Use of the clinical care classification in South Korean nursing practice: Challenges and opportunities.

BACKGROUND AND OBJECTIVES: A government-driven standardization of nursing terminology including the Clinical Care Classification (CCC) was endorsed in South Korea in 2015, but the number of hospitals who have adopted this standard terminology remains unknown. This study aimed to determine the CCC awareness, adoption, and utilization statuses and its association with patient experience in South Korea. DESIGN, SETTING, AND PARTICIPANTS: A nationwide telephone survey was conducted from January 13 to February 12, 2022 among 217 tertiary and secondary hospitals participating in the health information exchange network. The survey questionnaire included 22 items in 3 categories: current status of electronic nursing records, awareness and adoption of standard terminology, and open-ended questions regarding standard usage and dissemination. General characteristics and experience scores of the patients of the surveyed hospitals were collected from the publicly available data sources. Data analysis was performed using descriptive statistics, t-test, and generalized linear regression. MAIN OUTCOMES AND MEASURES: The rates of awareness and adoption in hospitals to the nursing terminology standard of the CCC were calculated, and the current status of electronic nursing records used in practice was examined. The relationships between CCC awareness and the characteristics of hospitals in their patient experiences of health services were also identified. RESULTS: The survey response rate was 24.9 % (54/217). Two out of three hospitals (68.5 %) were aware of the CCC. These hospitals had 800 beds or more, and higher scores for patient experience. CCC awareness was significantly related to increases in the overall scores for patient experiences (t = 2.70, p =.0103), but no significance with sub-score for nursing service (t = 1.23, p =.1594). CONCLUSIONS: With a high adoption rate of electronic medical record systems, two-third hospitals acknowledged their CCC awareness, but were still lagged in adoption and usage of it in practice with operational challenges. The CCC awareness has potential relationships with positive patient experience.

Description of COVID-19 patients and mapping nursing data to ICNP 2021 reference set in SNOMED CT.

AIM: To describe nursing care of COVID-19 patients with International Classification for Nursing Practice (ICNP) 2019, ICNP 2021 reference set, and Systematized Nomenclature of Medicine-Clinical Terms (SNOMED CT). BACKGROUND: From the beginning of the COVID-19 pandemic, nurses have realised the importance of documenting nursing care. INTRODUCTION: It is important to recognise how real nursing data match the ICNP reference set in SNOMED CT as that is the terminology to be used in Iceland. METHODS: A descriptive study with two methods: (a) statistical analysis of demographic and coded clinical data identified and retrieved from Electronic Health Record (EHR) and (b) mapping of documented nursing diagnoses and interventions in EHRs into ICNP 2019, ICNP 2021 and SNOMED CT 2021. RESULTS: The sample consisted of all (n = 91) adult COVID-19 patients admitted to the National University Hospital between 28 February and 30 June 2020. Nurses used 62 different diagnoses and 79 interventions to document nursing care. Diagnoses and interventions were best represented by SNOMED CT (85.4%; 100%), then by ICNP 2019 version (79.2%; 85%) and least by the ICNP 2021 reference set (70.8; 83.3%). Ten nursing diagnoses did not have a match in the ICNP 2021 reference set. DISCUSSION: Nurses need to keep up with the development of ICNP and submit to ICN new terms and concepts deemed necessary for nursing practice for inclusion in ICNP and SNOMED CT. CONCLUSION: Not all concepts in ICNP 2019 for COVID-19 patients were found to have equivalence in ICNP 2021. SNOMED CT-preferred terms cover the description of COVID-19 patients better than the ICNP 2021 reference set in SNOMED CT. IMPLICATIONS FOR NURSING AND HEALTH POLICY: Through the use of ICNP, nurses can articulate the unique contribution made by the profession and make visible the specific role of nursing worldwide.

The effect of discharge training developed based on nursing interventions classification (NIC) on surgical recovery in oncology patients: Randomized controlled trial - A pilot study.

