scholarly journals Nursing intervention assessment tool fall prevention in elderly people with systemic arterial hypertension

2020 ◽  
Vol 10 (7) ◽  
pp. 60 ◽  
Author(s):  
Paula Cristina Morais Pinheiro ◽  
Glauciano de Oliveira Ferreira ◽  
Francisca Valúzia Guedes Guerra ◽  
Tahissa Frota Cavalcante ◽  
Nirla Gomes Guedes ◽  
...  
Keyword(s):  
Arterial Hypertension ◽  
Elderly People ◽  
Fall Prevention ◽  
Assessment Tool ◽  
Nursing Intervention ◽  
Nursing Interventions ◽  
Final Assessment ◽  
Nursing Diagnosis ◽  
Effective Interventions ◽  
Risk Of Falls

Background and objective: Elderly people are at greater risk for falls and, therefore, need effective interventions to prevent them. The aim of the study was to develop an assessment tool for nursing intervention fall prevention to elderly with arterial hypertension and with nursing diagnosis Risk of falls.Methods: A methodological study, accomplished in four stages: activities selection of the fall Prevention intervention from Nursing Interventions Classification (NIC); 2) construction of constructive definitions and operational for selected activities; 3) expert validation of constructed definitions; 4) pretest of the final assessment tool.Results: The experts selected 50 activities out of 65 presented by NIC. The constitutive and operational definitions of the 50 activities were elaborated. From the focus group, some activities were grouped and the content of others changed. The pretest showed that, although the application of the assessment tool with the definitions take longer, it was more complete and targeted. The final assessment tool contains 28 activities with constitutive definitions and operational.Conclusions: The produced assessment tool has nursing activities with constitutive and operational definitions suitable for clinical nursing practice. It is believed that it can lead the intervention of the nurses in preventing falls in elderly people with SAH and with the nursing diagnosis Risk of falls.

Cardiac surgery postperative: diagnosis and nursing interventions

2009 ◽  
Vol 4 (1) ◽  
pp. 391
Author(s):  
Clarissa Garcia Rodrigues ◽  
Roberta Senger ◽  
Laura De Azevedo Guido ◽  
Graciele Fernanda da Costa Linch
Keyword(s):  
Cardiac Surgery ◽  
Postoperative Complications ◽  
Scientific Information ◽  
Descriptive Study ◽  
Nursing Intervention ◽  
Nursing Interventions ◽  
Inclusion Criteria ◽  
Nursing Diagnosis ◽  
Intervention Plan ◽  
Nursing Diagnoses

