scholarly journals Construction and validation of a systematization instrument for nursing in intensive care

Rev Rene ◽  
2015 ◽  
Vol 16 (4) ◽  
pp. 461 ◽  
Author(s):  
Daniela Silva de Araújo ◽  
Andreza Freire de França ◽  
João Kelvin Da Silva Mendonça ◽  
Ana Rita de Cássia Bettencourt ◽  
Thatiana Lameira Maciel Amaral ◽  
...  
Keyword(s):  
Intensive Care ◽  
Nursing Care ◽  
Process Model ◽  
Nursing Interventions ◽  
Content Validation ◽  
The North ◽  
Physical Mobility ◽  
Education Levels ◽  
Five Phases ◽  
Nursing Diagnoses

Objective: construction and validation of a systematization instrument for Nursing Care, characterizing the profile of patients of an intensive care unit in the north of Brazil. Methods: it was a descriptive methodological study that followed a nursing process model in five phases. Results: it was suggested that the instrument be constructed in two formats; one for admission and another for daily assessment. Some items were removed from the instrument according to content validation content by the nurses. Of the 45 patients evaluated, 60.0% were men, 44.0% were married, 40.0% had low education levels, chronic renal failure and cancer. The main nursing diagnoses were risk for infection (100.0%) and impaired physical mobility (97.8%). The main nursing interventions were: handwashing, changing intravenous access, performing aseptic techniques and moving patients every 2 hours. Conclusion: construction and content validation were carried out successfully, promoting instruments capable of providing quality nursing care for patients in intensive care.

scholarly journals Implementation of the Nursing Process Based on Betty Neuman Model in Kidney Transplant Patients: A Study in the Field

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Afshin Goodarzi ◽  
Seyed Reza Borzou ◽  
Fatemeh Cheraghi ◽  
Mahnaz Khatiban ◽  
Mehdi Molavi Vardanjani
Keyword(s):  
Kidney Transplantation ◽  
Patient Care ◽  
Kidney Transplant ◽  
Nursing Care ◽  
Nursing Interventions ◽  
Nursing Process ◽  
Transplant Patients ◽  
The North ◽  
Improving Patient Care ◽  
Nursing Diagnoses

Background: Proper use of nursing models and theories is an important step in improving patient care standards and quality of life. The growing trend of kidney failure and subsequent kidney transplantation in the country shows the importance of creating a proper structure in nursing patient care for transplant patients and recognizing the stressors that affect these patients. Objectives: This study aimed to investigate the ability of the Betty Neuman model to provide a comprehensive model for nursing care of clients undergoing kidney transplantation. Methods: This clinical and clinical study was performed on the client of the kidney transplant candidate based on the application of Betty Neuman system theory. During the data collection, the interactions between the client’s five variables were examined and the stressors and resources in the internal, inter, and extra-individual domains were identified. Nursing diagnoses were created in accordance with the North American International Nursing Diagnostics Association (2018 - 2018) classification, and then nursing interventions were designed and implemented at three levels of prevention. Results: The results of the study of physiological, psychological, social, evolutionary, and spiritual variables, as well as interpersonal and extra-individual stressors, were 15 potential and actual nursing diagnoses. Conclusions: Designing and applying a nursing process based on this model is a holistic and systematic attitude toward the client that requires proper, efficient, and evidence-based nursing care but increases the need for nursing human resources.

scholarly journals Nursing Interventions in the Clinical Practice of an Intensive Care Unit

2010 ◽  
Vol 18 (5) ◽  
pp. 873-880 ◽  
Author(s):  
Amália de Fátima Lucena ◽  
Maria Gaby Rivero de Gutiérrez ◽  
Isabel Cristina Echer ◽  
Alba Lucia Bottura Leite de Barros
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Clinical Practice ◽  
Nursing Care ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Nursing Interventions ◽  
Sectional Study ◽  
Cross Sectional ◽  
Respiratory Management