AIM: To investigate the effect of discharge training on surgical recovery in oncology patients. DESIGN: A two-arm parallel-group randomized controlled trial (RCT) registered at clinicaltrials.gov (NCT04862104) and reporting according to the CONSORT checklist. METHODS: The study was conducted with 78 patients who had undergone cancer surgery in a university hospital. The intervention group took discharge training; the control group received routine care. The surgical recovery was measured before discharge and 2, 4 and 8 weeks after the discharge. RESULTS: There was a higher surgical recovery score in the intervention group compared with the usual care group at the second, fourth and eighth week after discharge. This study is expected to support discharge training as enhancing recovery in oncology surgical patients. CONCLUSION: This pilot study shows that discharge training developed based on the Nursing Intervention Classification can be used in clinics to enhance the surgical recovery of patients.

Pandemia COVID-19: Necessidades humanas de cuidado ao paciente com traqueostomia e as intervenções de enfermagem / Pandemia de COVID-19: Necesidades de cuidado humano de pacientes con traqueostomía e intervenciones de enfermería / COVID-19 pandemic: Human care needs of patients with tracheostomy and nursing interventions

Objetivo: refletir as necessidades básicas de saúde ao paciente com traqueostomia por câncer de cabeça e pescoço no contexto da pandemia pelo coronavírus, utilizando a Teoria das Necessidades Básicas. Método: estudo teórico-reflexivo. Foram utilizados documentos do Ministério da Saúde e da Organização Pan-Americana de Saúde, assim como uma revisão da literatura na base de dados da PUBMED para que a literatura científica associasse com os documentos consultados. Resultados: as necessidades básicas de saúde afetadas foram: Psicobiológicas de oxigenação e ambiente; Psicossociais de segurança e comunicação e Psicoespirituais de religião, seguidas dos enunciados das Intervenções de Enfermagem (NIC) como oxigenoterapia, aumento da segurança do paciente, estímulo a rituais religiosos. Conclusão: a construção do saber científico na Enfermagem torna-se imperioso, para que as necessidades de saúde afetadas ao paciente com traqueostomia na pandemia da COVID-19 sejam atendidas, para promoção da saúde e da vida.(AU)

Objective: to reflect the basic health needs of patients with tracheostomy for head and neck cancer in the context of the coronavirus pandemic, using the Theory of Basic Needs. Method: This is a reflective study, carried out through a critical reading of official documents from national and international health agencies and other conceptual sources on the subject.Results: the basic health needs affected were: Psychobiological oxygenation and environment; Psychosocial security; communication and health education and Psychospirituals of religion, followed by nursing interventions of NIC activities, oxygen therapy, environmental control, increased safety, improved communication in speech deficits; encouraging religious rituals and facilitating an efficient decision-making process. Conclusion: the construction of scientific knowledge in Nursing becomes imperative, so that the health needs affected by the patient with tracheostomy in the COVID-19 Pandemic are met, to promote health and life.(AU)

Objetivo: reflejar las necesidades básicas de salud de los pacientes traqueostomizados por cáncer de cabeza y cuello en el contexto de la pandemia del coronavirus, utilizando la Teoría de las Necesidades Básicas. Método: Se trata de un estudio reflexivo, realizado a través de una lectura crítica de documentos oficiales de organismos de salud nacionales e internacionales y otras fuentes conceptuales sobre el tema. Resultados: las necesidades básicas de salud afectadas fueron: Oxigenación psicobiológica y medio ambiente; seguridad psicosocial; comunicación y educación para la salud y Psicoespirituales de la religión, seguidas de las intervenciones de enfermería de las actividades NIC, oxigenoterapia, control ambiental, aumento de la seguridad, mejora de la comunicación en los déficits del habla; fomentar los rituales religiosos y facilitar un proceso eficiente de toma de decisiones. Conclusión: la construcción del conocimiento científico en Enfermería se torna imperativa, para que sean atendidas las necesidades de salud afectadas por el paciente con traqueotomía en la Pandemia del COVID-19, para promover la salud y la vida.(AU)

ICNP® nursing diagnoses for clinical practice in spinal cord injury rehabilitation.

