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Introdução: As feridas de difícil cicatrização constituem um sério problema de saúde pública, devido ao grande impacto socioeconômico e do prejuízo causado a integridade física decorrente destas lesões, geralmente, associadas a doenças crônicas. Objetivo: mapear os diagnósticos de enfermagem identificados pelo enfermeiro no acompanhamento de pessoas com feridas de difícil cicatrização em seguimento de cuidados em uma unidade básica de saúde em Macapá-AP. Método: Estudo descritivo com abordagem quantitativa realizado na Unidade Básica de Saúde da Universidade Federal do Amapá com pessoas com feridas crônicas, cuja coleta de dados foi realizada durante a consulta de enfermagem. Resultados: A amostra deste estudo foi constituída por 17 pessoas com feridas crônicas, sendo a maioria do sexo masculino com idade média de 51,5±11,6 anos e predominantemente pardos. 52,9% são diabéticos e a principal ferida crônica foi a úlcera de pé diabético. Foram mapeados 19 diagnósticos de enfermagem diferentes sendo o diagnóstico de integridade tissular prejudicada foi de maior incidência. Conclusão: o mapeamento permitiu identificar os principais diagnósticos de enfermagem em pacientes com feridas, fundamentando o potencial para o desenvolvimento de protocolos clínicos que aprimoram a prática de enfermagem.

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Analyze the evidence regarding nursing care for pediatric patients with seizures, in oncology nursing, according to NANDA-I diagnoses. This is an Integrative Review, based on the LILACS, CINAHL, SCOPUS, WOS and PUBMED databases. Primary studies were included between 2018 and 2023, using a validated form and uploading to the Rayyan web application. Of 555 studies, only 7 were chosen, revealing the scarcity of approaches in oncology nursing. The majority of studies presented level (VI) of evidence (n=42.8%). Unspecified Epilepsy was prevalent (n=42.8%). Nursing diagnoses included: impaired communication, risk of acute confusion, pain, anxiety, fatigue and sleep pattern disturbance. Two axes were outlined: "Educational interventions before seizures" and "Interventions during and after seizures". Nursing care was crucial in reducing medication administration time, facilitating the identification of signs and symptoms, accelerating anticonvulsant therapy and reducing intensive care, hospital costs and readmission rates. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Rev Rene is the property of Rev Rene and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: In nursing practice, this concept has been identified in studies that address the nursing diagnosis of impaired spontaneous ventilation. Nursing performance facing this unwanted human response is considered essential for the maintenance and control of vital signs, cardiovascular monitoring, gas exchange and respiratory pattern, as well as constant surveillance aimed at signs of hypoventilation and inadequate ventilation. Objective: To analyze the concept of impaired spontaneous ventilation in critically ill patients in an intensive care unit. Methodology: This study is a concept analysis, according to Walker’s and Avant’s method, conducted using an integrative review. All the referential steps were followed: concept selection, determining the objectives and proposals for concept analysis, identifying the possible uses of the concept, determining the defining attributes, identifying a model case, identifying a contrary case, and identifying the precedents and consequences of the concept. Results: A sample of 38 studies was selected. The following were identified as attributes: distress and fatigue, respiratory distress, tachycardia, hemodynamic instability, altered mental status, abnormal arterial blood gas results, dyspnea, anxiety, agitation, sweating, hypoxemia and hypercapnia. Antecedents: sex, age, oxygen saturation lower than 90%, diseases of the respiratory, cardiovascular, neurological, gastrointestinal, neuromuscular, and metabolic systems, respiratory infections, trauma, poisons, toxins, and sedatives. Consequences: increased heart rate, decreased partial oxygen saturation, increased use of respiratory muscles, dyspnea, increased metabolic rate and restlessness. The model case and the contrary case were used to illustrate the attributes, antecedents, and consequences. Conclusion: The study directed the strengthening of evidence about the phenomenon and demonstrated a strong occurrence in patients who need assistance in intensive care units, thus demanding critical care. [ABSTRACT FROM AUTHOR]