ABSTRACTObjective: to conduct a survey of the studies regarding the main postoperative complications in cardiac surgery and main nursing diagnoses identified. Methods: this is a descriptive study that to select the papers, the following databases were used: SCIELO, LILACS and MEDLINE. The descriptors were: postoperative, cardiac surgery, nursing diagnoses. The following inclusion criteria have been considered: papers published in Brazil from 1997 to 2007, papers on postoperative complications in cardiac surgery in adults, papers using the diagnoses standardized by NANDA. The selected papers were distributed into categories. Results: the following categories have been defined: category I – Complications in the postoperative in cardiac surgery; and category II – Nursing diagnoses in postoperative in cardiac surgery. The relation among the main postoperative complications has been made – physiology and/or semiology of the complication – nursing diagnoses – nursing interventions, which has been presented through synoptic. Later, a nursing intervention plan has been proposed. Conclusion: in despite of the complexity of the development of a nursing plan, it is highlighted the assistance rendered, the necessity of clinical studies regarding complications and the postoperative scenario, and the logical thinking focused on scientific information contributing for knowledge construction and nursing improvement. Descriptors: postoperative complications; cardiology; nursing diagnosis. RESUMOObjetivo: realizar um levantamento dos estudos referentes às principais complicações em pós-operatório de cirurgia cardíaca e principais diagnósticos de enfermagem identificados. Métodos: estudo descritivo que para a seleção dos artigos optou-se pelas seguintes bases de dados: SCIELO, LILACS e MEDLINE. Os descritores foram: pós-operatório, cirurgia cardíaca; diagnósticos de enfermagem. Consideraram-se os seguintes critérios de inclusão: artigos publicados no Brasil no período de 1997 a 2007; artigos sobre complicações do pós-operatório de cirurgia cardíaca; artigos sobre diagnósticos de enfermagem no pós-operatório de cirurgia cardíaca padronizados pela NANDA. Os artigos selecionados foram distribuídos em categorias. Resultados: foram definidas as seguintes categorias: categoria I - Complicações no pós-operatório em cirurgia cardíaca; e categoria II - Os diagnósticos de enfermagem no pós-operatório em cirurgia cardíaca. Fez-se a relação principais complicações pós-operatórias – fisiologia e/ou semiologia da complicação – diagnósticos de enfermagem – intervenções de enfermagem, a qual foi apresentada em quadros sinópticos. A seguir, propôs um plano de intervenções de enfermagem. Conclusão: Apesar da complexidade do desenvolvimento do plano de enfermagem, ressalta-se a qualidade da assistência prestada, a necessidade de estudos clínicos referentes às complicações e ao cenário pós-operatório e o raciocínio lógico centrado em informações científicas, contribuindo para a construção do conhecimento e engrandecimento da enfermagem. Descritores: complicações pós-operatórias; cardiologia; diagnóstico de enfermagem. RESUMENObjetivo: realizar un levantamiento de los estudios referentes a las principales complicaciones en el pos-operatorio de cirugía cardiaca y principales diagnósticos de enfermería identificados. Métodos: el estudio es descriptivo cuya selección de los artículos se hizo opción por las siguientes bases de datos: SCIELO, LILACS y MEDLINE. Los descriptores fueron: pos-operatorio, cirugía cardiaca, diagnósticos de enfermería. Se consideraron los siguientes criterios de inclusión: artículos publicados en Brasil en el periodo de 1997 a 2007, artículos sobre complicaciones del pos-operatorio de cirugía cardiaca, artículos que utilizan los diagnósticos de enfermería por patrones de NANDA. Los artículos seleccionados fueron distribuidos en categorías. Resultados: fueron definidas las siguientes categorías: categoría I – Complicaciones en el pos-operatorio en cirugía cardiaca; y categoría II – Los diagnósticos de enfermería en el pos-operatorio en cirugía cardiaca. Se hizo la relación de las principales complicaciones pos-operatorias – fisiología y/o semiología de la complicación – diagnósticos de enfermería – intervenciones de enfermería, la que fue presentada a través de cuadros sinópticos. A seguir, se propuso un plan de intervenciones de enfermería. Conclusión: a pesar de la complexidad del desarrollo de un plan de enfermería, se resalta la calidad de la asistencia prestada, la necesidad de estudios clínicos concernientes a las complicaciones y al escenario pos-operatorio y el raciocinio lógico centrado en informaciones científicas, pretendiéndose así la contribución para la construcción del conocimiento y enaltecimiento de la enfermería. Descriptores: complicaciones postoperatorias; cardiología; diagnóstico de enfermería.  

scholarly journals Actions of the fall prevention protocol: mapping with the classification of nursing interventions

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Vanessa Cristina Alves ◽  
Weslen Carlos Junior de Freitas ◽  
Jeferson Silva Ramos ◽  
Samantha Rodrigues Garbis Chagas ◽  
Cissa Azevedo ◽  
...  
Keyword(s):  
Fall Prevention ◽  
Environmental Safety ◽  
Risk Identification ◽  
Mapping Method ◽  
Falls Prevention ◽  
Nursing Interventions ◽  
Safety Control ◽  
Risk Of Falls ◽  
Prevention Protocol

