scholarly journals Acurácia dos diagnósticos de enfermagem de uma instituição de cardiologia

2018 ◽  
Vol 12 (10) ◽  
pp. 2727
Author(s):  
Nailde Cristina de Freitas ◽  
Ana Paula da Conceição
Keyword(s):  
Diagnostic Accuracy ◽  
Cross Sectional Study ◽  
Nursing Process ◽  
Cross Sectional ◽  
Targeted Interventions ◽  
Clinical Nurses ◽  
Nursing Diagnosis ◽  
Sociodemographic Profile ◽  
Nursing Diagnoses

RESUMOObjetivo: analisar o grau de acurácia diagnóstica dos enfermeiros clínicos de uma instituição de cardiologia. Método: trata-se de estudo quantitativo, observacional, transversal, realizado com 53 enfermeiros que utilizavam os diagnósticos de Enfermagem no trabalho. Utilizaram-se dois instrumentos: um para a caracterização do perfil sociodemográfico e o caso clínico para o levantamento dos diagnósticos de Enfermagem. Mensurou-se o grau de acurácia diagnóstica por meio da Escala de Acurácia de Diagnósticos de Enfermagem (EADE-2). Resultados: revela-se que enfermeiros que participavam da Visita Clínica Setorial e atuavam em unidades não críticas elencaram significativamente menor número de diagnósticos de Enfermagem de acurácia baixa/nula. Não houve diferença em relação ao levantamento de diagnósticos de Enfermagem com acurácia alta/moderada. Conclusão: contribui-se para a melhora da acurácia diagnóstica dos enfermeiros por meio de programas de treinamento para o exercício do raciocínio clínico. Sugere-se que a educação permanente em serviço aconteça de forma efetiva com o objetivo de melhorar a acurácia dos diagnósticos de Enfermagem dos enfermeiros possibilitando-se o levantamento de diagnósticos acurados, de intervenções direcionadas e o estabelecimento de metas possíveis. Descritores: Enfermagem; Diagnóstico de Enfermagem; Processo de Enfermagem; Competência Clínica; Treinamento em Serviço; Educação.  ABSTRACT Objective: to analyze the degree of diagnostic accuracy of the clinical nurses of a cardiology institution. Method: this is a quantitative, observational, cross-sectional study conducted with 53 nurses who used nursing diagnoses at work. Two instruments were used: one for the characterization of the sociodemographic profile and the clinical case for the survey of nursing diagnoses. The degree of diagnostic accuracy was measured using the Nursing Diagnostic Accuracy Scale (NDAS-2). Results: it is revealed that nurses who participated in the Sectorial Clinical Visit and worked in non-critical units listed significantly fewer Nursing diagnoses of low / null accuracy. There was no difference in relation to the survey of Nursing diagnoses with high/moderate accuracy. Conclusion: it contributes to the improvement of the diagnostic accuracy of nurses through training programs for the exercise of clinical reasoning. It is suggested that permanent in-service education take place in an effective way with the objective of improving the accuracy of nursing diagnoses of nurses, making it possible to obtain accurate diagnoses, targeted interventions and the establishment of possible goals. Descriptors: Nursing; Nursing Diagnosis; Nursing Process; Clinical Competence; Inservice Training; Education.RESUMEN Objetivo: analizar el grado de exactitud diagnóstica de los enfermeros clínicos de una institución de cardiología. Método: estudio cuantitativo, observacional, transversal, realizado con 53 enfermeros que utilizaban diagnósticos de enfermería en el trabajo. Se utilizaron dos instrumentos: uno para caracterización del perfil sociodemográfico y el caso clínico para el levantamiento de los diagnósticos de enfermería. El grado de exactitud diagnóstica fue mezclado por medio de la Escala de Precisión de Diagnósticos de Enfermería (EADE-2). Resultados: enfermeros que participaban de la Visita Clínica Sectorial y actuaban en unidades no críticas, consideraron significativamente menor número de diagnósticos de enfermería de precisión baja / nula. No hubo diferencia en relación al levantamiento de diagnósticos de enfermería con precisión alta / moderada. Conclusión: los programas de entrenamiento para el ejercicio de raciocinio clínico contribuyen a mejorar la exactitud diagnóstica de los enfermeros. Se sugiere que la educación permanente en servicio ocurra de forma efectiva con el objetivo de mejorar la exactitud de los diagnósticos de enfermería de los enfermeros posibilitando el levantamiento de diagnósticos precisos, intervenciones dirigidas y establecimiento de metas posibles. Descriptores: Enfermería; Diagnóstico de Enfermería; Proceso de Enfermería Competencia Clínica; Capacitación em Servicio; Educación.

