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1.
Enferm. clín. (Ed. impr.) ; 30(6): 377-385, nov.-dic. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-197667

RESUMO

OBJETIVO: Identificar las medidas de precisión de las características definitorias del diagnóstico de enfermería termorregulación ineficaz en los recién nacidos. MÉTODO: Estudio de precisión diagnóstica de diseño transversal realizado en unidades de maternidad de medio y alto riesgo, localizada en la ciudad de Fortaleza-CE. Se evaluaron 216 recién nacidos para la identificación de las características definitorias del diagnóstico en estudio. Las medidas de precisión de las características definitorias se obtuvieron a partir de un modelo de 2 clases latentes con efectos aleatorios para el cálculo de los valores de sensibilidad y especificidad. RESULTADOS: Las características de frecuencia respiratoria aumentada y piel caliente al tacto presentaron valores de sensibilidad más altos (99,9%) y de especificidades menores (79 y 75%) y las características fluctuaciones de la temperatura corporal por encima y por debajo de los parámetros normales e hipertensión fueron las de mayor especificidad (80,4%) y sensibilidad (100%), respectivamente. CONCLUSIÓN: La característica fluctuación de la temperatura corporal por encima y por debajo de los parámetros normales puede ser más adecuadas para confirmar la presencia del diagnóstico, por haber presentado un mayor valor de especificidad


OBJECTIVE: To identify the measures of accuracy for defining characteristics of the nursing diagnosis: Ineffective thermoregulation in newborns. METHOD: Diagnostic accuracy study with cross-sectional design performed in medium and high-risk maternity units, located in Fortaleza city/Brazil. A total of 216 newborns were evaluated to identify the defining characteristics of the diagnosis under study. The measures of accuracy for defining characteristics were obtained from a latent class model with random effects for the calculation of sensitivity and specificity values. RESULTS: The characteristics of increased respiratory rate and warm skin to the touch had higher sensitivity values (99.9%) and lower specificity (79 and 75%) and the characteristics of body temperature fluctuations above and below the normal parameters and hypertension had the highest specificity (80.4 and 100%, respectively). CONCLUSION: The characteristic fluctuation of the body temperature above and below the normal parameters may be better to confirm the diagnosis, having presented a higher specificity value


Assuntos
Humanos , Masculino , Feminino , Recém-Nascido , Diagnóstico de Enfermagem/métodos , Regulação da Temperatura Corporal/fisiologia , Taxa Respiratória , Febre/complicações , Diagnóstico de Enfermagem/normas , Estudos Transversais , Sensibilidade e Especificidade , Encefalopatias/prevenção & controle , Razão de Chances , Febre/diagnóstico , Febre/enfermagem
2.
Rev Bras Enferm ; 72(suppl 2): 111-118, 2019 Nov.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31826199

RESUMO

OBJECTIVE: to validate the conceptual and operational definitions content of factors for Risk of suicide Nursing Diagnosis in the elderly. METHOD: this is validation of the conceptual and operational definitions content of factors for Risk of suicide in the elderly, performed by 15 experts, from November 2015 to March 2016. Risk factors were classified into three hierarchical chuncks. The data were analyzed by descriptive statistics and binomial test. RESULTS: of the 54 validated risk factors, only eight presented problems regarding clarity, simplicity and accuracy: chronic pain, vision problems, retirement, frustration, medication neglect and depression. Only rigidity was not validated as relevant for the study diagnosis. CONCLUSION: content validation of the risk factors for Nursing Diagnosis can guide the clinical practice of the nurse in the early detection of risk of suicide in the elderly.


Assuntos
Diagnóstico de Enfermagem/normas , Medição de Risco/normas , Suicídio/prevenção & controle , Adulto , Brasil , Depressão/complicações , Depressão/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Diagnóstico de Enfermagem/métodos , Reprodutibilidade dos Testes , Medição de Risco/métodos , Medição de Risco/estatística & dados numéricos , Fatores de Risco , Suicídio/classificação , Suicídio/psicologia
3.
Rev Lat Am Enfermagem ; 27: e3190, 2019.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-31664408

RESUMO

OBJECTIVE: to clinically validate the nursing diagnosis "Impaired Physical Mobility", identifying its prevalence, defining characteristics, related factors, and associated conditions with the calculation of accuracy measures and generation of Decision Trees, as well as clinically and etiologically characterize the multiple traumas victims. METHOD: methodological, cross-sectional study of clinical validation type, using diagnostic accuracy measures and generating decision tree. RESULTS: the sample consisted of 126 patients, 73% male, with a mean age of 38.29 years. The frequency of the nursing diagnosis studied was 88.10%; the defining characteristic with the highest prevalence was "Difficulty turning" (58.73%), with a predictive power of 98.6%; the associated condition "Alteration in bone structure integrity" stood out with 72.22%. The accuracy measures also indicated their predictive power. CONCLUSION: the components aforementioned were considered predictors of this diagnosis. This study contributed to improve the identification of clinical indicators associated with advanced methods of diagnostic validation, directing care and reducing the variability present in clinical situations.


