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ABSTRACT: This is a methodological study of innovative technology developed which aims to build up nursing care protocol to the patient in the pre and postoperative bariatric surgery. The proposed model of care was based on the General Theory Orem Self-Care and organized from the requirements of self-care (universal, developmental and health deviation). Within each requirement, it is presented nursing diagnoses, expected outcomes and nursing interventions that were identified in a survey conducted with 31 clients suffering from morbid obesity, assisted by the Gastroenterology Outpatient Clinic of a university hospital in the period from April to June 2009. The development of the protocol is considered an important resource both to organize the guidelines provided by nurses to the bariatric patient, aiming their self-care, and to provide subsidies to systematize nursing care to be provided.
Revista brasileira de enfermagem 02/2012; 65(1):83-91.
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ABSTRACT: Concepts are terms referring to phenomena that occur in nature or in thought, which are essential in developing research, as well as in the construction of theories. To fulfill this role in the construction of scientific knowledge, it is appropriate for them to be reviewed periodically, aiming mainly at its improvement. Despite the existence of different models of conceptual analysis, this methodology, in general, has not been well understood by nursing, especially in our reality. Therefore, in this article, of reflection, we describe some methodological considerations, including a practical approach on the methods proposed by Walker and Avant, Rodgers and Schwartz-Barcott and Kim, in order to give nurses greater understanding of this process.
Revista brasileira de enfermagem 12/2011; 64(6):1150-6.
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ABSTRACT: Background: The lack of standardization in the nursing special language has been identified as one of the main problems to overcome so that the profession can be recognized as a science. The emphasis on addressing these concerns led to the development of nursing terminologies that often do not reflect the local nursing practices, and this fact motivated the identification of professional nursing terms in a teaching hospital. Objective: To build, based on the ICNP® Seven Axes Model, a bank of terms of the nursing special language for the Neonatal Intensive Care Unit of a teaching hospital, by using the terms found in the nursing records of this unit. Methodology: Descriptive research developed with the goal of contributing to the systematization of nursing care at the Neonatal Intensive Care Unit of a teaching hospital. The steps followed in this research were: identification and evaluation of specialized documents; cross mapping of the identified terms with the ICNP® Version 1.0 terms; establishment of databases domain trees; development of definitions for terms not included in ICNP®, validation of the terms and definitions included in the database. Results: The results show that the 596 terms and definitions validated will enable the building of a bank of terms of the nursing special language for the Neonatal Intensive Care Unit, containing 226 terms that are included and 374 terms that are not included in ICNP® Version 1.0. Conclusion: It is expected that this database will become a source for the development of ICNP® Catalogues, including sets of diagnostic statements, nursing results and interventions, which can be used to implement the systematization of nursing care in the unit in question.
Online Brazilian Journal of Nursing. 01/2009;
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ABSTRACT: Problem: In healthcare services, it is the responsibility of the nursing staff to administer drugs. With the growing advances in new drug availability within the pharmaceutical industry, medicative practices have become complex, which contributes to the error rate. Objective: The objective of this article is to investigate, in online nursing journals, scientific publications involving errors in medication administration. Method: It is a bibliographical study that sampled eighteen articles from five nursing journals available in the Scientific Electronic Library Online (SciELO) database for the period of 2000 and 2008. Results: The data was collected in May 2009 and analyzed using a content analysis technique. The guideline category was errors in the medication administration and three subcategories: types, causes and consequences; nursing professionals' behaviors, conduct and feelings; prevention proposals. It was seen that, quantitatively, the largest number of publications corresponded to the third subcategory, which denotes the authors' concern with the subject. Conclusion: The articles analyzed are directly related to nursing aid practices in the context of drug administration, with emphasis on error occurrence. The study's empiric material identified the types, causes and consequences of errors, as well as the conduct, behaviors and feelings of the nursing professionals, and preventive measures related to the problem.
Online Brazilian Journal of Nursing. 01/2009;
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ABSTRACT: Objective: to examine the thematic of the systematization of care in Nursing dissertations defended a master's in of strict sense the post-graduate program Nursing. Methodology: descriptive literature search conducted from May to September 2007, using the top of the Masters in Nursing Dissertation of the Post-graduate Program in Nursing from 1982 to 1997 and from 1998 to 2006. The data collection was done through a reading of the summaries in full, so that we could identify the theoretical reference, the phases of the process of nursing and nursing terminologies used in the name of the elements of nursing practice. Results: 31 dissertations used the theme "Systematization of Nursing Assistance", using the vast majority of the benchmarks theoretical Horta and Orem, that all 31 (100.0%) dissertations used one or more of the stages of the Nursing process, with emphasis on the diagnostic phase that was used in 24 (77.4%) of dissertations, and that the Nursing terminologies are used in 27 (87.1%) of dissertations, with the NANDA-I Taxonomy used the most. Conclusion: the assistance Systematization of Nursing has been used in a master's in Nursing dissertations, but still not a priority for searches of Nursing. Is expected to approach the topic in this study will help motivate the nurses for the development of further studies involving the subject.
