scholarly journals Development of the nursing diagnosis risk for pressure ulcer

2015 ◽  
Vol 36 (2) ◽  
pp. 113-121 ◽  
Author(s):  
Cássia Teixeira dos Santos ◽  
Miriam de Abreu Almeida ◽  
Magáli Costa Oliveira ◽  
Marco Antônio de Goes Victor ◽  
Amália de Fátima Lucena

OBJECTIVE: The study objective was to develop the definition and compile the risk factors for a new Nursing Diagnosis entitled "Risk for pressure ulcer". The process was guided using the research question, "What are the risk factors for development of a PU and what is its definition?" METHOD: An integrative literature review was conducted of articles published in Portuguese, English or Spanish from 2002 to 2012 and indexed on the Lilacs/SCIELO, MEDLINE/PubMed Central and Web of Science databases. The final sample comprised 21 articles that provided answers to the research question. These articles were analyzed and summarized in charts. RESULTS: A definition was constructed and 19 risk factors were selected for the new nursing diagnosis, "Risk for pressure ulcer". CONCLUSIONS: Identification and definition of the components of the new nursing diagnosis should aid nurses to prevent pressure ulcer events.

2019 ◽  
Vol 53 ◽  
pp. 101 ◽  
Author(s):  
Jorge Inolopú ◽  
Nélida Hilario-Huapaya ◽  
Martín Alonso Tantaleán-Del-Águila ◽  
Yamilee Hurtado-Roca ◽  
Cesar Ugarte-GilI

OBJECTIVE: To evaluate the effectiveness of interventions aimed at the prevention of risk factors and incidence of type 2 diabetes in the workers population. METHODS: Systematic review of interventions aimed at adult workers at risk of type 2 diabetes published in Medline, Embase, Web of Science, Central Cochrane Registry of Controlled Trials, and Lilacs. Randomized trials, quasi-experimental research and cohort studies were selected; in English, Spanish and Portuguese; published from 2000 to 2017. Intervention effectiveness was evaluated concerning the incidence of type 2 diabetes and a significant reduction in body weight, or another anthropometric or metabolic parameter. RESULTS: 3,024 articles were generated, of which 2,825 that did not answer the research question were eliminated, as well as 130 that did not evaluate original interventions, 57 carried out outside the workplace and two reviews; so that 10 selected items remained. Interventions based on structured programs previously evaluated and integrated into the workplace had a favorable impact on the reduction of body weight and other risk factors. CONCLUSIONS: The effectiveness of lifestyle interventions for the prevention of type 2 diabetes should be based on structured programs with proven effectiveness and adapted to the workplace, with employer participation in the provision of schedules and work environments.


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.


2018 ◽  
Vol 71 (6) ◽  
pp. 3063-3073 ◽  
Author(s):  
Amanda Holanda Severo ◽  
Zuila Maria de Figueiredo Carvalho ◽  
Marcos Venícios de Oliveira Lopes ◽  
Renata Sá Ferreira Brasileiro ◽  
Deyse Cardoso de Oliveira Braga

ABSTRACT Objective: To review the contents of the nursing diagnosis of Impaired Verbal Communication in patients with Amyotrophic Lateral Sclerosis. Method: For the review of this diagnosis we used the integrative review. The 21 selected articles were submitted to a careful concept analysis for the definition of the diagnostic concept and review of its elements. Results: It is recommended, in addition to a new definition for the diagnosis of Impaired Verbal Communication, the incorporation of twelve Risk Factors, the maintenance of three others and the relocation of a Defining Characteristic for Risk Factor. It is also recommended the incorporation of nine Defining Characteristics and the modification of the nomenclature of the other three that already make up the NANDA-I. Conclusion: The content review process subsidized a clarification of the chosen concept, contributing to a future refinement and improvement of the study diagnosis and its components present in NANDA-I.


2014 ◽  
Vol 48 (3) ◽  
pp. 540-554 ◽  
Author(s):  
Isis Marques Severo ◽  
Miriam de Abreu Almeida ◽  
Ricardo Kuchenbecker ◽  
Débora Feijó Villas Boas Vieira ◽  
Michele Elisa Weschenfelder ◽  
...  