Assuntos
Atividade Motora/fisiologia , Traumatismo Múltiplo/enfermagem , Diagnóstico de Enfermagem/normas , Adulto , Osso e Ossos/fisiopatologia , Brasil/epidemiologia , Estudos Transversais , Feminino , Hospitais de Ensino/estatística & dados numéricos , Humanos , Masculino , Limitação da Mobilidade , Traumatismo Múltiplo/diagnóstico , Traumatismo Múltiplo/epidemiologia
4.
Rev Lat Am Enfermagem ; 27: e3153, 2019.
Artigo em Português, Inglês, Espanhol | MEDLINE | ID: mdl-31596405

RESUMO

OBJECTIVE: to identify the predicting factors and sensitivity, specificity, positive and negative related value of nursing diagnosis Ineffective Breathing Pattern among patients of an intensive care unit. METHOD: cross-sectional study. A logistic regression was fitted to assess the simultaneous effects of related factors. RESULTS: among the 120 patients, 67.5% presented Ineffective Breathing Pattern. In the univariate analysis, the related factors were: group of diseases, fatigue, obesity and presence of bronchial secretion, and the defining characteristics were: changes in respiratory depth, auscultation with adventitious sounds, dyspnea, reduced vesicular murmurs, tachypnea, cough and use of the accessory musculature to breathe. The mean age of patients with was higher than those without this diagnosis. The defining characteristics reduced murmurs had high sensitivity (92.6%), specificity (97.4%), negative related value (86.4%) and positive related value (98.7%). The related factors of Ineffective Breathing Pattern were the related factors fatigue, age and group of diseases. CONCLUSION: fatigue, age and patients with a group of diseases were related factors of Ineffective Breathing Pattern in this study. Reduced vesicular murmurs, auscultation with adventitious sounds and cough may be defining characteristics to be added in the international classification, as well as the related factors bronchial secretion and group of diseases.


Assuntos
Diagnóstico de Enfermagem/classificação , Insuficiência Respiratória/enfermagem , Idoso , Estudos Transversais , Feminino , Humanos , Unidades de Terapia Intensiva , Masculino , Pessoa de Meia-Idade , Diagnóstico de Enfermagem/normas , Respiração
5.
J Clin Nurs ; 28(23-24): 4367-4378, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31410897

RESUMO

AIMS AND OBJECTIVES: To test the validity and reliability of Nursing Outcomes Classification outcomes and their clinical indicators for patients with the nursing diagnosis 'Risk for perioperative positioning injury'. BACKGROUND: Surgical positioning is an essential part of perioperative nursing practice. The use of a standardised language values the clinical evaluation of the perioperative nurse, reinforcing its contribution to surgical patient care. DESIGN: Longitudinal concept validation cohort study. METHODS: Patients were selected based on the operating room surgical schedule. The sample included adult patients who underwent elective surgical procedures requiring anaesthesia, classified as surgical class 2, 3 or 4. Outcomes were measured with an instrument, which included 33 clinical indicators for eight outcomes. The patients were assessed at five distinct time points in the perioperative phases. This study followed the STROBE guidelines. RESULTS: A total of 50 patients were included. Each underwent five clinical assessments, for a total of 250 documented assessments. Differences in evaluations were mostly related to reduced scores of clinical indicators in the immediate postsurgical time points, which recovered to the highest score at the end of the fifth (and last) evaluation. The results of factor analysis and Cronbach's alpha calculations suggested a new configuration for this nursing outcomes, consisting of five outcomes-Circulation Status, Tissue Perfusion: peripheral, Neurological Status: peripheral, Tissue Integrity: skin and mucous membranes and Thermoregulation-and 13 clinical indicators. CONCLUSIONS: Nursing Outcomes Classification outcomes and clinical indicators for the nursing diagnosis at 'Risk for perioperative positioning injury' are sensitive to patient states during the perioperative period. RELEVANCE TO CLINICAL PRACTICE: Use of nursing taxonomies during the perioperative period may contribute to the discussion on the role of perioperative nurses and their relevance in patient care.


Assuntos
Diagnóstico de Enfermagem/normas , Posicionamento do Paciente/efeitos adversos , Enfermagem Perioperatória/métodos , Adulto , Procedimentos Cirúrgicos Eletivos/normas , Feminino , Humanos , Estudos Longitudinais , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Vocabulário Controlado
6.
Rev Gaucha Enferm ; 40: e20180032, 2019 Jun 10.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31188980

RESUMO

OBJECTIVES: To analyze the diagnostic accuracy in nursing in patients with predicted risk of clinical worsening during hospitalization for acutely decompensated heart failure. METHODS: Cohort study with data collection in medical records according to the Acute Decompensated Heart Failure National Registry risk model. After defining the patients at risk, the Nursing Diagnosis Accuracy Scale version 2 was applied. The scale classifies the accuracy as null, low, moderate or high. RESULTS: Of the 43 patients at risk of worsening, 22 (51%) did not worsen and 21 (49%) worsened; in both, the diagnostic accuracy was in the Moderate / High category in 22 (89%) and 16 (88%), respectively. Only Decreased cardiac output and Excessive fluid volume were scored with 100% in the High category. CONCLUSIONS: Patients with acute decompensated heart failure and risk of clinical worsening during hospitalization were identified with moderate or high diagnostic accuracy by nurses.