scholarly journals The Most Commonly Determined Nursing Diagnoses According to NANDA-I Taxonomy and Difficulties Using the Nursing Process in COVID-19 Outbreak

2021 ◽  
pp. 105477382110515
Author(s):  
Hale Tosun ◽  
Ayşe Tosun ◽  
Birgül Ödül Özkaya ◽  
Asiye Gül
Keyword(s):  
High School ◽  
Nursing Care ◽  
High School Graduates ◽  
Cross Sectional Study ◽  
Nursing Process ◽  
Sectional Study ◽  
Cross Sectional ◽  
Nursing Diagnosis ◽  
Acute Confusion ◽  
Nursing Diagnoses

The study was planned to determine the most common nursing diagnoses according to NANDA International (NANDA-I) taxonomy and difficulties experienced in using of nursing process in COVID-19 outbreak. The sample of the descriptive cross-sectional study consisted of nurses cared for patients with COVID-19 ( n = 114). Average age of nurses is 26.86 ± 6.68. Commonly determined nursing diagnoses according to NANDA-I taxonomy in patients with COVID-19 were imbalanced nutrition (66.7%), impaired gas exchange (40.4%), insomnia (21.1%), acute confusion (31.6%), hopelessness (96.5%), difficulty playing caregiver (84.2%), anxiety (38.6%) willingness to strengthen religious bond (71.9%), risk for infection (64.9%), nausea (49.1%). Twenty-four-years old and younger, high school graduates, caring for intubated patients, and those who stated that they did not use nursing diagnosis had more difficulty in using nursing process (<0.05). The use of nursing diagnoses and process for patients with COVID-19 is extremely important in ensuring individual and qualified nursing care.

scholarly journals Perfil dos diagnósticos de enfermagem de fumicultores

2019 ◽  
Vol 13 ◽  
Author(s):  
Naise de Moura Dantas ◽  
Alexandre Wendell Araujo Moura ◽  
Andreivna Kharenine Serbim ◽  
Cristiane Araujo Nascimento ◽  
Ana Caroline Melo dos Santos ◽  
...  
Keyword(s):  
Elementary Education ◽  
Family Health ◽  
Cross Sectional Study ◽  
Microsoft Excel ◽  
Cross Sectional ◽  
Safety Standards ◽  
The North ◽  
Nursing Diagnosis ◽  
Quantitative Descriptive ◽  
Nursing Diagnoses

RESUMO Objetivo: descrever os diagnósticos de Enfermagem segundo a taxonomia da American Nursing Diagnosis Association II.  Método: trata-se de estudo quantitativo, descritivo, transversal, com 51 produtores de tabaco expostos a agroquímicos que viviam na comunidade rural. Coletaram-se os dados por meio das consultas de Enfermagem. Tabularam-se os dados n Programa Microsoft Excel 2010, posteriormente inseridos no banco de dados utilizando o programa SPSS, versão 22.0, for Windows, e submetidos à revisão e análise estatística. Apresentaram-se os resultados em tabelas. Resultados: verificou-se, por meio das consultas de Enfermagem, que a maioria era do sexo feminino, tinha ensino fundamental incompleto e não praticava nenhum tipo de exercício físico. Acrescenta-se, além disso, que eles desconheciam os riscos para a saúde colocados pelos pesticidas e negligenciaram os padrões de segurança recomendados para o manuseio desses produtos. Conclusão: pode-se observar, a partir deste estudo, que o enfermeiro tem um papel importante no cuidado e na educação, nos diversos espaços de promoção, prevenção e manutenção do cuidado em saúde. Descritores: Enfermagem; Diagnósticos de Enfermagem; Estratégia Saúde da Família; Área Rural; Saúde Pública; Saúde do Trabalhador.ABSTRACT Objective: to describe Nursing diagnoses according to the Taxonomy II proposed by the North American Nursing Diagnosis Association. Method: this is a quantitative, descriptive, cross-sectional study conducted with co plantations. The research was carried out with 51 tobacco growers exposed to agrochemicals living in the rural community. The data were collected through nursing consultations. The data collected were tabulated in the Microsoft Excel 2010 software and later entered into a database using the SPSS software version 22.0, for Windows, and subjected to statistical review and analysis. The results were presented in tables. Results: the Nursing consultations revealed that the majority of the farm workers were females, had incomplete elementary education, and did not practice any type of physical exercise. In addition, they were unaware of the health risks posed by pesticides and neglected the recommended safety standards for the handling of these products. Conclusion: it was observed in this study that nurses have an important role in care and education, in the various spaces of promotion, prevention and maintenance of health care. Descriptors: Nursing; Nursing Diagnoses; Family Health Strategy; Rural Area; Public Health; Occupational Health.RESUMEN Objetivo: se buscó describir los diagnósticos de Enfermería según la taxonomía de la American Nursing Diagnosis Association II. Método: se trata de un estudio cuantitativo, descriptivo, transversal, realizado con 51 productores de tabaco expuestos a agroquímicos que vivían en la comunidad rural. Se recogieron los datos por medio de las consultas de Enfermería. Se tabularon los datos recogidos en el programa Microsoft Excel 2010, posteriormente inseridos en el banco de datos utilizando el programa SPSS, versión 22.0, for Windows, y sometidos a la revisión y análisis estadística. Se presentaron los resultados en tablas. Resultados: se verificó, por medio de las consultas de Enfermería, que la mayoría era del sexo femenino, tenía enseñanza primaria incompleta y no praticaba ningún tipo de ejercicio físico. Además de eso, ellos desconocen los riesgos para la salud colocados por los pesticidas y negligenciaron los patrones de seguridad recomendados para el manoseo de esos productos. Conclusión: se puede observar, a partir de este estudio, que el enfermero tiene un papel importante en el cuidado y en la educación, en los diversos espacios de promoción, prevención y mantenimiento del cuidado en salud. Descriptores: Enfermería; Diagnósticos de Enfermería; Estrategia Salud de la Familia; Zona Rural; Salud Pública; Salud Laboral.

