The Use of Standardized Language to Describe Abdominal Pain

2001 ◽  
Vol 17 (5) ◽  
pp. 266-273 ◽  
Author(s):  
Roberta Cavendish

The assessment, diagnosis, and management of abdominal pain (AP) in children is a complex and challenging process. The factors that contribute to this complexity are the varied etiologies of AP in children that may be biological and/or psychological, nurses’ perceptions of AP, manifestations of AP in children, and the lack of a standardized language to describe AP. In this descriptive study, 64 school nurses completed an investigator-developed survey to determine the usefulness of standardized language in describing AP. This study identified the most frequently used assessments to document complaints of AP; activities from the Nursing Interventions Classification “pain management” intervention used to treat AP; and relevant indicators used by school nurses from the Nursing Outcomes Classification “pain level” and “symptom severity” outcomes. Use of standardized language to document nursing care will make nursing’s contribution to the care of children with AP more visible and provide data that will identify and monitor trends of AP in the school setting.

2001 ◽  
Vol 17 (4) ◽  
pp. 189-197 ◽  
Author(s):  
Roberta Cavendish ◽  
Margaret Lunney ◽  
Barbara Kraynyak Luise ◽  
Kathryn Richardson

Two surveys were conducted to determine school nurses’ perceptions of the relevance of 190 outcomes developed by the Nursing Outcomes Classification (NOC) research team to school nursing practice. First, a national random survey of members of the National Association of School Nurses was conducted. Participants were asked to identify the percentage of children and families for whom school nurses affect health outcomes. Usable responses were returned from 227 school nurses (22% response rate). Ninety outcomes were perceived as relevant for 30% or more of children and families; 8 outcomes were perceived as relevant for 50% or more of children and families. A second survey—targeting state representatives attending a school nursing leadership meeting—was conducted using a revised version of the instrument. The legend was changed to degree of relevance to school nursing practice, with a response scale of 0 to 10. Usable responses were returned from 31 state representatives (41% response rate). The means of 172 of 190 outcomes were above 5 (median point on the 10-point scale of relevance). The findings of both surveys indicate that a large number of NOC outcomes are useful for documentation of the effectiveness of nursing interventions in school settings.


2012 ◽  
Vol 20 (5) ◽  
pp. 854-862 ◽  
Author(s):  
Tânia Couto Machado Chianca ◽  
Patrícia de Oliveira Salgado ◽  
Juliana Peixoto Albuquerque ◽  
Camila Claudia Campos ◽  
Meire Chucre Tannure ◽  
...  

AIM: to analyze whether nursing goals formulated for nursing diagnoses can be mapped to nursing outcomes classification and to identify the scales most appropriate to the outcomes mapped. METHOD: a descriptive study was developed in an intensive care unit. Data collection involved extraction of goals in 44 medical records, content standardization, cross-mapping to the outcomes, identification of appropriated scales and validation. Descriptive analysis and agreement with the cross-mapping process were performed. RESULTS: nursing goals (59) were mapped to (28) different outcomes, with agreement of 83% in the mapping process. All goals were mapped to outcomes, which allows to affirm that these outcomes contemplates the goals elaborated to patient care. CONCLUSION: these results favor the inclusion of outcomes and scales validated in the planning and evaluation phases of the nursing process of a software in construction.


Duazary ◽  
2016 ◽  
Vol 13 (2) ◽  
pp. 105 ◽  
Author(s):  
Diana Acosta-Salazar ◽  
Patricia Lapeira-Panneflex ◽  
Ediltrudis Ramos-De La Cruz