Revista de Enfermagem UFPE On Line. 01/2009;
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ABSTRACT: Objective: to build up a databank of technical words used in the surgical clinic unit of a public hospital. Method: a survey of the type exploratory-descriptive was conducted by following some methodological vocabulary-building strategies, such as: identification and evaluation of the terminological work; definition of the thematic range of the terminological analysis; construction of a databank domain tree; classification of the theoretical definition of existing terms and the ones that were not found in the ICNP® Version 1.0; and terms validation according to their respective denotations. Results: the 370 terms identified as in use by the University Hospital Surgical Clinic were mapped against the words adopted by the ICNP®, and the result was that 187 terms were found among those employed by the ICNP®, and the remaining 183 were not. These terms were then inserted on to the ICNP® taxonomic tree and duly validated according to their respective definitions by the research team. Conclusion: It has been concluded that the main objective of the present work was achieved with the creation of the Databank of Special Nursing Terms for the Surgical Clinic. One expects that the use of this databank may help the nursing team of the University Hospital to make proper use of their own vocabulary in their daily professional practice.
Revista de Enfermagem UFPE On Line. 01/2009;
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ABSTRACT: Objective: to elaborate the profile of nursing diagnoses in pregnant women assisted in a Family’s Health Unit based on NANDA-I’s Taxonomy II. Methods: this is about a retrospective study, analytic descriptive, regards to analysis from 20 pregnant women handbooks registered in the prenatal program from a family’s health unit. Data were collected in July 2008, with a form composed of three parts: partner-demographic data, obstetric data and referring data to defining characteristics and related factors (of risk) of the nursing diagnoses. Diagnoses were analyzed based on the descriptive statistics and discussed according to obstetrics references. Results: 13 nursing diagnoses were elaborated: risk for infection of the genital tract, ineffective maintenance of the health, risk for infection of the urinary tract, prejudiced urinary elimination, nauseas, sharp pain (head, pelvis and lumbar), fatigues, insomnia, sexual dysfunction, risk of paternity or prejudiced maternity, volume of excessive liquid, constipation, anxiety. Conclusion: the objective of the study was researched and we hope from the nursing diagnoses elaborated, some nursing interventions specific be addressed to the problems identified in the pregnant women during the prenatal consultations.
Revista de Enfermagem UFPE On Line. 01/2009;
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ABSTRACT: Objective: elaborating the Database of the Nursing Special Language of the Intensive Care Unit of the Hospital Universitário Lauro Wanderley of the University Federal of Paraíba, based on Model of Seven Axes from ICNP® Version 1.0. Methods: descriptive exploratory investigation, developed in the stages following: assessment of collection of special nursing terms take out nursing registrations of Intensive Care Unit of the HULW/UFPB; establishment of the tree of special nursing terms, for axes of ICNP® Version 1.0, and the classification of terms respects as constants and not constants set according to the axes of the ICNP® Version 1.0. Results: the terms identified were classified as constants and not constants in ICNP® Version 1.0. After the review was began the establishment of trees in this clinical area e and finally there was the construction of the bank consisted of 213 terms constants and 78 non-constants terms. Conclusion: it was concludes that the objective of the study was achieved and it is expected that their use contributes to the nursing unit’s use their own vocabulary in the practice, valuing the systematic registration of nursing actions and favoring the continuity of care.
Revista de Enfermagem UFPE On Line. 01/2009;
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ABSTRACT: Objective: to compose affirmative the nursing diagnosis, based on ICNP® Version 1.0, for patients with hematological toxicity after antineoplastic chemotherapy. Methodology: a descriptive exploratory study developed from identification of priorities in terms of ICNP®, for the construction of affirmative the nursing diagnosis for patients with haematological toxicity after antineoplastic chemotherapy, using the construction of affirmative criterion provided by International Council of Nurses and in accordance with ISO 18.104. Results: since the terms were constructed eleven affirmative the nursing diagnosis: Immunologic impairment process; Fever; Dyspnea; Impaired skin integrity; Fading; Inability to perform self-care in hospitalization or in domicile; Risk for infection; Risk for septic shock; Risk for hemorrhaging process; Risk for trauma; Risk for non adherence to treatment. Conclusion: conclude that the results of the study demonstrated the service to the proposed objective and it is expected that these diagnoses nursing care applied in patients with haematological toxicity after antineoplastic chemotherapy is possible to achieve an effective assistance to this clientele.
Revista de Enfermagem UFPE On Line. 01/2009;
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ABSTRACT: 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.
