Terminologias de enfermagem: da Taxonomia da NANDA à Classificação Internacional para a Prática de Enfermagem

2008 ◽  
Vol 2 (4) ◽  
pp. 454 ◽  
Author(s):  
Maria Miriam Lima da Nóbrega ◽  
Telma Ribeiro Garcia ◽  
Luciana Gomes Furtado ◽  
Candice Cavalcante de Albuquerque ◽  
Cláudia de Lourdes Henriques de Lima

ABSTRACTObjective: to describe, based on the literature of the area, the movement of nursing terminologies development, from the NANDA Taxonomy up to the International Classification for Nursing Practice, of the International Council of Nursing. Methodology: research literature, in which it was established as period of time for inclusion of publications, here construed as books and journal articles, the period from 1990 to 2005. Results: after reading the selected material, it was possible to point the origins and main characteristics of the NANDA International Taxonomy II, of the Nursing Interventions Classification, of the Nursing Outcomes Classification, of the Clinical Care Classification, of Omaha System and of the International Classification for Nursing Practice. Conclusion: despite the undeniable progress of the profession in the movement of development and use of nursing language classification systems, occurring in the world, including Brazil, it remains, as a challenge, the need for the involvement of nurses in this process. Descriptors: nursing; terminology; classification system; vocabulary.RESUMOObjetivo: descrever, com base na literatura da área, o movimento de elaboração de terminologias na Enfermagem, a partir da Taxonomia da NANDA até a Classificação Internacional para a Prática de Enfermagem, do Conselho Internacional de Enfermagem. Metodologia: pesquisa bibliográfica, em que foi estabelecido como recorte de tempo para inclusão de publicações, aqui entendidas como artigos de periódicos e livros, o período de 1990 a 2005. Resultados: após a leitura do material selecionado foi possível apontar as origens e as principais características da Taxonomia II da NANDA Internacional, da Classificação das Intervenções de Enfermagem, da Classificação dos Resultados de Enfermagem, da Classificação dos Cuidados Clínicos, do Sistema Omaha e da Classificação Internacional para a Prática de Enfermagem. Conclusão: a despeito dos inegáveis avanços da profissão no movimento de elaboração e utilização de sistemas de classificação de termos da linguagem especial de Enfermagem, ocorridos no âmbito mundial, inclusive no Brasil, permanece como desafio, a necessidade de engajamento dos enfermeiros neste processo. Descritores: enfermagem; terminologia; sistema de classificação; vocabulário.RESUMENObjetivo: describir, con base en la literatura de la área, el impulso del desarrollo de la enfermería en términos de la taxonomía NANDA de un máximo de la Clasificación Internacional para la Práctica de Enfermería, el Consejo Internacional de Enfermería. Metodología: investigación de la literatura, en que se estableció como recorte de tiempo para la inclusión de publicaciones, aquí entendidas como artículos de revistas y libros, el período comprendido entre 1990 y 2005. Resultados: después de la lectura del material seleccionado, se puede apuntar las orígenes y características principales de la Taxonomía II de NANDA Internacional, de la Clasificación de Intervenciones de Enfermería, de la Clasificación de Resultados de Enfermería, de la Clasificación de Atención Clínica, del Sistema Omaha y de la Clasificación Internacional para la Práctica de Enfermería. Conclusión: a pesar de los innegables progresos de la profesión en el movimiento de desarrollo y utilización de los sistemas de clasificación de términos de la lengua particular de Enfermería, que se producen en el mundo, entre ellos Brasil, se mantiene como reto, la necesidad de participación de los enfermeros en este proceso. Descriptores: enfermería; terminología; sistema de clasificación; vocabulario. 

2020 ◽  
Vol 14 ◽  
Author(s):  
Cássia Teixeira Dos Santos ◽  
Claudenilson Da Costa Régis ◽  
Raquel Silveira Einhardt ◽  
Amália De Fátima Lucena

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


1996 ◽  
Vol 35 (01) ◽  
pp. 59-71 ◽  
Author(s):  
P. J. M. M. Epping ◽  
I. L. Abraham ◽  
W. T. F. Goossen

AbstractThe development of nursing information systems (NIS) is often hampered by the fact that nursing lacks a unified nursing terminology and classification system. Currently there exist various initiatives in this area. We address the question as to how current initiatives in the development of nursing terminology and classification systems can contribute towards the development of NIS. First, the rationale behind the formalization of nursing knowledge is discussed. Next, using a framework for nursing information processing, the most important developments in the field of nursing on formalization, terminology and classification are critically reviewed. The initiatives discussed include nursing terminology projects in several countries, and the International Classification of Nursing Practice. Suggestions for further developments in the area are discussed. Finally, implications for NIS are presented, as well as the relationships of these components to other sections of an integrated computerized patient record.