scholarly journals CARACTERIZAÇÃO SOCIODEMOGRÁFICACLÍNICA E DIAGNÓSTICOS DE ENFERMAGEM NA ENFERMARIA PEDIÁTRICA

2020 ◽  
Vol 10 (7) ◽  
Author(s):  
Suelen Reiniack ◽  
Jamile Pascoal Franco Gonçalves ◽  
Alexandre Sousa da Silva ◽  
Teresa Tonini
Keyword(s):  
Medical Records ◽  
Intermediate Care ◽  
Patient Classification ◽  
Quality And Safety ◽  
Nursing Process ◽  
Nursing Diagnosis ◽  
Level Of Significance ◽  
Nursing Diagnoses ◽  
Patient Classification System

Objetivo: caracterizar o perfil de pacientes internados na enfermaria de pediatria e identificar os Diagnósticos de Enfermagem mais prevalentes, de acordo com a taxonomia NANDA-I. Metodologia: estudo descritivo realizado a partir de prontuários de 100 pacientes. Foram consideradas variáveis como: idade, gênero, sistema de classificação de pacientes, diagnóstico clínico e de enfermagem. Utilizou-se o programa Rcommander® para realização da análise exploratória e testes de hipóteses nãoparamétricos, sendo considerado nível de significância de 5%. Resultado: predominância do sexo masculino (71%), idade média de 7,32 anos, o Cuidado Intermediário (49%) foi o mais frequente, Pediatria foi a clínica com maior número de internações (39%), encontrados 44 diagnósticos médicos e 46 diagnósticos de enfermagem, sendo 27 considerados preponderantes. Conclusão: a realização do diagnóstico situacional possibilita um caráter norteador para as demais etapas do Processo de Enfermagem e direciona as ações de cuidado, contribuindo para a melhora contínua da qualidade e segurança dos cuidados.Descritores: Processo de Enfermagem, Diagnósticos de Enfermagem, Enfermagem Pediátrica.CLINICAL SOCIODEMOGRAPHICAL AND DIAGNOSTIC CHARACTERIZATION OF NURSING IN PEDIATRIC NURSINGOjective: to characterize the profile of hospitalized patients in the pediatric ward and to identify the most prevalent Nursing Diagnoses, according to the NANDA-I taxonomy. Methodology: descriptive study based on medical records of 100 patients. Variables such as: age, gender, patient classification system, clinical and nursing diagnosis were considered. The Rcommander® program was used to perform the exploratory analysis and tests of non-parametric hypotheses, being considered level of significance of 5%. Results: predominance of males (71%), mean age of 7.32 years, Intermediate Care (49%) was the most frequent, Pediatrics was the clinic with the greatest number of hospitalizations (39%), 44 medical and 46 nursing diagnoses, of which 27 were considered as preponderant. Conclusion: the accomplishment of the situational diagnosis allows a guiding character for the other stages of the Nursing Process and directs care actions, contributing to the continuous improvement of quality and safety of care.Descriptors: Nursing Process; Nursing Diagnostics; Pediatric Nursing.CARACTERIZACIÓN SOCIODEMOGRÁFICA Y DIAGNÓSTICA CLÍNICA DE ENFERMERÍA EN ENFERMERÍA PEDIÁTRICAObjetivo: caracterizar el perfil de pacientes internados en la enfermería de pediatría e identificar los Diagnósticos de Enfermería más prevalentes, de acuerdo con la taxonomía NANDA-I. Metodología: estudio descriptivo realizado a partir de prontuarios de 100 pacientes. Se consideraron variables como: edad, género, sistema de clasificación de pacientes, diagnóstico clínico y de enfermería. Se utilizó el programa Rcommander® para realizar el análisis exploratorio y pruebas de hipótesis no paramétricas, siendo considerado nivel de significancia del 5%. Resultado: En la mayoría de los casos, el cuidado intermedio (49%) fue el más frecuente, la Pediatría fue la clínica con mayor número de internaciones (39%), encontrados 44 diagnósticos médicos y, 46 diagnósticos de enfermería, siendo 27 considerados preponderantes. Conclusión: la realización del diagnóstico situacional posibilita un carácter orientador para las demás etapas del proceso de enfermería y dirige las acciones de cuidado, contribuyendo a la mejora continua de la calidad y seguridad del cuidado.Descriptores: Proceso de Enfermería; Diagnósticos de Enfermería; Enfermería Pediátrica.