Revista de Enfermagem UFPE On Line. 01/2009;
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ABSTRACT: Objective: to analyze the Orem’ Self Care Theory according to the criteria from Fawcett. Methodology: this is about a descriptive and analytical study which was used the criteria for evaluation based on Fawcett: significance, internal consistency, parsimony and pragmatic adequacy. The analysis was descriptive, not requiring judgments as to its origin and content, reproducing or told accurately what it was considered. Results: the analysis expanded our knowledge on the Theory and to understand as it appeared, what influenced its development, its objective, main focus, its coverage and which the contributions for Nursing. Conclusions: it can be affirmed that this study was of extreme importance for the authors and contributed for the scientific and professional growth as well, and we hope that it can serve to also extend the knowledge of others researchers on this Theory or that it to get interest from this reading.
Revista de Enfermagem UFPE On Line. 01/2009;
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ABSTRACT: Este artigo teve como propósito descrever o desenvolvimento das primeiras fases da construção de um instrumentode coleta de dados para o cliente cirúrgico, com os objetivos de listar os indicadores empíricos encontrados naliteratura a partir das necessidades humanas básicas de Horta, e identificar a frequência desses indicadores empíricosem clientes internos na clinica cirúrgica. Para listar os indicadores empíricos utilizou-se como referencial teórico aTeoria das Necessidades Humanas Básicas, de Horta, e a partir de uma revisão na literatura foi possível definir cadanecessidade e identificar para cada uma delas os indicadores empíricos. Após essa busca, foi elaborado uminstrumento contendo 367 indicadores empíricos, o qual foi utilizado com 61 clientes internos na clínica cirúrgica doHULW. Obteve-se como resultado 84 indicadores empíricos que compuseram a primeira versão do instrumento decoleta de dados para cliente adulto cirúrgico. Espera-se que o instrumento que será elaborado a partir dessesresultados venha contribuir com a implantação da sistematização da assistência de enfermagem na clínica cirúrgica euniformizar a forma de coleta de dados na referida clínica no momento da admissão dos clientes, voltada para aidentificação das necessidades desses clientes.
Revista Eletronica de Enfermagem. 01/2009;
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ABSTRACT: Estudo exploratório-descritivo que teve como objetivo construir o Banco de Termos da Linguagem Especial deEnfermagem da Clínica Médica do Hospital Universitário Lauro Wanderley. Antecedendo sua execução, o projeto foisubmetido à apreciação do Comitê de Ética em Pesquisa, tendo recebido parecer favorável ao seu desenvolvimento.Na realização da pesquisa buscou-se atender a procedimentos da metodologia terminológica, como: 1) identificação eavaliação de documentação especializada; 2) delimitação do campo temático da análise terminológica; 3)estabelecimento de árvores de domínio da base de dados; 4) elaboração de definições teóricas para os termosconstantes e não constantes na CIPE®; 5) validação dos termos e respectivas definições que constituirão o Banco deTermos da Linguagem Especial de Enfermagem da Clínica Médica. O resultando dessa validação foi que 242 termosconstantes e 188 termos não constantes na CIPE® alcançaram um Índice de Concordância
Revista Eletronica de Enfermagem. 01/2009;
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ABSTRACT: It is a case study based on Horta's Theory of the Basic Human Needs and on the International Classification of the Nursing Practices (ICNP), aimed a systematizing Nursing Care for a patient with lupus erythematous systemic. This study was carried out at the Universidade da Paraíba University Hospital, a teaching hospital in the state of Paraíba, Brazil. Data collection was conducted through an instrument that fulfilled the psychobiologic, psychosocial, and psychospiritual needs based on Horta's theory. Nursing diagnoses were identified using ICNP Version Beta 2 establishing the expected outcomes and the nursing interventions, which were implemented and appraised. The results demonstrate that Systematization of the Nursing Care for this patient had the purpose of preventing disease complications and promoting the improvement of life quality.
Revista gaúcha de enfermagem / EENFUFRGS 04/2008; 29(1):26-32.
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ABSTRACT: Study of the methodological type that had as objective the construction and validation of an instrument of collection of data for the attendance to the aged one in the Health of the Family Program, anchored in the Theory of the Basic Needs of the Human Beings of Horta. For construction of instrument, used it literature specialized of area of nursing gerontology/geriatric, for identification of manifestations of necessities human beings basic in aged, that they had been submitted the content validation, to nurses of the area, being used in the construction of the instruments alone the manifestations that had presented weighed mean 0.80. In the choice of the format and structure of the instrument, opted if for the use of the evaluation functionary, cognitive evaluation, evaluation of the partner-familiar situation and the evaluation of the basic necessities of care of the aged one.