Author(s):  
Juan Gómez-Salgado ◽  
Lia Jacobsohn ◽  
Fátima Frade ◽  
Macarena Romero-Martin ◽  
Carlos Ruiz-Frutos

Classification systems constitute an important contribution to nursing practice, as they provide standardized frameworks for communication between nurses and other healthcare professionals. International Classification of Functioning, Disability and Health (ICF) provides a unified and standardized language, as well as a working structure, for the description of health and health-related states. This paper aims to describe some of the available classifications used in nursing practice and to identify the potential value provided by the application of the World Health Organization (WHO) International Classification of Functioning, Disability and Health by all healthcare professionals. With this purpose, a concept analysis was conducted. The relevant nursing classifications were analyzed and related evidence on the use of ICF classification was reviewed to provide a discussion on the application of ICF in nursing practice. The use of ICF could be beneficial in different areas of nursing practice, as it provides a more comprehensive framework to classify nursing outcomes and interventions, improving areas such as interprofessional communication and optimization of care. Although there is published evidence on the use of ICF core sets, further research is needed on this area.


Duazary ◽  
2016 ◽  
Vol 13 (2) ◽  
pp. 105 ◽  
Author(s):  
Diana Acosta-Salazar ◽  
Patricia Lapeira-Panneflex ◽  
Ediltrudis Ramos-De La Cruz

El Proceso de Atención de Enfermería (PAE) es una herramienta sistemática que facilita la cientificidad de los cuidados en las prácticas comunitarias del profesional de enfermería, la aplicación del método científico en la práctica comunitaria, permite a la enfermería brindar cuidados de forma lógica, sistemática e integral, revaluando las intervenciones para alcanzar los resultados planteados. Se inició con la valoración de Patrones Funcionales de Marjory Gordon y luego en la etapa de diagnóstico y planificación, se interrelacionó con North american nursing diagnosis association (NANDA), Nursing interventions classification (NIC) y Nursing outcomes classification (NOC). Es un estudio descriptivo y prospectivo. Se efectuó un análisis por medio de la aplicación de métodos: escala de medición de los rasgos socio demográfico, estudio de sintomatologías para el descubrimiento prematuro de trastornos mentales en la comunidad y la valoración por patrones funcionales. El PAE incluye diagnósticos más frecuentes, criterios de Resultados, indicadores, intervenciones y actividades para manejar la problemática comunitaria. Se evidenció alteración en los Patrones: Adaptación y Tolerancia al Estrés, Autopercepción-Autoconcepto, Rol-Relaciones, Sueño y Descanso y Percepción y Manejo de la Salud. Un cuidado estandarizado con la interrelación NANDA-NIC-NOC permite brindar un cuidado holístico desde el punto de vista de la salud mental comunitaria con un grado de cientificidad que enmarca el quehacer profesional proyectando el cuidado individual, familiar y comunitario


2017 ◽  
Vol 11 (12) ◽  
pp. 5163
Author(s):  
Patrícia Peres Oliveira ◽  
Carolina Eloi Miranda ◽  
Eduardo Henrique de Oliveira Lima ◽  
Marina Bueno Dias ◽  
Edilene Aparecida Araújo da Silveira ◽  
...  