Nurses' knowledge about systematization of nursing assistance

2010 ◽  
Vol 5 (1) ◽  
pp. 10
Author(s):  
Cleid Pereira Vasconcelos ◽  
Paulline Pereira Boaventura ◽  
Luciano Ramos Lima ◽  
Cris Renata Grou Volpe ◽  
Silvana Schwerz Funguetto ◽  
...  
Keyword(s):  
Descriptive Analysis ◽  
Cross Sectional Study ◽  
Nursing Process ◽  
Cross Sectional ◽  
Public And Private ◽  
Nursing Diagnosis ◽  
Proper Definition ◽  
Definition Of ◽  
Probabilistic Sample ◽  
Nurses Knowledge

ABSTRACTObjective: to evaluate the nurses’ knowledge about the systematization of nursing assistance. Method: this is about a descriptive cross-sectional study, from quantitative approach. No probabilistic sample of 18 nurses who worked in hospital answered a semi-structured questionnaire with 10 questions about the knowledge the SNA. Accuracy and errors were computed. Descriptive analysis was performed. Research approved by the Ethics Committee of Anhanguera Educacional number 196/2009. Results: the most know the meaning of the abbreviation SNA, the number of stages the nursing process but don't know what the satges of the nursing process. They able to answer the types of diagnostic existing, knew that the law of COFEN establishes the implementation in all health institutions public and private, didn't know the proper definition of nursing diagnosis and claim to use a theory to support the nursing care. Showed the advantage the possibility of a holistic assessment of the patient and the disadvantage of lack time to perform the SNA. Conclusion: the knowledge is undoubtedly of great importance for the nurses, accordingly, this research showed some weakness about the knowlegde of systematization of nursing assistance and is necessary to learny to apply in pratice. Descriptors: nurses; knowledge; nursing diagnosis; nursing process; nursing care.RESUMOObjetivo: avaliar o conhecimento dos enfermeiros sobre a Sistematização da Assistência de Enfermagem. Método: pesquisa de abordagem quantitativa, do tipo descritiva, com delineamento transversal. Amostra não-probabilística de 18 enfermeiros que trabalhavam no hospital e que responderam um questionário semi-estruturado com 10 perguntas sobre o conhecimento acerca da SAE. Acertos e erros foram computados e análise descritiva foi realizada. Pesquisa aprovada pelo Comitê de Ética da Anhanguera Educacional nº 196/2009. Resultados: a maioria soube o significado da abreviação SAE, o número de fases do Processo de Enfermagem, porém não souberam quais as fases do PE. Souberam responder os tipos de diagnóstico existentes, sabiam que a lei do COFEN estabelece a implantação da SAE em todas as instituições de saúde pública ou privada, não conheciam a definição adequada de diagnóstico de enfermagem e afirmam utilizar uma teoria de enfermagem para fundamentar o cuidado. Mencionaram como vantagem a possibilidade de uma avaliação holística do paciente e desvantagem a falta de tempo para a realização da SAE. Conclusão: o conhecimento é sem dúvida de grande importância para o enfermeiro, nesse sentido, o estudo mostrou certa fragilidade sobre o conhecimento que envolve SAE, sendo necessário aprender mais para poder aplicá-la na prática. Descritores: enfermeiros; conhecimento; diagnóstico de enfermagem; processos de enfermagem; cuidados de enfermagem.RESUMENObjetivo: evaluar el conocimiento de las enfermeras de un hospital de referencia em la sistematización de la asistencia de enfermería (SAE). Metodo: o enfoque de la investigación cuantitativa com un descriptivo de corte transversal. Muestra es no probabilistica con 18 enfermeras que trabajan em el hospital y respondieron a un cuestionario semi-estructurado con 10 preguntas sobre SAE. Exactitud y de errores se calcularon y el análisis descriptivo se realizó. De investigación aprobado por el Comité de Ética de la Anhanguera Educacional número 196/2009. Resultados: la mayoría de saber el significado de la abreviatura SAE, el número de fases del proceso de enfermería, pero no sabía lo que las fases del proceso de enfermeria. Sabía de responder al tipo de diagnóstico, que sabían que la ley de COFEN por la implementación de la SAE em todas las instituciones públicas y privadas, no sabía la definición correcta de lo diagnóstico de enfermería y confirmarse mediante uma teoría para apoyar la atención de enfermería. Mostraron la ventaja de la posibilidad de uma evaluación integral del paciente y la desventaja de la falta de tiempo para lograr la SAE. Conclusión: el conocimiento es, sin duda, de gran importancia para la enfermera y por lo tanto, el estudio mostró alguna debilidad em el conocimiento de la SAE, y para aprender más para poder aplicar em la práctica. Descriptores: enfermeros; conocimiento; diagnóstico de enfermeria; procesos de enfermería; atención de enfermería. 

