scholarly journals Systematization of Nursing Care in undergraduate training: the perspective of Complex Thinking

2015 ◽  
Vol 23 (1) ◽  
pp. 59-66 ◽  
Author(s):  
Josilaine Porfírio da Silva ◽  
Mara Lucia Garanhani ◽  
Aida Maris Peres

AIM: to evaluate the clinical applicability of outcomes, according to the Nursing Outcomes Classification (NOC) in the evolution of orthopedic patients with Impaired Physical MobilityMETHOD: longitudinal study conducted in 2012 in a university hospital, with 21 patients undergoing Total Hip Arthroplasty, evaluated daily by pairs of trained data collectors. Data were collected using an instrument containing five Nursing Outcomes, 16 clinical indicators and a five point Likert scale, and statistically analyzed.RESULTS: The outcomes Body Positioning: self-initiated, Mobility, Knowledge: prescribed activity, and Fall Prevention Behavior presented significant increases in mean scores when comparing the first and final evaluations (p<0.001) and (p=0.035).CONCLUSION: the use of the NOC outcomes makes it possible to demonstrate the clinical progression of orthopedic patients with Impaired Physical Mobility, as well as its applicability in this context.

2015 ◽  
Vol 23 (1) ◽  
pp. 51-58 ◽  
Author(s):  
Marcos Barragan da Silva ◽  
Miriam de Abreu Almeida ◽  
Bruna Paulsen Panato ◽  
Ana Paula de Oliveira Siqueira ◽  
Mariana Palma da Silva ◽  
...  

AIM: to evaluate the clinical applicability of outcomes, according to the Nursing Outcomes Classification (NOC) in the evolution of orthopedic patients with Impaired Physical MobilityMETHOD: longitudinal study conducted in 2012 in a university hospital, with 21 patients undergoing Total Hip Arthroplasty, evaluated daily by pairs of trained data collectors. Data were collected using an instrument containing five Nursing Outcomes, 16 clinical indicators and a five point Likert scale, and statistically analyzed.RESULTS: The outcomes Body Positioning: self-initiated, Mobility, Knowledge: prescribed activity, and Fall Prevention Behavior presented significant increases in mean scores when comparing the first and final evaluations (p<0.001) and (p=0.035).CONCLUSION: the use of the NOC outcomes makes it possible to demonstrate the clinical progression of orthopedic patients with Impaired Physical Mobility, as well as its applicability in this context.


2020 ◽  
Vol 41 ◽  
Author(s):  
Bruna Engelman ◽  
Marcos Barragan da Silva ◽  
Miriam de Abreu Almeida

ABSTRACT Objective: To evaluate the correspondence of the terms found in nurses' and physiotherapists' records for orthopedic patients with the Nursing Outcomes Classification (NOC). Method: A descriptive study carried out in a university hospital in southern Brazil. The sample consisted of 392 records of 49 patients submitted to Total Hip Arthroplasty (THA). Data collection was retrospective in the electronic health record. Data was analyzed and compared with the NOC outcomes using the cross-mapping method. Result: The most prevalent outcomes were the following: Pain Level, Falls Occurrence and Mobility. There was sharing of outcomes between the two categories, except for Falls Occurrence and Respiratory Status. Conclusion: Standardizing nurses' and Physiotherapists' records according to the NOC can improve the quality of the clinical documentation of the outcomes of patients undergoing THA.


2018 ◽  
Vol 30 (4) ◽  
pp. 228-233 ◽  
Author(s):  
Luciana Nabinger Menna Barreto ◽  
Marcos Barragan da Silva ◽  
Bruna Engelman ◽  
Manoela Schmarczek Figueiredo ◽  
Alba Luz Rodríguez‐Acelas ◽  
...  

2020 ◽  
Vol 54 ◽  
pp. 151273
Author(s):  
Melissa de Freitas Luzia ◽  
Isabella Duarte Vidor ◽  
Ana Carolina Fioravanti Eilert da Silva ◽  
Amália de Fátima Lucena

2018 ◽  
Vol 71 (2) ◽  
pp. 431-439 ◽  
Author(s):  
Melissa de Freitas Luzia ◽  
Carla Argenta ◽  
Miriam de Abreu Almeida ◽  
Amália de Fátima Lucena

ABSTRACT 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.


2014 ◽  
Vol 23 (2) ◽  
pp. 309-317 ◽  
Author(s):  
Miriam de Abreu Almeida ◽  
Deborah Hein Seganfredo ◽  
Luciana Nabinger Menna Barreto ◽  
Amália Fátima Lucena

This study aimed to validate the indicators of the Nursing Outcomes proposed by the Nursing Outcomes Classification for the diagnosis Risk of Infection. Content validation was performed according to 12 nurse experts from the clinical, surgical and intensive care units of a university hospital. The analysis was based on the weighted arithmetic average of the scores the experts assigned to each indicator assessed and scores that reached at least 0.80 were validated. Out of 132 proposed indicators, 67 were validated for eight nursing outcomes described for the diagnosis Risk of Infection, which had been validated in a previous study. The content validation process identified that the Nursing Outcomes Classification presents feasible results and indicators to evaluate and identify the best care practices. This study will support the implementation of the Nursing Outcomes Classification in clinical practice, teaching and research.


2018 ◽  
Vol 71 (4) ◽  
pp. 1841-1849 ◽  
Author(s):  
Jéssica Naiara de Medeiros Araújo ◽  
Ana Paula Nunes de Lima Fernandes ◽  
Amanda Barbosa da Silva ◽  
Laísla Alves Moura ◽  
Marcos Antonio Ferreira Júnior ◽  
...  

ABSTRACT Objective: Clinically validate the Nursing Outcome Behavior of falls prevention in hospitalized patients. Method: This was a cross-sectional study developed at a public university hospital with a sample of 45 patients. The data collection was performed through the evaluation of four nurses, with a double used the instrument with the constitutive and operational definitions of the indicators and magnitudes of the Fall Prevention Behavior Result, while the other pair did not use such definitions. Results: When applying the non-parametric analysis of variance by the Friedman test, ten indicators showed statistical differences between the inferences made by the evaluators for each patient. In relation to the intraclass correlation coefficient, confidence interval and p value assigned to each indicator of the scale, most of the indicators were statistically significant. Conclusions: The instrument referring to the Fall Behavior Outcome Behavior was considered valid for the study population.


2019 ◽  
Vol 28 (23-24) ◽  
pp. 4367-4378
Author(s):  
Luciana Bjorklund‐Lima ◽  
Maria Müller‐Staub ◽  
Michelle Cardoso e Cardozo ◽  
Daniela Souza Bernardes ◽  
Eneida Rejane Rabelo‐Silva

2010 ◽  
Vol 18 (1) ◽  
pp. 116-123 ◽  
Author(s):  
Miriam de Abreu Almeida ◽  
Adele Kuckartz Pergher ◽  
Débora Francisco do Canto

This study mapped the 52 nursing care actions prescribed for orthopedic patients onto Self-care Deficit: bathing and/or hygiene, Impaired Physical Mobility and Risk for Infection, according to the Nursing Interventions Classification (NIC). The study was developed at a University Hospital in Porto Alegre, Brazil, using the Delphi Technique as the content validation method, considering a level of 70% of agreement among experts. Data were analyzed through descriptive statistics. Twenty-two experts validated the mapping of 51 nursing care actions onto 56 NIC interventions in two rounds. The objective was achieved because only one mapped care action did not reach the established level of agreement. None of the mapped care actions reached 100% consensus, which evidences the various possibilities of comparison and the importance of validation studies.


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