scholarly journals Construction and validation of nursing diagnoses for people in palliative care

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Rudval Souza da Silva ◽  
Álvaro Pereira ◽  
Maria Miriam Lima da Nóbrega ◽  
Fernanda Carneiro Mussi
Keyword(s):  
Decision Making ◽  
Palliative Care ◽  
Nursing Care ◽  
Nursing Practice ◽  
International Classification ◽  
Methodological Study ◽  
Care Model ◽  
International Council ◽  
Practice Method ◽  
Nursing Diagnoses

ABSTRACT Objective: to construct and validate nursing diagnoses for people in palliative care based on the Dignity-Conserving Care Model and the International Classification for Nursing Practice. Method: a two-stage methodological study: 1) construction of the database of clinically and culturally relevant terms for the nursing care for people in palliative care and 2) construction of nursing diagnoses from the database of terms, based on the guidelines of the International Council of Nurses. Results: the 262 terms validated constituted a database of terms from which 56 nursing diagnoses were developed. Of these, 33 were validated by a group of 26 experts, and classified in the three categories of the Dignity-Conserving Care Model: illness-related concerns (21); dignity-conserving repertoire (9); and social dignity inventory (3). Conclusion: of the 33 validated diagnoses, 18 of them could be included in the update of the Catalog of the International Classification for Nursing Practice - palliative care for a dignified death. The study contributes to support the clinical reasoning and decision making of the nurse.

scholarly journals Anxiety in children following hospitalization: a proposal for a nursing diagnosis

2015 ◽  
Vol 23 (5) ◽  
pp. 963-970 ◽  
Author(s):  
Gabriela Lisieux Lima Gomes ◽  
Maria Miriam Lima da Nóbrega
Keyword(s):  
Classification System ◽  
Conceptual Analysis ◽  
Nursing Practice ◽  
Child Anxiety ◽  
International Classification ◽  
Methodological Study ◽  
Iso Standard ◽  
International Council ◽  
Nursing Diagnosis ◽  
Nursing Diagnoses

Objective: to describe the process of developing a nursing diagnosis regarding child anxiety following hospitalization, which is to be submitted to the international classification for nursing practice, in accordance with the guidelines set out by the International Council of Nurses and the ISO standard 18104:2014.Method: this methodological study includes a conceptual analysis that bases itself on analyzing the phenomena of anxiety and hospitalization, while identifying the critical attributes of the concept and developing an operational definition.Results: all the criteria for including a new nursing concept were followed and there was no violation of the framework of the International Classification for Nursing Practice with the proposed inclusion, since the concept of anxiety already exists in this classification system and the concept of anxiety from hospitalization would be considered a species or subclass of this concept.Conclusion: this analysis of the concept of hospitalization anxiety in children allowed its meaning to be clarified and, consequently, understanding to be constructed regarding its practical applicability. This achievement contributed in terms of providing incentive to develop new proposals for nursing diagnoses to be included in the International Classification for Nursing Practice.

scholarly journals Process and results of the development of an ICNP® Catalogue for Cancer Pain

2013 ◽  
Vol 47 (5) ◽  
pp. 1060-1067 ◽  
Author(s):  
Marisaulina Wanderley Abrantes de Carvalho ◽  
Maria Miriam Lima da Nobrega ◽  
Telma Ribeiro Garcia
Keyword(s):  
Cancer Pain ◽  
Nursing Care ◽  
Nursing Practice ◽  
Nursing Interventions ◽  
Nursing Process ◽  
Methodological Study ◽  
International Council ◽  
Quality Of Patient Care ◽  
Nursing Diagnoses

This was a methodological study conducted to describe the process and results of the development of an International Classification for Nursing Practice (ICNP®) Catalogue for Cancer Pain. According to the International Council of Nurses (ICN), this catalogue contains a subset of nursing diagnoses, outcomes, and interventions to document the implementation of the nursing process in cancer patients. This catalogue was developed in several steps according to the guidelines recommended by the ICN. As a result, 68 statements on nursing diagnoses/outcomes were obtained, which were classified according to the theoretical model for nursing care related to cancer pain into physical (28), psychological (29), and sociocultural and spiritual (11) aspects. A total of 116 corresponding nursing interventions were obtained. The proposed ICNP® Catalogue for Cancer Pain aims to provide safe and systematic orientation to nurses who work in this field, thus improving the quality of patient care and facilitating the performance of the nursing process.