scholarly journals Profile of the nursing diagnoses in stable heart disease patients

2019 ◽  
Vol 37 (2) ◽  
Author(s):  
Patrícia Cristina Cardoso ◽  
Larissa Gussatschenko Caballero ◽  
Karen Brasil Ruschel ◽  
Maria Antonieta Pereira de Moraes ◽  
Eneida Rejane Rabello da Silva
Keyword(s):  
Heart Disease ◽  
Medical Records ◽  
Sedentary Lifestyle ◽  
World Health ◽  
Nursing Process ◽  
Adherence To Treatment ◽  
Cross Sectional ◽  
Nursing Diagnosis ◽  
Health Organization ◽  
Nursing Diagnoses

Abstract Objective. To identify the nursing diagnoses through reports in the medical records of patients monitored in a specialized ischemic heart disease outpatient clinic.Methods. Cross-sectional study with retrospective data collection in the medical records. From the data collected, the nursing diagnoses were proposed by the researchers and submitted for validation by specialist cardiology nurses.Results. A total of 13 nursing diagnoses were evaluated from the medical records of 50 outpatients with the following validation agreements among the specialists: Ineffective health management (100%), Noncompliance (100%), Sedentary lifestyle (100%), Activity intolerance (100%), Decreased cardiac output (88%), Risk of decreased cardiac tissue perfusion (65%), Risk of intolerance to activity (65%), Acute pain (76%), Ineffective health maintenance (65%), Risk-prone health behavior (65%), Risk for decreased cardiac output (65%), Risk for intolerance to activity (65%), Ineffective respiratory pattern (53%), Impaired memory (29%).Conclusion. In this study, the nursing diagnoses validated for stable heart disease patients were linked to adherence to treatment and to the cardiovascular responses of the patients, reinforcing the importance of early intervention. These results allow the multidisciplinary team to individualize the goals and interventions proposed for ischemic heart disease patients.Descriptors: ambulatory care; cross-sectional studies; nursing diagnosis; outpatients; nursing process; myocardial ischemia.How to cite this article: Cardoso PC, Caballero LG, Ruschel KB, Moraes MAP, Silva ERR. Profile of the nursing diagnoses in stable heart disease patients. Invest. Educ. Enferm. 2019; 37(2):e08.ReferencesWorld Health Organization. World Health Statistics 2018: monitoring health for the SDGs, sustainable development goals [Internet]. Geneva: WHO; 2018 [cited: 7 May 2019]. Available from: https://www.who.int/gho/publications/world_health_statistics/2018/en/ Ministério da Saúde. Informações de Saúde (TABNET) - Assistência à Saúde. DATASUS. Departamento de Informatica a Serviço do SUS [Internet]. 2016 [cited: 7 May 2019]. Available from: http://datasus.saude.gov.br/informacoes-de-saude/tabnet/assistencia-a-saude Ôunpuu S, Negassa A, Yusuf S. INTER-HEART: A global study of risk factors for acute myocardial infarction. Am. Heart J. 2001; 141(5):711–21. Berwanger O, Guimarães HP, Laranjeira LN, Cavalcanti AB, Kodama AA, Zazula AD, et al. Effect of a multifaceted intervention on use of evidence-based therapies in patients with acute coronary syndromes in Brazil: The BRIDGE-ACS randomized trial. 