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 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.

Advanced Nursing Process quality: Comparing the International Classification for Nursing Practice (ICNP) with the NANDA-International (NANDA-I) and Nursing Interventions Classification (NIC)

2016 ◽  
Vol 26 (3-4) ◽  
pp. 379-387 ◽  
Author(s):  
Eneida Rejane Rabelo-Silva ◽  
Ana Carla Dantas Cavalcanti ◽  
Maria Cristina Ramos Goulart Caldas ◽  
Amália de Fátima Lucena ◽  
Miriam de Abreu Almeida ◽  
...  
Keyword(s):  
Nursing Practice ◽  
Process Quality ◽  
International Classification ◽  
Nursing Interventions ◽  
Nursing Process

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.

scholarly journals Dor crônica avaliada pela Classificação dos Resultados de Enfermagem

2020 ◽  
Vol 14 ◽  
Author(s):  
Cássia Teixeira Dos Santos ◽  
Claudenilson Da Costa Régis ◽  
Raquel Silveira Einhardt ◽  
Amália De Fátima Lucena
Keyword(s):  
Chronic Pain ◽  
Statistical Significance ◽  
Descriptive Statistics ◽  
Nursing Interventions ◽  
Test Results ◽  
Nursing Process ◽  
Nursing Outcomes ◽  
Nursing Outcomes Classification ◽  
Student Test

Objetivo: analisar resultados e indicadores de enfermagem da Nursing Outcomes Classification/NOC (Classificação dos Resultados de Enfermagem) na avaliação de pacientes com dor crônica em consulta de enfermagem ambulatorial. Método: estudo quantitativo, longitudinal, prospectivo, com nove pacientes, por meio de instrumento contendo resultados e indicadores da NOC. Analisaram-se os dados pela estatística descritiva com uso do teste t-Student. Resultados: foram avaliados nove pacientes com idade média de 56,0 ± 18,2 anos, sexo feminino (88,9 %), brancos (66,7%) e afastados do trabalho (66%) pela Dor Crônica. Cinco resultados e 11 indicadores foram aplicados, o Controle da Dor apresentou dois indicadores com significância estatística. O Nível de Dor apresentou melhora nos escores de dois indicadores, e o Satisfação do Cliente manteve escores altos. Conclusão: os resultados de enfermagem e indicadores demonstraram melhora clínica dos pacientes com dor crônica na avaliação em consulta de enfermagem ambulatorial. Descritores: Avaliação de Resultados (Cuidados em Saúde); Dor crônica; Terminologia Padronizada em Enfermagem; Processo de Enfermagem; Enfermagem; Classificação.AbstractObjective: to analyze nursing results and indicators from the Nursing Outcomes Classification/NOC (Classification of the Results of Nursing Interventions) in the evaluation of patients with chronic pain in an outpatient nursing consultation. Method: a quantitative, longitudinal, prospective study with nine patients, using an instrument containing NOC results and indicators. Data were analyzed using descriptive statistics using the t-Student test. Results: nine patients with a mean age of 56.0 ± 18.2 years, female (88.9%), white (66.7%) on authorized sick leave (66%) due to chronic pain were evaluated. Five results and 11 indicators were applied, the Pain Control presented two indicators with statistical significance. The Pain Level improved in the scores of two indicators, and Customer Satisfaction maintained high scores. Conclusion: the nursing results and indicators showed clinical improvement of patients with chronic pain in the evaluation at an outpatient nursing consultation. Descriptors: Outcome Assessment (Health Care); Chronic pain; Standardized Nursing Terminology; Nursing Process; Nursing; Classification.ResumenObjetivo: analizar los resultados e indicadores de enfermería de la Nursing Outcomes Classification/NOC (Clasificación de los resultados de enfermería) en la evaluación de pacientes con dolor crónico en una consulta de enfermería ambulatoria. Método: estudio cuantitativo, longitudinal, prospectivo con nueve pacientes, utilizando un instrumento que contiene resultados e indicadores de NOC. Los datos se analizaron mediante estadística descriptiva utilizando la prueba t-Student. Resultados: se evaluaron nueve pacientes con una edad media de 56.0 ± 18.2 años, mujeres (88.9%), blancos (66.7%) y fuera del trabajo (66%) debido a dolor crónico. Se aplicaron cinco resultados y 11 indicadores, el Control del Dolor presentó dos indicadores con significación estadística. El nivel de dolor mejoró en los puntajes de dos indicadores, y la satisfacción del cliente mantuvo puntajes altos. Conclusión: los resultados de enfermería e indicadores  mostraron una mejoría clínica de pacientes con dolor crónico en la evaluación en una consulta de enfermería ambulatoria. Descriptores: Evaluación de Resultados (Atención de la Salud); Dolor crónico; Terminología de enfermería estandarizada; Proceso de enfermería; Enfermería; Clasificación.