OBJECTIVES: to construct statements of nursing diagnoses for the clinical practice of rehabilitation of people with spinal cord injury using the International Classification for Nursing Practice (ICNP®) and Orem's theory of self-care. METHODS: methodological study developed in four steps: identification of relevant terms to clinical nursing practice in the rehabilitation of people with spinal cord injury; mapping of selected terms with ICNP® terms; construction of nursing diagnoses statements; mapping of statements constructed with pre-coordinated concepts of the ICNP®. RESULTS: 241 statements of nursing diagnoses were constructed and categorized according to the self-care requisites of the theory. The most prevalent statements were those related to universal requisites, followed by developmental requisites and health deviation requisites. CONCLUSIONS: the constructed nursing diagnoses reflect the complexity of phenomena evidenced in the clinical practice of rehabilitation, allowing a systematic and comprehensive care to the person with spinal cord injury.

Terminological relationships between nursing diagnoses for children with kidney diseases.

OBJECTIVE: To identify the relationships between the statements of nursing diagnoses for children with kidney diseases prepared according to the International Classification for Nursing Practice (ICNP®) with the diagnoses of NANDA International (NANDA-I). METHODS: Methodological study operationalized by the steps: 1) Survey of clinical findings through interviews and physical examination with children; 2) Elaboration of nursing diagnoses through Gordon's clinical judgment; 3) Cross-mapping of diagnostic statements between the NANDA-I and ICNP® classification systems; 4) Content validation using the Delphi technique, in two rounds, with specialist nurses. RESULTS: 90 children participated. A total of 151 diagnoses were made, of which 66.3% (n=100) used ICNP® terminology and 33.7% (n=51) used NANDA-I; 55 diagnoses showed equivalence of meanings. CONCLUSIONS: Cross-mapping of diagnoses was achieved starting from the reality of children, using clinical reasoning and validation by specialist nurses.

Nursing interventions for people in palliative care, based on the Dignity Model.

BACKGROUND: The use of the standardised nursing language aims to accurately represent clinical practice, contributing to proper documentation and the creation of evidence-based practice. AIMS: To validate nursing interventions (NI) for patients in palliative care, structuring these using the Dignity-Conserving Care Model. METHODS: A methodological study was conducted, developed according to the recommendations of the International Council of Nurses (ICN) and anchored in the Dignity-Conserving Care Model. The NI were developed in four stages: 1) construction of NI, based in the International Standards Organisation's standard (18.104:2014); 2) content validation by 26 expert nurses; 3) cross-mapping with the NIs contained in the International Classification for Nursing Practice (ICNP®) catalogue, Palliative Care for Dignified Dying, to identify those already existing in the catalogue; and 4) structuring the NI based on the concepts of the Dignity-Conserving Care Model. FINDINGS: 209 NI were validated and grouped into categories, namely: illness-related concerns; dignity-conservation repertoire; social dignity inventory. Of these, 183 were new and 26 already existed in the ICNP® Catalogue. CONCLUSION: The study presents new insights into palliative care in Brazil and presents 183 new NI in addition to those already published by the ICN.

Consulta de enfermagem para mulheres com câncer de mama: Perfil, diagnósticos e intervenções / Consulta de enfermería para mujeres con cáncer de mama: Perfil, diagnósticos e intervenciones / Nursing consultation for women with breast cancer: Profile, diagnoses and interventions

Objetivo: analisar a implementação da consulta de enfermagem para mulheres com câncer de mama por meio da Sistematização da Assistência de Enfermagem. Método: estudo retrospectivo transversal quantitativo que analisou os prontuários das pacientes atendidas entre agosto de 2018 a dezembro de 2019, nas consultas de enfermagem em um hospital oncológico de Porto Alegre. Resultados: analisou-se 32 prontuários de mulheres em tratamento para o câncer de mama; evidenciaram-se 38 Diagnósticos de Enfermagem, a saber: Estilo de vida sedentário, Mobilidade física prejudicada, Disposição para controle da saúde melhorado e Risco de baixa autoestima situacional como prevalentes. Dentre as intervenções encontradas, o Domínio Comportamental foi preponderante. Conclusão: a sistematização da assistência e das taxonomias padronizadas pela NANDA I utilizadas na consulta de enfermagem, propiciam um cuidado ampliado e relevante para populações específicas e um estímulo à pesquisa para integrar as correlações entre os diagnósticos, os resultados e as intervenções.(AU)

