scholarly journals Nursing diagnoses, results, and interventions in the care for Covid-19 patients in critical condition

Author(s):  
Harlon França de Menezes ◽  
Jéssica Lima Moura ◽  
Sylvia Silva de Oliveira ◽  
Michelle Carneiro Fonseca ◽  
Paulino Artur Ferreira de Sousa ◽  
...  

ABSTRACT Objective: To develop and validate a terminological subset of the International Classification for Nursing Practice for COVID-19 patients in critical care. Method: This is a methodological study, which followed the guidelines of the Brazilian method, using the Basic Human Needs as a theoretical model. Content validation was performed by 25 specialist nurses using the Delphi technique. Results: A total of 73 diagnoses and their respective nursing results were prepared. Of these, 62 statements had a Content Validity Index ≥ 0.80, with the need for oxygenation having the highest number of statements. Of the 210 nursing interventions developed, and after suggestions from experts, 150 interventions reached an index ≥ 0.80 and comprised the terminological subset. Conclusion: The terminological subset developed showed statements that were validated by specialist nurses and, therefore, are relevant to the nurse's clinic in the critical care scenario associated with Covid-19.

Author(s):  
Ana Flávia Martinez ◽  
Nayara Tomazi Batista ◽  
Gesiane Cristina Bom ◽  
Cláudia Regina Matiole ◽  
Carmen Silvia Zamboni ◽  
...  

Abstract Objective: To identify the main nursing diagnoses and interventions in children in the immediate postoperative period of palatoplasty. Method: Documentary and retrospective study, developed in a Brazilian public and tertiary hospital, between August and September 2020. Children who underwent only palatoplasty, between January and December 2019, aged between 10 and 24 months, were included. Those with medical syndromes and/or comorbidities were excluded. The Theoretical Framework of Basic Human Needs and the NANDA International and Nursing Interventions Classification Taxonomies were used. Data underwent descriptive statistical analysis. Results: The sample consisted of 126 children. Psychobiological needs such as oxygenation, hydration, nutrition, elimination, cutaneous-mucosal and physical integrity, pain and environmental perception predominated. Based on them, nine nursing diagnoses, with four focusing on the problem and five on risk, as well as 17 interventions, were identified. Conclusion: The use of standardized languages to identify affected human needs and, based on them, diagnoses and interventions, favored clinical reasoning for the construction and organization of clinical nursing practice.


2015 ◽  
Vol 49 (1) ◽  
pp. 54-60 ◽  
Author(s):  
Luciana Gomes Furtado Nogueira ◽  
Maria Miriam Lima da Nóbrega

OBJECTIVE To construct statements of nursing diagnoses related to nursing practice for individuals with diabetes in Specialized Care, on the basis of the Database of Nursing Practice Terms related to diabetes, in the International Classification for Nursing Practice (ICNP®) and in the Theory of Basic Human Needs and to validate them with specialist nurses in the area. METHOD Methodological research, structured into sequential stages of construction, cross-mapping, validation and categorization of nursing diagnoses. RESULTS A list was indicated of 115 statements of diagnostic, including positive, negative and improvement statements; 59 nursing diagnoses present in and 56 nursing diagnoses absent from the ICNP® Version 2011. 66 diagnoses with CVI ≥ 0.50 were validated, being categorized on the basis of human needs. CONCLUSION It was observed that the use of the ICNP® 2011 favored the specifications of the concepts of professional practice in care with individuals with diabetes.


2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Ludimila Paiva Zamprogno Silva ◽  
Cândida Caniçali Primo ◽  
Thiago Nascimento do Prado

ABSTRACT Objectives: to develop an ICNP® terminology subset to care for people with tuberculosis. Methods: a methodological research that followed the following steps: identification and validation of empirical indicators of altered needs relevant to people with tuberculosis based on literature; cross-mapping of the empirical indicators of altered needs identified with ICNP® 2017 terms; construction of nursing diagnoses/outcomes and interventions; assessment of relevance of nursing diagnoses /outcomes and interventions and ICNP® terminology subset structuring. Results: an ICNP® terminology subset was developed to care for people with tuberculosis with 51 diagnoses/outcomes and 264 nursing interventions, assessed by nurses from Primary Health Care and structured according to Wanda Horta’s Theory of Basic Human Needs. Final Considerations: the subset is a technological instrument through which it is possible to identify the elements of nursing practice from the affected human needs.


