Clinical validation of the nursing diagnoses of Impaired Tissue Integrity and Impaired Skin Integrity in patients subjected to cardiac catheterization

2012 ◽  
Vol 69 (6) ◽  
pp. 1338-1345 ◽  
Author(s):  
Angelita Paganin ◽  
Eneida Rejane Rabelo
2012 ◽  
Vol 20 (5) ◽  
pp. 863-872 ◽  
Author(s):  
Maria Andréia Silva Ribeiro ◽  
Julieth Santana Silva Lages ◽  
Maria Helena Baena Moraes Lopes

OBJECTIVE: to validate the operational definitions of the defining characteristics and risk factors of the three NANDA International (NANDA-I) nursing diagnoses and to revise these diagnoses' definitions. METHOD: content validation of nursing diagnosis. 146 defining characteristics and risk factors were identified in the literature in Brazilian and international databases. This was followed by content validation of the definitions of these diagnoses (presented by NANDA-I) and of the operational definitions (developed by the researchers) of the defining characteristics and risk factors, carried out by six expert nurses, regarding relevance, clarity and comprehensiveness. RESULT: of the 146 defining characteristics and risk factors, 22 were considered redundant and were excluded. The experts proposed changing the definitions of the diagnoses of Impaired Tissue Integrity and Risk for Impaired Skin Integrity. It was possible to identify various defining characteristics and risk factors which are not present in the NANDA-I taxonomy but which are indicated in the literature. CONCLUSION: the process attained its objective of producing valid operational definitions for defining characteristics and risk factors, which will permit the undertaking of validation studies for these diagnoses. The study's contribution to advancing scientific knowledge consists in its presenting clearer operational definitions for these diagnoses and a higher number of defining characteristics and risk factors, which will assist the nurses in the identification and use of the same with greater accuracy in clinical practice.


2016 ◽  
Vol 29 (2) ◽  
pp. 89-96 ◽  
Author(s):  
Ana Railka de Souza Oliveira-Kumakura ◽  
Sílvia Caldeira ◽  
Talita Prado Simão ◽  
Fabio Alberto Camargo-Figuera ◽  
Diná de Almeida Lopes Monteiro da Cruz ◽  
...  

2018 ◽  
Vol 71 (6) ◽  
pp. 2961-2968
Author(s):  
Priscila Costa ◽  
Amanda Pereira Duarte ◽  
Aline Santa Cruz Belela-Anacleto ◽  
Paula Rosenberg de Andrade ◽  
Maria Magda Ferreira Gomes Balieiro ◽  
...  

ABSTRACT Objective: To describe and analyze nursing diagnoses established on newborns’ medical consultations in a primary health care service. Method: Descriptive, analytical and quantitative study performed in a primary health care clinic in São Paulo. Data were collected from the medical records of 37 children treated in 39 nursing consultations during their neonatal period. The identified nursing diagnoses were analyzed regarding: frequency, classification in strengthening or exhaustion in light of the health-disease process, and the correspondence with the essential needs of infants. Results: 372 diagnoses were identified, most of them of strengthening (71%), such as efficient development (n = 37) and effective growth (n = 36). Among the exhaustion diagnoses (29%), there was a predominance of risk for suffocation (n = 15) and impaired tissue integrity (n = 14). Most diagnoses corresponded to the need of physical protection and security. Conclusion: Families are strengthened in the care of the essential needs of newborns, however, preventing diseases is necessary.


2011 ◽  
Vol 5 (6) ◽  
pp. 1483
Author(s):  
Maria Cláudia Moreira de Alcântara ◽  
Francisca Alexandra Araújo da Silva ◽  
Thereza Maria Magalhães Moreira ◽  
Maria Euridéa de Castro ◽  
Jênifa Cavalcante dos Santos