Assuntos
Confiabilidade dos Dados , Insuficiência Cardíaca/diagnóstico , Pacientes Internados , Diagnóstico de Enfermagem/normas , Idoso , Débito Cardíaco , Estudos de Coortes , Progressão da Doença , Feminino , Insuficiência Cardíaca/fisiopatologia , Humanos , Masculino , Estudos Retrospectivos , Risco
7.
Brain Behav ; 9(5): e01266, 2019 05.
Artigo em Inglês | MEDLINE | ID: mdl-30980519

RESUMO

BACKGROUND: The discovery that not all patients who call for the emergency medical service (EMS) require transport to hospital has changed the structure of prehospital emergency care. Today, the EMS clinician at the scene already distinguishes patients with a time-critical condition such as stroke/transitory ischemic attack (TIA) from patients without. This highlights the importance of the early identification of stroke/TIA. AIM: To describe patients with a final diagnosis of stroke/TIA whose transport to hospital was interrupted either due to a lack of suspicion of the disease by the EMS crew or due to refusal by the patient or a relative/friend. METHODS: Data were obtained from a register in Gothenburg, covering patients hospitalised due to a final diagnosis of stroke/TIA. The inclusion criterion was that patients were assessed by the EMS but were not directly transported to hospital by the EMS. RESULTS: Among all the patients who were assessed by the EMS nurse and subsequently diagnosed with stroke or TIA in 2015, the transport of 34 of 1,310 patients (2.6%) was interrupted. Twenty-five of these patients, of whom 20 had a stroke and five had a TIA, are described in terms of initial symptoms and outcome. The majority had residual symptoms at discharge from hospital. Initial symptoms were vertigo/disturbed balance in 11 of 25 cases. Another three had symptoms perceived as a change in personality and three had a headache. CONCLUSION: From this pilot study, we hypothesise that a fraction of patients with stroke/TIA who call for the EMS have their direct transport to hospital interrupted due to a lack of suspicion of the disease by the EMS nurse at the scene. These patients appear to have more vague symptoms including vertigo and disturbed balance. Instruments to identify these patients at the scene are warranted.


Assuntos
Serviços Médicos de Emergência , Hospitalização/estatística & dados numéricos , Ataque Isquêmico Transitório , Medição de Risco , Acidente Vascular Cerebral , Transporte de Pacientes , Idoso , Diagnóstico Precoce , Serviços Médicos de Emergência/métodos , Serviços Médicos de Emergência/normas , Feminino , Humanos , Ataque Isquêmico Transitório/diagnóstico , Ataque Isquêmico Transitório/epidemiologia , Ataque Isquêmico Transitório/terapia , Masculino , Pessoa de Meia-Idade , Diagnóstico de Enfermagem/métodos , Diagnóstico de Enfermagem/normas , Diagnóstico de Enfermagem/estatística & dados numéricos , Avaliação de Processos e Resultados em Cuidados de Saúde , Projetos Piloto , Medição de Risco/métodos , Medição de Risco/normas , Acidente Vascular Cerebral/diagnóstico , Acidente Vascular Cerebral/epidemiologia , Acidente Vascular Cerebral/terapia , Suécia/epidemiologia , Transporte de Pacientes/métodos , Transporte de Pacientes/normas
8.
J Emerg Nurs ; 45(3): 254-256, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30195863

RESUMO

INTRODUCTION: Identifying patients with sepsis at triage can lead to a decrease in door-to-antibiotic time. Our community hospital emergency department's mean door-to-antibiotic time was 105.3 minutes, falling short of the Surviving Sepsis Campaign guideline's benchmark goal of 60 minutes. One of the most common reasons for treatment delays was that patients with sepsis were not identified upon entrance to the emergency department. A solution to the delay was to implement a practice improvement project by having the triage nurse screen all patients for sepsis upon entrance to the emergency department. METHODS: A sepsis-screening tool was used to identify patients with sepsis and was based on systemic inflammatory response syndrome (SIRS) criteria. Patients screening positive were prioritized for ED bed space. The change in process allowed more rapid ED physician evaluation and antibiotic administration. Manual chart abstraction was used to calculate door-to-antibiotic time and included 12 months of preintervention data and 2 months of postintervention data. RESULTS: Door-to-antibiotic time improved from a baseline of 105.3 minutes to 71.9 minutes. OUTCOME: The simple change in patient throughput improved door-to-antibiotic time with minimal obstacles. The sepsis-screening tool implemented at triage decreased the door-to-antibiotic time by 33.4 minutes, without affecting triage time, and enhanced patient throughput of potentially septic patients.


Assuntos
Antibacterianos/uso terapêutico , Enfermagem em Emergência , Serviço Hospitalar de Emergência/organização & administração , Diagnóstico de Enfermagem/normas , Melhoria de Qualidade , Sepse/diagnóstico , Sepse/tratamento farmacológico , Triagem/normas , Hospitais Comunitários , Humanos , Avaliação de Processos e Resultados em Cuidados de Saúde , Tempo para o Tratamento
9.
J Nurs Scholarsh ; 51(1): 88-95, 2019 01.
Artigo em Inglês | MEDLINE | ID: mdl-30270550

