scholarly journals Sistematização da assistência de enfermagem no pós-operatório mediato de cirurgia cardíaca Systematization of nursing care in mediate post-operative of cardiac surgery

2016 ◽  
Vol 8 (4) ◽  
pp. 5062 ◽  
Author(s):  
Inaiane Marlisse de Carvalho ◽  
Richardson Augusto Rosendo da Silva ◽  
Dayana Kelly Soares Ferreira ◽  
Ana Raquel Cortês Nelson ◽  
Fernando Hiago da Silva Duarte ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Case Report ◽  
Thoracic Surgery ◽  
Nursing Care ◽  
University Hospital ◽  
Nursing Interventions ◽  
Icu Admission ◽  
Patient Profile ◽  
Nursing Diagnosis

ABSTRACT Objective: Raise the nursing diagnosis by NANDA, identify the nursing interventions by NIC, raise the expected by NOC. Methods: Study of quantiitative approach, kind case report. Results: Study was raised from the evaluation of a patient that found in post operative of intermediate cardiac surgery ICU admission of a university hospital. Found eight nursing diagnosis and as such, the strokes as intervention NIC and expected results by NOC. Discussion: Diagnosis patient profile, prepared based on your needs, provides a rationale for determination of nursing interventions. Conclusion: Identification of nursing diagnosis is intended to assist in planning based nursing care and adequate to the needs of each patient effective actions resulting in solving problems.Descriptors: Nursing, Thoracic surgery, Nursing care.RESUMOObjetivo: Levantar os diagnósticos de enfermagem, segundo a NANDA; identificar as intervenções de enfermagem, segundo a NIC; levantar os resultados esperados segundo a NOC. Métodos: Estudo de abordagem quantitativa tipo relato de caso. Resultados: O estudo foi levantado a partir da avaliação de um paciente que se encontrava em pós-operatório mediato de cirurgia cardíaca internado na UTI de um hospital universitário. Foram encontrados oito diagnósticos de enfermagem e a partir destes, traçados as intervenções segundo o NIC e os resultados esperados segundo o NOC. Discussão: O perfil diagnóstico do paciente, elaborado com base em suas necessidades, oferece uma fundamentação para determinação das intervenções de enfermagem. Conclusão: A identificação dos diagnósticos de enfermagem tem o propósito de auxiliar no planejamento dos cuidados de enfermagem fundamentados e adequadas às necessidades de cada paciente, resultando em ações eficazes para a resolução dos problemas. Descritores: Enfermagem, Cirurgia torácica, Cuidados de enfermagem.RESUMENObjetivo: Aumentar el diagnóstico de enfermería por la NANDA; identificar las intervenciones de enfermería de NIC; levantar los esperados por NOC. Métodos: Estudio con abordaje cuantitativo, informe caso. Resultados: El estudio fue levantado de la evaluación de un paciente que se encuentra en post-operatorio de intermedio cirugía cardiaca ingreso en la uci de un hospital universitario. Encontraron ocho diagnóstico de enfermería y, como tal, los golpes al NIC intervención y resultados esperados por NOC. Discusión: El diagnóstico del paciente perfil, preparado en base a sus necesidades, proporciona una base para determinación de las intervenciones de enfermería. Conclusión: Identificación de diagnóstico de enfermería es para ayudar en cuidados de enfermería basada en la planificación y adecuado a las necesidades de cada paciente que resulten acciones efectivas en solución de problemas. Descriptores: Enfermería, Cirugía torácica, La atención de enfermería.  

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 ІНФОРМАЦІЙНІ МОДЕЛІ ЗАГАЛЬНОГО ДОГЛЯДУ ЗА ХВОРИМИ З ПІДТРИМКОЮ АЛГОРИТМІВ ПРИЙНЯТТЯ РІШЕНЬ НА ОСНОВІ КЛАСИФІКАТОРА ICNP

2018 ◽  
Author(s):  
V. P. Matrtseniuk ◽  
I. Ye. Andrushchak ◽  
I. V. Tsikorska
Keyword(s):  
Decision Trees ◽  
Nursing Care ◽  
Care Plan ◽  
Care Planning ◽  
Nursing Process ◽  
Plan Implementation ◽  
Physical Assessment ◽  
Nursing Diagnosis ◽  
Information Models