ABSTRACT Objective: to analyze the correspondence between the actions contained in the fall prevention protocol of the Ministry of Health and the Nursing Interventions Classification (NIC) by a cross-mapping. Method: this is a descriptive study carried out in four stages: protocol survey, identification of NIC interventions related to nursing diagnosis, the risk of falls, cross-mapping, and validation of the mapping from the Delphi technique. Results: there were 51 actions identified in the protocol and 42 interventions in the NIC. Two rounds of mapping evaluation were carried out by the experts. There were 47 protocol actions corresponding to 25 NIC interventions. The NIC interventions that presented the highest correspondence with protocol actions were: fall prevention, environmental-safety control, and risk identification. Regarding the classification of similarity and comprehensiveness of the 47 actions of the protocol mapped, 44.7% were considered more detailed and specific than the NIC, 29.8% less specific than the NIC and 25.5% were classified as similar in significance to the NIC. Conclusion: most of the actions contained in the protocol are more specific and detailed, however, the NIC contemplates a greater diversity of interventions and may base a review of the protocol to increase actions related to falls prevention..

Documenting Patterns of Nursing Interventions Using Cluster Analysis

2001 ◽  
Vol 9 (1) ◽  
pp. 73-90 ◽  
Author(s):  
Nancy A. O’Connor ◽  
Trace Kershaw ◽  
Alicia D. Hameister
Keyword(s):  
Cluster Analysis ◽  
Nurse Practitioner ◽  
Nursing Intervention ◽  
Nursing Interventions ◽  
Hierarchical Agglomerative Cluster ◽  
Nursing Diagnosis ◽  
Analysis Strategy ◽  
Nurse Practitioner Students ◽  
Adult Nurse Practitioner ◽  
Using Data

Use of inferential statistics in research applications of the Nursing Intervention Classification has been rare, yet use of these statistical techniques is needed to answer questions related to intervention patterns. Using data from a descriptive study of 3,733 visits documented by 19 adult nurse practitioner students, hierarchical agglomerative cluster analysis was used to determine whether meaningful nursing intervention patterns could be depicted. Eight intervention clusters were derived, replicated, and validated. Clusters of intervention classes differed in the type of nursing and medical diagnosis, amount of time the nurse spent during the visit, cost of visit, and the age of the patient. Clustering supported the utility of standardized nursing diagnosis and intervention typologies to identify actual practice patterns of adult nurse practitioner students. Cluster analysis is a valuable data analysis strategy when analyzing multiple related variables.

scholarly journals Diagnosis identification and nursing intervention proposal for a patient with deep venous thrombosis

2011 ◽  
Vol 5 (9) ◽  
pp. 2254
Author(s):  
Cleise Querino Carneiro de Santana ◽  
Carmem Lúcia Oliveira dos Santos
Keyword(s):  
Venous Thrombosis ◽  
Deep Venous Thrombosis ◽  
North American ◽  
Tissue Perfusion ◽  
Nursing Intervention ◽  
Clinical State ◽  
Liquid Volume ◽  
Nursing Interventions ◽  
Nursing Diagnosis ◽  
Health Council

