scholarly journals Diagnósticos de enfermagem da CIPE® para vítimas de acidente vascular encefálico isquêmico

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Natana De Morais Ramos ◽  
Jacira Dos Santos Oliveira ◽  
Maria Naiane Rolim Nascimento ◽  
Célida Juliana De Oliveira ◽  
Maria Miriam Lima da Nóbrega ◽  
...  

Objetivo: Elaborar enunciados de diagnósticos de enfermagem da Classificação Internacional para a Prática de Enfermagem para o cuidado intensivo às vítimas de acidente vascular encefálico isquêmico, à luz da Teoria da Adaptação de Roy. Método: Pesquisa metodológica, realizada em três etapas: construção dos enunciados diagnósticos de enfermagem da Classificação naVersão 2017; elaboração das definições operacionais dos enunciados; e validação de conteúdo por especialistas. Resultados: Foram construídos 60 diagnósticos de enfermagem com respectivas definições operacionais. Destes, 48 enunciados foram validados, com predomínio os diagnósticos referentes ao modo adaptativo fisiológico. Conclusão: Os diagnósticos de enfermagem validados para cuidado com vítimas de acidente vascular encefálico isquêmico apresentam potencialidade para proporcionar adaptação do indivíduo e fortalecer o registro das necessidades identificadas pelos enfermeiros.Descritores: Terminologia Padronizada em Enfermagem; Diagnóstico de Enfermagem; Acidente Vascular Cerebral; Isquemia Encefálica; Adaptação. Objective: To elaborate nursing diagnosis statements of the International Classification for Nursing Practice for the intensive care of victims of ischemic stroke, in light of Roy's Theory of Adaptation. Method: Methodological research, carried out in three stages: construction of the diagnostic nursing statements of the Classification in the 2017 Version; elaboration of operational definitions of statements; and validation of content by experts. Results: Sixty nursing diagnoses were constructed with respective operational definitions. Of these, 48 statements were validated, predominating the diagnoses referring to the physiological adaptive mode. Conclusion: The validated nursing diagnoses for care of victims of ischemic cerebrovascular accident have the potential to adapt the individual and strengthen the registry of the needs identified by the nurses.Descriptors: Standardized Nursing Terminology; Nursing Diagnosis; Stroke; Brain Ischemia; Adaptation. Objetivo: Elaborar enunciados de diagnósticos de enfermería de la Clasificación Internacional para la Práctica de Enfermería para el cuidado intensivo a las víctimas de accidente vascular encefálico isquémico, a la luz de la Teoría de la Adaptación de Roy. Método: Investigación metodológica, llevada a cabo en tres etapas: construcción de los enunciados diagnósticos de enfermería de la Clasificación, en la versión 2017; elaboración de las definiciones operativas de los enunciados; y validación de contenido por expertos. Resultados: Se construyeron 60 diagnósticos de enfermería con definiciones operativas. De estos, 48 enunciados fueron validados, predominaron los diagnósticos referentes al modo adaptativo fisiológico. Conclusión: Los diagnósticos de enfermería válidos para la atención a las víctimas de accidente vascular encefálico isquémico presentan potencialidad para proporcionar adaptación del individuo y fortalecer el registro de las necesidades identificadas por enfermeros.Descriptores: Terminología Normalizada de Enfermería; Diagnóstico de Enfermería; Accidente Cerebrovascular; Isquemia Encefálica; Adaptación.

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.


1991 ◽  
Vol 2 (2) ◽  
pp. 329-337 ◽  
Author(s):  
Joanne M. Youngblut ◽  
Susan Schaeffer Jay

To identify parental concerns when a child is suddenly admitted to the pediatric intensive care unit, 17 parents often critically ill children were interviewed using a structured format between 20 and 36 hours after admission about their concerns around the time of admission and at the time of interview using the Parental Concerns Scale. The individual concern items receiving the highest ratings were the child’s survival, the possibility of mental or physical impairment, the child’s diagnosis, and the amount of pain experienced by the child. Total concern scores decreased over time for both mothers and fathers when the child’s prognosis was good and, for mothers only, when the child had an infectious illness rather than accidental injuries. Implications for nursing practice are discussed


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 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.


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.


2021 ◽  
Vol 42 ◽  
Author(s):  
Miriam de Abreu Almeida ◽  
Amália de Fátima Lucena ◽  
Aline Tsuma Gaedke Nomura ◽  
Murilo Graeff ◽  
Natália Chies ◽  
...  

ABSTRACT Introduction The human-computer interaction is essential in simulated electronic systems associated with teaching-learning activities. Interactive clinical cases reinforce the diagnostic reasoning ability, a stage of the advanced Nursing Process. Purpose To build educational software, based on NANDA International, to improve the accuracy of nursing diagnoses. Method Methodological study in three stages: preparation and validation of case studies; construction; homologation and evaluation. Held between January / 2012 and December / 2013, in a university hospital in southern Brazil. Teachers, nurses, undergraduate students and graduate students in nursing and information technology participated. Approved by the Research Ethics Committee (130035). Results Construction of five case studies and two versions of the software: one simulates the reasoning process for establishing the diagnosis; another, aimed at teachers, makes it possible to edit/create cases. Conclusion The software helps in the teaching-learning process, generating accurate diagnoses, supporting more appropriate interventions.


