Objective: To elaborate and validate a proposal for a nursing care plan in people hospitalized with AIDS, in an infectious disease unit, using ICNP® version 2015. Methods: A cross-sectional study, followed by validation of content, performed with 20 nurses and 120 people, living with AIDS in an infectious disease unit of a hospital of infectious diseases in Northeast Brazil. The methodological trajectory was carried out in the following stages: elaboration of the diagnosis, nursing outcomes; Initial proposal of nursing interventions; Preparation of a care plan; And validation of the plan by field experts. Results: 42 diagnoses were elaborated and validated, 33 presented CVI ≥ 0.80 (55.42%) among field experts. From this quantitative, 228 interventions were elaborated and 41 obtained a CVI ≥ 0.80 (44.78%), considered validated. Conclusion: The study allowed us to identify and validate nursing diagnoses, outcomes and interventions for the use in clinical practice, aiming to subsidize the process of care for people with AIDS.
Objective: to evaluate the use of students' learning about nursing diagnostic reasoning, through realistic simulation. Methodology: cross-sectional study, with a quantitative approach, developed at a public university in Northeast Brazil with students from the last year of the Nursing Undergraduate Course. For the evaluation, the students answered an evaluation instrument on realistic simulation with 11 questions, using a 5-point Likert scale. The ethical principles of research with human beings were respected. Results: the evaluation of the students' learning performance presented higher means (5.0) for the following items: simulation as a teaching-learning strategy, made it possible to develop the diagnostic reasoning, made it possible to develop the clinical judgment, recommend the realistic simulation for teaching the graduation and lowest average (3.87) for the item adequate time. Conclusion: The study identified that students usefully evaluated learning about nursing diagnostic reasoning, through realistic simulation. Realistic simulation presents itself with a teaching strategy for the development of nursing diagnostic reasoning and clinical judgment for bringing theory and practice closer together, contributing to the formation of critical and reflective professionals better prepared to act on current everyday problems.
Objective: To identify ICNP® nursing diagnoses from nursing practice phenomena evidenced in health evaluation of people living with the acquired immunodeficiency syndrome (AIDS). Methods: Cross-sectional study with 120 people living with AIDS at a hospital for the treatment of infectious and contagious diseases. Data collection was carried out using an interview script and a physical exam. Diagnoses were formulated using the ICNP ® guidelines. Data were analyzed through descriptive and inferential statistics. Results: Seventy-two nursing practice phenomena were identified, and 37 diagnoses were given. Among them, 11 reached agreement and content validity indexes > 0.80 and were considered validated. Within this set of diagnoses, seven were categorized in the group of psychobiological needs and four were included in the group of psychosocial demands. Conclusion: The identification of nursing practice phenomena helps to formulate diagnoses, results, and interventions oriented to the essential needs of people living with AIDS. ResumoObjetivo: Identificar diagnósticos de enfermagem da CIPE ® , a partir dos fenômenos da prática de enfermagem evidenciados na avaliação da saúde de pessoas vivendo com a Síndrome da Imunodeficiência adquirida. Métodos: Estudo transversal com 120 pessoas vivendo com Aids em um hospital de doenças infectocontagiosas. Para a coleta de dados empregaram-se um roteiro de entrevista e exame físico. A elaboração dos diagnósticos foi realizada utilizando-se a CIPE ® . Os dados foram analisados por meio da estatística descritiva e inferencial. Resultados: Identificaram-se 72 fenômenos da prática de enfermagem, sendo possível a elaboração de 37 diagnósticos. Destes, apenas 11 obtiveram o índice de Concordância e índice de validação de conteúdo > 0.80, sendo considerados validados; dos quais sete foram classificados dentro das necessidades psicobiologicas e quatro nas psicossociais. Conclusão: A identificação dos fenômenos da prática de enfermagem corrobora na elaboração dos diagnósticos, resultados e intervenções direcionados às necessidades prioritárias de pessoas vivendo com Aids.
Objective: to discuss the organization of Nursing technician’s work in the interface of the care of family members ofhospitalized children and to identify their perception of the insertion of family in caring for this child. Methods: this is anexploratory descriptive study with a qualitative approach, undertaken in the pediatric inpatient unit of a university hospitalwith six Nursing technicians, through semi-structured interviews. Results: professionals realized the importance of thefamily’s presence for the child’s recovery; however, in basic care which was previously developed by Nursing, they wereeventually delegated to be companions, with care for the child-family binomial forgotten by the professional. Conclusion:nursing technicians recognize the benefits and difficulties of the presence of a companion. However, it is perceived that therewas a lack of professional preparation when considering the binomial of child-family during hospitalization.