2012; 307(19):2041–9. Saffi MAL, Polanczyk CA, Rabelo-Silva ER. Lifestyle interventions reduce cardiovascular risk in patients with coronary artery disease: A randomized clinical trial. Eur. J. Cardiovasc. Nurs. 2014; 13(5):436–43. Brasil. Ministerio da Saúde. Diretrizes para o cuidado das pessoas com doenças crônicas nas redes de atenção à saúde e nas linhas de cuidado prioritárias [Internet]. Brasília; 2013 [cited: 7 May 2019]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/diretrizes%20_cuidado_pessoas%20_doencas_cronicas.pdf Gallagher-Lepak S. Fundamentos do diagnóstico de enfermagem. In: Herdman TH, Kamitsuru S O, editor. Diagnósticos de enfermagem da NANDA: Definições e Classificação. 2015. p. 21–30. Santos NA dos, Cavalcante TF, Lopes MV de O, Gomes EB, Oliveira CJ de. Profile of nursing diagnoses in patients with respiratory disorders. Invest. Educ. Enferm. 2015; 33(1):112–8. Sampaio F de C, de Oliveira PP, da Mata LRF, Moraes JT, da Fonseca DF, Vieira VA de S. Profile of nursing diagnoses in people with hypertension and diabetes. Invest. Educ. Enferm. 2017;35(2):139–53. Javier F, Rivas P, Martín-iglesias S, Luis J, Arenas CM, Lagos MB. Effectiveness of Nursing Process Use in Primary Care. Int. J. Nurs. Knowl. 2015; 27(1):43–8. Araújo DD, Carvalho RLR, Chianca TCM. Nursing diagnoses identified in records of hospitalized elderly. Invest. Educ. Enferm. 2014; 31(3):225–35. Menna Barreto LN, Swanson EA, De Abreu Almeida M. Nursing Outcomes for the Diagnosis Impaired Tissue Integrity (00044) in Adults with Pressure Ulcer. Int. J. Nurs. Knowl. 2016; 27(2):104–10. Moreira RP, Guedes NG, Lopes MV de O, Cavalcante TF, Araújo TL de, Moreira RP, et al. Nursing diagnosis of sedentary lifestyle: expert validation. Texto Context - Enferm. 2014; 23(3):547–54. Bowry ADK, Shrank WH, Lee JL, Stedman M, Choudhry NK. A systematic review of adherence to cardiovascular medications in resource-limited settings. J. Gen. Intern. Med. 2011; 26(12):1479–91. Osterberg L, Blaschke T. Adherence to medication. New. Engl. J. Med. 2005; 353(18):1973–4. Vrijens B, De Geest S, Hughes DA, Przemyslaw K, Demonceau J, Ruppar T, et al. A new taxonomy for describing and defining adherence to medications. Br. J. Clin. Pharmacol. 2012; 73(5):691–705. Borges JWP, Moreira TMM, Rodrigues MTP, de Souza ACC, da Silva DB. Content validation of the dimensions constituting non-adherence to treatment of arterial hypertension. Rev. Esc. Enferm. 2013; 47(5):1076–82. Freitas JS de, Silva AEB de C, Minamisava R, Bezerra ALQ, Sousa MRG de. Quality of nursing care and satisfaction of patients attended at a teaching hospital. Rev. Lat. Am. Enfermagem. 2014; 22(3):454–60. World health Organization. Adherence to long-term therapies: evidence for action [Internet]. Geneve: WHO; 2003 [cited: 7 May 2019]. Available from: https://www.who.int/chp/knowledge/publications/adherence_report/en/

scholarly journals Perfil diagnóstico de pacientes submetidos à retirada de órgão fundamentado em escalas de avaliação

2019 ◽  
Vol 19 (1) ◽  
pp. 63-106
Author(s):  
Thais Martins Gomes de Oliveira ◽  
Cristine Alves Costa de Jesus ◽  
Ana Lúcia Da Silva ◽  
Diana Lúcia Moura Pinho
Keyword(s):  
Health Promotion ◽  
Cross Sectional Study ◽  
Surgical Patients ◽  
Sectional Study ◽  
High Concentration ◽  
Cross Sectional ◽  
Sample Calculation ◽  
Nursing Diagnosis ◽  
Organ Removal ◽  
Nursing Diagnoses

