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

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.

2020 ◽  
Vol 73 (3) ◽  
Author(s):  
Thaluana Selvero de Souza ◽  
Juliana Duarte Chaibe Campos ◽  
Sarah França Villela ◽  
Glauce Araujo Ideião Lins ◽  
Manuela Costa Melo

ABSTRACT Objectives: to develop nursing diagnoses and outcomes for children with nutritional anomalies based on terms found in a children’s clinical protocol and on the 2017 International Classification for Nursing Practice. Methods: exploratory-descriptive study, conducted with the validation of diagnoses/outcomes by six nurses of the children’s clinic of the Federal District’s teaching hospital. It was based on the cross-mapping between the terms of International Classification for Nursing Practice 2017 and the terms of a children’s health care protocol. The list of nursing diagnosis/outcomes was developed, then submitted to the validation process using a Likert-type scale and considering statements with content validity index > 0.79 to be validated. Results: a total of 51 diagnoses/outcomes were generated, and of those, 11 were contained in International Classification for Nursing Practice. Those that were not in it were evaluated for similarity and comprehensiveness in relation to International Classification for Nursing Practice. Thirty nursing diagnoses/outcomes were validated with CVI > 0.79 among the nurses in the validation process. Conclusions: this study will allow the formation of a terminological International Classification for Nursing Practice subset aimed at children’s nutrition.


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.


2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Rudval Souza da Silva ◽  
Álvaro Pereira ◽  
Maria Miriam Lima da Nóbrega ◽  
Fernanda Carneiro Mussi

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.


Rev Rene ◽  
2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Marina Moralles Caldeira de Andrada ◽  
Marlon França ◽  
Angela Maria Alvarez ◽  
Karina Silveira de Almeida Hammerschmidt

Objective: to identify the nursing diagnoses characteristic of hospitalized elderly at the Medical Clinic of a university hospitalin southern Brazil, according to the International Classification of Nursing Practice, version 1.0. Methods: it is a descriptive,cross-sectional study involving 24 elderly. Results: 158 nursing diagnoses were obtained gathered in 23 groups, groupedinto 14 macro-groups presented by similarities: cardiovascular system, impaired self-care, compromised respiratory system,impaired locomotion system, risk of infection, altered dietary patterns and body weight, impaired endocrine system, alteredgastrointestinal system, committed genitourinary system, altered neurological system, compromised perceptive system,sensorial system, altered cutaneous and hydric system and affected thermal regulatory system. Conclusion: the hospitalizedelderly experienced physiological and pathological alterations and the gerontologist nurse can contribute with the planningaimed at maintaining the physical integrity of the elderly in an individualized and complete manner.


2020 ◽  
Vol 73 (4) ◽  
Author(s):  
Vinicius Lino de Souza Neto ◽  
Rayanne Teresa da Silva Costa ◽  
Wenysson Noleto dos Santos ◽  
Sâmara Fontes Fernandes ◽  
Dhyanine Morais de Lima ◽  
...  

ABSTRACT Objectives: to develop and validate conceptual and operational definitions of nursing diagnoses of the International Classification for Nursing Practice for people living with Aids. Methods: methodological study with 100 individuals with Aids, in a hospital school. In addition, 19 nurses selected from the Lattes platform acted as experts in the validation process. The research was conducted, using three moments: identification and validation of the nursing diagnoses; construction of the conceptual and operational definitions of the diagnoses, and content validation, using the content validity index. Results: a total of 35 diagnoses were identified and 18 had their conceptual and operational definitions validated, with validity index of ≥ 0.8. Conclusions: the construction of the conceptual and operational definitions enables nurses to analyze the clinical inferences and endorse the nursing diagnosis, contributing to its predictive capacity.


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”.


2015 ◽  
Vol 23 (5) ◽  
pp. 963-970 ◽  
Author(s):  
Gabriela Lisieux Lima Gomes ◽  
Maria Miriam Lima da Nóbrega

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.


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.


2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Daniela Couto Carvalho Barra ◽  
Gabriela Beims Gapski ◽  
Fernanda Paese ◽  
Grace Teresinha Marcon Dal Sasso ◽  
Paulino Artur Ferreira de Sousa ◽  
...  

ABSTRACT Objectives: to identify and confirm the priority nursing diagnosis of International Classification for Nursing Practice® for home nursing consultation to adults in Primary Health Care. Methods: qualitative study, of methodological and validation type. The 5-point Likert scale was used, with a minimum Content Validity Index of 80% consensus among judges., considering the answers “priority” or “very priority” for the list of nursing diagnoses presented. 23 expert judges participated in this survey. Results: a hundred and eleven nursing diagnoses of prepared statements lists have been grouped by human systems and sociodemographic characteristics. were grouped by human systems and sociodemographic characteristics. Eighty-three of them (74.77%) had a Content Validity Index equal or higher to 0.8; and 27 (32.5%) had an index of 1.0 (100%) among judges. Conclusions: nursing diagnosis validated can be used to assist clients in home nursing consultations in Primary Health Care.


2020 ◽  
Vol 7 (1) ◽  
pp. 51-55
Author(s):  
Moch bahrudin Bahrudin

ABSTRACT One of the nursing processes is determining nursing diagnoses. The determination of nursing diagnoses is based on the theory used, one of which is Carpenito's theory, which is based on patient responses as a guide in determining nursing diagnoses. This theory is not in line with the current situation. So this theory cannot answer the needs of patients because patients who are hospitalized cannot always respond or complain. Based on these problems, the authors provide instructions for determining nursing diagnoses based on the Abdella Faya theory, which is based on body physiological disorders. The service targets are nurses in the Bangil Hospital treatment room. The problem is resolved in two stages of activity, namely preparation and implementation. Preparation is carried out by conducting research in 2017 to see conditions in the field regarding nurses' procedures for determining nursing diagnoses. Implementation is carried out by the lecture method, namely the technique of determining nursing diagnoses and case exercises as a form of nursing diagnosis determination workshop activities. The results of the training activities show the level of success with an indication of the suitability of the material with the needs of nurses in determining nursing diagnoses, a positive response from the participants and the majority (90% of participants have understood the concept and how to determine nursing diagnoses.   Key words: determination, nursing diagnosis, Patient Centered, Bangil  general Hospital


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