This cross-sectional study was carried out at a university hospital to describe the nursing interventions most frequently performed in the clinical practice of an intensive care unit, based on nursing care prescriptions, and to investigate their similarity to the Nursing Interventions Classification (NIC). The sample consisted of 991 hospitalizations of patients. Data were retrospectively collected from the computer database and analyzed through descriptive statistics and cross-mapping. A total of 57 different NIC interventions frequently used in the unit were identified; most of them in the complex (42%) and basic physiological (37%) domains, in the classes ‘respiratory management’ and ‘self-care facilitation’. Similarity between the nursing care prescribed and nursing interventions/NIC was found in 97.2% of the cases. The conclusion is that the interventions/NIC used in the clinical practice of this intensive care unit reflects the level of complexity of nursing care, which is mainly directed at the regulation of the body’s physical and homeostatic functioning.

scholarly journals THERAPEUTIC TOY IN PRIMARY CARE: CONTRIBUTIONS FOR THE SYSTEMATIZATION OF NURSING CARE

2021 ◽  
Vol 30 ◽  
Author(s):  
Letícia Roberta Pedrinho ◽  
Bianca Machado Cruz Shibukawa ◽  
Gabrieli Patrício Rissi ◽  
Roberta Tognollo Borotta Uema ◽  
Maria de Fátima Garcia Lopes Merino ◽  
...  
Keyword(s):  
Nursing Care ◽  
Multiple Case Study ◽  
The North ◽  
Coping Process ◽  
Nursing Diagnosis ◽  
Multiple Case ◽  
Nursing Diagnoses

ABSTRACT Objective: to analyze the role of the therapeutic toy as a tool for the nursing diagnosis in the setting of care for the child with diabetes. Method: a qualitative multiple-case study conducted with children diagnosed with Type 1 Diabetes mellitus and living in the inland of Paraná. The data were collected in 2018 through interviews, field diary and sessions using the therapeutic toy. Nursing diagnoses were elaborated according to the North American Nursing Diagnosis Association Taxonomy I and a targeted content analysis was performed, resulting in four categories. Results: using the dramatic therapeutic toy allows the child to show their perception of the disease and of the care provided. The sessions with the dramatic therapeutic toy made it possible to identify five nursing diagnoses, which were later worked on by means of an instructional therapeutic toy. Conclusion: systematization of assistance mediated by the use of the toy allows nurses to establish bonds with the child with diabetes and their family, revealing their perceptions of the disease and treatment, thereby stimulating a more active participation of the binomial in the management of this coping process.

scholarly journals Diagnósticos e intervenções de enfermagem em pacientes no pós-operatório de enxerto ósseo alveolar [Nursing diagnoses and interventions in postoperative alveolar bone graft patients] [Diagnósticos e intervenciones de enfermería en pacientes en el postoperatorio de injerto óseo alveolar]

2017 ◽  
Vol 25 ◽  
pp. e19872
Author(s):  
Marli Luiz Beluci ◽  
Suely Prieto de Barros ◽  
Cassiana Mendes Bertoncello Fontes ◽  
Armando Dos Santos Trettene ◽  
Cleide Carolina Da Silva Demoro Mondini
Keyword(s):  
Bone Graft ◽  
North American ◽  
Public Hospital ◽  
Alveolar Bone ◽  
Care Process ◽  
Nursing Interventions ◽  
Interdisciplinary Work ◽  
The North ◽  
Nursing Diagnosis ◽  
Nursing Diagnoses