Revista de Enfermagem UFPE On Line. 01/2008;
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ABSTRACT: The traumas represent a great problem of public health, being the traffic accident the most frequent type of trauma and its victims considered high risk patients due to the immediate unknowing of the happened lesions. In spite of time limitations in the service to the trauma victim patient, a care of better quality can be rendered through the systematized attendance, once, it allows to discover relevant data, to judge situations, to make decisions and to manage the care discriminating the priorities and reactions, in a minimum of time and with a maximum of efficiency. This case study was accomplished during the service to an accident, that happened on a public road, with the objective of describer the nursing attendance to a trauma victim, taking as base the Model of Adaptation of Callista Roy, especially the physiologic way of the adaptation, and the International Classification for the Nursing Practice ICNP© Version Beta 2. After the data collecting, an individual process of judgment on the trauma victim's answers and on the stimulus that were provoking those answers took place. Starting from the collected data, it was possible to build the nursing diagnosis considering the components in the physiologic way of adaptation; to establish the nursing goals and the nursing interventions.
Revista de Enfermagem UFPE On Line. 01/2008;
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ABSTRACT: Objective: 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. Method: 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.
Revista de Enfermagem UFPE On Line. 01/2008;
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ABSTRACT: Objective: to analyze the Horta's Basic Human Needs Theory taking with theoretical reference methodological criteria for the analysis of conceptual models of Fawcett. Methods: search descriptive analytical developed through a systematic review of all publications and presentations available from Horta, thereby determining, exactly what was described on it in order to present its content and indicate your organization, avoiding inferences, standings, interpretations of other researchers about the work of the author. The analysis was presented in a descriptive way, that does not require judgments about their origin and content, and reproducing or reporting exactly what was proposed. Results: The completions of the analysis according to the criteria of Fawcett, enabled expand knowledge about the theory, understand how emerged, which influenced its development, its purpose, focus, its scope, and what the contributions he brought for Nursing. Do you can say that this work was of extreme importance to the authors and contributed to scientific and professional growth of the same, and it is hoped may also serve to broaden the knowledge of that subject or are interested in who will be interested to from that reading. Conclusions: Despite the undeniable contribution to the theory of Nursing Brazilian Basic Human Needs, remains a challenge, the need to use that model as impetus for the practice and research in nursing and thus contributing to the reassessment and upgrade of Horta Theory.
Revista de Enfermagem UFPE On Line. 01/2008;
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ABSTRACT: This study had as object the vocabulary which the different components of the nursing team use in practice. The primary objective was to contribute to the construction of a database essential of nursing to be introduced in systems of information. The specific objectives were to identify, in the literature and in other nursing terminologies, the meaning of the terms related to nursing phenomena, identified and mapped at school hospital's clinics, and to develop theoretical definitions for the terms classified in the axis Focus of ICNP Version 1. The following methodological stages were used: review of the literature for the identification of the meaning of the terms; mapping of the meaning of the terms and, statement of the theoretical definitions. This last stage was developed by nurses, nursing undergraduate students, and nursing postgraduate students, which participate in the Group of Studies and Research in Fundamentals of Nursing Assistance. One expect that the results of the study could, not only, contribute to the construction of a nursing essential database, which integrates the scientific and practical knowledge of the profession but, at the same time, be more sensitive to our reality and that includes terms related to nursing phenomena in order to facilitate the use of a professional common language.
Online Brazilian Journal of Nursing. 01/2007;
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ABSTRACT: Pesquisa exploratório-descritiva, desenvolvida com objetivos de identificar na CIPE® e em outras terminologias de enfermagem o significado dos termos relacionados com fenômenos de enfermagem, identificados e mapeados na Clínica Médica do Hospital Universitário Lauro Wanderley/UFPB; desenvolver definições teóricas para os termos classificados nos eixos Foco e Julgamento e não constantes na CIPE® e construir banco de termos identificados na Clínica Médica e classificados na CIPE® Versão 1.0, nos Eixos Foco e Julgamento. Na construção do banco de termos, foram seguidos quatro procedimentos da metodologia terminológica: identificação e avaliação da documentação especializada, delimitação do campo temático, estabelecimento da árvore de termos a serem definidos, e compilação dos dados extraídos para constituição das definições teóricas. Após a elaboração das definições as mesmas foram submetidas a um processo de análise e consenso, passando então a constituir o Banco de Termos da Clínica Médica composto de 210 termos. Os resultados desta pesquisa representaram uma positiva troca de experiências entre as pessoas envolvidas neste processo de construção, proporcionando uma real possibilidade de campos de estudos, bem como a apropriação desse banco de termos como instrumento de trabalho e produção do conhecimento pela equipe de enfermagem da Clínica Médica da referida instituição
Revista Eletronica de Enfermagem. 01/2007;