El Proceso de Atención de Enfermería (PAE) es una herramienta sistemática que facilita la cientificidad de los cuidados en las prácticas comunitarias del profesional de enfermería, la aplicación del método científico en la práctica comunitaria, permite a la enfermería brindar cuidados de forma lógica, sistemática e integral, revaluando las intervenciones para alcanzar los resultados planteados. Se inició con la valoración de Patrones Funcionales de Marjory Gordon y luego en la etapa de diagnóstico y planificación, se interrelacionó con North american nursing diagnosis association (NANDA), Nursing interventions classification (NIC) y Nursing outcomes classification (NOC). Es un estudio descriptivo y prospectivo. Se efectuó un análisis por medio de la aplicación de métodos: escala de medición de los rasgos socio demográfico, estudio de sintomatologías para el descubrimiento prematuro de trastornos mentales en la comunidad y la valoración por patrones funcionales. El PAE incluye diagnósticos más frecuentes, criterios de Resultados, indicadores, intervenciones y actividades para manejar la problemática comunitaria. Se evidenció alteración en los Patrones: Adaptación y Tolerancia al Estrés, Autopercepción-Autoconcepto, Rol-Relaciones, Sueño y Descanso y Percepción y Manejo de la Salud. Un cuidado estandarizado con la interrelación NANDA-NIC-NOC permite brindar un cuidado holístico desde el punto de vista de la salud mental comunitaria con un grado de cientificidad que enmarca el quehacer profesional proyectando el cuidado individual, familiar y comunitario


2017 ◽  
Vol 11 (12) ◽  
pp. 5163
Author(s):  
Patrícia Peres Oliveira ◽  
Carolina Eloi Miranda ◽  
Eduardo Henrique de Oliveira Lima ◽  
Marina Bueno Dias ◽  
Edilene Aparecida Araújo da Silveira ◽  
...  

RESUMOObjetivo: operacionalizar o processo de Enfermagem para adolescentes em cuidados paliativos, baseado no Modelo de Adaptação de Roy, utilizando NANDA, Classificação dos Resultados de Enfermagem e Classificação das Intervenções de Enfermagem. Método: estudo qualitativo, no qual se adotou, como estratégia metodológica, o estudo de caso, realizado com dois adolescentes e famílias, por meio de visitas domiciliárias. Como referencial teórico, foi utilizado o Modelo de Adaptação de Callista Roy. Resultados: observou-se que os cuidados aos adolescentes e suas famílias favoreceram a adaptação, pois os jovens apresentaram melhora significativa frente aos estímulos; as condições socioeconômicas identificadas interferiram no bem-estar da família e da adolescente do sexo feminino e, consequentemente, percebeu-se o impacto gerado. Todavia, deve-se propor intervenções como orientações sobre o manejo dos sintomas apresentados e sessões de musicoterapia, contribuindo para a melhora no ambiente familiar, além da redução da ansiedade. Conclusão: as intervenções implementadas foram importantes para a substituição de respostas ineficazes por respostas adaptativas. Descritores: Cuidados Paliativos; Neoplasias; Saúde do adolescente; Processos de Enfermagem.ABSTRACTObjective: to operationalize the Nursing process for adolescents in palliative care, based on the Roy Adaptation Model, using NANDA, Nursing Outcomes Classification and Nursing Interventions Classification. Method: a qualitative study, in which the case study, was adopted, as a methodological strategy, carried out with two adolescents and families, through home visits. As a theoretical reference, the Callista Roy Adaptation Model was used. Results: it was observed that the care to the adolescents and their families favored the adaptation, since the young showed a significant improvement in front of the stimuli; the identified socioeconomic conditions interfered with the well-being of the female family and adolescent, and consequently, the generated impact was perceived. However, one should propose interventions as guidelines on the management of the presented symptoms and sessions of music therapy, contributing to the improvement in the environment reduction of anxiety. Conclusion: the interventions implemented were important for the substitution of ineffective responses by adaptive responses. Descriptors: Palliative Care; Neoplasm; Adolescent health; Nursing Process.RESUMENObjetivo: operacionalizar el proceso de Enfermería para adolescentes en cuidados paliativos, basado en el Modelo de Adaptación de Roy, utilizando NANDA, Clasificación de los Resultados de Enfermería y Clasificación de las Intervenciones de Enfermería. Método: estudio cualitativo, en el cual se adoptó, como estrategia metodológica, el estudio de caso, realizado con dos adolescentes y familias, por medio de visitas domiciliarias. Como referencial teórico, se utilizó el modelo de adaptación de Callista Roy. Resultados: se observó que los cuidados a los adolescentes y sus familias favorecieron la adaptación, pues los jóvenes presentaron una mejora significativa frente a los estímulos; las condiciones socioeconómicas identificadas interfirieron en el bienestar de la familia y de la adolescente femenina y, consecuentemente, se percibió el impacto generado. Sin embargo, se debe proponer intervenciones como orientaciones sobre el manejo de los síntomas presentados y sesiones de musicoterapia, contribuyendo para la mejora en el ambiente familiar, además de la reducción de la ansiedad. Conclusión: las intervenciones implementadas fueron importantes para la sustitución de respuestas ineficaces por respuestas adaptativas. Descriptores: Cuidados Paliativos; Neoplasia; Salud del Adolescente; Procesos de Enfermería.