Copyright of RIIS: Revista de Investigação & Inovação em Saúde is the property of RIIS: Revista de Investigacao & Inovacao em Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objetivo: analisar a prevalência do diagnóstico de enfermagem risco de lesão por pressão e dos seus respectivos indicadores em pacientes com trauma ortopédico. Método: Trata-se de um estudo transversal, descritivo, de abordagem quantitativa, realizado com pacientes no pré e pós operatório de cirurgias ortopédicas, em dois cenários distintos: na ala feminina e masculina em um hospital de referência em traumato-ortopedia, situado no interior do Ceará, Brasil. Os dados coletados foram compilados no software Excel (2013), analisados no software R versão 3.4.4 e organizados em tabelas. Resultados: Foram avaliados 93 pacientes, predominantemente do sexo feminino, cor parda, com média de idade de 46,29 anos, que não obtinham companheiro (a), com renda familiar média maior que um salário mínimo e de baixa escolaridade. Evidenciou-se prevalência no período pré-operatório, em maioria, com acometimento de membros superiores, em uso de imobilização ortopédica, com parâmetros (sinais vitais) clinicamente estáveis. A prevalência do diagnóstico de Risco de lesão por pressão foi de 98,92%, com elevada média de número de fatores de risco por paciente (10,31). Os fatores de risco mais prevalentes foram atrito em superfície (78,49%) e redução da mobilidade (78,49%), seguido de forças de cisalhamento (73,12%). Evidencia-se, que, há um forte indicativo que pacientes internados em clínica ortopédica possuem o risco de desenvolvimento de LP. Conclusão: A identificação dos fatores causais de lesão por pressão garante ao enfermeiro o planejamento e elaboração do plano de cuidados com intervenções específicas, afim de garantir a segurança do paciente, diminuição de agravos e melhor qualidade de vida.

Objetivo: relatar a experiência adquirida no reconhecimento do risco de fragilidade dos idosos, a fim de determinar os principais diagnósticos de enfermagem, promovendo melhoria na qualidade de vida e envelhecimento saudável. Materiais e Métodos: trata-se de um relato de experiência vivenciado pelos acadêmicos do 8º período de enfermagem de uma instituição de ensino superior da cidade de Montes Claros-MG. A atividade ocorreu no Centro de Especialidades Médicas - CEMED, da referida instituição, no período de outubro a novembro de 2021. No primeiro momento, realizou-se a avaliação do índice de vulnerabilidade clínico funcional do idoso, para avaliar o risco de fragilidade. No segundo momento houve a consulta de enfermagem que possibilitou a obtenção dos diagnósticos de enfermagem, elaboração de ações e cuidados que propõem melhoria na qualidade de vida da pessoa idosa. Resultados: observou-se que a utilização do índice de vulnerabilidade clínico-funcional-20 mostrou-se como uma ferramenta apropriada para avaliação e classificação do risco de fragilidade desse público, visto que agregada à consulta de enfermagem contribuiu para direcionar o seguimento da assistência ofertada. Ademais, as barreiras encontradas se basearam na dificuldade em repassar as intervenções para o idoso do estudo, devido a falhas nas tentativas de contato, mas que foram contornadas na última tentativa, resultando em boa aceitação e satisfação com relação aos planos de cuidados empregados. Há vários fatores que levam os idosos ao acometimento das grandes síndromes geriátricas como ambiente em que vivem, condições a que estão expostos, comorbidades e acontecimentos pessoais. Conclusão: é notória a importância da avaliação multidimensional do idoso, tanto nas questões de promoção de saúde, prevenção de doenças e síndromes geriátricas quanto na diminuição de danos quando o indivíduo já se encontra com a saúde comprometida. Consequentemente, tornou-se fundamental o emprego da avaliação multidimensional do idoso na identificação e tratamento de tais síndromes.