Objective: to analyze the implementation of the nursing consultation for women with breast cancer through the Systematization of Nursing Care. Method: retrospective cross-sectional quantitative study that analyzed the medical records of patients seen between August 2018 and December 2019, in nursing consultations in an oncology hospital in Porto Alegre. Results: 32 medical records of women undergoing breast cancer treatment were analyzed; 38 Nursing Diagnoses were evidenced, namely: sedentary lifestyle, poor physical mobility, improved health control disposition, and situational low self-esteem risk as prevalent. Among the interventions found, the Behavioral Domain was preponderant. Conclusion: the systematization of care and the taxonomies standardized by NANDA I used in the nursing consultation, provide an expanded and relevant care for specific populations and a stimulus to research to integrate the correlations between diagnoses, outcomes and interventions.(AU)

Objetivo: analizar la implementación de la consulta de enfermería para mujeres con cáncer de mama a través de la Sistematización de la Atención de Enfermería. Método: estudio retrospectivo transversal cuantitativo que analizó los prontuarios de pacientes atendidos entre agosto de 2018 y diciembre de 2019, en consultas de enfermería de un hospital oncológico de Porto Alegre. Resultados: se analizaron 32 historias clínicas de mujeres en tratamiento por cáncer de mama; Se evidenciaron 38 Diagnósticos de Enfermería, a saber: Sedentarismo, Movilidad física perjudicada, Voluntad para mejorar el control de la salud y Riesgo de baja autoestima situacional como prevalentes. Entre las intervenciones encontradas, el Dominio Conductual fue predominante. Conclusión: la sistematización de la atención y las taxonomías estandarizadas por la NANDA I utilizadas en las consultas de enfermería brindan cuidados ampliados y pertinentes para poblaciones específicas y estimulan investigaciones para integrar correlaciones entre diagnósticos, resultados e intervenciones.(AU)

[Nursing interventions by school nurses in Germany: A cross-sectional study]. / Interventionen der Schulgesundheitspflege in Deutschland.

Nursing interventions by school nurses in Germany: A cross-sectional study Abstract. Background: The internationally established professional profile of school nursing has not yet been implemented across the board in Germany. In model projects and some international schools the feasibility of the concept and the daily work of school nurses in Germany can already be observed. Urgent and currently often unsolved issues in the school setting are the inclusion of chronically ill students and health promotion in the living environment. Aim: The aim of this paper is to describe the interventions of school nurses in everyday school life. Method: Using a standardized online questionnaire, school nurses in Germany were surveyed regarding the activities they performed and their frequency. The data on the activities were collected based on the Nursing Intervention Classification (NIC). Data were analyzed using descriptive statistics. Results: Respondents (n = 25) focused on acute care and health education/promotion. Nursing interventions that have a family or population-based approach are performed only "every 2-3 months" or less by the average respondent. Conclusions: The daily intensive implementation of diverse nursing interventions indicates an urgent need for nursing expertise in schools.

Cross-mapping of nursing diagnoses and interventions in decompensated heart failure.

OBJECTIVE: To map the terms recorded in medical records of patients with decompensated heart failure for nursing diagnoses and interventions from the NANDA International and Nursing Interventions Classification. METHOD: This is an exploratory and descriptive research, carried out by a cross-mapping study. Data were collected from 107 medical records of a Hospital Institute in the city of Rio de Janeiro/Brazil, in a period between October 2017 to February 2019. The diagnoses and interventions mapped were assessed by four clinical experts. Data analysis was performed using the content validation index and the Fleiss Kappa. RESULTS: The most frequent nursing diagnoses were: risk for infection (74.8%), decreased cardiac output (55.1%) and excessive fluid volume (49.5%). The interventions were: vital signs monitoring (79.4%), fluid monitoring (72.9%) and positioning (52.3%). CONCLUSION: The research mapped 32 titles of nursing diagnoses from NANDA-I and 21 nursing interventions from NIC. The diagnoses and interventions mapped will contribute to the quality of the nurses' records and patient safety.

