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1.
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
2.
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
3.
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
4.
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
5.
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 , 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
6.
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 , Tempo para o Tratamento
7.
Rev. gaúch. enferm ; 40: e20180032, 2019. tab, graf
Artigo em Português | LILACS | 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
8.
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
9.
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
10.
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
11.
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
12.
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
13.
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
14.
Nurse Educ Today ; 67: 114-117, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29857304

RESUMO

PURPOSE: To determine nursing students' perception of nursing diagnosis and the effect of 'nursing terminologies and classifications' course on this perception. METHODS: This study was carried out as a quasi-experimental, two group design. Data were collected through the Nursing Diagnosis Survey. FINDINGS: The overall Perceptions of Nursing Diagnosis Survey score for this study was found 2.44 ±â€¯0.44. Perceptions of Nursing Diagnosis Survey mean scores of nursing students who took 'Nursing Terminologies and Classifications' course were found more positive than the nursing students who did not take the course. CONCLUSIONS: Positive perceptions about the use of nursing diagnosis have beneficial effects on the identification of patient problems and planning of these; and improves the quality of the patient care.


Assuntos
Diagnóstico de Enfermagem , Terminologia Padronizada em Enfermagem , Estudantes de Enfermagem/psicologia , Feminino , Humanos , Masculino , Diagnóstico de Enfermagem/classificação , Diagnóstico de Enfermagem/normas , Inquéritos e Questionários , Adulto Jovem
15.
BMC Res Notes ; 11(1): 173, 2018 Mar 13.
Artigo em Inglês | MEDLINE | ID: mdl-29534756

RESUMO

OBJECTIVE: The purpose of this survey was to evaluate the implementation of the nursing process at three randomly selected governmental hospitals found in Amhara Region North West Ethiopia. RESULT: From the total 338 reviewed documents, 264 (78.1%) have a nursing process format attached with the patient's profile/file, 107 (31.7%) had no nursing diagnosis, 185 (54.7%) of nurses stated their plan of care based on priority, 173 (51.2%) of nurses did not document their interventions based on plan and 179 (53.0%) of nurses did not evaluate their interventions. The overall implementation of nursing process among Felege Hiwot Referal hospital, Debretabor general hospital and Finoteselam general hospitals were 49.12, 68.18, and 69.42% respectively. Nursing professionals shall improve documentation required in implementing the nursing process. Nursing managers (matron, ward heads) shall supervise the overall implementation of nursing process. Hospital nursing services managers (matrons) shall arrange and facilitate case presentations by the nursing staffs which focus on documentation and updates on nursing process. Hospitals need to establish and support nursing process coordinating staff in their institution.


Assuntos
Documentação/estatística & dados numéricos , Hospitais Públicos/estatística & dados numéricos , Diagnóstico de Enfermagem/estatística & dados numéricos , Enfermagem/estatística & dados numéricos , Adulto , Documentação/normas , Etiópia , Feminino , Hospitais Públicos/normas , Humanos , Masculino , Enfermagem/normas , Diagnóstico de Enfermagem/normas , Estudos Retrospectivos
16.
Rev Bras Enferm ; 71(2): 314-321, 2018.
Artigo em Inglês, Português | MEDLINE | ID: mdl-29412288

RESUMO

OBJECTIVE: To investigate the Nursing diagnostic accuracy measures and to propose a model to use defining characteristics in order to judge the nursing diagnosis of ineffective breastfeeding. METHOD: Cross-sectional study with a sample of 73 binomials mom-child hospitalized in a maternity ward of an University Hospital, from July to August of 2014. RESULTS: The diagnostic predominance rate was 58.9%. The characteristics that best meet the needs of logistic regression model were: discontinuance of breast sucking; infant's inability of seizing the areola-nipple region correctly; infant's crying one hour after breastfeeding and inappropriate milk supply perceived. CONCLUSION: Breastfeeding process is dynamic; diagnostic judgement may suffer some changes according to the time data are collected; the defining characteristics are the best predictors if associated with models and rules of use.


Assuntos
Aleitamento Materno/psicologia , Relações Mãe-Filho , Diagnóstico de Enfermagem/normas , Adulto , Aleitamento Materno/efeitos adversos , Distribuição de Qui-Quadrado , Estudos Transversais , Feminino , Humanos , Recém-Nascido , Modelos Logísticos
17.
Rev Bras Enferm ; 71(2): 357-362, 2018.
Artigo em Inglês, Português | MEDLINE | ID: mdl-29412294

RESUMO

OBJECTIVE: to clinically validate the accuracy of the defining characteristics in nursing diagnoses of Hyperthermia in newborns. METHOD: a cross-sectional study conducted in units of medium and high risk in a maternity from the city of Fortaleza-CE. A total of 216 newborns were evaluated to identify the defining characteristics of diagnoses. A latent class model with random effects was used to measure sensitivity and specificity. RESULTS: Hyperthermia was present in 5.6% of the sample. The characteristics lack of suction maintenance (31.3%); skin warm to touch (25.5%); lethargy (24.2%); and tachypnea (21.4%) were the most frequent. Stupor presented higher sensitivity (99.9%) and specificity (100%) while vasodilation characteristics, irritability and lethargy only showed significant values for specificity (92.7%, 91.6% and 74.3%, respectively). CONCLUSION: four characteristics of high specificity contribute to Hyperthemia. However, stupor is the only one with significant sensitivity to identify it at its early-stage.