Objetivo: anvestigar na literatura, os diagnósticos de enfermagem prevalentes na assistência ao potencial doador de órgãos em morte encefálica. Método: trata-se de uma revisão integrativa, conduzida pela questão norteadora: Quais as evidências científicas à cerca dos diagnósticos de enfermagem prevalentes na assistência ao paciente doador de órgãos em morte encefálica? A busca foi realizada nas bases de dados LILACS, BDENF, CINAHL, MEDLINE e Cochrane Library. Resultados: a amostra final foi composta por sete artigos que abordam os diagnósticos de enfermagem prevalentes na assistência ao paciente doador de órgãos em morte encefálica. Os dados foram organizados em duas categorias temáticas: Principais diagnósticos, alterações fisiopatológicas e características definidoras e Conhecimento dos profissionais de Enfermagem diante da morte encefálica para o diagnóstico precoce. Conclusão: a assistência ao potencial doador é fundamental para a efetivação da doação, logo, os diagnósticos de enfermagem são a base para que esses profissionais planejem toda a assistência.

Objetivo: avaliar a qualidade dos registros do Processo de Enfermagem em prontuários de uma unidade de terapia intensiva adulto. Método: estudo transversal, com aplicação do Quality of Diagnoses, Interventions and Outcomes em 145 prontuários de pacientes que estiveram internados no período de novembro de 2018 a junho de 2019. Resultados: em relação ao domínio denominado Diagnósticos de Enfermagem como processo, apenas 27% dos registros apresentaram-se completos. No domínio Diagnósticos de Enfermagem como produto, os resultados foram satisfatórios com 97% da documentação completa. A satisfatoriedade se manteve nas Intervenções de Enfermagem, em que a completude foi obtida em 94% dos prontuários. Quanto aos Resultados, mais da metade dos registros apresentaram inconsistências. Conclusão: os registros do Processo de Enfermagem vêm sendo executados na unidade de terapia intensiva de forma parcialmente satisfatória, e, a partir deste estudo, é possível desenvolver estratégias para melhoria da qualidade dos registros.

Introduction: technologies are an integral part of health work, as they contribute to the construction of knowledge from the origin of the idea, through its development and reaching the implementation of knowledge. The association between technology and education becomes increasingly inherent to the restructuring of the current teachinglearning process, enabling new digital means of accessing information and knowledge to modify and improve the molds of globalized culture. Objective: to identify technologies that contribute to the development of clinical reasoning in the elaboration of nursing diagnoses in national and international publications. Method: integrative literature review, carried out in the Virtual Health Library (VHL), in the Theses and Dissertations Catalog of the Portal for the Coordination of Improvement of Higher Education Personnel (CAPES), in the CAPES periodicals Portal; Pubmed and in the Scopus database with studies published between 2002 and 2020, published in English, Spanish and Portuguese. Results: two articles, one thesis and two doctoral and academic master's dissertations were analyzed, in which the technologies used in the elaboration of Nursing Diagnoses were an Information System of the record type, computer software and an internet platform, a course with a learning approach based on in problems and decision trees to aid in diagnostic determination. The results showed limitations in the development of technologies for nurses' clinical reasoning. Final considerations: the study reveals challenges related to the development of technologies, which innovate the usual practice of nursing, whether in management, care, teaching, research and extension, indicating that publications on this topic are incipient, and technologies allow the development and construction of the knowledge. [ABSTRACT FROM AUTHOR]

A Doença de Huntington é uma condição neurodegenerativa rara e de origem genética, que incapacita o acometido na realização das atividades de seu cotidiano ao longo do tempo e que não possui tratamento para a cura. Assim, o acompanhamento desses indivíduos, por meio da sistematização da assistência de enfermagem é essencial para redução dos impactos gerados, pois é um método que proporciona ao profissional um olhar holístico para intervir nas necessidades do afetado. O objetivo deste artigo foi elaborar e aplicar a sistematização da assistência de enfermagem a membros de uma família acometida pela Doença de Huntington. Trata-se de uma pesquisa descritiva de 3 casos clínicos da doença, a coleta de dados foi realizada entre 01/10-30/11/2018. O estudo possibilitou o desenvolvimento de ações fundamentadas nas reais necessidades dos indivíduos e facilitou o desenvolvimento dos cuidados de enfermagem. Portanto, pode ser uma das principais estratégias, por permitir que as intervenções sejam particularizadas.