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 the elderly using the International Classification for Nursing Practice and the activities of living model

2013 ◽  
Vol 21 (2) ◽  
pp. 523-530 ◽  
Author(s):  
Ana Claudia Torres de Medeiros ◽  
Maria Miriam Lima da Nóbrega ◽  
Rosalina Aparecida Partezani Rodrigues ◽  
Maria das Graças Melo Fernandes
Keyword(s):  
Nursing Practice ◽  
The Elderly ◽  
International Classification ◽  
Validation Process ◽  
Primary Health ◽  
Nursing Diagnosis ◽  
Practice Method ◽  
Two Stages ◽  
Political Economic ◽  
Nursing Diagnoses

OBJECTIVE: To develop nursing diagnosis statements for the elderly based on the Activities of Living Model and on the International Classification for Nursing Practice. METHOD: Descriptive and exploratory study, put in practice in two stages: 1) collection of terms and concepts that are considered clinically and culturally relevant for nursing care delivered to the elderly, in order to develop a database of terms and 2) development of nursing diagnosis statements for the elderly in primary health care, based on the guidelines of the International Council of Nurses and on the database of terms for nursing practice involving the elderly. RESULTS: 414 terms were identified and submitted to the content validation process, with the participation of ten nursing experts, which resulted in 263 validated terms. These terms were submitted to cross mapping with the terms of the International Classification for Nursing Practice, resulting in the identification of 115 listed terms and 148 non-listed terms, which constituted the database of terms, from which 127 nursing diagnosis statements were prepared and classified into factors that affect the performance of the elderly's activities of living - 69 into biological factors, 19 into psychological, 31 into sociocultural, five into environmental, and three into political-economic factors. CONCLUSIONS: After clinical validation, these statements can serve as a guide for nursing consultations with elderly patients, without ignoring clinical experience, critical thinking and decision-making.

scholarly journals Terms of international classification for Nursing Practice in motor and physical rehabilitation

2015 ◽  
Vol 49 (2) ◽  
pp. 0209-0215
Author(s):  
Danyelle Rodrigues Pelegrino de Souza ◽  
Leonardo Tadeu de Andrade ◽  
Anamaria Alves Napoleão ◽  
Telma Ribeiro Garcia ◽  
Tânia Couto Machado Chianca
Keyword(s):  
Nursing Care ◽  
Nursing Practice ◽  
Document Analysis ◽  
Physical Rehabilitation ◽  
International Classification ◽  
Time Axis ◽  
Motor Rehabilitation ◽  
Nursing Language

OBJECTIVE To validate terms of nursing language especially for physical-motor rehabilitation and map them to the terms of ICNP® 2.0. METHOD A methodology research based on document analysis, with collection and analysis of terms from 1,425 records. RESULTS 825 terms were obtained after the methodological procedure, of which 226 had still not been included in the ICNP® 2.0. These terms were distributed as follows: 47 on the Focus axis; 15 on the Judgment axis; 31 on the Action axis; 25 on the Location axis; 102 on the Means axis; three on the Time axis; and three on the Client axis. All non-constant terms in ICNP® have been validated by experts, having reached an agreement index ≥0.80. CONCLUSION The ICNP® is applicable and used in nursing care for physical-motor rehabilitation.

scholarly journals The care of a patient with cardiovascular disorders - a case study based on ICNP®

2016 ◽  
Vol 15 (3) ◽  
pp. 39-42
Author(s):  
Hanna Grabowska ◽  
Magdalena Katanowska
Keyword(s):  
Cardiovascular Diseases ◽  
Nursing Care ◽  
Nursing Practice ◽  
Individual Case ◽  
International Classification ◽  
Self Control ◽  
Care Plan ◽  
Care Plans ◽  
Threatening Condition

Abstract Introduction. Cardiovascular diseases still remain the chief life-threatening condition in Poland. They are one of the main causes of sickness absences at work, as well as reasons for hospitalization and disabilities. The professionals responsible for providing nursing services to people suffering from cardiovascular diseases should take into account the activities addressing all spheres of patient’s life. Most attention should be paid to preventing complications, as well as interventions enabling both the patients to perform selfmonitoring and self-care and their relatives to provide unprofessional care.Aim. The aim of this work was to formulate a nursing care plan for a patient suffering from cardiovascular diseases, using the International Classification for Nursing Practice.Material and methods. For the purpose of this article, an individual case study method and literature analysis were used. The research was conducted in November 2015 at the Clinic of Hypertension and Diabetes of the University Clinical Centre at the Medical University of Gdańsk. Written consents were obtained from every patient.Results. In the process of providing nursing care to the patients, phrases describing “ready” diagnoses and nursing interventions included in the International Classification for Nursing Practice (ICNP®) were used. The care plans included the following nursing diagnoses: impaired cardiovascular system, altered blood pressure, pain, functional dyspnea, peripheral edema, impaired sleep, risk of infection, obesity, lack of knowledge about the disease/ poor self-control.Conclusions. The plan of nursing care for patients with cardiovascular diseases was based on the ICNP® reference terminology that fully reflects the key problems of the patient and the scope of interventions made by nurses.