RESUMO

OBJECTIVE: To validate the defining characteristics of the nursing diagnosis "labile emotional control" in traumatic brain injury (TBI) outpatients. DESIGN: This was a descriptive, cross-sectional, quantitative study. METHODS: Thirty-one Brazilian nurses who were experts in the area of TBI answered a semistructured questionnaire on the diagnosis "labile emotional control" based on NANDA-International (NANDA-I) Taxonomy II (2015-2017) using a Likert-type scale to rate the 13 defining characteristics. Based on Fehring's model, the weighted average of ≥80 was used to define the main characteristic and the mean of ≥0.50 was considered for total content validation. RESULTS: Out of the 13 defining characteristics of the nursing diagnosis studied, "leaving a social situation" (0.80) and "expression of emotions inconsistent with the triggering factor" (0.81) were classified as principal characteristics, while the 11 others were classified as secondary characteristics. The diagnosis "labile emotional control" obtained a total score of 0.69, which was considered valid according to NANDA-I Taxonomy II. CONCLUSIONS: Because this is a new diagnosis with subjective characteristics, there is a need to train nurses to recognize the defining characteristics for the diagnosis. CLINICAL RELEVANCE: The validation of this diagnosis helps nurses understand and identify the subjective characteristics of the emotional impressions expressed by patients with TBI. These defining characteristics will help improve TBI nurses' clinical practice.


Assuntos
Sintomas Afetivos/diagnóstico , Lesões Encefálicas Traumáticas/diagnóstico , Lesões Encefálicas Traumáticas/psicologia , Emoções , Diagnóstico de Enfermagem/métodos , Diagnóstico de Enfermagem/normas , Sintomas Afetivos/etiologia , Brasil , Estudos Transversais , Humanos , Índice de Gravidade de Doença , Inquéritos e Questionários , Terminologia como Assunto
10.
Rev. gaúch. enferm ; 40: e20180032, 2019. tab, graf
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1004081

RESUMO

Resumo OBJETIVOS Analisar a acurácia diagnóstica de enfermagem em pacientes com predição de risco de piora clínica durante internação por insuficiência cardíaca agudamente descompensada. MÉTODO Estudo de coorte com coleta de dados em prontuário de acordo com o Acute Decompensated Heart Failure National Registry risk model. Após a definição dos pacientes em risco, aplicou-se a Escala de Acurácia de Diagnósticos de Enfermagem versão 2. A escala classifica a acurácia em nula, baixa, moderada ou alta. RESULTADOS Dos 43 pacientes com risco de piora, 22(51%) não pioraram e 21(49%) pioraram; em ambos, a acurácia diagnóstica apresentou-se na categoria Moderada/Alta em 22(89%) e 16(88%), respectivamente. Apenas Débito cardíaco diminuído e Volume de líquidos excessivo foram pontuados com 100% na categoria Alta. CONCLUSÕES Pacientes agudamente descompensados e com risco de piora clínica durante a internação foram identificados com acurácia diagnóstica Moderada ou Alta pelos enfermeiros.


Resumen OBJETIVOS Analizar la precisión diagnóstica enfermera em pacientes con predicción de riesgo de empeoramiento clínico durante su internación por insuficiencia cardiaca agudamente descompensada. MÉTODO Estudio de cohorte con colecta de datos em las historias médicas de pacientes con riesgo de empeoramiento clínico de acuerdo con la Acute Decompensated Heart Failure National Registry risk model. Después de la definición de los pacientes en riesgo, se aplicó la Escala de Precisión de Diagnósticos de Enfermería versión 2. La escala clasifica la precisión en nula, baja, modera o alta. RESULTADOS De los 43 pacientes con riesgo de empeoramiento, 22(51%) no empeoraron y 21(49%) empeoraron; en ambos, la precisión diagnóstica se presentó en categoría Moderada/Alta en 22(89%) y 16(88%), respectivamente. Apenas Disminuición del Gasto cardíaco y Volumen de líquidos excesivo fueron puntuados con 100% en la categoría Alta. CONCLUSIONESPacientes con insuficiencia cardiaca agudamente descompensada y riesgo de peora clínica durante su internación fueron identificados con precisión diagnóstica Moderada o Alta por los enfermeros.


Abstract OBJECTIVES To analyze the diagnostic accuracy in nursing in patients with predicted risk of clinical worsening during hospitalization for acutely decompensated heart failure. METHODS Cohort study with data collection in medical records according to the Acute Decompensated Heart Failure National Registry risk model. After defining the patients at risk, the Nursing Diagnosis Accuracy Scale version 2 was applied. The scale classifies the accuracy as null, low, moderate or high. RESULTS Of the 43 patients at risk of worsening, 22 (51%) did not worsen and 21 (49%) worsened; in both, the diagnostic accuracy was in the Moderate / High category in 22 (89%) and 16 (88%), respectively. Only Decreased cardiac output and Excessive fluid volume were scored with 100% in the High category. CONCLUSIONS Patients with acute decompensated heart failure and risk of clinical worsening during hospitalization were identified with moderate or high diagnostic accuracy by nurses.