Objective: to describe nursing diagnoses and interventions in children with autism spectrum disorder based on nursing taxonomies and self-care theory. Method: exploratory and descriptive study, with a qualitative approach with 11 children and based on the application of the nursing process. International Nursing Diagnoses: definitions and classification taxonomy was used to define nursing diagnoses, self-care theory and nursing interventions classification recommendations for intervention planning. Results: social isolation, lack of motivation and dependence to perform activities were the main problems raised. The diagnostic statements that allowed the structuring of 27 nursing interventions comprised the deficit in self-care for food, bathing and intimate hygiene; social isolation; and the willingness to improve self-care. Final considerations: the capacity for self-care was compromised, requiring effective nursing strategies aimed at the child and family members. [ABSTRACT FROM AUTHOR]

Resolution No. 358/2009 of the Federal Nursing Council provides that all assistance provided by nursing must be duly registered and documented, indicating the Systematization of Nursing Care as a working method. This research aimed to understand the scientific production on the Systematization of Perioperative Nursing Care published in the "Revista da Associação Brasileira de Enfermagem de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização". Documentary research was carried out with a search in the summaries of the Brazilian journal on the production of studies on the subject, in the period from 2010 to 2020. It was considered as an inclusion criterion to identify the terms in the titles: "Systematization of Perioperative Nursing Care" or "SAEP" or "nursing diagnoses". Ten articles were found, grouped into three categories: NANDA, NOC and NIC connections; Care Practices and Work Processes; Protocol Deployment and Instrument Validation. The articles analyzed show that Systematization of Perioperative Nursing Care is associated with the implementation of comprehensive and continuous nursing, helping to improve health services. Although scientific production is scarce, an increase in publications was identified between 2017-2020. The categories in which the articles were grouped express the complexity of the theme and the diversity of reflections that arise on the subject. [ABSTRACT FROM AUTHOR]

Copyright of Portuguese Journal of Mental Health Nursing / Revista Portuguesa de Enfermagem de Saúde Mental is the property of Portuguese Society of Mental Health Nursing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To describe the nursing diagnoses and interventions are most common in the postoperative period of myocardial revascularization. Methodology: It is an integrative review of literature, with analysis of publication on the subject. To norteamento the search of the literature was used as a strategy peak. To complement the research we selected 13 articles on the topic. Results: The information allowed us to identify 25 nursing diagnoses, according to the NANDA Taxonomy II, among them are: Risk for infection; acute pain; Cardiac diminished; gas exchange impaired; Risk of unstable glycemia among others. Conclusion: The study proved to be crucial to develop studies about nursing diagnoses in the postoperative period of myocardial revascularization, directing the nursing actions specific to each patient, facilitating their decision-making. Descriptors: Cardiac Surgery, nursing diagnoses, nursing interventions, myocardial revascularization.

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

RESUMO Objetivo: analisar a correspondência entre os diagnósticos de Enfermagem da NANDA Internacional e áreas de cuidado e indicadores críticos do Sistema de Classificação de Pacientes de Perroca. Método: estudo descritivo de mapeamento cruzado realizado em unidades clínicas e cirúrgicas de um hospital universitário brasileiro em 2017. Amostra de 680 pacientes internados. Dados coletados em prontuário eletrônico e banco de dados do Sistema de Classificação de Pacientes de Perroca, analisados por mapeamento cruzado e estatística descritiva. Resultados: os registros demonstraram 58 diagnósticos de Enfermagem para pacientes classificados, na maioria (59,5%), como cuidados semi-intensivos pelo Sistema de Classificação de Pacientes de Perroca. Todos os diagnósticos de Enfermagem foram mapeados com correspondência pelo menos em uma área de cuidado. Conclusão: os diagnósticos de Enfermagem revelam a necessidades do paciente e também podem indicar o grau de complexidade do cuidado e dependência da equipe de Enfermagem, sendo guias importantes no gerenciamento do cuidado.