Objective: Identifying risk factors for the occurrence of falls in hospitalized adult patients. Method: Integrative review carried out in the databases of LILACS, SciELO, MEDLINE and Web of Science, including articles published between 1989 and 2012. Results: Seventy-one articles were included in the final sample. Risk factors for falls presented in this review were related to patients (intrinsic), the hospital setting and the working process of health professionals, especially in nursing (extrinsic). Conclusion: The systematic screening of risk factors for falls was identified as a contributing factor to the reduction of this injury, helping the non-occurrence of this event that, despite being preventable, can have serious consequences including death.



Author(s):  
Cássia Teixeira dos Santos ◽  
Miriam de Abreu Almeida ◽  
Amália de Fátima Lucena

Abstract Objective: to validate the content of the new nursing diagnosis, termed risk for pressure ulcer. Method: the content validation with a sample made up of 24 nurses who were specialists in skin care from six different hospitals in the South and Southeast of Brazil. Data collection took place electronically, through an instrument constructed using the SurveyMonkey program, containing a title, definition, and 19 risk factors for the nursing diagnosis. The data were analyzed using Fehring's method and descriptive statistics. The project was approved by a Research Ethics Committee. Results: title, definition and seven risk factors were validated as "very important": physical immobilization, pressure, surface friction, shearing forces, skin moisture, alteration in sensation and malnutrition. Among the other risk factors, 11 were validated as "important": dehydration, obesity, anemia, decrease in serum albumin level, prematurity, aging, smoking, edema, impaired circulation, and decrease in oxygenation and in tissue perfusion. The risk factor of hyperthermia was discarded. Conclusion: the content validation of these components of the nursing diagnosis corroborated the importance of the same, being able to facilitate the nurse's clinical reasoning and guiding clinical practice in the preventive care for pressure ulcers.


2012 ◽  
Vol 5 (1) ◽  
pp. 1 ◽  
Author(s):  
Eliciane Maria Da Silva ◽  
Mario Sacomano Neto ◽  
Sílvio Roberto Ignácio Pires

The main aim of this study was to conduct a meticulous analysis of which words or terms are <br />used in the variables that best represent the concepts of SCM practices. The research conducted can be classified as being of a descriptive, exploratory and qualitative character. The search of the articles was made in <br />the Scopus and Web of Science. The final sample was composed of 51 articles, drawn from 18 periodicals. For <br />analysis, the definition of a construct was taken as the base, its relation with manifested variables and words or <br />terms most used and coherent with the definition of the concepts and the contexts in which these terms were <br />applied. A total of 639 variables that defined constructs, were transcribed. Similarity is noted in the employment of their variables and common use of words in the definition of the concepts. However, the constructs <br />possess different nomenclatures. Therefore, confusion is present in the studies analyzed. The study sought to <br />contribute to greater discernment of the concepts, making a critical reflective understanding of the practices <br />in the area. It was raised in the subsections of the discussions that the authors used the same terms in different <br />contexts. It was pointed out the future prospects for formation of the concepts, showing how such constructs <br />are being modified and perfected by means of the introduction of theories, such as the theory of Transaction <br />Cost Economics, the Resource-Based View, Agency Theory, and Knowledge-Based Theory


2020 ◽  
Vol 9 (11) ◽  
pp. e65991110292
Author(s):  
Maria Alzira Rêgo Pinheiro ◽  
Isabelle Katherinne Fernandes Costa ◽  
Johnata da Cruz Matos ◽  
Belarmino Santos Sousa Júnior ◽  
Adriana Montenegro de Albuquerque ◽  
...  

Objetivo: Identificar instrumentos que subsidiem a avaliação da cicatrização de lesões por pressão. Metodologia: Trata-se de uma revisão integrativa realizada nas seguintes fontes de dados: Cumulative Indez to Nursing and Allied Health Literature (CINAHL), Scopus, Science Direct, Web of Science, Cochrane Library, Medline, Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), U. S. National Library of Medicine (PubMed Central) e Biblioteca Virtual em Saúde (BVS). Foram incluídos artigos que respondem a questão de pesquisa, disponíveis na íntegra, nos idiomas português, inglês ou espanhol. E excluídos artigos repetidos, revisões de literatura e opiniões de especialistas. Resultados: Foram coletados 279 estudos entre 2009 a maio de 2020, destes 16 foram analisados. Dentre os sete instrumentos identificados, o Pressure Ulcer Scale for Healing foi o mais frequente (36,6%). As características mais predominantes dos instrumentos foram o tamanho da lesão, tipo de tecido e quantidade de exsudato. Em relação às propriedades psicométricas, a escala BWAT apresentou tradução e adaptação para a cultura brasileira, a DESIGN-R demonstrou validade preditiva, PUSH obteve responsividade interna e externa e a HPR realizou validade preliminar. Nenhum dos instrumentos possui validade clínica. Conclusão: Os resultados obtidos revelaram que o tema é pouco explorado, especialmente em países da língua portuguesa. A ausência de uniformidade entre os instrumentos de avaliação de cicatrização dificulta à padronização de parâmetros necessários a avaliação, ao registro dos procedimentos e a comparação de resultados entre pesquisas na mesma temática. 