Assuntos
Humanos , Masculino , Feminino , Idoso , Diagnóstico de Enfermagem/normas , Confiabilidade dos Dados , Insuficiência Cardíaca/diagnóstico , Pacientes Internados , Débito Cardíaco , Risco , Estudos Retrospectivos , Estudos de Coortes , Progressão da Doença , Insuficiência Cardíaca/fisiopatologia
11.
Rev. bras. enferm ; 72(supl.2): 111-118, 2019. tab
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1057640

RESUMO

ABSTRACT Objective: to validate the conceptual and operational definitions content of factors for Risk of suicide Nursing Diagnosis in the elderly. Method: this is validation of the conceptual and operational definitions content of factors for Risk of suicide in the elderly, performed by 15 experts, from November 2015 to March 2016. Risk factors were classified into three hierarchical chuncks. The data were analyzed by descriptive statistics and binomial test. Results: of the 54 validated risk factors, only eight presented problems regarding clarity, simplicity and accuracy: chronic pain, vision problems, retirement, frustration, medication neglect and depression. Only rigidity was not validated as relevant for the study diagnosis. Conclusion: content validation of the risk factors for Nursing Diagnosis can guide the clinical practice of the nurse in the early detection of risk of suicide in the elderly.


RESUMEN Objetivo: validar el contenido de las definiciones conceptuales y operacionales de los factores del Diagnóstico de Enfermería Riesgo de suicidio en ancianos. Método: estudio de validación de contenido de las definiciones conceptuales y operativas de los factores del diagnóstico de enfermería Riesgo de suicidio en ancianos, por 15 especialistas, en noviembre de 2015 a marzo de 2016. Los factores de riesgo se clasificaron en tres bloques jerárquicos. Los datos fueron analizados por medio de estadística descriptiva y prueba binomial. Resultados: de los 54 factores de riesgo validados, ocho presentaron problemas en la claridad, simplicidad y precisión: dolor crónico, problemas visuales, jubilación, frustración, descuido con la medicación y depresión. Sólo la rigidez no fue validada como relevante para el diagnóstico. Conclusión: la validación de contenido de los factores de riesgo del diagnóstico de enfermería puede orientar la práctica clínica del enfermero en la detección precoz del riesgo de suicidio en ancianos.


RESUMO Objetivo: validar o conteúdo das definições conceituais e operacionais dos fatores do Diagnóstico de Enfermagem Risco de suicídio em idosos. Método: trata-se de validação de conteúdo das definições conceituais e operacionais dos fatores do Diagnóstico de Enfermagem Risco de suicídio em idosos, realizada por 15 especialistas, no período de novembro de 2015 a março de 2016. Os fatores de risco foram classificados em três blocos hierarquizados. Os dados foram analisados por meio de estatística descritiva e teste binomial. Resultados: dos 54 fatores de risco validados, apenas oito apresentaram problemas quanto à clareza, simplicidade e precisão: dor crônica, problemas visuais, aposentadoria, frustração, descuido com a medicação e depressão. Apenas rigidez não foi validada como relevante para o diagnóstico em estudo. Conclusão: a validação de conteúdo dos fatores de risco do Diagnóstico de Enfermagem pode nortear a prática clínica do enfermeiro na detecção precoce do risco de suicídio em idosos.


Assuntos
Humanos , Masculino , Feminino , Adulto , Suicídio/prevenção & controle , Diagnóstico de Enfermagem/normas , Medição de Risco/normas , Suicídio/classificação , Suicídio/psicologia , Diagnóstico de Enfermagem/métodos , Brasil , Reprodutibilidade dos Testes , Fatores de Risco , Medição de Risco/métodos , Medição de Risco/estatística & dados numéricos , Depressão/complicações , Depressão/diagnóstico , Pessoa de Meia-Idade
12.
Rev Bras Enferm ; 71(6): 2860-2868, 2018.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30517386

RESUMO

OBJECTIVE: To describe the scientific production of the International Classification for Nursing Practice throughout dissertations and theses published by nurses in Brazil from 1996 to 2016. METHOD: A bibliometric, descriptive, quantitative documentary study, carried out from October/2015 to July/2016 on the sites of the Center of Studies and Research in Nursing (CEPEn), at the thesis and dissertation banks of the Coordination of Improvement of Higher Education Personnel and of the Plataforma Sucupira (Sucupira Platform). RESULTS: There were 108 productions, 30 theses and 78 dissertations. In 2014, there was the largest number of publications (19). The Graduate Program in Nursing of the Universidade Federal da Paraíba had the highest number of productions (23). Regarding the theme, the use in clinical practice was highlighted (69), followed by the elaboration of terminology subsets (17). CONCLUSION: The Brazilian scientific production setting on ICNP® is expressive, evidencing this system as a tool that allows the provision of systematic care.


Assuntos
Diagnóstico de Enfermagem/normas , Bibliometria , Brasil , Humanos , Cuidados de Enfermagem/métodos , Cuidados de Enfermagem/normas , Diagnóstico de Enfermagem/classificação
13.
Rev Bras Enferm ; 71(6): 3063-3073, 2018.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30517413

RESUMO

OBJECTIVE: To review the contents of the nursing diagnosis of Impaired Verbal Communication in patients with Amyotrophic Lateral Sclerosis. METHOD: For the review of this diagnosis we used the integrative review. The 21 selected articles were submitted to a careful concept analysis for the definition of the diagnostic concept and review of its elements. RESULTS: It is recommended, in addition to a new definition for the diagnosis of Impaired Verbal Communication, the incorporation of twelve Risk Factors, the maintenance of three others and the relocation of a Defining Characteristic for Risk Factor. It is also recommended the incorporation of nine Defining Characteristics and the modification of the nomenclature of the other three that already make up the NANDA-I. CONCLUSION: The content review process subsidized a clarification of the chosen concept, contributing to a future refinement and improvement of the study diagnosis and its components present in NANDA-I.