ABSTRACTObjective: to identify nursing problems of children with hydrocephalus and myelomeningocele in the use of ventricular shunts. Method: cross-sectional study, quantitative, developed in an internment unit for pediatric neurosurgery in a public hospital. The sample consisted of 60 patients admitted from June to December 2006. The study was submitted to the ethics committee of research on Protocol No. 82/2006. Results: the findings showed that the main problems and nursing diagnoses are related to decreased intracranial adaptive capacity related to increased ICP, risk of impaired skin integrity related to immobility and / or frequent exposure to fecal / urinary secretion and urinary incontinence  related neurogenic bladder. Conclusion: ventricular shunts are important methods to improve survival of children with hydrocephalus. But the care provided and the handling of the devices must be well oriented to families by the multiprofessional team, aiming to reduce the long periods of re-internments. Descriptors: nursing; child health; hydrocephalus; myelomeningocele; drainage.RESUMOObjetivo: identificar problemas de enfermagem de crianças com hidrocefalia e mielomeningocele em uso de derivações ventriculares. Método: estudo transversal, quantitativo, desenvolvido em uma unidade de internação em neurocirurgia pediátrica de um hospital público. A amostra constituiu-se de 60 pacientes internados de junho a dezembro de 2006. O estudo foi submetido ao comitê de ética em pesquisa com protocolo n°82/2006. Resultados: os achados evidenciaram que os principais diagnósticos e problemas de enfermagem relacionam-se à capacidade adaptativa intracraniana diminuída relacionada ao aumento da PIC; risco para integridade da pele prejudicada relacionado à imobilidade e/ou exposição frequente à secreção fecal/urinária e incontinência urinária relacionada à bexiga neurogênica. Conclusão: as derivações ventriculares são métodos importantes para aumentar a sobrevida das crianças com hidrocefalia. Porém os cuidados dispensados quanto ao manuseio dos dispositivos devem ser bem orientados pela equipe multiprofissional às famílias, objetivando reduzir os longos períodos de re-internações. Descritores: enfermagem; saúde da criança; hidrocefalia; mielomeningocele; drenagem.RESUMENObjetivo: identificar problemas de enfermería en niños con hidrocefalía y  mielomeningocele que usan derivaciones ventriculares. Método: estudio transversal, cuantitativo, desarrollado en una unidad de internación en neurocirugía pediátrica de un hospital público. La muestra fue compuesta por 60 pacientes internados entre junio y diciembre de 2006. El estudio fue sometido al comité de ética en investigación con el protocolo n°82/2006. Resultados: los resultados demostraron que los principales diagnósticos y problemas de enfermería están relacionados con la capacidad adaptativa intracraneal disminuida asociada al aumento de la PIC; riesgo para la integridad de la piel perjudicada relacionado a la inmovilidad y/o exposición frecuente a secreción fecal/urinaria e incontinencia urinaria asociada a vejiga neurogénica. Conclusión: las derivaciones ventriculares son métodos importantes para aumentar la sobrevida de los niños con hidrocefalía, sin embargo las familias deben ser bien orientadas  por el equipo multiprofesional sobre los cuidados con el manejo de los dispositivos, con el objetivo de reducir los largos periodos de reinternación. Descriptores: enfermería; salud del niño; hidrocefalía; mielomeningocele; drenaje.


2007 ◽  
Vol 16 (8) ◽  
pp. 1417-1426 ◽  
Author(s):  
Sandra Salloum Zeitoun ◽  
Alba Lúcia Bottura Leite de Barros ◽  
Jeanne Liliane Marlene Michel ◽  
Ana Rita Cássia de Bettencourt

2016 ◽  
Vol 28 (4) ◽  
pp. 165-170 ◽  
Author(s):  
Natália Chantal Magalhães da Silva ◽  
Ana Railka de Souza Oliveira-Kumakura ◽  
Sue Moorhead ◽  
Ana Emília Pace ◽  
Emília Campos de Carvalho

2022 ◽  
Vol 75 (2) ◽  
Author(s):  
Carlos Jordão de Assis Silva ◽  
Tarcísio Tércio das Neves Júnior ◽  
Eloisa Araújo de Carvalho ◽  
Valéria Gomes Fernandes da Silva ◽  
Sheyla Gomes Pereira de Almeida ◽  
...  