The paper presents information models of the nursing process through a conceptual presentation, including assessments of the patient's overall condition (nursing interviews, physical assessment, measurement, documentation analysis), nursing diagnosis, nursing care planning, determination of expected results, nursing manipulation, care plan implementation and care results evaluation. Particular attention is drawn to the possibility of using international terminology in describing nursing practices. Analysis of solutions is carried out using the terminology of decision trees.

scholarly journals Developing a nursing healthcare protocol: a case report

2018 ◽  
Vol 71 (suppl 6) ◽  
pp. 2837-2842
Author(s):  
Talita Wérica Borges Figueiredo ◽  
Nen Nalú Alves das Mercês ◽  
Maria Ribeiro Lacerda ◽  
Ana Paula Hermann
Keyword(s):  
Stem Cell ◽  
Case Report ◽  
Professional Practice ◽  
Nursing Care ◽  
Healthcare Research ◽  
Theory And Practice ◽  
University Hospital ◽  
Hematopoietic Stem ◽  
Care Research ◽  
Care Protocol

ABSTRACT Objective: to report the use experience of convergent healthcare research for developing a nursing care protocol. Method: convergent care research developed in university hospital, from July to December 2016, with 27 participants. Results: the stages of the research and its results are described in the steps: conception, instrumentation, screening and analysis. The end result was the nursing care protocol in day zero of hematopoietic stem cell transplantation. Conclusion: convergent care research was an appropriate method for developing the care protocol, and an important contribution to the approximation between theory and practice. The nursing care protocol was the result of this study and confirmed both the purpose of the research as a professional Master's in acquiring knowledge aimed at improving professional practice.

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.  

Establishing Competency in the Use of North American Nursing Diagnosis Association, Nursing Outcomes Classification, and Nursing Interventions Classification Terminology

2003 ◽  
Vol 11 (2) ◽  
pp. 183-198 ◽  
Author(s):  
Gail Keenan ◽  
Sharie Falan ◽  
Crystal Heath ◽  
Marcy Treder
Keyword(s):  
North American ◽  
Oral Communication ◽  
Nursing Interventions ◽  
Patient Profile ◽  
Nursing Outcomes ◽  
Actual Patient ◽  
Nursing Diagnosis ◽  
Nursing Outcomes Classification

The purpose of this study was to evaluate a 16-hour intervention designed to build clinician competency in the use of North American Nursing Diagnosis Association (NANDA), Nursing Outcome Classification (NOC), and Nursing Interventions Classification (NIC) (hereinafter: N3) among nurses with limited N3 knowledge. Each of 19 pairs of nurses independently selected N3 terms and rated the outcomes applicable to an actual patient for a specified time. A pair-through discussion then created a single consensus patient profile of the applicable terms. Before discussion, pairs agreed on 46% of the NANDA diagnoses, 30% of the NOC outcomes, and 20% of the NIC interventions selected. Eighty-nine percent of NOC label pair ratings were within 1 point. Building competency in N3 requires consistent use in written and oral communication with peers across time. Inter-rater reliabilities (IRRs) for NOC label ratings support previous findings.

scholarly journals Nursing Interventions in the Clinical Practice of an Intensive Care Unit

2010 ◽  
Vol 18 (5) ◽  
pp. 873-880 ◽  
Author(s):  
Amália de Fátima Lucena ◽  
Maria Gaby Rivero de Gutiérrez ◽  
Isabel Cristina Echer ◽  
Alba Lucia Bottura Leite de Barros
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Clinical Practice ◽  
Nursing Care ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Nursing Interventions ◽  
Sectional Study ◽  
Cross Sectional ◽  
Respiratory Management

This cross-sectional study was carried out at a university hospital to describe the nursing interventions most frequently performed in the clinical practice of an intensive care unit, based on nursing care prescriptions, and to investigate their similarity to the Nursing Interventions Classification (NIC). The sample consisted of 991 hospitalizations of patients. Data were retrospectively collected from the computer database and analyzed through descriptive statistics and cross-mapping. A total of 57 different NIC interventions frequently used in the unit were identified; most of them in the complex (42%) and basic physiological (37%) domains, in the classes ‘respiratory management’ and ‘self-care facilitation’. Similarity between the nursing care prescribed and nursing interventions/NIC was found in 97.2% of the cases. The conclusion is that the interventions/NIC used in the clinical practice of this intensive care unit reflects the level of complexity of nursing care, which is mainly directed at the regulation of the body’s physical and homeostatic functioning.