Assuntos
Febre/diagnóstico , Diagnóstico de Enfermagem/normas , Distribuição de Qui-Quadrado , Estudos Transversais , Feminino , Humanos , Recém-Nascido , Masculino , Diagnóstico de Enfermagem/métodos , Razão de Chances , Pediatria/métodos
18.
Rev Bras Enferm ; 71(2): 431-439, 2018.
Artigo em Inglês, Português | MEDLINE | ID: mdl-29412303

RESUMO

OBJECTIVE: to construct conceptual definitions for indicators of nursing outcome Knowledge: Fall Prevention, selected for evaluation of hospitalized patients with the nursing diagnosis Risk for falls. METHOD: integrative literature review performed in the LILACS, MEDLINE and Web of Science databases, comprising articles published in English, Spanish and Portuguese languages from 2005 to 2015. RESULTS: the final sample of the study was composed of 17 articles. The conceptualizations were constructed for 14 indicators of nursing outcome Knowledge: Fall Prevention focused on hospitalized patients. CONCLUSION: the theoretical support of the Nursing Outcomes Classification (NOC), through the process of constructing the conceptual definitions of the indicators of its results, allows nurses to accurately implement this classification in clinical practice and to evaluate the effectiveness of their interventions through the change of the patients' status over time.


Assuntos
Acidentes por Quedas/prevenção & controle , Diagnóstico de Enfermagem/normas , Humanos , Fatores de Risco
19.
Rev Bras Enferm ; 71(1): 80-88, 2018.
Artigo em Inglês, Português | MEDLINE | ID: mdl-29324948

RESUMO

OBJECTIVES: To elaborate operational definitions for the Nomenclature nursing diagnoses, interventionsand outcomes of the Pediatric Clinic at a University Hospital and carry out a validation of the content and clinical aspects of this Nomenclature. METHOD: Methodological research, developed in two stages: documentary study, for the validation of content of the operational definitions of nursing diagnoses; and secondly applied research, via clinical cases, performed with children from 0 to 5 years. RESULTS: The 126 diagnoses were submitted to consensus validation and 55.6% were validated. Six clinical case studies were carried out, using the phases of the nursing process, based on the theory of Basic Human Needs, identifying 24.3% of the validated diagnoses and 54.5% of the nursing interventions listed in the Nomenclature. CONCLUSION: The study showed the effectiveness of using the Nomenclature in the Pediatric Clinic, in order to optimize the care andquality of health services.


Assuntos
Diagnóstico de Enfermagem/normas , Processo de Enfermagem/normas , Humanos , Processo de Enfermagem/tendências , Reprodutibilidade dos Testes
20.
Ann Ig ; 30(6): 458-469, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30614495

RESUMO

INTRODUCTION: The Nurse Competence Scale is a tool for evaluating nursing clinical competence. This tool has been used and psychometrically validated previously in different countries but never in Italy. Assessing the validity and reliability of the Nurse Competence Scale in the Italian context has been a strong necessity for many years. AIM: To test the psychometric properties and evaluate the internal construct validity of the Italian version of the Nurse Competence Scale. METHODS: This study is a secondary analysis on a database of 698 bachelor nursing students who were trained in different clinical settings at two Italian universities. Internal consistency was examined with Cronbach's alpha coefficients and inter-item analysis, and construct validity was evaluated by Exploratory Factor Analysis with Oblimin rotation with Kaiser normalization, and eventually Confirmatory Factor Analysis. RESULTS: The results highlighted the necessity for refinements of the Nurse Competence Scale in the Italian Context. The original model of the Nurse Competence Scale (73 items) was not confirmed. The confirmatory factor analysis presented significant values of Chi-squared test = 10942.766, with degrees of freedom being 2.534 and a ratio of χ²/df = 4.318. The Comparative Fit Index value was significant 0.809 and the Normed Fit Index 0.765 was noteworthy too. The value of Root Mean Square Error of Approximation was significant 0.069. The Cronbach's α coefficient for the new scale was excellent (0.922). The exploratory factor analysis resulted in the Italian Nurse Competence Scale composed of 58 items divided into seven dimensions: using the research, professional awareness, ethical values, tutorial functions, professional leadership, educational interventions, and management of care processes. CONCLUSIONS: The Italian version of the Nurse Competence Scale with 7 dimension and 58 items is an appropriate tool for describing and comparing self-assessed competencies by nurses. Such evaluations could constitute an important contribution to have better educational environments. Self-assessment of competencies can also raise a stronger awareness of individual educational needs.


Assuntos
Competência Clínica , Educação em Enfermagem/normas , Estudantes de Enfermagem , Adulto , Distribuição de Qui-Quadrado , Pesquisa em Enfermagem Clínica , Estudos Transversais , Ética em Enfermagem , Análise Fatorial , Feminino , Humanos , Itália , Liderança , Masculino , Tutoria , Pessoa de Meia-Idade , Diagnóstico de Enfermagem/normas , Processo de Enfermagem , Análise de Componente Principal , Psicometria , Reprodutibilidade dos Testes , Autoavaliação , Adulto Jovem
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