O presente estudo trata-se de um relato de caso de um paciente pediátrico acometido pela Síndrome de Steven Johnson (SSJ)/Necrólise Epidérmica Tóxica (NET). O objetivo do presente relato é descrever o caso de um paciente pediátrico com SSJ/NET, discutir as manifestações clínicas, diagnóstico e tratamento, além de sugerir uma proposta de diagnósticos e intervenções de enfermagem baseada nos problemas levantados. Conclui-se que a imunoglobulinoterapia mostrou-se eficaz no tratamento e que a implementação da assistência de enfermagem pode ser considerada parte essencial no tratamento da SSJ/NET.

The systematization of nursing care is a method and scientific work strategy that guides the daily practice of nurses in identifying situations of health and illness. Its practice requires the use of clinical reasoning and mastery of taxonomic language. This study aims to analyze the literature on the use of nursing diagnoses in intensive care units. The research was performed on the MEDLINE and LILACS databases. Eight studies were selected in a table with categories of articles, author/year, database and type of study and identified 47 diagnoses as the most frequent use. The inclusion criteria were full text, in Portuguese, English and Spanish; Between May 2010 and May 2015; Primary study and thematic approach. Exclusion criteria were articles that were not available in full text and outside the thematic. Studies show the use of systematization of nursing care in the intensive care unit, the difficulty of some services in the use of the taxonomic language of NANDA-I, the importance of using clinical reason and staff training for its use. The studies report the change in the profile of intensive care patients and the prevalence of use of nursing diagnoses geared to physiological needs.

Objective: To identify the most frequent clinical signs and symptoms and nursing diagnoses in patients in the immediate postoperative period of bariatric surgery. Methods: Observational study. Data collection was performed by two examiners and included epidemiological, social, clinical and physical examination. The presence and frequency of clinical signs and symptoms were recorded and led to the development of nursing diagnoses, according to the NANDA-I taxonomy 2018-2020. Results: 50 patients participated, being predominantly female, aged between 30-39 years and monthly income of 1.0 to 1.5 salaries. 80% of patients report having a family history of obesity. The 16 most frequent clinical signs and symptoms and the 16 nursing diagnoses were raised, with emphasis on the diagnostic titles: risks of infection and dysfunctional gastrointestinal motility. Conclusion: The present study identified the most frequent nursing signs and symptoms and also nursing diagnoses of patients in the immediate postoperative period of bariatric surgery, in addition to surveying important sociodemographic, epidemiological and clinical history data. These findings favor the implementation of the nursing process by facilitating the nurse's diagnostic reasoning. [ABSTRACT FROM AUTHOR]

Copyright of Enfermagem Brasil is the property of Atlantica Editora and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

RESUMO Objetivo: avaliar o efeito da implementação de um instrumento pautado nos sistemas de linguagens padronizadas de diagnósticos, intervenções e resultados na qualidade dos registros de enfermeiros. Métodos: estudo quase-experimental que comparou a qualidade dos registros de enfermeiros por meio do Quality of Diagnosis, Interventions and Outcomes em prontuários de pacientes hospitalizados em unidades cardiovasculares antes e após a implementação de um instrumento padronizado. Resultados: houve significativa melhora na qualidade dos registros após a utilização do instrumento nas dimensões "diagnóstico como processo” (p=0,018), "diagnóstico como produto” (p=0,019) e "resultados de Enfermagem" (p

Ojective: 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. [ABSTRACT FROM AUTHOR]