Assuntos
Esclerose Amiotrófica Lateral/complicações , Esclerose Amiotrófica Lateral/diagnóstico , Competência Clínica/normas , Comunicação , Diagnóstico de Enfermagem/normas , Humanos , Diagnóstico de Enfermagem/métodos , Fatores de Risco
14.
Rev Lat Am Enfermagem ; 26: e3105, 2018 Nov 29.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-30517588

RESUMO

OBJECTIVE: to present the knowledge produced about sleep and Acute Coronary Syndrome in order to assist in the elaboration of the operational and conceptual definitions of the defining characteristics of the nursing diagnosis Disturbed Sleep Pattern (00198). METHOD: integrative review in the following databases: COCHRANE; SCOPUS; MEDLINE (Medical Literature Analysis and Retrieval System Online) via Pubmed; LILACS (Latin American and Caribbean Health Science Literature Database); CINAHL (Cumulative Index to Nursing and Allied Health Literature) and EMBASE (The Excerpta Medical Database). At the end of the search, 2827 studies were found, 43 were selected for reading, and 10 were included in the review. The gray literature was also included. RESULTS: important findings related to clinical evidence and contributing factors of sleep were found in the review. However, in order to build definitions of the defining characteristics, it was necessary to use gray literature, such as a Portuguese dictionary and two textbooks about sleep. CONCLUSION: the definitions will help nurses in their practice in the collection of information, in the determination of the nursing diagnosis studied here, and in directing care measures with respect to quantity and quality of sleep of Acute Coronary Syndrome inpatients. They will also assist in the next steps of the validation of this diagnosis to the referred population.


Assuntos
Síndrome Coronariana Aguda/complicações , Diagnóstico de Enfermagem/normas , Transtornos do Sono-Vigília/enfermagem , Sono/fisiologia , Unidades de Cuidados Coronarianos , Humanos , Fases do Sono/fisiologia , Transtornos do Sono-Vigília/etiologia , Transtornos do Sono-Vigília/fisiopatologia , Estudos de Validação como Assunto
15.
Rev. bras. enferm ; 71(6): 3063-3073, Nov.-Dec. 2018. tab, graf
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-977606

RESUMO

ABSTRACT Objective: To review the contents of the nursing diagnosis of Impaired Verbal Communication in patients with Amyotrophic Lateral Sclerosis. Method: For the review of this diagnosis we used the integrative review. The 21 selected articles were submitted to a careful concept analysis for the definition of the diagnostic concept and review of its elements. Results: It is recommended, in addition to a new definition for the diagnosis of Impaired Verbal Communication, the incorporation of twelve Risk Factors, the maintenance of three others and the relocation of a Defining Characteristic for Risk Factor. It is also recommended the incorporation of nine Defining Characteristics and the modification of the nomenclature of the other three that already make up the NANDA-I. Conclusion: The content review process subsidized a clarification of the chosen concept, contributing to a future refinement and improvement of the study diagnosis and its components present in NANDA-I.


RESUMEN Objetivo: Revisar el contenido del diagnóstico de enfermería de Comunicación Verbal Prejudicada en pacientes con Esclerosis Lateral Amiotrófica. Método: Para la revisión de dicho diagnóstico, se utilizó la revisión integrativa. Los 21 artículos seleccionados fueron sometidos a un análisis de concepto criterio para la definición del concepto diagnóstico y revisión de sus elementos. Resultados: Se recomienda, además de una nueva definición para el diagnóstico de Comunicación Verbal Prejudicada, la incorporación de doce Factores Relacionados, el mantenimiento de otros tres y la reubicación de una Característica Definidora para Factor Relacionado. Se recomienda también la incorporación de nueve Características Definidoras y la modificación de la nomenclatura de otras tres que ya componen la NANDA-I. Conclusión: El proceso de revisión de contenido subsidió una clarificación del concepto escogido, contribuyendo para un futuro refinamiento y perfeccionamiento del diagnóstico en estudio y de sus componentes presentes en la NANDA-I.


RESUMO Objetivo: Revisar o conteúdo do diagnóstico de enfermagem de Comunicação Verbal Prejudicada em pacientes com Esclerose Lateral Amiotrófica. Método: Para a revisão do referido diagnóstico, utilizou-se a revisão integrativa. Os 21 artigos selecionados foram submetidos a uma análise de conceito criteriosa para a definição do conceito diagnóstico e revisão de seus elementos. Resultados: Recomenda-se, além de uma nova definição para o diagnóstico de Comunicação Verbal Prejudicada, a incorporação de doze Fatores Relacionados, a manutenção de outros três e a realocação de uma Característica Definidora para Fator Relacionado. Recomenda-se também a incorporação de nove Características Definidoras e a modificação da nomenclatura de outras três que já compõem a NANDA-I. Conclusão: O processo de revisão de conteúdo subsidiou uma clarificação do conceito escolhido, contribuindo para um futuro refinamento e aprimoramento do diagnóstico em estudo e de seus componentes presentes na NANDA-I.


