Support to the definition the priority interventions in nursing process documentation.

PURPOSE To assess the surgical wound (SW) healing in orthopedic patients with Impaired tissue integrity according to the Nursing Outcomes Classification (NOC). METHODS A prospective longitudinal study performed with 24 patients. Data collection was performed through an instrument containing the NOC indicators. FINDINGS The indicators skin approximation, drainage, surrounding skin erythema, periwound edema, increased skin temperature, and foul wound odor presented a statistically significant increase when compared the means between the first and the last day of evaluation. CONCLUSION The NOC indicators allowed to monitor the SW healing indicating an improvement. IMPLICATIONS FOR NURSING PRACTICE The NOC can favor an earlier identification of the degree of commitment for each patient and enables implementation of care to achieve target outcomes.

RESUMO Objetivo Analisar as Linguagens padronizadas de enfermagem em ortopedia na perspectiva do Nursing Role Effectiveness Model. Método Pesquisa com método misto realizado em um hospital do Sul do Brasil entre abril de 2016 a fevereiro de 2017. Os dados quantitativos foram coletados de 85 pacientes ortopédicos usando a NANDA-International, Classificação de Intervenções e Resultados de enfermagem, submetidos à análise estatística. Os dados qualitativos foram coletados por meio de entrevistas com 10 enfermeiros e foram analisadas mediante análise de conteúdo. Resultados Dor aguda (96%) foi diagnóstico de enfermagem prevalente. Prevenção de quedas (33,3%) foi a intervenção mais prescrita. Nível de Dor, Posicionamento do Corpo: autoiniciado e Mobilidade apresentaram aumento nos escores de resultado (p<0,001). Nas entrevistas os enfermeiros apontaram que os diagnósticos prioritários e as intervenções de enfermagem contribuíram para a melhoria dos resultados de mobilidade. Conclusão Os resultados revelaram que o foco das Linguagens padronizadas de enfermagem em ortopedia na perspectiva do Nursing Role Effectiveness Model reside no contexto da mobilidade, porém precisa de melhorias na acurácia diagnóstica e registro no prontuário do paciente.

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Healthcare‐associated infections represent a public health problem, and they have repercussions for patient safety. The aim of this study was to determine the psychometric properties of the Rodríguez–Almeida–Cañon (RAC) adult infection risk scale, focusing on the construct and predictive validity and reliability. The study enrolled 278 patients at a large hospital in southern Brazil. The research process involved the following three phases: construct validation, assessing predictive validity, and assessing reliability. Confirmatory factor analysis showed a good fit using a two‐factor model with 15 items. The logistic regression analysis showed an association between the scale score and prediction of developing healthcare‐associated infections (odds ratio: 1.18; 95% confidence interval: 1.08–1.28). The Cronbach's alpha was 0.72 for intrinsic factors subscale and 0.71 for extrinsic factors subscale. A high level of inter‐rater agreement (intraclass correlation coefficient ≥0.97) was found for both subscales. The Bland and Altman method showed narrow agreement limits, demonstrating good agreement between evaluators. The findings of this study showed that the RAC adult infection risk scale is a new, reliable, and psychometrically valid instrument to assess healthcare‐associated infections risk. Future research using this scale may lead to a better understanding of the healthcare‐associated infections risk and assist health professionals in decision‐making for interventions to improve patient safety.