ABSTRACTObjective: to identify the nursing diagnosis, according to the Taxonomy II of the North American Nursing Diagnosis Association (Nanda), in a patient with deep venous thrombosis (DVT), allowing the planning of nursing assistance. Methodology: this is a case study, carried out within the period from February 19 2009 to February 26 2009. Data were collected through the information available in the medical record and the nursing consultation carried out having the patient’s interview and physical examination as a basis. The study observed the ethical aspects established in Resolution 196/96 from the National Health Council. Results: the data were presented as a nursing history and the diagnosis, results, and nursing interventions were presented in figures. The information allowed the planning of nursing assistance, with the identification of the following nursing diagnoses: ineffective peripheral tissue perfusion, excessive liquid volume, risk for impaired skin integrity, impaired physical mobility, acute pain, unbalanced nutrition ― less than body requirements ―, and fatigue, establishing the nursing interventions implemented and assessed. Conclusion: the planning of nursing assistance allowed the prevention of complications from DVT and a better general clinical state of the female patient, highlighting the importance of planning the care provided to the patient with this disease. Descriptors: venous thrombosis; nursing diagnosis; patient care planning.RESUMOObjetivo: identificar o diagnóstico de enfermagem, segundo a Taxonomia II da Associação Norte-Americana de Diagnóstico de Enfermagem (North American Nursing Diagnosis Association ― Nanda), em paciente com trombose venosa profunda (TVP), possibilitando a elaboração da assistência de enfermagem. Metodologia: trata-se de um estudo de caso, realizado no período de 19 de fevereiro a 26 de fevereiro de 2009. Os dados foram coletados por meio das informações disponíveis no prontuário e da realização da consulta de enfermagem a partir da entrevista e exame físico do paciente. O estudo obedeceu aos aspectos éticos estabelecidos na Resolução n. 196/96 do Conselho Nacional de Saúde. Resultados: os dados foram apresentados na forma de histórico de enfermagem e em figuras, os diagnósticos, resultados e intervenções de enfermagem. As informações possibilitaram a elaboração da assistência de enfermagem, identificando-se os seguintes diagnósticos de enfermagem: perfusão tissular periférica ineficaz, volume de líquidos excessivo, risco para integridade da pele prejudicada, mobilidade física prejudicada, dor aguda, nutrição desequilibrada ― menos do que as necessidades corporais ― e fadiga, estabelecendo-se as intervenções de enfermagem que foram implementadas e avaliadas. Conclusão: a elaboração da assistência de enfermagem possibilitou a prevenção de complicações decorrentes da TVP e melhora do estado clínico geral da paciente, evidenciando a importância da realização do plano de cuidados ao paciente com essa enfermidade. Descritores: trombose venosa; diagnóstico de enfermagem; planejamento de assistência ao paciente.RESUMENObjetivo: identificar el diagnóstico de enfermería, según la Taxonomía II de la Asociación Norteamericana de Diagnóstico de Enfermería (North American Nursing Diagnosis Association ― Nanda), en paciente con trombosis venosa profunda (TVP), posibilitando la elaboración de la asistencia de enfermería. Metodología: esto es un estudio de caso, realizado en el período de 19 de febrero a 26 de febrero de 2009. Los datos fueron recolectados por medio de las informaciones disponibles en el prontuario y de la realización de la consulta de enfermería basada en la entrevista y en el examen físico del paciente. El estudio obedeció a los aspectos éticos establecidos en la Resolución 196/96 del Consejo Nacional de Salud. Resultados: los datos fueron presentados como histórico de enfermería y en figuras tenemos los diagnósticos, resultados y intervenciones de enfermería. Las informaciones posibilitaron la elaboración de la asistencia de enfermería, identificándose los siguientes diagnósticos de enfermería: perfusión tisular periférica inefectiva, volumen excesivo de líquido, riesgo para integridad de la piel perjudicada, mobilidad física perjudicada, dolor aguda, nutrición desequilibrada ― menos que las necesidades corporales ― y fatiga, estableciéndose las intervenciones de enfermería que fueron implementadas y evaluadas. Conclusión: la elaboración de la asistencia de enfermería posibilitó la prevención de complicaciones derivadas de la TVP y la mejora del estado clínico general de la paciente, evidenciando la importancia de la realización del plan de cuidados al paciente con esa enfermedad. Descriptores: trombosis de la vena; diagnóstico de enfermería; planificación de atención al paciente. 

Representation of Diagnosis and Nursing Interventions in OpenEHR Archetypes

2021 ◽  
Vol 12 (02) ◽  
pp. 340-347
Author(s):  
Denilsen Carvalho Gomes ◽  
Nuno Abreu ◽  
Paulino Sousa ◽  
Claudia Moro ◽  
Deborah Ribeiro Carvalho ◽  
...  
Keyword(s):  
Health Information ◽  
Nursing Care ◽  
Health Information Systems ◽  
Nursing Intervention ◽  
The Other ◽  
Nursing Interventions ◽  
Developmental Study ◽  
Clinical Knowledge ◽  
Nursing Diagnosis ◽  
Knowledge Manager

Abstract Objective The study aimed to represent the content of nursing diagnosis and interventions in the openEHR standard. Methods This is a developmental study with the models developed according to ISO 18104: 2014. The Ocean Archetype Editor tool from the openEHR Foundation was used. Results Two archetypes were created; one to represent the nursing diagnosis concept and the other the nursing intervention concept. Existing archetypes available in the Clinical Knowledge Manager were reused in modeling. Conclusion The representation of nursing diagnosis and interventions based on the openEHR standard contributes to representing nursing care phenomena and needs in health information systems.