Assuntos
Humanos , Diagnóstico de Enfermagem/normas , Competência Clínica/normas , Comunicação , Esclerose Amiotrófica Lateral/complicações , Esclerose Amiotrófica Lateral/diagnóstico , Diagnóstico de Enfermagem/métodos , Fatores de Risco
16.
Rev. bras. enferm ; 71(6): 2860-2868, Nov.-Dec. 2018. tab, graf
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-977597

RESUMO

ABSTRACT Objective: To describe the scientific production of the International Classification for Nursing Practice throughout dissertations and theses published by nurses in Brazil from 1996 to 2016. Method: A bibliometric, descriptive, quantitative documentary study, carried out from October/2015 to July/2016 on the sites of the Center of Studies and Research in Nursing (CEPEn), at the thesis and dissertation banks of the Coordination of Improvement of Higher Education Personnel and of the Plataforma Sucupira (Sucupira Platform). Results: There were 108 productions, 30 theses and 78 dissertations. In 2014, there was the largest number of publications (19). The Graduate Program in Nursing of the Universidade Federal da Paraíba had the highest number of productions (23). Regarding the theme, the use in clinical practice was highlighted (69), followed by the elaboration of terminology subsets (17). Conclusion: The Brazilian scientific production setting on ICNP® is expressive, evidencing this system as a tool that allows the provision of systematic care.


RESUMEN Objetivo: Describir la producción científica de la Clasificación Internacional para la Práctica de Enfermería a partir de las disertaciones y tesis publicadas por enfermeros en Brasil en el período de 1996 a 2016. Método: Estudio bibliométrico, descriptivo, de abordaje cuantitativo documental, realizado de octubre/2015 a julio/2016 en los sitios del Centro de Estudios e Investigaciones en Enfermería, en los bancos de tesis y disertaciones de la Coordinación de Perfeccionamiento de Personal de Nivel Superior y de la Plataforma Sucupira. Resultados: Se encontraron 108 producciones, siendo 30 tesis y 78 disertaciones. En 2014, hubo el mayor número de publicaciones, 19. El Programa de Post-Graduación en Enfermería de la Universidade Federal de Paraíba tuvo el mayor número de producciones, 23. En relación con la temática, se destacó el uso en la práctica clínica (69), seguida de la elaboración de Subconjuntos terminológicos (17). Conclusión: El escenario de la producción científica brasileña sobre la CIPE® es expresivo, evidenciando ese sistema como instrumento que posibilita la prestación de cuidados sistematizados.


RESUMO Objetivo: Descrever a produção científica da Classificação Internacional para a Prática de Enfermagem a partir das dissertações e teses publicadas por enfermeiros no Brasil, no período de 1996 a 2016. Método: Estudo bibliométrico, descritivo, de abordagem quantitativa documental, realizado de outubro/2015 a julho/2016 nos sites do Centro de Estudos e Pesquisas em Enfermagem, nos bancos de teses e dissertações da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior e da Plataforma Sucupira. Resultados: Foram encontradas 108 produções, sendo 30 teses e 78 dissertações. Em 2014, houve o maior número de publicações (19). O Programa de Pós-Graduação em Enfermagem, Universidade Federal da Paraíba, teve o maior número de produções (23). Em relação à temática, destacou-se o uso na prática clínica (69), seguida da elaboração de subconjuntos terminológicos (17). Conclusão: O cenário da produção científica brasileira sobre a CIPE® é expressivo, evidenciando esse sistema como instrumento que possibilita a prestação de cuidados sistematizados.


Assuntos
Humanos , Diagnóstico de Enfermagem/normas , Diagnóstico de Enfermagem/classificação , Brasil , Bibliometria , Cuidados de Enfermagem/métodos , Cuidados de Enfermagem/normas
17.
Rev Bras Enferm ; 71(4): 1883-1890, 2018.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30156673

RESUMO

OBJECTIVE: To evaluate, through cross-mapping, the correspondence of the expected results and prescriptions written by nurses among those contained in the Interventions Classifications and Nursing Results, for the diagnosis "Ineffective peripheral tissue perfusion". METHOD: Descriptive study, using the case study and the mapping. The content of the case study was validated, with a rate of 93.75%. In the mapping of the statements of the nursing phenomena, written by the participants with the standardized language systems, a concordance index of 100% and 90% was obtained. RESULTS: Three statements of expected results and 19 prescribed care were analyzed. Of these, four presented correspondences with the classification of results and the same number with the classification of the interventions. CONCLUSION: The mapping allowed the correspondence of the terms adopted by the nurses with the standardized language systems and showed a didactic material to verify the pertinence of the decision making.


Assuntos
Diagnóstico de Enfermagem/normas , Perfusão/enfermagem , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Diagnóstico de Enfermagem/métodos , Perfusão/métodos
18.
Rev. bras. enferm ; 71(4): 1883-1890, Jul.-Aug. 2018. tab
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-958678

RESUMO

ABSTRACT Objective: To evaluate, through cross-mapping, the correspondence of the expected results and prescriptions written by nurses among those contained in the Interventions Classifications and Nursing Results, for the diagnosis "Ineffective peripheral tissue perfusion". Method: Descriptive study, using the case study and the mapping. The content of the case study was validated, with a rate of 93.75%. In the mapping of the statements of the nursing phenomena, written by the participants with the standardized language systems, a concordance index of 100% and 90% was obtained. Results: Three statements of expected results and 19 prescribed care were analyzed. Of these, four presented correspondences with the classification of results and the same number with the classification of the interventions. Conclusion: The mapping allowed the correspondence of the terms adopted by the nurses with the standardized language systems and showed a didactic material to verify the pertinence of the decision making.