2018 ◽  
Vol 12 (12) ◽  
pp. 3181
Author(s):  
Maria Naiane Rolim Nascimento ◽  
Nuno Damácio de Carvalho Félix ◽  
Simone Soares Damasceno ◽  
Ana Maria Parente Garcia Alencar ◽  
Célida Juliana de Oliveira ◽  
...  

RESUMOObjetivo: construir enunciados de diagnósticos de enfermagem direcionados às necessidades psicoespirituais de pessoas com síndrome metabólica. Método: trata-se de um estudo quantitativo, descritivo, documental, contemplando as seguintes etapas de identificação e validação por consenso (100%) dos termos relevantes para o cuidado com a prioridade de saúde; mapeamento cruzado dos termos identificados com os da versão 2017 da classificação; construção dos enunciados de diagnósticos de Enfermagem; mapeamento cruzado dos enunciados construídos com os da Classificação Internacional para a Prática de Enfermagem (CIPE®), e os resultados apresentam-se em forma de figura. Resultados: classificaram-se 135 termos no âmbito das necessidades psicoespirituais, dos quais 24 foram excluídos por envolverem as necessidades psicobiológicas e psicossociais, totalizando 111 termos. Validaram-se, então, 61 termos, permitindo a elaboração de oito enunciados diagnósticos contemplando as necessidades psicoespirituais, sendo que 50% não constavam da classificação. Conclusão: construíram-se os enunciados dos quais metade apresentou-se como não constante na CIPE® 2017 colaborando, assim, para o seu desenvolvimento e para a inclusão na dimensão psicoespiritual no cuidado de Enfermagem integral direcionado ao público-alvo e para o avanço da Classificação de Enfermagem. Descritores: Enfermagem; Diagnóstico de Enfermagem; Terminologia Padronizada em Enfermagem; Síndrome Metabólica; Espiritualidade; Religião.ABSTRACT Objective: to build listed nursing diagnoses directed to psychospiritual needs of people with metabolic syndrome. Method: this is a quantitative, descriptive and documentary study contemplating the following stages for the identification and validation by consensus (100%) of the relevant terms to the care with the priority of health; cross-mapping of terms identified with the 2017 version of the classification; construction of the statements of nursing diagnoses; cross-mapping of the statements constructed with the International Classification for Nursing Practice (ICNP®), and the results are presented in the form of a figure. Results: rated to 135 terms in the context of psychospiritual needs, from which 24 were excluded because they involve the psychobiological and psychosocial needs, totaling 111 terms. Validated, then, 61 terms, allowing the establishment of eight listed diagnoses contemplating the psychospiritual needs, being that 50% were not classified. Conclusion: there were built the propositions of which half was not listed in the ICNP® 2017, thus contributing to their development and for inclusion in the psychospiritual dimension in full nursing care directed to the audience and to the advancement of the Classification of Nursing. Descriptors: Nursing; Nursing Diagnosis; Standardized Nursing Terminology; Metabolic Syndrome; Spirituality; Religion.RESUMENObjetivo: generar diagnósticos de enfermería enumerados dirigidos a las necesidades psico-espirituales de las personas con el síndrome metabólico. Método: se trata de un estudio cuantitativo, descriptivo y documental, contemplando los siguientes pasos para la identificación y validación por consenso (100%) de los términos pertinentes al cuidado con la prioridad de la salud; cross-correlación de términos identificados con la versión 2017 de la clasificación; construcción de las declaraciones de diagnósticos de enfermería; cross-correlación de las declaraciones construidos con la Clasificación Internacional para la Práctica de Enfermería (ICNP®), y los resultados se presentan en forma de una figura. Resultados: clasificación de 135 términos en el contexto de necesidades psico-espirituales, de los cuales 24 fueron excluidos porque implican la psicobiología y las necesidades psicosociales, por un total de 111 términos. Validado, entonces, 61 términos, permitiendo la creación de ocho diagnósticos enumerados contemplando las necesidades psico-espirituales, siendo que el 50% no estaban clasificados. Conclusión: construido si las proposiciones de las cuales la mitad no estaba incluida en la ICNP® 2017, contribuyendo así a su desarrollo y para la inclusión en la dimensión psico-espiritual en plena atención de enfermería dirigida al público y a la promoción de la Clasificación de la Enfermería. Descriptores: Enfermería; Diagnósticos de Enfermería; Terminología Normalizada de Enfermería; Síndrome Metabólico; Espiritualidad; Religión.