RESUMOObjetivo: operacionalizar o processo de Enfermagem para adolescentes em cuidados paliativos, baseado no Modelo de Adaptação de Roy, utilizando NANDA, Classificação dos Resultados de Enfermagem e Classificação das Intervenções de Enfermagem. Método: estudo qualitativo, no qual se adotou, como estratégia metodológica, o estudo de caso, realizado com dois adolescentes e famílias, por meio de visitas domiciliárias. Como referencial teórico, foi utilizado o Modelo de Adaptação de Callista Roy. Resultados: observou-se que os cuidados aos adolescentes e suas famílias favoreceram a adaptação, pois os jovens apresentaram melhora significativa frente aos estímulos; as condições socioeconômicas identificadas interferiram no bem-estar da família e da adolescente do sexo feminino e, consequentemente, percebeu-se o impacto gerado. Todavia, deve-se propor intervenções como orientações sobre o manejo dos sintomas apresentados e sessões de musicoterapia, contribuindo para a melhora no ambiente familiar, além da redução da ansiedade. Conclusão: as intervenções implementadas foram importantes para a substituição de respostas ineficazes por respostas adaptativas. Descritores: Cuidados Paliativos; Neoplasias; Saúde do adolescente; Processos de Enfermagem.ABSTRACTObjective: to operationalize the Nursing process for adolescents in palliative care, based on the Roy Adaptation Model, using NANDA, Nursing Outcomes Classification and Nursing Interventions Classification. Method: a qualitative study, in which the case study, was adopted, as a methodological strategy, carried out with two adolescents and families, through home visits. As a theoretical reference, the Callista Roy Adaptation Model was used. Results: it was observed that the care to the adolescents and their families favored the adaptation, since the young showed a significant improvement in front of the stimuli; the identified socioeconomic conditions interfered with the well-being of the female family and adolescent, and consequently, the generated impact was perceived. However, one should propose interventions as guidelines on the management of the presented symptoms and sessions of music therapy, contributing to the improvement in the environment reduction of anxiety. Conclusion: the interventions implemented were important for the substitution of ineffective responses by adaptive responses. Descriptors: Palliative Care; Neoplasm; Adolescent health; Nursing Process.RESUMENObjetivo: operacionalizar el proceso de Enfermería para adolescentes en cuidados paliativos, basado en el Modelo de Adaptación de Roy, utilizando NANDA, Clasificación de los Resultados de Enfermería y Clasificación de las Intervenciones de Enfermería. Método: estudio cualitativo, en el cual se adoptó, como estrategia metodológica, el estudio de caso, realizado con dos adolescentes y familias, por medio de visitas domiciliarias. Como referencial teórico, se utilizó el modelo de adaptación de Callista Roy. Resultados: se observó que los cuidados a los adolescentes y sus familias favorecieron la adaptación, pues los jóvenes presentaron una mejora significativa frente a los estímulos; las condiciones socioeconómicas identificadas interfirieron en el bienestar de la familia y de la adolescente femenina y, consecuentemente, se percibió el impacto generado. Sin embargo, se debe proponer intervenciones como orientaciones sobre el manejo de los síntomas presentados y sesiones de musicoterapia, contribuyendo para la mejora en el ambiente familiar, además de la reducción de la ansiedad. Conclusión: las intervenciones implementadas fueron importantes para la sustitución de respuestas ineficaces por respuestas adaptativas. Descriptores: Cuidados Paliativos; Neoplasia; Salud del Adolescente; Procesos de Enfermería.


2019 ◽  
Author(s):  
Fatemeh Salehi ◽  
Leila Ahmadian ◽  
Shabnam Padidar

Abstract Background Injuries are a major health issue worldwide and their prevention requires access to accurate statistics in this area. This can be achieved by using the data collected through the international classification systems. This study aimed at investigating the coverage rate of the International Classification of External Causes of Injury (ICECI) regarding the external causes of injury in Shahid Bahonar Hospital.Method This cross-sectional descriptive-analytical study was performed on 322 injured individuals visiting the emergency unit of Shahid Bahonar Hospital. The data were gathered through patients’ records, a designed form and interviews. The collected data were encoded based on the ICECI textbook by two encoders. Their agreement rate was calculated using the Kappa estimate of agreement. The coverage rate of the classification system and the degree of completeness of the required data for encoding in the patients’ records was measured. Data were analyzed by the SPSS software, ver. 19.Results The findings showed that 70% of the studied external causes of injury were covered by the ICECI system. Among the 322 cases, 138 (43%) had been referred due to car accidents. The injured were mostly drivers of land transport vehicles who had been unintentionally involved in a car accident. The least mechanism for injury was bite injury with 5 (2%) cases which had occurred at home or public transport with a similar rate and totally unintentional. ICECI was capable of classifying 92% of the data related to incident causes. The most incongruous coverage of this system belonged to the "activity when injured" axis (n=18). Lack of precise data recording in the medical files resulted in missing data in at least one of the axis of the incident causes in most records.Conclusion Given that some information regarding the external cause of injury was not categorized by the ICECI system, this research can identify the shortcomings of the system and help its developers to amend it in future revisions.


2020 ◽  
Vol 25 (Sup12) ◽  
pp. S34-S38
Author(s):  
Estrin Handayani ◽  
Robiul Fitri Masithoh

Burns remain one of the most common injuries contributing to an increase in trauma incidence in hospitals, particularly in developing countries. Therefore, it is essential to identify the appropriate care for these wounds. Silver sulfadiazine has been widely used for the treatment of burns, but its efficacy has not been re-evaluated in recent years. Therefore, this small-scale study aimed at re-evaluating the use of silver sulfadiazine in patients with burns at a hospital in Magelang, Indonesia. A total of seven patients with second- and third-degree burns were involved and received silver sulfadiazine for 5 months (March to July 2020). Data on their wounds were collected three times and evaluated by using the Nursing Outcomes Classification (NOC) observation method. Wound outcomes were evaluated using on the basis of wound healing by secondary intention. Silver sulfadiazine was found to be effective; 85.7% of the wound area showed granulation tissue, and 75–100% of the wound area showed epithelialisation. However, patients complained of pain during silver sulfadiazine treatment. Therefore, additional nursing interventions seem to be needed to manage burns.


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

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