categorical structures were described to represent nursing practice in terminological systems and contributions identified in the parts of the version were analyzed. Results: There is innovation in the inclusion of nurse sensitive outcomes, nursing action, nursing diagnosis explanation as an indicator of nursing service demand and complexity of care, representation of concepts through mental maps and suggestion of use of restriction models for nursing actions. It describes that the Nursing Process is constituted by nursing diagnosis, nursing action and nurse sensitive outcomes. Final considerations: Indicating a nursing diagnosis as an indicator will bring benefits for knowledge production and decision-making. Although care outcomes are not exclusive responses to nursing action, the modifiable attributes of a nursing diagnosis generate knowledge about clinical practice, nursing action effectiveness and subjects of care' health state. There is coherence in understanding the Nursing Process concept evolution.

RESUMO Objetivo: Refletir sobre as contribuições da representação dos elementos da prática de enfermagem na norma ISO 18.104:2023. Método: Estudo teórico com análise da norma. Foram descritas estruturas categoriais para representação da prática da enfermagem nos sistemas terminológicos e analisadas as contribuições identificadas nas partes da versão. Resultados: Há inovação na inclusão do resultado sensível à ação da enfermeira, explicitação do diagnóstico de enfermagem como indicador da demanda de serviços e complexidade de assistência, representação dos conceitos por mapas mentais e sugestão do uso de modelos de restrição para ações de enfermagem. Descreve que o Processo de Enfermagem é constituído pelo diagnóstico, ação e resultado sensível à ação da enfermeira. Considerações finais: A indicação do diagnóstico de enfermagem como um indicador trará benefícios para produção de conhecimento e tomada de decisão. Embora os resultados do cuidado não sejam respostas exclusivas a uma ação da enfermeira, os atributos modificáveis de um diagnóstico de enfermagem geram conhecimentos sobre a prática clínica, a eficácia das ações de enfermagem e o estado de saúde dos sujeitos de cuidado. Há coerência na compreensão da evolução do conceito de Processo de Enfermagem.

RESUMEN Objetivo: Reflexionar sobre los aportes de representar los elementos de la práctica de enfermería en la norma ISO 18.104:2023. Método: Estudio teórico con análisis de la norma. Se describieron estructuras categóricas para representar la práctica de enfermería en sistemas terminológicos y se analizaron las contribuciones identificadas en las partes de la versión. Resultados: Hay innovación en la inclusión del resultado sensible a la acción del enfermero, explicación del diagnóstico de enfermería como indicador de demanda de servicios y complejidad del cuidado, representación de conceptos a través de mapas mentales y sugerencia del uso de modelos de restricción para las acciones de enfermería. Describe que el Proceso de Enfermería está constituido por el diagnóstico, la acción y el resultado sensible a la acción del enfermero. Consideraciones finales: La indicación del diagnóstico de enfermería como indicador traerá beneficios para la producción de conocimiento y la toma de decisiones. Aunque los resultados del cuidado no son respuestas exclusivas a la acción del enfermero, los atributos modificables de un diagnóstico de enfermería generan conocimiento sobre la práctica clínica, la efectividad de las acciones de enfermería y el estado de salud de los sujetos del cuidado. Hay coherencia en la comprensión de la evolución del concepto de Proceso de Enfermería.

Ensino-aprendizagem do processo de enfermagem: percepção de discentes da graduação / Teaching-learning of the nursing process: perception of graduate students / Enseñanza-aprendizaje del proceso de enfermería: percepción de estudiantes de posgrado

Objetivo: descrever as concepções dos discentes de graduação sobre o processo de enfermagem. Método: trata-se de um estudo de abordagem qualitativa, exploratória, descritiva e transversal. Os dados coletados, armazenados durante a técnica do questionário, foram analisados à luz da análise de conteúdo de Bardin. Resultados: no processo de categorização, foram identificadas as seguintes categorias.: limitações na abordagem do processo de ensino-aprendizagem do Processo de Enfermagem nas disciplinas e práticas clínicas.: fragmentação e falta de continuidade; avaliação das metodologias de ensino do Processo.: desafios e lacunas; uso de Linguagem Padronizada; aproximação e aplicação das Teorias de Enfermagem no contexto prático. Considerações finais:este estudo revela limitações no ensino do Processo de Enfermagem para discentes de graduação, evidenciando uma abordagem fragmentada, falta de integração interdisciplinar e desafios nas metodologias de ensino. Tais descobertas direcionam melhorias no ensino para formação mais abrangente e eficaz em Enfermagem

Objective: describe the conceptions of undergraduate about the nursing process. Methods: this is a qualitative, exploratory, descriptive, and cross-sectional study. The data collected, stored during the questionnaire technique, were analyzed through Bardin's content analysis. Results: in the categorization process, the following categories were identified: limitations in the approach to the teaching-learning process of the Nursing Process in disciplines and clinical practices: fragmentation and lack of continuity; Evaluation of teaching methodologies of the Process: challenges and gaps; Use of Standardized Language; Approach and application of nursing theories in practical context. Final considerations: this study reveals limitations in the teaching of the Nursing Process for undergraduate students, highlighting a fragmented approach, lack of interdisciplinary integration, and challenges in teaching methodologies. These findings guide improvements in education for a more comprehensive and effective nursing training

Objetivos:describir las concepciones de estudiantes sobre el proceso de enfermería. Método: se trata de un estudio cualitativo, exploratorio, descriptivo y transversal. Los datos recopilados, almacenados durante la técnica del cuestionario, fueron analizados a la luz del análisis de contenido de Bardin. Resultados: en el proceso de categorización, se identificaron las siguientes categorías: limitaciones en el enfoque del proceso de enseñanza-aprendizaje del Proceso de Enfermería en las disciplinas y prácticas clínicas: fragmentación y falta de continuidad; Evaluación de las metodologías de enseñanza del Proceso: desafíos y lagunas; Uso de lenguaje estandarizado; Aproximación y aplicación de teorías de enfermería en el contexto práctico. Consideraciones finales: este estudio revela limitaciones en la enseñanza del Proceso de Enfermería para estudiantes de pregrado, evidenciando un enfoque fragmentado, falta de integración interdisciplinaria y desafíos en las metodologías de enseñanza. Estos hallazgos orientan mejoras en la educación para una formación en enfermería más integral y efectiva