Objetivo: Identificar el perfil de los diagnósticos de enfermería de la NANDA-I de pacientes quirúrgicossometidos a la retirada de órgano fundamentado por el uso de las escalas de evaluación y trazar elperfil socio clínico demográfico de esa población.Método: Estudio transversal. Población compuesta por 60 pacientes quirúrgicos hospitalizados enpostoperatorio de cirugía de retirada de órgano, después del cálculo muestral. El análisis fue realizadopor medio de medidas de tendencia central, media y mediana, y de dispersión, frecuencia absoluta ysimple de las variables cuantitativas. Se utilizó el software Excel ® 2016. Los resultados fueronexpresados por medio de tablas.Resultados: Se aplicaron cinco escalas de evaluación. Se obtuvieron 1022 diagnósticos de enfermeríabasados en la NANDA-I, 93 diagnósticos diferentes, con media de 16,39 por paciente. Siendo 67 confoco en el problema, 23 de riesgo y 3 de promoción de la salud. Los diagnósticos con frecuenciasuperiores al 50% totalizaron 11, los cuales fueron discutidos. Los dominios sobresalientes fueron:Actividad/Hogar y Seguridad/Protección.Conclusión: Se identificó una alta concentración de diagnósticos en esa población. La cantidad dediagnósticos planteados y su diversidad identifican las diferentes áreas del cuidado que el enfermerodebe estar apto para prestar sus cuidados, además identificar esas informaciones deposita en elenfermero mayor poder de cuidado sobre el paciente. El estudio demostró la importancia del uso deescalas de evaluación que subsidien los diagnósticos de enfermería. La investigación aún apunta laimportancia del uso del diagnóstico de enfermería como forma de cuidado efectivo. Main goal: Perform the survey of NANDA-I nursing diagnoses profile of surgical patients submitted toorgan removal based on the use of the evaluation scales and to trace the socio-demographic clinicalprofile of this population.Methods: Cross-sectional study. The population comprised of 60 surgical patients hospitalized inpostoperative of organ removal surgery, after sample calculation. The analysis was performed bymeans of central, middle and median trend measures, and dispersion, absolute and simple frequency ofquantitative variables. Excel ® 2016 software was used. The results were expressed by means oftables.Results: Five scales of evaluation were applied. There were 1022 nursing diagnoses based onNANDA-I, with 93 different diagnostic titles, with an average of 16.39 per patient. Being 67 focused onthe problem, 23 risk and 3 health promotion. The diagnoses with frequency greater than 50% totaledeleven, which were discussed. The domains that concentrated the majority of the nursing diagnoseswere: Activity/Rest and Safety/Protection.Conclusion: A high concentration of diagnoses in this population was identified. The number ofdiagnoses raised and their diversity identifies the different areas of care that the nurse must be able toprovide care, and the collection of this information places the nurse greater power of care on the patient.The study demonstrated the importance of the use of evaluation scales that subsidize nursingdiagnoses. The research also points out the importance of using nursing diagnosis as a form of effectivecare. Objetivo: Realizar o levantamento do perfil dos diagnósticos de enfermagem da NANDA-I de pacientescirúrgicos submetidos à retirada de órgão fundamentado pelo uso das escalas de avaliação e traçar operfil sócio clínico demográfico dessa população.Método: Estudo transversal. População composta por 60 pacientes cirúrgicos hospitalizados em pósoperatóriode cirurgia de retirada de órgão, após cálculo amostral. A análise foi realizada por meio demedidas de tendência central, média e mediana, e de dispersão, frequência absoluta e simples dasvariáveis quantitativas. Utilizou-se o software Excel ® 2016. Os resultados foram expressos por meiode tabelas.Resultados: Foram aplicadas cinco escalas de avaliação. Obtiveram-se 1022 diagnósticos deenfermagem baseados na NANDA-I, 93 títulos diagnósticos distintos, com média de 16,39 porpaciente. Sendo 67 com foco no problema, 23 de risco e 3 de promoção da saúde. Os diagnósticoscom frequência superior a 50% totalizaram onze, os quais foram discutidos. Os domínios queconcentraram a maior parte dos diagnósticos de enfermagem foram: Atividade/Repouso eSegurança/Proteção.Conclusão: Foi identificada uma alta concentração de diagnósticos nessa população. A quantidade dediagnósticos levantadas e sua diversidade identificam as diferentes áreas do cuidado que o enfermeirodeve estar apto para prestar seus cuidados, além de que o levantamento dessas informações depositano enfermeiro maior poder de cuidado sobre o paciente. O estudo demonstrou a importância do uso deescalas de avaliação que subsidiem os diagnósticos de enfermagem. A pesquisa ainda aponta aimportância do uso do diagnóstico de enfermagem como forma de cuidado efetivo.

scholarly journals Nursing diagnoses of newborns with sepsis in a Neonatal Intensive Care Unit

