To identify the nursing care problems related to the clinical process of disease by COVID-19. METHOD: The study applied the taxonomic triangulation technique on a clinical management guide to coronavirus disease, COVID-19, from the World Health Organization. The technique is divided into the phases: extraction of knowledge in natural language about assessment, planning and intervention, translation into standard language NOC and NIC, linking to NANDA-I diagnoses, triangulation looking for diagnostic matches in the three sets, and, finally, validation by a panel of experts from a hospital and a university. FINDINGS: The extraction identified 159 terms in natural language that were translated into 173 variables: 34 NOC for assessment, 19 NOC for planning, and 120 NIC for intervention. The relationships to NANDA-I diagnoses recorded 2,182 links and the triangulation returned 109 diagnoses, 54 of them for a critical situation. The panel of experts unanimously validated the 29 diagnoses with the highest number of links. CONCLUSION: Coronavirus disease, COVID-19, involves a complex situation with multiple associated care problems that can be identified using the taxonomic triangulation technique. IMPLICATIONS FOR NURSING PRACTICE:The links between taxonomies and the taxonomic triangulation technique are an important tool for generating knowledge. The results of this study may guide the diagnosis and treatment of coronavirus disease, COVID-19, as well as similar processes that occur with acute respiratory distress syndrome.
Aim:The aim of this study is to determine the validity and reliability of the Care Vulnerability Index (CVI) as a tool to estimate the need and competence of care. Design: A cross-sectional survey including a longitudinal component. Methods: Content validity ratio (CVR) was calculated by interrater agreement of a group of 11 experts in two rounds. The test-retest analysis was measured in an urban population of Colombia with 96 participants through two statistical tests: Pearson's correlation coefficient and the difference in means.Results: Care Vulnerability Index turned out to be valid with a CVR of 0.879. Reliability by Pearson correlation between test-retest was 0.912 (CI95: 0.872-0.941; p-value <.01) and there was no significant mean difference between test and retest in global score and in clustered groups of variables. Validating CVI will make it possible to prioritize healthcare resources in the population and identify people susceptible to care problems.
During recent years, there has been growing global concern for the environment and its impact on health. In 2015, the United Nations approved the Sustainable Development Goals (SDGs), a framework for joint action by all countries that addresses the social, environmental, economic and political determinants of health United Nations General Assembly, 2015). This framework of SDG includes elements such as housing, water, sanitation, unemployment or education to promote prosperity and protect the planet from climate change (United Nations, 2019). On the other hand, during the last year the COVID-19 pandemic has affected millions of people around the world. The lack of a known effective treatment to cure the SARS-CoV-2 disease has focused efforts on implementing measures to slow the spread of the virus. Control of environmental factors and social relationships are key elements (World Health Organization, 2020a).
Summary: Global immunization coverage in 2013Immunization currently averts an estimated two to three million deaths every year in all age groups from diphtheria, tetanus, pertussis (whooping cough), and measles.In 2013, an estimated 84% (112 million) of infants worldwide were vaccinated with three doses of diphtheria-tetanus-pertussis (DTP3) containing vaccine.Three regions -the Americas, Europe and Western Pacific -maintained over 90% DTP3 immunization coverage, Europe and the Western Pacific reaching 96%.• Number of countries reaching 80% or more immunization coverage with DTP3 containing vaccine in 2013: 160 countries.• Number of countries reaching 90% or more immunization coverage with DTP3 containing vaccine in 2013: 129 countries, and 119 sustaining it for 3 years. Fifty six of the 129 countries are reporting having reached 80% in all of their districts.
The aim of this study is to analyze the usability by nurses of the Knowledge-Based System "Diagnostics care for COVID-19." A convenience sample of 16 nurses was selected, among hospital workers and external experts. The group was divided into three subgroups intentionally to obtain different usability perspectives. Usability was evaluated by the System Usability Scale questionnaire. The participants completed the questionnaire on general usability, data inputs, and information output, after completing a minimum of 12 care plans. The first subgroup used real cases and the "think aloud" technique, the second simulated cases from the same hospital, and the third subgroup performed the external simulation. The highest scores were obtained in data inputs (94.38-97.50); and the lowest, in general usability (90.00-95.00). The subgroup of external experts scored the highest (93.13-95.63), and the first subgroup, which carried out real cases, gave the lowest score (90.00-94.38). The "think aloud" technique found an improvement in including more diagnoses and being able to carry out several plans for one person at the same time. The usability obtained was "excellent" in all subgroups and questionnaires, although the application showed limitations related to its characteristics imposed in the requirements specification.
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