Effects of the nursing intervention Fall prevention in older adults with arterial hypertension using NANDA‐I, NIC, and NOC

2021 ◽  
Author(s):  
Rafaella Pessoa Moreira ◽  
Francisca Valuzia Guedes Guerra ◽  
Glauciano de Oliveira Ferreira ◽  
Tahissa Frota Cavalcante ◽  
Janiel Ferreira Felício ◽  
...  
Keyword(s):  
Older Adults ◽  
Arterial Hypertension ◽  
Fall Prevention ◽  
Nursing Intervention

scholarly journals The Application of Nursing Interventions: Generalist Therapy to Against Hopelessness on Elderly

Jurnal NERS ◽  
2015 ◽  
Vol 10 (2) ◽  
pp. 217
Author(s):  
Ike Mardiati Agustin ◽  
Budi Anna Keliat ◽  
Mustikasari Mustikasari
Keyword(s):  
Mental Health ◽  
Elderly People ◽  
Health Problem ◽  
Mental Health Problems ◽  
Sampling Technique ◽  
Nursing Intervention ◽  
Nursing Interventions ◽  
Dependent Variables ◽  
Independent Variable ◽  
Analytic Design

Introduction: An increasing number of elderly people followed the emergence of mental health problems. One of mental health problem that arises is hopelesness. Nursing action to hopelesness in elderly people in society is not to optimals. The aimed of this paper was gave an overview about the application of nursing intervention: generalist therapy to against hopelesness on elderly. Method: This research was used descriptive analytic design. Population were elders who lived at RW 3 and RW 4, Kelurahan Ciwaringin, Kota Bogor. Samples were 10 respondents, taken according to purposive sampling technique. Independent variable was generalist therapy, while dependent variables were sign and symptoms of hopelessness and ability to cope with hopelessness. Data were collected by using questionnaire, then analyzed by using frequency distribution. Result: The results showed that generalist therapy can decrease elder’s sign and symptoms of hopelessness (21%) and increase their ability to cope with hopelessness (72%). Discussion: It can be concluded that generalist therapy can be used as one of nursing intervention to against hopelesness in the elderly.Keywords: hopelesness, elderly, generalist therapy

scholarly journals Nursing care mapping for patients at risk of falls in the Nursing Interventions Classification

2014 ◽  
Vol 48 (4) ◽  
pp. 632-640 ◽  
Author(s):  
Melissa de Freitas Luzia ◽  
Miriam de Abreu Almeida ◽  
Amália de Fátima Lucena
Keyword(s):  
At Risk ◽  
Nursing Care ◽  
Cross Sectional Study ◽  
Mapping Method ◽  
University Hospital ◽  
Nursing Interventions ◽  
Cross Sectional ◽  
Nursing Diagnosis ◽  
Risk Of Falls ◽  
Patients At Risk

Objective: Identifying the prescribed nursing care for hospitalized patients at risk of falls and comparing them with the interventions of the Nursing Interventions Classifications (NIC). Method: A cross-sectional study carried out in a university hospital in southern Brazil. It was a retrospective data collection in the nursing records system. The sample consisted of 174 adult patients admitted to medical and surgical units with the Nursing Diagnosis of Risk for falls. The prescribed care were compared with the NIC interventions by the cross-mapping method. Results: The most prevalent care were the following: keeping the bed rails, guiding patients/family regarding the risks and prevention of falls, keeping the bell within reach of patients, and maintaining patients’ belongings nearby, mapped in the interventions Environmental Management: safety and Fall Prevention. Conclusion: The treatment prescribed in clinical practice was corroborated by the NIC reference.


scholarly journals DIAGNÓSTICOS E INTERVENÇÕES DE ENFERMAGEM PARA PACIENTES COM DOENÇA ENXERTO SUBMETIDOS A TRANSPLANTE DE CÉLULAS-TRONCO HEMATOPOIÉTICA