2019 ◽  
Vol 13 ◽  
Author(s):  
Micneias Lacerda Botelho ◽  
Juliana Neves da Costa ◽  
Bruna Valentina Zuchatti ◽  
Erika Christiane Marocco Duran

Objetivo: construir as definições conceituais dos componentes do Diagnóstico de Enfermagem “Volume de Líquido Excessivo (00026)”. Método: trata-se de um estudo bibliográfico, tipo revisão integrativa, entre 2012 e 2016 nas bases de dados MEDLINE, CINAHL e Web of Science. Utilizou-se o fluxograma PRISMA para identificação, seleção, elegibilidade e inclusão dos estudos. Deu-se a análise dos dados a partir de leitura minuciosa e compreensão de elementos que subsidiaram a elaboração das definições. Resultados: encontraram-se 2.477 artigos, sendo 21 selecionados. Realizou-se a busca na literatura cinzenta, totalizando 33 itens. Construíram-se as definições conceituais dos elementos no contexto dos pacientes renais crônicos. Conclusão: auxiliar-se-á, pelas definições construídas, no reconhecimento dos indicadores que compõem o fenômeno e no planejamento do cuidado individualizado. Favorecem-se, além disso, a utilização de linguagens padronizadas, a comunicação, a segurança do paciente e o ensino. Descritores: Classificações de Enfermagem; Diagnóstico de Enfermagem; Processo de Enfermagem; Insuficiência Renal; Enfermagem; Estudos de Validação.AbstractObjective: to construct the conceptual definitions of the components of the Nursing Diagnosis “Excessive Liquid Volume (00026)”. Method: this is a bibliographic study, integrative review, between 2012 and 2016 in the databases MEDLINE, CINAHL and Web of Science. The PRISMA flowchart was used for identification, selection, eligibility and inclusion of studies. Data analysis was performed through thorough reading and understanding of elements that supported the elaboration of definitions. Results: 2,477 articles were found, 21 selected. One searched the gray literature, totaling 33 items. Conceptual definitions of the elements were constructed in the context of chronic renal patients. Conclusion: it will help, by the constructed definitions, in the recognition of the indicators that compose the phenomenon and in the planning of individualized care. In addition, the use of standardized languages, communication, patient safety and teaching. Descriptors: Nursing Classifications; Nursing Diagnosis; Nursing Process; Renal Insufficiency; Nursing; Validation Studies.ResumenObjetivo: construir las definiciones conceptuales de los componentes del Diagnóstico de Enfermería "Volumen Líquido Excesivo (00026)". Método: estudio bibliográfico, revisión integradora, entre 2012 y 2016 en las bases de datos MEDLINE, CINAHL y Web of Science. El diagrama de flujo PRISMA se utilizó para la identificación, selección, elegibilidad e inclusión de estudios. El análisis de datos se realizó a través de una lectura exhaustiva y la comprensión de elementos que respaldaron la elaboración de definiciones. Resultados: se encontraron 2.477 artículos, 21 seleccionados. Se realizaron búsquedas en la literatura gris, con un total de 33 artículos. Las definiciones conceptuales de los elementos se construyeron en el contexto de pacientes renales crónicos. Conclusión: ayudará, por las definiciones construidas, en el reconocimiento de los indicadores que componen el fenómeno y en la planificación de la atención individualizada. Además, se favorece el uso de lenguajes estandarizados, comunicación, seguridad del paciente y enseñanza. Descriptores: Clasificaciones de Enfermería; Diagnóstico de Enfermeira; Proceso de Enfermeira; Insuficiencia Renal; Enfermería; Estudios de Validacíon.