ABSTRACT Objective: to describe the profile of nursing diagnoses evidenced in indigenous elderly in the community. Methods: this is a cross-sectional study, carried out with 51 indigenous elderly people of Potiguara ethnicity, through a nursing consultation. The clinical data, obtained from the consultation, were analyzed following Risner’s diagnostic reasoning process and the NANDA-I Taxonomy (2018-2020). For greater accuracy, the diagnoses obtained underwent peer review by a specialist. Results: 37 diagnoses were identified, such as Impaired dentition (98.0%), Risk for impaired skin integrity (66.7%), Chronic pain (64.7%), Risk for deficient fluid volume (54.9%), Impaired swallowing (45.1%), Impaired walking (45.1%), Disturbed sleep pattern (43.1%), Stress urinary incontinence (41.2%), Risk for falls (35.3%), and Sexual dysfunction (33.3%). Conclusion: the diagnoses identified were predominantly from Safety/protection domain and result from factors that negatively influence indigenous elderly’s functional capacity.


Author(s):  
Ana Paula Régis ◽  
Giovana Cristina Dalla Rosa ◽  
Tatiana Lunelli

Trata-se de uma pesquisa envolvendo os cuidados de enfermagem aos pacientes submetidos ao cateterismo e à angioplastia. Objetivou-se caracterizar os cuidados priorizados pelos enfermeiros da hemodinâmica. O estudo, que empregou o método quanti-qualitativo, explana as complicações, os riscos e os diagnósticos de enfermagem possíveis. Para sistematizar as duzentas e três respostas dos cinco enfermeiros questionados, as pesquisadoras elaboraram um check list, baseando-se nas etapas do processo de enfermagem. Os cuidados foram divididos em pré, trans e pós-procedimento e abrangeram desde checar a história alérgica do paciente até orientações de alta. As respostas dos enfermeiros possibilitaram à confirmação de alguns riscos, por exemplo, já apresentados na teoria, tais como hematoma e reestenose; além disso, outros não revelados nas literaturas utilizadas e que indicam a necessidade de novos estudos. Adequou-se a aplicação da sistematização da assistência de enfermagem através de um instrumento organizado de trabalho, conforme a realidade e a prática profissional.Descritores: Cuidados de Enfermagem, Cateterismo Cardíaco, Angioplastia Coronariana. Care of nursing in cardiac catheterism and coronary angioplasty: development of an instrumentAbstract: This is a research involving nursing care for patients undergoing catheterization and angioplasty. The objective was to characterize the care prioritized by the hemodynamics nurses. The study, which used the quantitative-qualitative method, explains the complications, risks and possible nursing diagnoses. To systematize the two hundred and three answers of the five nurses questioned, the researchers elaborated a checklist, based on the stages of the nursing process. Care was divided into pre, trans and post-procedure, ranging from checking the patient's allergic history to discharge guidelines. The nurses' answers allowed the confirmation of some risks, for example, already presented in theory, such o hematoma and restenosis; in addition, others not revealed in the literature used and indicate the need for further studies. The application of the systematization of nursing care through an organized work instrument was adapted according to the reality and the professional practice.Descriptors: Nursing Care, Cardiac Catheterization, Coronary Angioplasty. Cuidados de enfermería en el cateterismo cardíaco y angioplastia coronariana: desarrollo de un instrumentoResumen: Se trata de una investigación que involucra los cuidados de enfermería a los pacientes sometidos al cateterismo ya la angioplastia. Se objetivó caracterizar los cuidados priorizados por los enfermeros de la hemodinámica. El estudio, que empleó el método cuantitativo, explora las complicaciones, los riesgos y los diagnósticos de enfermería posibles. Para sistematizar las doscientas tres respuestas de los cinco enfermeros cuestionados, las investigadoras elaboraron una lista de verificación, basándose en las etapas del proceso de enfermería. Los cuidados se dividieron en pre, trans y post-procedimiento y abarcar desde chequear la historia alérgica del paciente hasta orientaciones de alta. Las respuestas de los enfermeros posibilitaron la confirmación de algunos riesgos, por ejemplo, ya presentados en la teoría, tales como hematoma y reestenosis; Además, otros no revelados en las literaturas utilizadas y que indican la necesidad de nuevos estudios. Se adquiere la aplicación de la sistematización de la asistencia de enfermería a través de un instrumento organizado de trabajo, conforme a la realidad ya la práctica profesional.Descriptores: Cuidados de Enfermeira, Cateterismo Cardíaco, Angioplastia Coronaria.


1995 ◽  
Vol 9 (6) ◽  
pp. 306-310 ◽  
Author(s):  
Judy Carlson-Catalano ◽  
Margaret Lunney

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