Introduction: Universalizing the language used by nurses will allow greater visibility for the profession; however, the Systematization of Nursing Assistance (SAE) in Primary Health Care (PHC) is still incipient. Among its phases, there are elements that require proper nomenclature. Objectives: To analyze existing nomenclatures and their potential for use in PHC. Methodology: Critical review of literature on nursing nomenclatures in Brazil: NANDA-I / NIC / NOC, CIPE / CIPESC and CIAP. Results: The nomenclatures searched are individuals / family / community. They focus on "problems" or "needs" and not just on clinical diagnosis of diseases. NANDA-I / NIC / NOC and CIPE / CIPESC does not have the potential to communicate with other professional categories, which constitutes a problem in the scope of PHC. The nomenclatures traditionally used by nursing had their application more focused on the hospital practice, except for CIPESC and CIAP. Conclusions: the literature reveals a lack of consensus regarding the potential of applying these nomenclatures for nursing use in PHC. [ABSTRACT FROM AUTHOR]

Objectives: To develop a nursing care instrument to guide the care of children and adolescents with cancer in palliative care in the Pediatric Oncology Intensive Care Center. Methodology: Methodological research, whose scenario was a federal unit specialized in cancer treatment, located in the city of Rio de Janeiro, Brazil. Nursing records were analyzed in the medical records of children and adolescents, for the elaboration of a care instrument containing nursing history, based on the four dimensions of palliative care, diagnoses, interventions and their expected results. Results: an instrument was elaborated according to the Nursing Process, containing a history in addition to the NANDA-I-NIC-NOC link. Conclusion: this instrument aims to serve as a basis for nurses to perform the nursing process for children and adolescents in palliative care admitted to the Pediatric Oncology Intensive Care Center, as it is scientifically proven to be effective in improving the quality of nursing care. [ABSTRACT FROM AUTHOR]

Objective: to present Nursing diagnosis (ND), interventions (NI) and results (NR) to assess the child from zero to two years old on Primary Health Care, based on the International Classification for Nursing Practice (ICNP). Method: qualitative research, of the action-research type, with seven nurses that act on PHC of a city in the west of Santa Catarina. ND, NI and NR were validated through Content Value Index. Results: Nineteen ND statements were created and validated, with ICNP®-based interventions and expected outcomes targeting children from zero to two years old. Conclusion: Creating ND, NI and NR supports and qualifies the work of nurses, empowering them and giving scientificity their actions [ABSTRACT FROM AUTHOR]

Objective: to analyze the profile of nursing diagnoses in patients in oncology palliative care according to the dimensions of the Multidimensional Approach Diagram. Methodology: quantitative descriptive study in Center of High Complexity in Oncology. The collection occurred between June and November of 2017 and the diagnoses were grouped in diagram and expressed by descriptive statistics. Results: 73 patients participated, the physical dimension listed: Unbalanced nutrition - less than bodily needs, Ineffective peripheral perfusion, Chronic pain, Impaired skin integrity risk and Risk of pressure lesion; social dimension: risk of the role of the caregiver and interrupted family processes; spiritual dimension exposed the Despair and Risk of spiritual suffering; and the psychological dimension to Anxiety, Feeling of Impotence and Fear. Conclusion: most of the diagnoses were physical, it is necessary to change postures in order to intervene in other needs, especially in the social, psychological and spiritual dimensions. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Resumo Objetivo Identificar os diagnósticos de enfermagem em crianças com doenças renais e analisar a associação entre esses diagnósticos, suas características definidoras e os fatores relacionados ou de risco. Métodos Estudo transversal, quantitativo, realizado com 68 crianças internadas em um Hospital Universitário no Nordeste do Brasil. Para a coleta de dados foi utilizado um roteiro de entrevista e exame físico. A elaboração dos diagnósticos foi processual e os dados foram analisados por meio da estatística descritiva e inferencial. Resultados Identificaram-se 13 diagnósticos. Os mais frequentes tiveram relação estatisticamente significativa com seus componentes e estavam inseridos nos domínios promoção da saúde, eliminação/troca, nutrição, segurança/proteção e atividade/repouso. Conclusão Os diagnósticos de enfermagem mais prevalentes foram volume de líquidos excessivo, risco de infecção, eliminação urinária prejudicada, fadiga e proteção ineficaz. Em geral, as características definidoras e os fatores dos diagnósticos apresentaram associação significante.