Processo de enfermagem fundamentado na teoria do autocuidado de Orem a um paciente submetido à cirurgia bariátrica

2009 ◽  
Vol 3 (4) ◽  
pp. 814 ◽  
Author(s):  
Lidiany Galdino Felix ◽  
Maria Miriam Lima da Nóbrega ◽  
Maria Júlia Guimarães de Oliveira Soares
Keyword(s):  
Bariatric Surgery ◽  
Nursing Care ◽  
Clinical Case ◽  
Self Care ◽  
Nursing Interventions ◽  
Nursing Process ◽  
Qualified Individual ◽  
Case Type ◽  
Nursing Diagnoses

Objective: to apply the nursing process fundament on the Theory of Orem’ Self-care, through the conduct of a report of clinical case, with a patient submitted to bariatric surgery. Methods: this is about a descriptive study, from qualitative approach, report of clinical case type, performed in a patient with morbid obesity, included in Bariatric Surgery Group of a teaching hospital in João Pessoa-PB city. For data collection was used a script adapted to Theory of Orem’ Self-care, which led to the identification of deficits of self-care and therefore to nursing diagnoses. It was then developed the plan of nursing care, with the determination of goals, objectives, method of assistance, type of system and nursing interventions. This study has been approved by the Research Ethics Committee of the Hospital of the Federal University of Paraiba (054/07). Results: from the identification of nursing diagnoses was established and implemented the plan of nursing care with the aim of restoring the patient to prevent postoperative complications, promote recovery and prepare you for the self-care. Conclusion: it is considered that the application of the nursing process, based on Theory of Orem’ Self-care, enabled the provision of assistance and qualified individual, encouraging the patient to participate actively in their treatment, but also to increase their responsibility in the outcome of care. Descriptors: nursing; nursing process; self care; bariatric surgery.

scholarly journals Penerapan Massage Abdomen dan Minum Air Putih Hangat untuk Mencegah Konstipasi pada Asuhan Keperawatan dengan Kasus Stroke di RSUD Poso

2019 ◽  
Vol 13 (2) ◽  
pp. 91
Author(s):  
Nirva Rantesigi ◽  
Agusrianto Agusrianto
Keyword(s):  
Nursing Care ◽  
Muscle Tension ◽  
Case Study Research ◽  
District General Hospital ◽  
Abdominal Muscle ◽  
Warm Water ◽  
Nursing Interventions ◽  
Nursing Diagnosis ◽  
Abdominal Massage

Non-pharmacological actions that can prevent and treat constipation are abdominal massage and therapy to drink 500 cc of warm water in the morning.  Doing massage can help encourage faeces and reduce abdominal muscle tension.  The purpose of this study is the application of nursing care in stroke cases.  This research is a type of case study research by applying comprehensive nursing care to patients.  The results showed data of patients who have not defecated for 4 days, the stomach feels full, there is a desire to defecate but it is difficult to get out, bowel sounds 6 times / minute.  The goal of nursing care is to prevent and overcome constipation, from moderate to mild constipation.  Nursing diagnosis of constipation is related to decreased gastrointestinal.  Nursing interventions Management constipation / impication.  Implementation of nursing doing abdominal massage and therapy to drink 500 cc of warm water in the morning.  Evaluation after 5 times giving patient intervention can defecate.  Conclusion: The application of abdominal massage and 500 cc warm water drinking therapy can prevent and overcome constipation in stroke patients in Poso District General Hospital.

scholarly journals Savaiminė vėlai diagnozuota stemplės krūtininės dalies perforacija: klinikinis atvejis

2007 ◽  
Vol 5 (3) ◽  
pp. 0-0
Author(s):  
Arūnas Žilinskas ◽  
Vygantas Gruslys ◽  
Vytautas Jovaišas ◽  
Ričardas Janilionis
Keyword(s):  
Case Report ◽  
Thoracic Surgery ◽  
Esophageal Perforation ◽  
University Hospital ◽  
Hospital Department ◽  
Proper Diagnosis ◽  
General Thoracic Surgery