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.

Diagnósticos de enfermagem em gestantes atendidas em Unidade de Saúde da Família

2009 ◽  
Vol 3 (2) ◽  
pp. 292 ◽  
Author(s):  
Maria Clerya Alvino Leite ◽  
Maria Mirtes da Nobrega ◽  
Maria Miriam Lima da Nobrega
Keyword(s):  
Pregnant Women ◽  
Demographic Data ◽  
Descriptive Statistics ◽  
Nursing Interventions ◽  
Health Unit ◽  
Related Factors ◽  
Sharp Pain ◽  
Nursing Diagnosis ◽  
Las Mujeres ◽  
Nursing Diagnoses

ABSTRACTObjective: to elaborate the profile of nursing diagnoses in pregnant women assisted in a Family’s Health Unit based on NANDA-I’s Taxonomy II. Method: this is about a retrospective study, analytic descriptive, regards to analysis from 20 pregnant women handbooks registered in the prenatal program from a family’s health unit. Data were collected in July 2008, with a form composed of three parts: partner-demographic data, obstetric data and referring data to defining characteristics and related factors (of risk) of the nursing diagnoses. Diagnoses were analyzed based on the descriptive statistics and discussed according to obstetrics references. Results: 13 nursing diagnoses were elaborated: risk for infection of the genital tract, ineffective maintenance of the health, risk for infection of the urinary tract, prejudiced urinary elimination, nauseas, sharp pain (head, pelvis and lumbar), fatigues, insomnia, sexual dysfunction, risk of paternity or prejudiced maternity, volume of excessive liquid, constipation, anxiety. Conclusion: the objective of the study was researched and we hope from the nursing diagnoses elaborated, some nursing interventions specific be addressed to the problems identified in the pregnant women during the prenatal consultations. Descriptors: nursing diagnosis; nursing assistance; assistance pré-natal; pregnancy.RESUMOObjetivo: elaborar o perfil de diagnósticos de enfermagem em gestantes atendidas em Unidade de Saúde da Família com base na Taxonomia II da NANDA-I. Método: trata-se de um estudo retrospectivo, analítico descritivo, com dados colhidos em prontuários das 20 gestantes cadastradas no programa de pré-natal de uma unidade de saúde da família. Os dados foram coletados no mês de julho de 2008 em formulário composto de três partes: dados sócio-demográficos, dados obstétricos e dados referentes a características definidoras e fatores relacionados (de risco) dos diagnósticos de enfermagem. Os diagnósticos foram analisados levando-se em consideração a estatística descritiva e discutidos à luz de referenciais da obstetrícia. Resultados: foram elaborados 13 diagnósticos de enfermagem: risco para infecção do trato genital, manutenção ineficaz da saúde, risco para infecção do trato urinário, eliminação urinária prejudicada, náusea, dor aguda (cabeça, pelve e lombar), fadiga, insônia, disfunção sexual, risco de paternidade ou maternidade prejudicada, volume de líquido excessivo, constipação, ansiedade. Conclusão: o objetivo do estudo foi atendido e espera-se que a partir dos diagnósticos de enfermagem elaborados, possam ser direcionadas intervenções de enfermagem específicas aos problemas detectados nas gestantes durante as consultas de pré-natal. Descritores: diagnóstico de enfermagem; assistência de enfermagem; assistência pré-natal; gestação. RESUMENObjetivo: elaborar el perfil de los diagnósticos de enfermería en las mujeres embarazadas ayudado en Unidad de Salud de la Familia con base en el Taxonomia II del NANDA-I. Método: trata-se del estudio retrospectivo, analítico descriptivo, con dados colectados en prontuarios de 20 mujeres embarazadas registró en el programa de prenatal de unidad de salud de la familia. Los datos eran reunidos no mes de julio de 2008 en formulario compuesta de tres partes: los datos compañero-demográficos, datos obstétricos y datos refiriéndose a los definidoras de las características y los factores relacionados (de riesgo) de los diagnósticos de enfermería. La colección de datos de los archivos era cumplida por el mes de julio de 2008. Los diagnósticos se analizaron ser alojado la consideración las estadísticas descriptivas y discutieron a la luz de referenciales de la obstetricia. Resultados: se elaboraron 13 diagnósticos de la enfermería: riesgo para la infección del tracto genital, mantenimiento ineficaz de la salud, el riesgo para la infección del tracto urinario, la eliminación urinario prejuiciada, la náusea, el dolor afilado (la cabeza, pelvis y lumbar), fatiga, insomnio, el trastorno sexual, el riesgo de paternidad o la maternidad prejuiciada, el volumen de líquido excesivo, el estreñimiento, la ansiedad. Conclusión: el objetivo del estudio forra alcanzado y ha esperado que de los diagnósticos de enfermería elaborada, puedan diseccionar intervenciones de enfermería específica a los problemas identificados en las mujeres embarazadas durante las consultaciones de prenatal. Descriptores: diagnósticos de enfermería. asistencia de enfermería. asistencia prenatal. gestación.