2015 ◽  
Vol 20 (2) ◽  
Author(s):  
Diogo Dias Araujo ◽  
Andrea Bezerra Rodrigues ◽  
Patrícia Peres de Oliveira ◽  
Livia Silveira Silva ◽  
Bianca Penido Vecchia ◽  
...  
Keyword(s):  
North American ◽  
Nursing Intervention ◽  
Sao Paulo ◽  
Nursing Interventions ◽  
São Paulo ◽  
Nursing Diagnosis

Objetivou-se identificar os principais diagnósticos e intervenções de enfermagem descritos pelaNorth American Nursing Diagnosis Association e Nursing Intervention Classification, para pacientes com doençaenxerto versus hospedeiro submetidos a transplante de células-tronco hematopoiéticas alogênico. Realizou-seum estudo descritivo, exploratório, com abordagem quantitativa. Coletaram-se dados de 30 pacientes, em umaunidade de transplante de medula óssea, de um hospital privado de grande porte, localizado no municípiode São Paulo. Identificaram-se nove principais diagnósticos, segundo a North American Nursing DiagnosisAssociation. Propôs-se 11 intervenções de enfermagem baseadas na Nursing Interventions Classification, alémde 40 atividades. Consideram-se os principais diagnósticos, resultados e intervenções/atividades formuladospara mais de 50% dos participantes do estudo. Este estudo permitiu identificar e selecionar diagnósticos eintervenções de enfermagem, com suas respectivas atividades, para aplicação na prática clínica, com vistas asubsidiar o processo de cuidado e o conhecimento das taxonomias de enfermagem.

Autonomy, Privacy and the Implementation of the Principle of Informed Consent with regard to the Nursing Interventions from the View of elderly People

Pflege ◽  
2001 ◽  
Vol 14 (1) ◽  
pp. 29-37 ◽  
Author(s):  
Anja Schopp ◽  
Theo Dassen ◽  
Maritta Välimäki ◽  
Helena Leino-Kilpi ◽  
Gerd Bansemir ◽  
...  
Keyword(s):  
Informed Consent ◽  
Elderly People ◽  
Ältere Menschen ◽  
Nursing Interventions ◽  
Patient’S Autonomy

Ziel dieser Untersuchung war die Autonomie, Privatheit und die Umsetzung des Prinzips der «informierten Zustimmung» aus der Perspektive des institutionell zu betreuenden, älteren Menschen zu beschreiben. Die Untersuchung ist ein Teil des durch die EU-Kommission unterstützten BIOMED 2 Projektes «Patient’s autonomy and privacy in nursing interventions»1. Interviewdaten (n = 95) wurden in deutschen Kliniken der Geriatrie und Pflegeheimen gesammelt. Ergebnisse zeigten, dass die Teilnehmer in geringem Maß selbstbestimmte Entscheidungen treffen konnten. Das Prinzip der «informierten Zustimmung» wurde wenig umgesetzt. Ihre Privatheit sahen die Teilnehmer in Mehrbettzimmern sowie in Situationen des Ankleidens und bei der Verrichtung der Ausscheidungen nicht respektiert. Es ist anzunehmen, dass ältere Menschen wegen Informationsdefiziten, durch ihren Hilfsbedarf und durch die festgelegten Organisationsstrukturen der Pflegeeinrichtungen eine passive Krankenrolle übernehmen. Es wäre denkbar, dass die Autonomie der älteren Menschen gefördert werden könnte, wenn die Pflegekräfte sie in der Rolle des Fürsprechers bei selbstbestimmten Entscheidungen unterstützen würden. Bei den pflegerischen Interventionen würde die Umsetzung des Prinzips der «informierten Zustimmung» sowohl die Autonomie als auch die Respektierung der Privatheit fördern. Es ist außerdem anzunehmen, dass durch Flexibilisierung der Organisationsstrukturen der Pflegeeinrichtungen die Autonomie und Lebensqualität der älteren Menschen gefördert werden könnte.

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