Objetivo: identificar a frequência dos diagnósticos de enfermagem relacionados à nutrição e as intervenções de enfermagem no pós-operatório de cirurgia de enxerto ósseo alveolar durante a internação. Método: estudo descritivo e quantitativo, realizado em um hospital público especializado. A amostra constituiu-se de 150 pacientes, avaliados por meio de anamnese e observação, com foco na aceitação alimentar. Resultados: os diagnósticos de enfermagem relacionados à nutrição foram elaborados segundo a taxonomia da North American Nursing Diagnosis Association-International (NANDA-I) e evidenciou-se predomínio da disposição para nutrição melhorada. As intervenções propostas de acordo com o referencial da Nursing Interventions Classifications (NIC) relacionaram-se ao ensino da dieta prescrita, promoção do autocuidado e monitoração nutricional. Conclusão: o presente estudo contribuiu para o trabalho interdisciplinar entre a nutrição e a enfermagem no processo de cuidar. ABSTRACTObjective: to identify the frequency of nutrition-related nursing diagnoses and postoperative nursing interventions in alveolar bone graft surgery during hospitalization. Method: this descriptive, quantitative study took place at a specialized public hospital in a sample of 150 patients evaluated by anamnesis and observation focusing on food acceptance. Results: the nutrition-related nursing diagnoses were prepared according to the taxonomy of the North American Nursing Diagnosis Association-International (NANDA-I), and displayed a predominant willingness to improve nutrition. The interventions proposed according to the frame of reference of Nursing Interventions Classifications (NIC) related to teaching prescribed diet, promoting self-care, and monitoring nutrition. Conclusion: this study contributed to interdisciplinary work between nutrition and nursing in the care process. RESUMENObjetivo: identificar la frecuencia de los diagnósticos de enfermería relacionados con la nutrición y las intervenciones de enfermería en el postoperatorio de cirugía de injerto óseo alveolar postoperatoria durante la hospitalización. Método: estudio descriptivo y cuantitativo, realizado en un hospital público especializado. La muestra consistió en 150 pacientes, evaluados mediante anamnesis y observación, enfocando la aceptación de alimentos. Resultados: los diagnósticos de enfermería relacionados con la nutrición se elaboraron según la taxonomía de la North American Nursing Diagnosis Association-International (NANDA-I) y pusieron en evidencia un predominio de la disposición de mejorar la nutrición. Las intervenciones propuestas de acuerdo con el marco de la Nursing Interventions Classifications (NIC) fueron relacionados con la enseñanza de la dieta prescrita, la promoción del autocuidado y el monitoreo nutricional. Conclusión: este estudio contribuyó al trabajo interdisciplinario entre la nutrición y la enfermería en el proceso de atención. DOI: http://dx.doi.org/10.12957/reuerj.2017.19872

Processo de enfermagem fundamentado na teoria do autocuidado de Orem a um paciente submetido à cirurgia bariátrica

2009 ◽  
Vol 3 (4) ◽  
pp. 814 ◽  
Author(s):  
Lidiany Galdino Felix ◽  
Maria Miriam Lima da Nóbrega ◽  
Maria Júlia Guimarães de Oliveira Soares
Keyword(s):  
Bariatric Surgery ◽  
Nursing Care ◽  
Clinical Case ◽  
Self Care ◽  
Nursing Interventions ◽  
Nursing Process ◽  
Qualified Individual ◽  
Case Type ◽  
Nursing Diagnoses

Objective: to apply the nursing process fundament on the Theory of Orem’ Self-care, through the conduct of a report of clinical case, with a patient submitted to bariatric surgery. Methods: this is about a descriptive study, from qualitative approach, report of clinical case type, performed in a patient with morbid obesity, included in Bariatric Surgery Group of a teaching hospital in João Pessoa-PB city. For data collection was used a script adapted to Theory of Orem’ Self-care, which led to the identification of deficits of self-care and therefore to nursing diagnoses. It was then developed the plan of nursing care, with the determination of goals, objectives, method of assistance, type of system and nursing interventions. This study has been approved by the Research Ethics Committee of the Hospital of the Federal University of Paraiba (054/07). Results: from the identification of nursing diagnoses was established and implemented the plan of nursing care with the aim of restoring the patient to prevent postoperative complications, promote recovery and prepare you for the self-care. Conclusion: it is considered that the application of the nursing process, based on Theory of Orem’ Self-care, enabled the provision of assistance and qualified individual, encouraging the patient to participate actively in their treatment, but also to increase their responsibility in the outcome of care. Descriptors: nursing; nursing process; self care; bariatric surgery.

scholarly journals The Application of Morning Routine for Patients with Critical Illness in Intensive Care Units: A Case Report