Arūnas Žilinskas, Vygantas Gruslys, Vytautas Jovaišas, Ričardas JanilionisVilniaus universiteto ligoninės Santariškių klinikų Centro filialas, Krūtinės chirurgijos centras,Žygimantų g. 3, VilniusEl paštas: [email protected] Stemplės perforacijos gydymas yra sudėtingas ir diskusinis, nes tokių ligonių yra mažai, jų būklė dažniausiai būna sunki, liga vėlai diagnozuota. Šiame darbe pabandėme panagrinėti 29 metų vyro, operuoto praėjus 14 dienų po savaiminio stemplės plyšimo, ligos eigą. Pagrindiniai žodžiai: stemplės perforacija Spontaneous esophageal perforation: case report Arūnas Žilinskas, Vygantas Gruslys, Vytautas Jovaišas, Ričardas JanilionisVilnius University Hospital, Department of General Thoracic Surgery,Žygimantų str. 3, Vilnius, LithuaniaE-mail: [email protected] The treatment of esophageal perforation is difficult and controversial because of small amount of cases. Usually patients condition is bad and proper diagnosis is delayed. We present our experience with 29 year old male, who was operated 14 days after spontaneous esophageal perforation, case. Keywords: esophageal perforation

scholarly journals Análise sobre estudos de validação de intervenções de enfermagem

2020 ◽  
Vol 14 ◽  
Author(s):  
Erika Christiane Marocco Duran ◽  
Larissa Costa Figueiredo ◽  
Ráisa Camilo Ferreira
Keyword(s):  
Literature Review ◽  
Nursing Care ◽  
Validation Studies ◽  
Time Frame ◽  
Scientific Production ◽  
Integrative Review ◽  
Nursing Interventions ◽  
Nursing Diagnosis ◽  
Nursing Processes ◽  
Diagnosis Classification

Objetivo: analisar a produção científica sobre a validação de intervenções de enfermagem. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa de literatura, no recorte temporal de 2007 a 2016, na MEDLINE, CINAHL e Bibliotecas Virtual de Saúde e COCHRANE. Organizaram-se os estudos, categorizando-os e os analisando de modo descritivo. Resultados: encontraram-se 147 artigos e, após a leitura dos resumos e dos textos na íntegra, foram incluídos oito artigos. Conclusão: identificou-se, por meio da revisão integrativa, a produção científica referente à validação de intervenções de enfermagem na literatura, evidenciando um aumento da produção desses estudos, o que contribui para a prática de Enfermagem no Brasil. Descritores: Cuidados de Enfermagem; Estudos de Validação; Processo de Enfermagem; Diagnóstico de Enfermagem; Classificação; Enfermagem.AbstractObjective: to analyze the scientific production on the validation of nursing interventions. Method: this is a bibliographic, descriptive, integrative literature review, in the time frame from 2007 to 2016, in MEDLINE, CINAHL and Virtual Health Libraries and COCHRANE. The studies were organized, categorized, and analyzed in a perspective descriptive. Results: 147 articles were researched and, after reading the abstracts and texts in full, eight articles were included. Conclusion: it was identified, through the integrative review, the scientific production referring to the validation of nursing interventions in the literature, showing an increase in the production of these studies, which contributes to the practice of Nursing in Brazil. Descriptors: Nursing Care; Validation Studies; Nursing Processes; Nursing Diagnosis; Classification; Nursing.ResumenObjetivo: analizar la producción científica sobre la validación de las intervenciones de enfermería. Método: se trata de una revisión bibliográfica, descriptiva, integradora de la literatura, en el período de 2007 a 2016, en MEDLINE, CINAHL y Bibliotecas Virtuales de Salud y COCHRANE. Se organizaron los estudios, categorizándolos y analizándolos de manera descriptiva. Resultados: se encontraron 147 artículos y, después de leer los resúmenes y textos completos, se incluyeron ocho artículos. Conclusión: a través de la revisión integradora, se identificó la producción científica relacionada con la validación de las intervenciones de enfermería en la literatura, mostrando un aumento en la producción de estos estudios, lo que contribuye a la práctica de Enfermería en Brasil. Descriptores: Atención de Enfermería; Estudios de Validación; Proceso de Enfermería; Diagnóstico de Enfermería; Clasificación; Enfermería.

Sign in / Sign up

Export Citation Format

Share Document