2014 ◽  
Vol 22 (2) ◽  
pp. 255-261 ◽  
Author(s):  
Ana Paula de Souza Santos ◽  
Maria de Lourdes Costa da Silva ◽  
Nilba Lima de Souza ◽  
Gabriela Miranda Mota ◽  
Débora Feitosa de França
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Cross Sectional ◽  
The North ◽  
Nursing Diagnosis ◽  
New Knowledge ◽  
Nursing Diagnoses

OBJECTIVES: to elaborate the Nursing Diagnoses of newborns with sepsis in a neonatal intensive care unit and characterize the profile of the neonates and their mothers.METHOD: a cross-sectional and quantitative study, with a sample of 41 neonates. A physical examination and consultation of the hospital records were undertaken, using an instrument. The elaboration of the Nursing Diagnoses followed a process of diagnostic inference and was based on the North American Nursing Diagnosis Association 2012-2014.RESULTS: the mothers were around 25 years old, had a low average number of pre-natal consultations, and various complications during the pregnancy; and the newborns were predominantly premature and with very low birth weights. Five Nursing Diagnoses predominated, and all the neonates presented Risk of Shock and Risk of fluid volume imbalance.CONCLUSION: the Nursing Diagnoses of the neonates with sepsis can guide the formulating of specific assistential plans. The study contributes to the generation of new knowledge and found various relationships between the Nursing Diagnoses and the variables selected in the characterization of the neonates, which deserve to be elucidated in greater detail based on further research on the issue.

scholarly journals Use of the nursing process at public and private centers in a health area

2012 ◽  
Vol 20 (5) ◽  
pp. 903-908 ◽  
Author(s):  
Joseba Xabier Huitzi-Egilegor ◽  
Maria Isabel Elorza-Puyadena ◽  
Jose Maria Urkia-Etxabe ◽  
Jaime Zubero-Linaza ◽  
Xabier Zupiria-Gorostidi
Keyword(s):  
Basque Country ◽  
Cross Sectional Study ◽  
Nursing Process ◽  
Sectional Study ◽  
Cross Sectional ◽  
Public And Private ◽  
Care Plans ◽  
Health Area ◽  
Nursing Diagnoses ◽  
Process Method

AIM: to analyze whether the nursing process method is used at public and private centers in the health area Gipuzkoa (Basque Country) and, if yes, to analyze in the framework of which model and how it is used. METHOD: cross-sectional study, based on the analysis of the nursing records used at the 158 centers studied. RESULTS: the nursing process is applied at 98% of the centers. It is applied at all public and 18 out of 21 private centers. Virginia Henderson's model is the most used to apply it, and most centers use nursing diagnoses, the NIC-NOC terminology and standardized care plans. CONCLUSION: the use of the nursing process is widespread in Gipuzkoa, with greater use at public than at private centers.

scholarly journals Assessment of nursing care using indicators generated by software

2015 ◽  
Vol 23 (2) ◽  
pp. 234-241 ◽  
Author(s):  
Ana Paula Souza Lima ◽  
Tânia Couto Machado Chianca ◽  
Meire Chucre Tannure
Keyword(s):  
Nursing Care ◽  
Cross Sectional Study ◽  
Nursing Process ◽  
Sectional Study ◽  
Cross Sectional ◽  
Effective Prevention ◽  
Skin Integrity ◽  
Acute Confusion ◽  
Using Data ◽  
Nursing Diagnoses

OBJECTIVE: to analyze the efficacy of the Nursing Process in an Intensive Care Unit using indicators generated by software. METHOD: cross-sectional study using data collected for four months. RNs and students daily registered patients, took history (at admission), performed physical assessments, and established nursing diagnoses, nursing plans/prescriptions, and assessed care delivered to 17 patients using software. Indicators concerning the incidence and prevalence of nursing diagnoses, rate of effectiveness, risk diagnoses, and rate of effective prevention of complications were computed. RESULTS: the Risk for imbalanced body temperature was the most frequent diagnosis (23.53%), while the least frequent was Risk for constipation (0%). The Risk for Impaired skin integrity was prevalent in 100% of the patients, while Risk for acute confusion was the least prevalent (11.76%). Risk for constipation and Risk for impaired skin integrity obtained a rate of risk diagnostic effectiveness of 100%. The rate of effective prevention of acute confusion and falls was 100%. CONCLUSION: the efficacy of the Nursing Process using indicators was analyzed because these indicators reveal how nurses have identified patients' risks and conditions, and planned care in a systematized manner.

Genomic, Metagenomic and Transcriptomic Characterization of the Clinical Forms of COVID-19: A Comparative Cross-Sectional Study

2020 ◽  
Author(s):  
Christophe Rodriguez ◽  
Nicolas de Prost ◽  
Slim Fourati ◽  
Claudie Lamoureux ◽  
Guillaume Gricourt ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Clinical Forms
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