scholarly journals Nursing Problems Occurring in a Diabetic Foot Patient - A Case Study Based on Icnp®

2019 ◽  
Vol 4 (5) ◽  
Keyword(s):  
Developed Countries ◽  
International Classification ◽  
World Health ◽  
World Health Organization Classification ◽  
International Council ◽  
The World ◽  
Health Organization ◽  
Nursing Diagnoses

Modern management of computerization of health services provided by nursing care in developed countries is based on an extensive system of the International Classification of Nursing Practices. The international classification of nursing diagnoses has been classified in the World Health Organization classification by the International Council of Nurses (ICN-International Council of Nurses), which encourages European Union countries to introduce the system created to standardize nursing diagnoses used in nursing [1, 2].

scholarly journals Clinical applicability of the terminological subset of palliative care for dignified dying

2021 ◽  
Vol 55 ◽  
Author(s):  
Thais Trybus ◽  
Larissa Sydor Victor ◽  
Rudval Souza da Silva ◽  
Deborah Ribeiro Carvalho ◽  
Marcia Regina Cubas
Keyword(s):  
Palliative Care ◽  
Clinical Practice ◽  
Theoretical Model ◽  
Nursing Practice ◽  
Descriptive Statistics ◽  
Nursing Interventions ◽  
Nursing Process ◽  
Patients With Cancer ◽  
Clinical Applicability ◽  
Nursing Diagnoses

ABSTRACT Objective: To evaluate the clinical applicability of the terminological subset of the international classification for the nursing practice of palliative care for a dignified dying, in oncology. Method: Prospective study evaluating the clinical applicability of 33 nursing diagnoses/outcomes and 220 nursing interventions. It used case studies of 20 cancer patients undergoing palliation. The nursing process steps were operated by two nurses. Descriptive statistics was used to present, according to the theoretical model, the nursing diagnoses/outcomes and interventions identified in the patients. All statements identified in patients at some point during care were considered applicable in clinical practice. Results: Twenty-nine nursing diagnoses/outcomes and 197 nursing interventions from the subset were identified. Conclusion: In the context of palliative care in patients with cancer, the clinical applicability of 87.8% of the diagnoses/outcomes and 89.5% of the interventions that make up the palliative care terminological subset for dignified dying is affirmed.

scholarly journals NURSING DIAGNOSIS/OUTCOMES AND INTERVENTIONS FOR CRITICALLY ILL PATIENTS AFFECTED BY COVID-19 AND SEPSIS

2020 ◽  
Vol 29 ◽  
Author(s):  
José Melquiades Ramalho Neto ◽  
Renata Andréa Pietro Pereira Viana ◽  
Andrezza Serpa Franco ◽  
Patrícia Rezende do Prado ◽  
Fernanda Alves Ferreira Gonçalves ◽  
...  
Keyword(s):  
Critically Ill ◽  
Critically Ill Patients ◽  
Nursing Practice ◽  
International Classification ◽  
Direct Care ◽  
Nursing Interventions ◽  
Human Needs ◽  
Vascular Regulation ◽  
Nursing Diagnosis ◽  
Nursing Diagnoses

ABSTRACT Objective: to relate nursing diagnoses/outcomes and interventions for critically ill patients affected by COVID-19 and sepsis in the Intensive Care Unit, according to the International Classification for Nursing Practice (ICNP®). Method: a documentary study conducted in March and April 2020 from the ICNP® terminology subset for adult patients with sepsis. The documentary corpus was composed of the list of nursing diagnoses/outcomes and interventions based on Horta's Theory of Basic Human Needs; on the 7-Axis Model of the International Classification for Nursing Practice, version 2017; on the Pathophysiological model of sepsis; as well as relying on the authors' expertise in direct care for suspected or confirmed critically ill patients affected by COVID-19. Outcomes: a total of 58 nursing diagnoses/outcomes were identified that belong to the psychobiological needs of oxygenation (13-22.4%), vascular regulation (12-20.7%), neurological regulation (10-17.2%), hydration (08-13.8%), elimination (08-13.8%), immunological regulation (04-6.9%) and thermal regulation (03-5.2%), evidencing a total of 172 nursing interventions with a mean of 03 for each nursing diagnosis/outcome. Conclusion: data analysis provided greater knowledge about the disease and the nursing process in the ICU setting, serving as a guide for the professional practice for critically ill patients hospitalized with COVID-19 and sepsis.

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