Copyright of Revista Eletrônica de Enfermagem is the property of Revista Eletronica de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

ABSTRACT Objective The purposes of this study were to examine the frequency of surveillance-oriented nursing diagnoses and interventions documented in the electronic care plans of patients who experienced a cardiac arrest during hospitalization, and to observe whether differences exist in terms of patients’ profiles, surveillance measurements and outcomes. Method A descriptive, observational, retrospective, cross-sectional design, randomly including data from electronic documentation of patients who experienced a cardiac arrest during hospitalization in any of the 107 adult wards of eight acute care facilities. Descriptive statistics were used for data analysis. Two-tailed p-values are reported. Results Almost 60% of the analyzed patients’ e-charts had surveillance nursing diagnoses charted in the electronic care plans. Significant differences were found for patients who had these diagnoses documented and those who had not in terms of frequency of vital signs measurements and final outcomes. Conclusion Surveillance nursing diagnoses may play a significant role in preventing acute deterioration of adult in-patients in the acute care setting.

Background: Priority nursing foci in acute care delivery to older patients are influenced by multiple factors, which may compromise care quality. Objectives: To describe nurses’ perception of the priority foci in the most frequent nursing interventions aimed at older inpatients in acute care settings, as well as to identify the association between priority nursing foci and other variables. Methodology: Exploratory, descriptive, correlational study using a non-random convenience sample of 124 nurses (♀=100, 80.6%; M=29.8 years; SD=6.75). A questionnaire was used to assess nurses’ perception of self-care priorities, and the frequency and importance of nursing interventions. Results: The most important self-care priorities were self-grooming, self-dressing/undressing, and self-transferring. Significant differences were found between frequency and importance in the nursing interventions of attending (Z=-3.272; p=0.001) and informing (Z=-4.824; p=0.000). Significant negative correlations were found between self-grooming and nurses’ age (r s =-0,203; p= 0.032), length of service (r s =-0,194; p=0.041), and the number of nursing care hours per older patient week (r s =-0.257; p=0.007). Conclusion: Nurses’ initial and lifelong training, together with institutional strategies, should be based on a new paradigm. [ABSTRACT FROM AUTHOR]

As part of the nursing process in puerperium, the survey of nursing diagnoses provides the basis for a selection of interventions to assist postpartum women in their real needs and to provide a qualified care. Objective: To list the main nursing diagnoses identified in postpartum nursing consultation in the maternity rooming of Maternidade Santa Lucinda, Sorocaba, São Paulo, Brazil. Method: This was a descriptive clinical study with quantitative approach, conducted with 60 mothers admitted to the institution. All of them attended the nursing consultation. Data about socio-demographic, obstetric and nursing diagnoses were collected. Results: The group studied was predominantly composed of young women, who had finished high school, were in a stable union, unemployed, mothers of a single child by normal birth. A total of 21 different diagnostic categories were identified. Among diagnoses identified, we mention: risk of infection; anxiety; disposition for improved family processes; disposition for improved paternity or maternity; disposition for improved breastfeeding; impaired tissue integrity; impaired sleep pattern, and risk of bleeding. Conclusion: The study allowed us to verify that, with the nursing diagnoses survey, one can properly apply the plan of care and educational actions to reduce risks or damages, as well as to improve nursing process. Among the most evidenced nursing diagnoses risk of infection and anxiety stand out. The findings contribute to further research on this subject, for a better understanding of the postpartum period. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