Terms of specialized nursing language in the care of the newborn with central venous catheter.

OBJECTIVE: To construct and validate a specialized nursing terminology for the care of newborns with peripherally inserted central venous catheters (PICC), based on the Betty Neuman Systems Model. METHODS: Methodological study, carried out in a public maternity hospital, operationalized by the steps: extraction of terms from medical records of neonates using PICC; normalization; cross-mapping with the 2019/2020 version of ICNP®; organization in the Seven Axes; and content validation with nurses using content validity index and kappa coefficient. RESULTS: 1,718 terms were extracted, and 372 relevant terms were normalized, with 265 constants and 107 non-constants. A total of 335 terms were validated, 246 of which were constant and 89 were not constant, which reached an agreement index and kappa ≥ 0.80. CONCLUSION: Relevant terms were identified, which aid newborns using central venous catheters; thus, a terminological subset will be contributed to information in nursing practice.

Nursing Diagnoses and Interventions in Women with Hypertensive Disorders of Pregnancy: A Scoping Review / Diagnósticos e intervenciones de enfermería en mujeres con hipertensión inducida en el embarazo: revisión de alcance / Diagnósticos e intervenções de enfermagem em mulheres com distúrbios hipertensivos da gravidez: revisão de escopo

Objective: To map the diverse scientific evidence on nursing diagnoses and interventions in women with pregnancy hypertensive disorders under Primary Health Care. Materials and method: A scoping review was conducted through nine stages in seven databases and the thesis and dissertation catalog of the Coordinating Office for Improving Higher Education Personnel. The search was performed from January to March 2021. Results: A total of 2,505 articles were retrieved, of which five were included in the final review. Nine primary diagnoses from the 2009-2011 version of NANDA-I were identified. Each diagnosis was classified according to physical, psychological, behavioral, and environmental characteristics. The interventions were related to controlling pain, anxiety, hemodynamic dysfunctions, self-esteem level, fluid replacement, patient/environment hygiene, and sleep-rest ratio. Conclusions: The nursing diagnoses and interventions presented in this study corroborate the clinical practice and aid nursing professionals' reasoning.

Objetivo: mapear las evidencias científicas acerca de los diagnósticos e intervenciones de enfermería en mujeres con hipertensión inducida en el embarazo en la atención primaria de salud. Materiales y método: scoping review en nueve etapas, en siete bases de datos y en el catálogo de tesis de la Coordinación de Perfeccionamiento de Nivel Superior de Brasil. Se realizó la búsqueda de enero a marzo de 2021. Resultados: se recopilaron 2505 artículos, de los cuales cinco se excluyeron en la revisión final. Nueve diagnósticos principales de la versión 2009-2011 de la NANDA-I. Se clasificó cada diagnóstico en cuanto a las características físicas, psicológicas, comportamentales y ambientales. Las intervenciones se relacionaron con el control del dolor, de la ansiedad, de las disfunciones hemodinámicas, del nivel de autoestima, de la reposición hídrica, de la higienización del paciente/ambiente y a la relación sueño-reposo. Conclusiones: los diagnósticos e intervenciones de enfermería presentados en el estudio corroboran la práctica clínica y auxilian en el razonamiento del profesional de enfermería.

Objetivo: mapear as evidências científicas sobre os diagnósticos e intervenções de enfermagem em mulheres com distúrbios hipertensivos da gravidez na atenção primária à saúde. Materiais e método: scoping review em nove etapas, em sete bases de dados e no catálogo de teses e dissertações da Coordenação de Aperfeiçoamento de Nível Superior. Realizou-se a busca de janeiro a março de 2021. Resultados: 2505 artigos foram recuperados, dos quais cinco foram incluídos na revisão final. Nove diagnósticos principais da versão 2009-2011 da NANDA-I. Classificou-se cada diagnóstico quanto às características físicas, psicológicas, comportamentais e ambientais. As intervenções foram relacionadas ao controle da dor, da ansiedade, das disfunções hemodinâmicas, do nível de autoestima, da reposição hídrica, da limpeza do paciente/ambiente e à relação sono-repouso. Conclusões: os diagnósticos e intervenções de enfermagem apresentados neste estudo corroboram a prática clínica e auxiliam no raciocínio do profissional de enfermagem.