2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Reinaldo Gutiérrez Barreiro ◽  
Marcos Venícios de Oliveira Lopes ◽  
Layana De Paula Cavalcante

ABSTRACT Objectives: theoretical validation of the concept of low self-efficacy in health as a nursing diagnosis construct. Methods: construction of a middle-range theory for validating diagnoses, comprised of five stages: definition of the approach for building the theory; definition of the main concepts; creation of a pictorial diagram; formulation of proposals; establishment of causal relationships and evidence for clinical practice. The main concepts were identified through a literature review and the studies were taken from the LILACS, SCOPUS, CINAHL and PubMed/MEDLINE databases. The final sample was comprised of 92 articles. Results: eighteen etiological factors and 16 clinical indicators were identified; characterized as antecedents and manifestations for inferring a diagnosis of low self-efficacy in health. Conclusions: the related concepts of the new nursing diagnosis of low self-efficacy in health, to be applied in clinical nursing practice, were identified and defined.


2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Tatyanne Silva Rodrigues ◽  
Camila Aparecida Pinheiro Landim Almeida ◽  
Pétterson Danilo De Oliveira Lima Goiano ◽  
Valéria Maria Silva Nepomuceno ◽  
Carliane da Conceição Machado Sousa ◽  
...  

Objetivo: Identificar as evidências científicas disponíveis sobre a eficácia do curativo hidrocolóide em relação ao filme transparente na prevenção de lesões por pressão. Metodologia: Revisão integrativa da literatura, realizada em abril de 2017, em estudos primários, publicados entre 2007 a 2017, nos idiomas português, espanhol e inglês. A busca dos estudos foi realizada nas bases de dados SciELO, BDENF, LILACS, MEDLINE, PubMed, Web of Science e CINAHL, direcionada pela questão de pesquisa: Qual a eficácia do curativo hidrocolóide em relação ao filme transparente na prevenção de lesões por pressão? Resultados: Foram encontrados 780 artigos científicos, que após avaliação quanto à adequação aos critérios de inclusão, duplicidade e conteúdo, obteve-se uma amostra final de seis artigos. Conclusões: As evidências da maioria dos estudos apontaram a superioridade do filme transparente em relação ao hidrocolóide na prevenção de lesões, por ser mais eficiente.Descritores: Úlcera por pressão, Prevenção, BandagensEFFECTIVENESS OF THE HYDROCOLLOID DRESSING COMPARED TO THE TRANSPARENT FILM IN THE PREVENTION OF PRESSURE LESIONSObjective: To identify the available scientific evidence on the effectiveness of the hydrocolloid dressing in relation to the transparent film in the prevention of pressure lesions. Methodology: Integrative review of the literature, conducted in April 2017, in primary studies, published between 2007 and 2017, in Portuguese, Spanish and English. Results: A total of 780 scientific articles were found, which, after evaluating the adequacy of the criteria for inclusion, duplicity and contemplation of the proposed theme, obtained a final sample of 6 articles. The results of most studies have pointed to the superiority of the transparent film in relation to the hydrocolloid in the prevention of lesions, because it is more efficient and effective. Conclusions: Although we can estimate the efficacy of the transparent film on the hydrocolloid, we did not find studies with applicability at home.Descriptors: Pressure ulcer, Prevention, BandagesEFECTIVIDAD DEL CURATIVO HIDROCOLÓIDE VERSUS PELÍCULAS TRANSPARENTES EN LA PREVENCIÓN DE LESIONES POR PRESIÓNObjetivo: Identificar las evidencias científicas disponibles sobre la efectividad del curativo hidrocoloide versus película transparente en la prevención de lesiones por presión. Metodología: Revisión integrativa de la literatura, realizada en abril de 2017, en estudios primarios, publicados entre 2007 a 2017, en los idiomas portugués, español e inglés. Resultados: Se encontraron 780 artículos científicos, que tras evaluación en cuanto a la adecuación a los criterios de inclusión, duplicidad y contemplación al tema propuesto, se obtuvo una muestra final de 6 artículos. Los resultados de la mayoría de los estudios apuntaron la superioridad de la película transparente en relación al hidrocoloide en la prevención de lesiones, por ser más efectivo y económico. Conclusiones: A pesar de poder estimar la efectividad de la película transparente sobre el hidrocoloide, serecomienda realizar estudios adicionales, para reafirmar la eficacia de las coberturas, ya que tampoco se encontraron estudios con aplicabilidad en el ámbito domiciliar.Descriptores: Úlcera por presión, prevención, vendajes.


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