RESUMEN Objetivo: Evaluar, por medio del mapeo cruzado, la correspondencia de los resultados esperados y prescripciones redactadas por enfermeros entre los contenidos en las Clasificaciones de las Intervenciones y de Resultados de enfermería, para el diagnóstico "Perfusión tisular periférica inefectiva". Método: Estudio del tipo descriptivo, con la utilización del estudio de caso y del mapeo. Se realizó la validación del contenido del estudio de caso, con índice del 93,75%. En el mapeo de los enunciados de los fenómenos de enfermería, redactados por los participantes con los sistemas de lenguajes estandarizados, se obtuvo un índice del 100% y del 90%. Resultados: Fueron analizados 3 enunciados de resultados esperados y 19 cuidados prescritos. De estos, cuatro presentaron correspondencia con la clasificación de resultados e igual número con la clasificación de las intervenciones. Conclusión: El mapeo posibilitó la correspondencia de los términos adoptados por los enfermeros con los sistemas de lenguajes estandarizados y se mostró un material didáctico para verificar la pertinencia de la toma de decisión.


RESUMO Objetivo: Avaliar, por meio do mapeamento cruzado, a correspondência dos resultados esperados e prescrições redigidas por enfermeiros entre os contidos nas Classificações das Intervenções e de Resultados de enfermagem, para o diagnóstico "Perfusão tissular periférica ineficaz". Método: Estudo do tipo descritivo, com a utilização do estudo de caso e do mapeamento. Foi realizada a validação de conteúdo do estudo de caso, com índice de 93,75%. No mapeamento dos enunciados dos fenômenos de enfermagem, redigidos pelos participantes com os sistemas de linguagens padronizadas, obteve-se um índice de concordância de 100% e 90%. Resultados: Foram analisados 3 enunciados de resultados esperados e 19 cuidados prescritos. Destes, quatro apresentaram correspondências com a classificação de resultados e igual número com a classificação das intervenções. Conclusão: O mapeamento possibilitou a correspondência dos termos adotados pelos enfermeiros com os sistemas de linguagens padronizadas e se mostrou um material didático para verificar a pertinência da tomada de decisão.


Assuntos
Humanos , Masculino , Feminino , Adulto , Perfusão/enfermagem , Diagnóstico de Enfermagem/normas , Perfusão/métodos , Diagnóstico de Enfermagem/métodos , Pessoa de Meia-Idade
19.
Rev Gaucha Enferm ; 39: e20170010, 2018 Jul 02.
Artigo em Português, Inglês | MEDLINE | ID: mdl-30020348

RESUMO

OBJECTIVE: To describe the development of a terminology subset of the International Classification for Nursing Practice for care of women and children in process of breastfeeding. METHOD: Methodological study developed in six stages according to the guidelines recommended by the International Council of Nurses. RESULTS: Seventy-four nursing diagnoses/outcomes and 213 nursing interventions were performed and classified according to the theoretical model Interactive Theory of Breastfeeding. CONCLUSION: The subset is expected to safely and systematically steer nurses that work in this area, promoting the implementation of the nursing process and quality of care, focusing on women, children and families that are experiencing the breastfeeding process.


Assuntos
Aleitamento Materno , Enfermagem Materno-Infantil , Terminologia Padronizada em Enfermagem , Adulto , Feminino , Prioridades em Saúde , Humanos , Lactente , Enfermagem Materno-Infantil/métodos , Modelos de Enfermagem , Mães/educação , Diagnóstico de Enfermagem/normas , Processo de Enfermagem , Teoria de Enfermagem
20.
Rev Bras Enferm ; 71(3): 1079-1084, 2018 May.
Artigo em Português, Inglês | MEDLINE | ID: mdl-29924151

RESUMO

OBJECTIVE: To structure the Computerized Nursing Process using the International Classification for Nursing Practice (ICNP®) version 2.0 to emergency care units in a computerized structure. METHOD: This is a methodological and technological research that followed the stages: (1) establishment of the development team and resources; (2) adequacy of clinical situations, diagnoses and nursing interventions for the emergency area; (3) association of diagnoses and interventions based on ICNP®; (4) organization and codification of clinical evaluation, diagnoses and nursing interventions; (5) transfer of data to the a computerized platform. RESULTS: Readjustment and construction of 1,445 possibilities of clinical evaluations associated with 961 different diagnoses and their corresponding interventions to the most frequent situations in emergency services. CONCLUSION: ICNP® has a strong and solid form for the development of the computerized nursing process able to support nurses in safe decision-making to improve the quality of health care.


Assuntos
Enfermagem em Emergência/métodos , Diagnóstico de Enfermagem/normas , Projetos de Pesquisa/tendências , Serviço Hospitalar de Emergência/organização & administração , Humanos , Informática Médica , Processo de Enfermagem
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