NANDA International nursing diagnoses in the coping/stress tolerance domain and their linkages to Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions in the pre-hospital emergency care.

AIM: To determine the prevalence of NANDA International nursing diagnoses in the coping/stress tolerance domain and their linkages to Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions in the pre-hospital emergency care setting. DESIGN: Retrospective descriptive study of electronic record review. METHODS: Eight thousand three hundred three episodes recorded during the year 2019 were recovered from the electronic health records of a public emergency care agency. The prevalence of NANDA International nursing diagnosis, Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions was determined. A cross-tabulation analysis was performed to determine the linkages. Data were accessed in November 2020. RESULTS: NANDA International nursing diagnoses Anxiety (00146) and Fear (00148) represented more than 90% of the diagnoses recorded in the domain. Anxiety level (1211) and emotional support (5270) were the most recorded Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions, with almost 20% and 5% of total records, respectively. The linkage between nursing diagnosis Anxiety (00146), outcome Anxiety level (1211) and intervention Anxiety reduction (5820) was the most recorded with slightly more than 3% of the total. CONCLUSION: Eight different NANDA International nursing diagnoses in the coping/stress tolerance domain were recorded. Nursing Outcomes Classification outcomes were selected aimed mainly at psychological well-being and Nursing Interventions Classification interventions to support coping. In general, linkages were aimed to provide emotional support, physical well-being, information, education and safety. IMPACT: This study showed that pre-hospital emergency care nurses diagnose and treat human responses in the coping/stress tolerance domain. Expert consensus-based linkages may be complemented by the results of this study, increasing the levels of evidence of both individualized and standardized care plans for critical patients assisted by pre-hospital emergency care nurses.

Construction of a nursing care protocol for children in post-hematopoietic stem cell transplantation.

OBJECTIVE: To construct a nursing care protocol for children in post-hematopoietic stem cell transplantation. METHOD: Methodological research carried out from January to September 2019, in three steps: (a) integrative review (nursing care was identified); (b) theoretical structuring and organization of healthcare based on the Theory of Basic Human Needs and on the International Classification for Nursing Practice (supplementing the review data); and (c) development of a protocol in the three previously mentioned stages. Analysis of the understanding of the protocol's items/care was performed by three specialist nurses. RESULTS: The care protocol consists of 40 nursing problems and is organized in accordance with the psychobiological, psychosocial, and psycho-spiritual needs of children undergoing transplantation, integrating practical and guidance care. CONCLUSION: The care protocol is an important technology for nursing care to transplanted children, aimed to prevent and manage transplantation complications.

Construction and validation of nursing diagnoses for people with diabetic foot ulcers.

OBJECTIVE: To construct and validate nursing diagnoses statements of the International Classification for Nursing Practice (ICNP®) for the person with diabetic foot ulcer being followed up in primary health care. METHOD: This is a methodological study structured in four stages: identification of terms; cross-mapping of identified terms with ICNP terms®, version 2019/2020; construction of nursing diagnoses statements and organization with Orem's Theory of Self-care; and content validation by expert nurses working in primary care, with those with Content Validity Index (CVI) ≥ 0.80 being considered valid. RESULTS: Eighty-one diagnostic statements were constructed, five of which were positive, 67 negative, and nine risky. Of these, 58 were included in ICNP® and 23 were not, 51% of which were categorized as self-care requirements related to health changes. CONCLUSION: ICNP® subsidized the construction of a technical product, which can be consulted and used by nurses and will allow the strengthening of the standardization of a specific language in the context of care for people with diabetic foot ulcers in primary health care.