Author(s):  
Harlon França de Menezes ◽  
Alessandra Conceição Leite Funchal Camacho ◽  
Paulino Artur Ferreira de Sousa ◽  
Cândida Caniçali Primo ◽  
Lucas Batista Ferreira ◽  
...  

ABSTRACT Objective: To develop and validate Nursing Diagnoses statements of the International Classification for Nursing Practice (ICNP®) aimed at the care of people with chronic kidney conditions undergoing conservative treatment. Method: This is a methodological research structured in sequenced construction stages, cross-mapping, content validation by the Delphi Technique by specialist nurses, and categorization of Nursing Diagnoses. Results: Forty-two specialist nurses participated in the first round and 34 in the second. A total of 179 Nursing Diagnoses statements were prepared, categorized according to Roy’s adaptation model, of which 160 were validated for content, with Content Validity Index ≥ 0.80. Conclusion: The Diagnoses developed and validated show the modes of adaptation to health of people with chronic kidney conditions undergoing conservative treatment, influenced by biological, psychological, social, and cultural needs, with the Physiological Mode being the most prevalent.


2014 ◽  
Vol 5 (3/4) ◽  
pp. 53-56 ◽  
Author(s):  
Rinaldo De Souza Neves ◽  
Pedro Henrique Meireles De Araújo ◽  
Tereza Cristina Lemes Lacerda

Resumo: Trata-se de um estudo de abordagem quantitativa que propõe a formulação dos diagnósticos de enfermagem prevalentes em cinco setoresdo Bloco Materno-Infantil, por meio da utilização dos diagnósticos da North American Nursing Diagnoses Association e da Classificação Internacionaldas Práticas de Enfermagem. Foi realizada uma análise de prontuários para identificação dos diagnósticos de enfermagem prevalentes nesses setores,adotando-se o critério de cinco diagnósticos prevalentes por setor. No total, foram mapeados 30 diagnósticos de enfermagem prevalentes, dentreestes a dor aguda, mais prevalente em mulheres gestantes no Centro Obstétrico, o risco de crescimento desproporcional em crianças internadas naUnidade de Terapia Intensiva Pediátrica, o risco de infecção em neonatos internados na Unidade de Terapia Intensiva Neonatal e em recém-nascidos epuérperas internadas no Alojamento Conjunto e o padrão respiratório ineficaz em crianças internadas na Pediatria. Os diagnósticos foram comparadose identificados semelhanças entre os resultados encontrados na literatura.Descritores: Assistência de Enfermagem, Diagnósticos de enfermagem, Enfermagem obstétrica, Enfermagem pediátrica.Prevalent nursing diagnoses in maternal and child bloc of a public hospital in BrasiliaAbstract: It is about a quantitative approach study which offers the formulation of the prevalent nursing diagnoses into five sectors of the Maternal andChild Bloc, through the use of the diagnosis of North American Nursing Diagnosis Association and the International Classification of Nursing Practice. Amedical records analysis was performed to identify the prevalent nursing diagnoses in these sectors, adopting the criterion of five prevalent diagnosticsby sector. In general, 30 prevalent nursing diagnoses were mapped, among these the sharp pain - more prevalent in pregnant women in the obstetriccenter -, the disproportionate growth risk for hospitalized children in Pediatric Intensive Care Unit, the contamination risk on hospitalized neonates inNeonatal Intensive Care Unit and on newborns and hospitalized postpartum women in the cooperative accommodation and the ineffective breathingstandard in hospitalized children in the Pediatrics. The diagnoses were compared and similarities were found between the results obtained in the literature.Descriptors: Nursing Care, Nursing diagnoses, Obstetric nursing, Pediatric nursing.Diagnósticos de enfermería prevalentes en el bloque materno-infantil de un hospital público de BrasíliaResumen: Se trata de un estudio de abordaje cuantitativo que propone la formulación de diagnósticos de enfermería mas frecuentes en cinco sectoresdel Bloque Materno-infantil, mediante el uso de los diagnósticos de la North American Nursing Diagnosis Association y de la Clasificación Internacionalde la Práctica de Enfermería. Se analizaron los registros médicos para identificar los diagnósticos de enfermería mas frecuentes en estos sectores, seleccionandolos cinco diagnósticos de mayor incidencia por sector. En total se mapearon los 30 diagnósticos de enfermería mas frecuentes , entre ellos eldolor agudo más frecuente en las mujeres embarazadas en el Centro Obstétrico, el riesgo de un crecimiento desproporcionado de niños ingresados enla Unidad de Cuidados Intensivos Pediátricos, el riesgo de infección en los recién nacidos en la Unidad de Cuidados Intensivos Neonatales y del reciénnacido y pos-parto hospitalizados en el Alojamiento Conjunto y el patrón respiratorio ineficaz en niños hospitalizados en Pediatría. Los diagnósticosfueron comparados y se identificó similitudes con los resultados encontrados en la literatura.Descriptores: Cuidados de Enfermería, Los diagnósticos de enfermería, Enfermería Neonatal, Enfermería pediátrica.


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