São vários os fatores que têm contribuído para o envelhecimento da população e envelhecer com qualidade constitui um desafio, ao qual o envelhecimento ativo pretende dar resposta. Neste sentido, procedeu-se ao desenvolvimento e implementação de um projeto de intervenção comunitária com o objetivo de avaliar o seu impacto nos diagnósticos de enfermagem. A metodologia utilizada no desenvolvimento do projeto foi o processo de planeamento em saúde, e os referenciais teóricos foram o modelo de promoção da saúde de Nola Pender e o modelo de educação competencial de Lemieux e Martinez. O Questionário de Avaliação Funcional Multidimensional de Idosos (OARS-PT) foi o instrumento escolhido para o diagnóstico de situação, aplicado a uma amostra de 45 idosos (34,6%), selecionada pelo método não-probabilístico, do total de 130 dos idosos que frequentam um Centro Social Paroquial da área de Lisboa. Os problemas identificados foram priorizados segundo os critérios: magnitude, transcendência social e económica, e vulnerabilidade. Resultaram como problemas prioritários (diagnósticos CIPE®): tristeza demonstrada, sono alterado, desolação demonstrada, bem-estar físico alterado e exercício não adequado. Optou-se por uma intervenção dirigida a grupos, com alicerce na Educação para a Saúde (EpS). Com foco nos três domínios de aprendizagem, as estratégias, métodos e técnicas escolhidas, tiveram por base o reforço do papel da família, as relações intergeracionais e a valorização da pessoa idosa na sociedade. A avaliação da intervenção, de acordo com os indicadores de processo e de atividade, sugere alterações ao nível da saúde física e mental, com contributos para a melhoria da qualidade de vida dos idosos.

Objetivo: identificar os diagnósticos e intervenções de enfermagem a pessoa com insuficiência cardíaca descompensada. Método: estudo descritivo, observacional e transversal do tipo relato de caso clínico. O lócus foi à unidade de terapia intensiva de um hospital terciário de ensino. Utilizou-se a nomenclatura Diagnósticos e Intervenções de Enfermagemdesenvolvida e validada para o referido hospital, conforme termos da Classificação Internacional para a Prática de Enfermagem (CIPE®). Resultados: foram estabelecidos diagnósticos de enfermagem a partir dos sinais e sintomas clínicos durante a admissão do paciente com insuficiência cardíaca descompensada. Os termos identificados mais comuns à doença foram: dispneia, edema, fadiga, débito cardíaco diminuído e arritmia. Conclusão: os diagnósticos/intervenções de enfermagem contribuem para a atuação do enfermeiro na tomada de decisão e manejo do paciente com insuficiência cardíaca descompensada, possibilitando realizar uma sistematização da assistência de enfermagem eficaz e resolutiva.

Objetivo: caracterizar a readmissão de mulheres associada ao perfil sociodemográfico, à causa de internação, ao diagnóstico médico e de enfermagem e ao tempo para readmissão. Método: estudo transversal, descritivo, realizado no ano de 2012 com mulheres readmitidas, após tratamento clínico ou cirúrgico, em hospital público cardiológico de São Paulo. Resultados: entre as 283 mulheres readmitidas, 54,8% eram idosas, 38,2% com ensino fundamental incompleto, 45,9% casadas, 33,9% aposentadas; 66,8% apresentavam hipertensão. O tempo de internação foi de 1 ou 2 dias e o intervalo para readmissão foi de 1 a 348 dias. Houve associação significante entre diagnóstico médico na área vascular com idade>60 anos (p=0,002), ensino fundamental incompleto (p=0,004), casadas (p=0,012) e não fumantes (p=0,026). Conclusão: a readmissão de mulheres estava associada a fatores como idade maior de 60 anos, aposentadas, com ensino fundamental incompleto, casadas, com hipertensão arterial, vindo para tratamento vascular, coronariano e de miocardiopatia com mobilidade física prejudicada.Descritores: Readmissão do Paciente; Mulheres; Cardiologia; Readmissão Hospitalar.