Proceso de enfermería para la cesación del hábito tabáquico en paciente con EPOC: Reporte de caso / Nursing Process for Smoking Cessation in COPD Patients: Case Report / Processo de enfermagem para cessação do tabagismo em pacientes com DPOC: Relato de caso

Introducción. La enfermedad pulmonar obstructiva crónica es un problema de salud pública a nivel mundial y el cese del consumo de tabaco es la medida más efectiva para disminuir la incidencia y su progresión. Esta medida es especialmente eficaz en personas envejecidas, en quienes las consecuencias son más agudas a causa de los cambios biopsicosociales, cambios que aumentan la probabilidad de infecciones, dependencia funcional y fragilidad. El objetivo de este reporte es describir los cambios en el hábito tabáquico de una persona mayor con enfermedad pulmonar obstructiva crónica, tras ser incluida en un plan de cuidado organizado y según las etapas del proceso de Enfermería dirigido al cese del hábito tabáquico. Metodología. Reporte de caso de Enfermería bajo el Modelo de Promoción de la Salud de Nola Pender y el proceso de Enfermería, articulado con la taxonomía diagnóstica North American Nursing Diagnosis Association International, la Clasificación de Resultados de Enfermería (Nursing Outcomes Classification) y la Clasificación de Intervenciones de Enfermería (Nursing Interventions Classification). Resultados. Tras el proceso de Enfermería se evidencia la cesación del hábito tabáquico en la persona mayor y se destaca en el proceso la participación del núcleo familiar y el reconocimiento de los riesgos en salud asociados. Conclusiones. Se reconoce el rol de Enfermería como preponderante en la prevención y el abandono del hábito tabáquico que, orientado por un proceso de cuidado organizado, con respaldo disciplinar y científico, ayuda a mejorar el estado de salud y manejo de los factores de riesgo.

Introduction. Quitting tobacco consumption is the most effective measure for reducing the incidence and progression of chronic obstructive pulmonary disease, which is a global public health issue. This measure is especially effective in seniors, in whom the consequences are more acute due to biopsychosocial changes, changes that increase the probability of infection, functional dependence and fragility. The objective of this report is to describe the changes in the tobacco habits of a senior with chronic obstructive pulmonary disease after being included in an organized health care plan according to the Nursing process' stages for quitting tobacco habits. Methodology. A nursing case report under Nola Pender's Health Promotion Model and the Nursing process, articulated with the diagnostic taxonomy North American Nursing Diagnosis Association International, Nursing Outcomes Classification and Nursing Interventions Classification. Results. It was evident the senior quit their tobacco habits after the Nursing process was carried out, and participation from family members and recognition of the associated health risks stood out in the process. Conclusions. The role of Nursing is pivotal in preventing and quitting tobacco habits, which, guided by an organized health care process with disciplinary and scientific support, helps improve health conditions and manage risk factors.

Introdução. A doença pulmonar obstrutiva crônica é um problema de saúde pública global e a cessação do consumo de tabaco é a medida mais eficaz para reduzir sua incidência e progressão. Essa medida é especialmente eficaz em idosos, nos quais as consequências são mais agudas devido a alterações biopsicossociais, alterações que aumentam a probabilidade de infecções, dependência funcional e fragilidade. O objetivo deste relato é descrever as mudanças no hábito de fumar de um idoso com doença pulmonar obstrutiva crônica, após a inclusão em um plano de cuidados organizado e de acordo com as etapas do processo de Enfermagem visando a cessação do tabagismo. Metodologia. Relato de caso de Enfermagem sob o Modelo de Promoção da Saúde de Nola Pender e o processo de Enfermagem, articulado com a taxonomia diagnóstica North American Nursing Diagnosis Association International, a Classificação de Resultados de Enfermagem Nursing Outcomes Classification e a Classificação de Intervenções de Enfermagem Nursing Interventions Classification. Resultados. Após o processo de Enfermagem, evidencia-se a cessação do tabagismo no idoso e destaca-se a participação do núcleo familiar e o reconhecimento dos riscos à saúde associados no processo. Conclusões. O papel da Enfermagem é reconhecido como preponderante na prevenção e cessação do tabagismo, o que, pautado por um processo assistencial organizado, com respaldo disciplinar e científico, auxilia na melhoria do estado de saúde e no manejo dos fatores de risco.