2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Juliana G.E.P Massie ◽  
Agung Waluyo ◽  
Kharisma Adytama Putra
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Respiratory Failure ◽  
Critical Illness ◽  
Nursing Care ◽  
Care Management ◽  
Distress Syndrome ◽  
Nursing Interventions ◽  
Care Environment ◽  
Holistic Nursing

<p>Respiratory failure is still the main cause of morbidity and mortality at the Intensive Care Unit. One of the abnormalities in the respiratory system that can cause respiratory failure is Acute Respiratory Distress Syndrome (ARDS). This condition is a respiratory emergency characterized by a progressive decrease in oxygen after a serious illness or injury. Critical illness and treatment in the Intensive Care Unit are a less pleasant experience for patients and affect the patients’ psychologies. The unstable psychical conditions of the patients during the treatments also influence the physical condition of the patients and it affected to the length of the stay, the risk for complications, and nosocomial infections. Patients’ ability to be adapted to the intensive care environment is one of the keys to the success of the nursing care for the critical cases. The purpose of this study is to describe the comprehensive and holistic nursing care management in ARDS cases at the Intensive Care Unit. One of the focuses of the nursing interventions, in this study, is the environmental and intensive care atmosphere modifications of the intensive care unit called the morning routine.</p>

scholarly journals Can ICNP® be used in the nursing care of a patient with pneumonia?

2016 ◽  
Vol 15 (3) ◽  
pp. 43-49
Author(s):  
Hanna Grabowska
Keyword(s):  
Nursing Care ◽  
Lung Tissue ◽  
Nursing Practice ◽  
Inflammatory Cells ◽  
International Classification ◽  
Nursing Interventions ◽  
Systemic Symptoms ◽  
Patients Experience ◽  
Nursing Diagnoses ◽  
Selection Of

Abstract Introduction. The international standard for nursing terminology included in the ICNP®, recommended by many organizations and associations, can be used in the daily professional practice to facilitate the nurses’ selection of appropriate diagnoses and nursing interventions.Aim. The aim of the study is an attempt to show the possibilities of using the International Classification for Nursing Practice (ICNP®) in the nursing care of patients with pneumonia. Pneumonia is an inflammatory process located within lung tissue situated peripherally in relation to the terminal bronchiole, leading to the accumulation of inflammatory cells and an exudate within alveoli, interalveolar septa and/or in the interstitial lung tissue. Usually, patients experience: cough, shortness of breath, pleuritic chest pain, and systemic symptoms: fever, chills, tachycardia, increased sweating, muscle and joint pain, headaches, fatigue, and sometimes nausea, vomiting and diarrhoea. Common nursing problems/diagnoses in the group of patients with pneumonia are: dyspnea, impaired respiratory system process, impaired airway clearance, fever, lack of appetite, risk for hypovolemia, lack of knowledge about the disease.Summary. The International Classification for Nursing Practice contains the most basic terms describing nursing diagnoses and interventions that are crucial in providing nursing care to patients with pneumonia.

scholarly journals Nursing diagnoses for patients in the postoperative period of cardiac surgery

Rev Rene ◽  
2015 ◽  
Vol 16 (2) ◽  
Author(s):  
Carla Portolan Ribeiro ◽  
Caroline De Oliveira Silveira ◽  
Eliane Raquel Rieth Benetti ◽  
Joseila Sonego Gomes ◽  
Eniva Miladi Fernandes Stumm
Keyword(s):  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Intensive Care ◽  
Nursing Care ◽  
Postoperative Period ◽  
Cross Sectional ◽  
Individual Needs ◽  
Cross Sectional Design ◽  
Nursing Diagnoses

Objective: to identify nursing diagnoses of patients in mediate postoperative period of cardiac surgery. Methods: descriptive,cross-sectional design with 26 patients in mediate postoperative period of cardiac surgery, in an intensive care unit. Datawere collected through a form of socio-demographic/clinic characterization and nursing diagnoses. Results: one identified15 risk nursing diagnoses and 34 real diagnoses, and the most common were related to the domain safety and protection.Conclusion: the identification of nursing diagnoses in patients after cardiac surgery allows one to direct nursing care andsupport appropriate interventions to individual needs, because patients in these conditions require immediate and accurateinterventions.

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