2020 ◽  
Vol 10 (7) ◽  
Author(s):  
Vanda Aparecida Tolari ◽  
Márcia Helena De Souza Freire

Objetivo: Descrever o método de desenvolvimento de uma tecnologia educacional, na modalidade de aplicativo-guia, para o manejo do potencial doador pediátrico, realizada como produto do Mestrado Profissional. Metodologia: relato de um método científico aplicado. Utilizou-se os passos propostos por Echer, com a perspectiva de apresentar o percurso para a produção da Tecnologia Educacional. Resultados: A construção está sustentada na Teoria das Necessidades Humanas Básicas, nos Diagnósticos e Intervenções de Enfermagem. Foi realizado mapeamento cruzado, dos indicadores selecionados, a partir das necessidades humanas básicas, decorrentes das alterações fisiopatológicas e as percebidas na avaliação clínica, com os Diagnósticos de Enfermagem, segundo taxonomia de NANDA-I e Intervenções de enfermagem baseadas nos diagnósticos, sob a ótica da manutenção dos órgãos a serem doados. Conclusão: O Aplicativo-guia subsidiará o Enfermeiro no planejamento da assistência de enfermagem segura e propiciará um impacto social no processo de transplantes em pediatria.Descritores: Morte Encefálica, Métodos, Tecnologia Educacional, Processo de Enfermagem.THE METHOD FOR BUILDING GUIDE APPLICATIONS IN THE NURSING PROFESSIONAL MASTERObjective: To describe the method of development of an educational technology as a guide application for the management of potential pediatric donors, carried out as a product of the Professional Master. Methodology: report of an applied scientific method. The steps proposed by Echer5 were used, with the perspective of presenting the path for the production of Educational Technology. Results: It is supported by the Theory of Basic Human Needs, Nursing Diagnoses and Interventions. Cross-mapping of selected indicators was performed based on basic human needs, resulting from pathophysiological changes and those perceived in clinical evaluation, with Nursing Diagnoses, according to NANDA-I taxonomy and Nursing interventions based on nursing diagnoses, under the optics of the maintenance of the organs to be donated. Conclusion: The Guide application will support the Nurse in the planning of safe nursing care and will provide a social impact on the process of transplantation in pediatrics.Descriptors: Brain Death, Methods, Educational Technology, Nursing Process.EL MÉTODO PARA LA APLICACIÓN DE LA GUÍA DE CONSTRUCCIÓN EN EL MAESTRO PROFESIONAL DE ENFERMERÍAObjetivo: Describir el método de desarrollo de una tecnología educativa como una aplicación de guía para el manejo de posibles donantes pediátricos, realizada como producto del Master Profesional. Metodología: informe de un método científico aplicado. Se utilizaron los pasos propuestos por Echer5, con la perspectiva de presentar el camino para la producción de Tecnología Educativa. Resultados: está respaldado por la Teoría de las necesidades humanas básicas, los diagnósticos e intervenciones de enfermería. El mapeo cruzado de los indicadores seleccionados se realizó con base en las necesidades humanas básicas, como resultado de los cambios fisiopatológicos y los percibidos en la evaluación clínica, con los Diagnósticos de Enfermería, de acuerdo con la taxonomía NANDA-I y las intervenciones de Enfermería basadas en diagnósticos de enfermería, bajo La óptica del mantenimiento de los órganos a donar. Conclusión: La aplicación de la Guía apoyará a la Enfermera en la planificación de la atención de enfermería segura y proporcionará un impacto social en el proceso de trasplante en pediatría.Descriptores: Muerte Cerebral, Métodos, Tecnología Educativa, Proceso de Enfermería.


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 ◽  
...  

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.