Objetivo: Construir um banco de termos da linguagem especial de enfermagem para pacientes com lesão por pressão, utilizando a Classificação Internacional para a Prática de Enfermagem (CIPE®). Método: Estudo terminológico em um hospital no Nordeste do Brasil. Realizou-se: identificação e coleta dos termos, extração dos termos dos prontuários e eliminação das repetições, normalização dos termos, mapeamento cruzado entre termos extraídos e os termos constantes na CIPE®, refinamento dos termos e validação das afirmativas do banco de termos. RESULTADOS: Identificaram-se 391 termos. Estes foram submetidos ao mapeamento cruzado e validação de especialistas que resultou em 370 termos, sendo 225 constantes e 145 não constantes na CIPE®. CONCLUSÃO: Os termos identificados valorizaram aspectos fisiopatológicos, o que subsidia o planejamento dos cuidados e avaliação dos resultados das intervenções de enfermagem pautadas nos aspectos fisiológicos.
Objetivo: Realizar o mapeamento cruzado dos títulos de diagnósticos de enfermagem (DE) para pessoas vivendo com Aids formulados segundo a CIPE® com os diagnósticos da NANDA-I para pessoas vivendo com Aids. Método: Estudo transversal, descritivo com abordagem quantitativa. Realizado o mapeamento cruzamento entre as classificações de enfermagem CIPE® e NANDA-I, classificados os DE segundo os critérios de Leal e as Necessidades Humanas Básicas. Resultados: Após realizar o mapeamento cruzado 60% dos DE CIPE® foram não contantantes na NANDA-I, enquanto 40% foram constantes. Foram classificados segundo Leal em: 30% similar, 5% mais restrito, 4% mais abrangente, 1% não existe concordância e 58% não foi encontrado DE NANDA-I correspondente. Conclusão: O estudo torna-se importante por comparar a utilização prática das duas classificações de enfermagem mais utilizadas no mundo, auxiliando a tomada de decisão dos enfermeiros embasada no conhecimento científico, além de fortalecer o estado da arte da Enfermagem.
Objectives: Mapping nursing care in kidney transplant patients. Materials and method: A scoping review was conducted according to the recommendations of the Joanna Briggs Institute Reviewers’ Manual. Data were collected through 13 national and international databases from December 2020 to January 2021, following scientific rigor in the selection of the material. The pre-selection was made by reading the title, abstract and introductory text in advance; the materials included in this stage were read in full to define the content for the study. Results: Fifteen studies were included. Of these, 60% are articles; dissertations, manuals, protocols, guidelines and bulletins totaled 40% of the material studied. 86.6% of the material has a quantitative approach. Regarding the methodological design, 73.3% were descriptive/transversal character studies. Regarding the mapping of nursing care, it was possible to divide them into two categories: nursing care after kidney transplantation (immediate, mediated and late) and nursing care after kidney transplantation in primary health/extra-hospital care. Conclusions: It is concluded that the study allowed mapping nursing care to kidney transplant patients in the immediate, late and primary health care periods.
Tertiary Care or High Complexity is understood to be a set of highly specialized services, with high-density and high-cost technological resources. The objective is to evaluate the highly complex services of reference to assistance to people living with HIV / AIDS in Rio Grande do Norte. This work consists of a descriptive and analytical research developed in the services of high complexity in HIV / AIDS in Rio Grande do Norte, consisting of reference Hospitals of Infectocontagious Diseases, which took the codenames HGT and HRF. Secondary data from the reports issued by the institutions and the Ministry of Health were used, based on the Qualiaids Questionnaire (version 2017). Only the domains categorized in standard 0 (unsatisfactory) and discussed according to Bardin's Content Analysis (2009) were discussed. The research was approved by the Research Ethics Committee - CEP of the State University of Rio Grande do Norte - UERN under Opinion: 2,567,260. From the analysis of the 76 indicators present in Qualiaids, the HGT had 28 indicators classified in standard 0, being 12 of assistance, 07 of management and 09 of resources, while, the HRF had 17 indicators, being 06 of assistance, 06 of management and 05 resources. Similar realities are seen in both high complexity hospitals in the state, however, facing difficulties related to assistance, resources and management, however, according to the evaluation of the indicators, HRF is better structured in relation to HGT.
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