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 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 Studi Kasus: Asuhan Keperawatan pada Orang dengan Gangguan Jiwa dengan Perilaku Kekerasan

2021 ◽  
Vol 1 (01) ◽  
Author(s):  
Nurul Ainul Shifa ◽  
Aisyah Safitri
Keyword(s):  
Nursing Care ◽  
Violent Behavior ◽  
Sampling Technique ◽  
Simple Random Sampling ◽  
Process Approach ◽  
Nursing Interventions ◽  
Nursing Process ◽  
The Family ◽  
Nursing Diagnoses

Introduction: Perilaku kekerasan adalah suatu keadaan seseorang melakukan tindakan yang dapat membahayakan secara fisik baik terhadap diri sendiri, orang lain dan lingkungan. Dampak atau perubahan yang terjadi dapat berupa perasaan tidak sabar, cepat marah, dari segi sosial kasar, menarik diri, dan agresif. Objectives: The purpose of this study was to determine the appropriate nursing care and intervention in patients with a diagnosis of violent behavior. Method: The design in this study is a case study design using a nursing process approach. The sample in this study was Mr. J. The sampling technique used was simple random sampling. The research was conducted at X Hospital in April 2021. Data was collected by means of interviews, observations, and documentation studies. The research instrument is using the mental nursing care format and the SOP on Implementation Strategy (SP). The nursing process approach carried out by researchers includes the following stages: Assessment Researchers collect data, both from respondents/patients. Nursing diagnoses, make nursing interventions, carry out implementation and then carry out nursing evaluations. Result: The client was escorted by his family on the grounds of fighting with his friends, feeling humiliated for not working, drugs being hidden and not being taken, being angry at home, speaking rudely and throwing tantrums, having trouble sleeping, the patient dropped out of medicine for approximately 4 weeks Mr. J had previously been admitted to the hospital with the same case, namely violent behavior. There are no families with mental disorders, the patient's communication pattern is closed with the family and the parenting pattern of the client's family is authoritarian. Conclusion: The main nursing problem is violent behavior

scholarly journals Unsatisfactory completeness of nurses’ records in the medical records of users with tuberculosis

2022 ◽  
Vol 75 (3) ◽  
Author(s):  
José Nildo de Barros Silva Júnior ◽  
Haline Costa dos Santos Guedes ◽  
Dilyane Cabral Januário ◽  
Ana Cristina de Oliveira e Silva ◽  
Pedro Fredemir Palha ◽  
...  
Keyword(s):  
Medical Records ◽  
Family Health ◽  
Descriptive Statistics ◽  
Nursing Interventions ◽  
Nursing Process ◽  
Nursing Assessment ◽  
Tuberculosis Patients ◽  
Nursing Diagnosis ◽  
Evaluation Strategies

ABSTRACT Objectives: to evaluate the completeness of nurses’ records on the execution of the nursing process in assistance of tuberculosis patients at Primary Care. Methods: this was a retrospective documental study, with 190 records in Family Health Units of a city in the state of Paraíba. The data were analyzed according to descriptive statistics, Pareto Diagram, and trend analysis. Results: the overall mean incompleteness of records was 53.01% (DP=26.13). Therefore, the results presented very poor completeness classification related to nursing diagnosis (88.9%), nursing assessment (66.8%), data collection (60.5%), while nursing interventions were classified as regular (11.1%). The nursing diagnosis was the only variable with a decreasing trend of non-completeness. Conclusions: incompleteness of nurses’ records in the medical records of users with tuberculosis. Evaluation strategies, permanent and continuing education are indispensable in the quality of nurses’ documentation, directly implying the Systematization of Quality in Nursing Care.

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