2018 ◽  
Vol 71 (suppl 1) ◽  
pp. 467-474 ◽  
Author(s):  
Nuno Damácio de Carvalho Félix ◽  
Natana de Morais Ramos ◽  
Maria Naiane Rolim Nascimento ◽  
Thereza Maria Magalhães Moreira ◽  
Célida Juliana de Oliveira

ABSTRACT Objective: To construct nursing diagnosis statements based on the International Classification for Nursing Practice (ICNP®) for people with metabolic syndrome, settled on the theoretical framework of Basic Human Needs. Method: Descriptive study developed in four stages: 1) Identification and validation of terms relevant to care with health priority; 2) Cross-mapping of the terms identified with ICNP® terms; 3) Construction of the nursing diagnosis statements; and 4) Cross-mapping of constructed statements with the ones in ICNP®. Results: Regarding terms extracted, 370 were validated based on the consensus (100%) among specialists, subsidizing the elaboration of 52 nursing diagnosis statements from ICNP® version 2015, distributed among the Basic Human Needs proposed by theoretical framework. Conclusion: It was possible to construct nursing diagnoses for people with metabolic syndrome based on the terms extracted from the literature, with a predominance of the need for “Health education and learning”.


2019 ◽  
Vol 72 (3) ◽  
pp. 584-591
Author(s):  
Daniel Vinícius Alves Silva ◽  
Ingryd Nathany Mendes Sousa ◽  
Carolina Amaral Oliveira Rodrigues ◽  
Fabíola Afonso Fagundes Pereira ◽  
Ricardo Otávio Maia Gusmão ◽  
...  

ABSTRACT Objective: to identify Nursing diagnoses in patients in home care by cross-mapping terms obtained in the anamnesis and clinical examination, with NANDA-I Taxonomy. Method: descriptive exploratory study, transversal type, performed with 131 patients from a home health care program in northern Minas Gerais State. With the aid of an instrument based on the theoretical model of Basic Human Needs, the terms indicators of conditions that required nursing interventions were extracted. The cross-mapping of these terms was also performed with NANDA-I Taxonomy diagnoses. Results: 378 terms and expressions referring to 49 different diagnoses were identified in 11 of the 13 domains of NANDA-I Taxonomy. Conclusion: the profile of identified nursing diagnoses can contribute to care management and organizational processes of nurses who provide care to patients in home care.


2020 ◽  
Vol 73 (suppl 6) ◽  
Author(s):  
Cheila Karei Siega ◽  
Edlamar Kátia Adamy ◽  
Paulino Arthur Ferreira de Sousa ◽  
Elisangela Argenta Zanatta

ABSTRACT Objectives: to describe the development of an ICNP® terminology subset for Nursing Consultation to infants in Primary Health Care. Methods: a methodological study, described in five stages, carried out from May to September 2018 with 15 nurses who identified diagnoses, results, interventions, and validated the subset content. Results: the subset developed consists of 86 nursing diagnoses and results and 178 interventions, organized in the fields of Theory of Basic Human Needs. Final Considerations: the subset contributed to implement the systematized Nursing Consultation, assisting nurses in decision making. Construction and validation consolidate evidence-based practice, bringing the subset closer to practical reality, in addition to contributing to infant health care qualification.


2013 ◽  
Vol 47 (5) ◽  
pp. 1060-1067 ◽  
Author(s):  
Marisaulina Wanderley Abrantes de Carvalho ◽  
Maria Miriam Lima da Nobrega ◽  
Telma Ribeiro Garcia

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.


2016 ◽  
Vol 50 (2) ◽  
pp. 272-278 ◽  
Author(s):  
Jorge Wilker Bezerra Clares ◽  
Maria Vilaní Cavalcante Guedes ◽  
Lúcia de Fátima da Silva ◽  
Maria Miriam Lima da Nóbrega ◽  
Maria Célia de Freitas

Abstract OBJECTIVE To develop a subset of nursing diagnoses for the elderly followed in primary health care based on the bank of terms for clinical nursing practice with the elderly, in the International Classification for Nursing Practice (ICNP(r)) version 2013, and on the Model of Nursing Care. METHOD Descriptive study developed in sequential steps of construction and validation of the bank of terms, elaboration of the nursing diagnoses based on the guidelines of the International Council of Nurses and the bank of terms, and categorization of diagnostics according to the Care Model. RESULTS The total of 127 nursing diagnoses were elaborated from 359 validated terms, distributed according to the basic human needs. CONCLUSION It is expected that these diagnoses will form the basis for the planning of nursing care and use of a unified language for documentation of clinical nursing practice with the elderly in primary care.


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