2020 ◽  
Vol 25 (Sup12) ◽  
pp. S34-S38
Author(s):  
Estrin Handayani ◽  
Robiul Fitri Masithoh

Burns remain one of the most common injuries contributing to an increase in trauma incidence in hospitals, particularly in developing countries. Therefore, it is essential to identify the appropriate care for these wounds. Silver sulfadiazine has been widely used for the treatment of burns, but its efficacy has not been re-evaluated in recent years. Therefore, this small-scale study aimed at re-evaluating the use of silver sulfadiazine in patients with burns at a hospital in Magelang, Indonesia. A total of seven patients with second- and third-degree burns were involved and received silver sulfadiazine for 5 months (March to July 2020). Data on their wounds were collected three times and evaluated by using the Nursing Outcomes Classification (NOC) observation method. Wound outcomes were evaluated using on the basis of wound healing by secondary intention. Silver sulfadiazine was found to be effective; 85.7% of the wound area showed granulation tissue, and 75–100% of the wound area showed epithelialisation. However, patients complained of pain during silver sulfadiazine treatment. Therefore, additional nursing interventions seem to be needed to manage burns.


2018 ◽  
Vol 35 (4) ◽  
pp. 256-261 ◽  
Author(s):  
Grace Lartey ◽  
Lizbeth P. Sturgeon ◽  
Dawn Garrett-Wright ◽  
Umar Y. Kabir ◽  
Susan Eagle

Complementary, alternative, and integrative therapies (CAIs) involve the use of practices outside of mainstream, conventional medicine. Few studies have been conducted on nurses’ perception and knowledge of CAI therapies. There is limited information on the protocols school nurses must follow in their practice on CAI use. The purpose of this study is to assess school nurses’ perception and knowledge of CAI therapies. A cross-sectional, nonexperimental survey study design was used, and participants were sampled with a cross-sectional convenience method. Members of four state School Nurses Associations were invited to participate in the study. Of the 290 participants, 100% of certified school nurses and 63% of non-certified school nurses believed CAI therapies have a place in their current practice (χ2 = 1.83, df = 1, p < .05). The study found that school nurses believe CAI therapies have a role in the school setting; however, the participants were not comfortable with assessing and administering these therapies.


2003 ◽  
Vol 11 (2) ◽  
pp. 183-198 ◽  
Author(s):  
Gail Keenan ◽  
Sharie Falan ◽  
Crystal Heath ◽  
Marcy Treder

The purpose of this study was to evaluate a 16-hour intervention designed to build clinician competency in the use of North American Nursing Diagnosis Association (NANDA), Nursing Outcome Classification (NOC), and Nursing Interventions Classification (NIC) (hereinafter: N3) among nurses with limited N3 knowledge. Each of 19 pairs of nurses independently selected N3 terms and rated the outcomes applicable to an actual patient for a specified time. A pair-through discussion then created a single consensus patient profile of the applicable terms. Before discussion, pairs agreed on 46% of the NANDA diagnoses, 30% of the NOC outcomes, and 20% of the NIC interventions selected. Eighty-nine percent of NOC label pair ratings were within 1 point. Building competency in N3 requires consistent use in written and oral communication with peers across time. Inter-rater reliabilities (IRRs) for NOC label ratings support previous findings.


Sign in / Sign up

Export Citation Format

Share Document