This is a descriptive study using the data side of the municipal secretariat for coordination of social policy in Belo Horizonte, whose purpose was to describe the epidemiological profile of elderly population of this city. The elderly in Belo Horizonte in 2000 represent 9.1% of total population residing therein. Population of elderly, 60.5% are women and 39.4% are men, 2.9% of the elderly had some type of physical disability, 16.4% have hearing loss, 23.5% find it hard to see, 24.1% have difficulty walking or climbing stairs, and that 3.8% had mental problems. It was concluded that the share of elderly people, weakened in Belo Horizonte was represented by less than one with good health. Aging is not synonymous with disability.
Este artigo apresenta a metodologia empregada na construção de um banco de termos da linguagem especial de Enfermagem descrevendo o processo de extração e padronização de termos identificados em prontuários de pacientes internados em uma unidade de tratamento intensivo de adultos, mapeando os termos extraídos com os termos existentes na CIPE® - versão 1.0 e classificando os termos não constantes nos sete eixos dessa classificação. É possível identificar termos que são utilizados na prática por enfermeiros e construir bancos de termos que possam alimentar sistemas de informação que auxiliem na operacionalização das etapas do processo de Enfermagem e na construção de catálogos CIPE®.
Objective: To adapt data collection of the Information System software with the nursing process in Intensive Therapy for use in medical and surgical clinic units. Methods: A descriptive study developed in three stages. The first consisted of team training; in the second, the software was applied in clinical practice with 100 patients; and in the third, we analyzed the modifications to be done. Results: There was inter-observer agreement of 91%, followed by application of the software in 100 patients. In the “patient registration” module, it was suggested the exclusion of one item, inclusion of six and modification of four of them. In the anamnesis screens, no items were flagged to be deleted; 26 inclusions and 7 changes were proposed. In the physical examination screens, it was suggested the exclusion of 31 items, inclusion of 26 and modification of 27. Conclusion: Modifying information systems and going through stages methodologically constructed and implemented was important.
OBJECTIVE: to analyze the efficacy of the Nursing Process in an Intensive Care Unit using indicators generated by software. METHOD: cross-sectional study using data collected for four months. RNs and students daily registered patients, took history (at admission), performed physical assessments, and established nursing diagnoses, nursing plans/prescriptions, and assessed care delivered to 17 patients using software. Indicators concerning the incidence and prevalence of nursing diagnoses, rate of effectiveness, risk diagnoses, and rate of effective prevention of complications were computed. RESULTS: the Risk for imbalanced body temperature was the most frequent diagnosis (23.53%), while the least frequent was Risk for constipation (0%). The Risk for Impaired skin integrity was prevalent in 100% of the patients, while Risk for acute confusion was the least prevalent (11.76%). Risk for constipation and Risk for impaired skin integrity obtained a rate of risk diagnostic effectiveness of 100%. The rate of effective prevention of acute confusion and falls was 100%. CONCLUSION: the efficacy of the Nursing Process using indicators was analyzed because these indicators reveal how nurses have identified patients' risks and conditions, and planned care in a systematized manner.
Aim: to analyze whether nursing goals formulated for nursing diagnoses can be mapped to nursing outcomes classification and to identify the scales most appropriate to the outcomes mapped. Method: a descriptive study was developed in an intensive care unit. Data collection involved extraction of goals in 44 medical records, content standardization, cross-mapping to the outcomes, identification of appropriated scales and validation. Descriptive analysis and agreement with the cross-mapping process were performed. Results: nursing goals (59) were mapped to (28) different outcomes, with agreement of 83% in the mapping process. All goals were mapped to outcomes, which allows to affirm that these outcomes contemplates the goals elaborated to patient care. Conclusion: these results favor the inclusion of outcomes and scales validated in the planning and evaluation phases of the nursing process of a software in construction. Identificación de metas de enfermería de una Unidad de Cuidados Intensivos a la Clasificación de Resultados de EnfermeríaObjetivo: analizar si en las metas formuladas desde diagnósticos de enfermería pueden ser identificados resultados y escalas apropiadas a los resultados identificados. Método: estudio descriptivo realizado en unidad de terapia intensiva. La colecta envolvió extracción de las metas registradas en 44 prontuarios, normalización de contenido, identificación de resultados, de las escalas apropiadas y validación. Análisis descriptivo y de concordancia con el proceso de identificación fueron procedidas. Resultados: En las metas de enfermería (59) fueron identificados diferentes resultados (28), con concordancia del 83% en el proceso de identificación. En todas las metas fueron identificados resultados, lo que permite afirmar que ésos contemplan las metas elaboradas para los pacientes atendidos. Conclusión: los hallazgos favorecen la inclusión de resultados y escalas en las etapas de planificación y evaluación en un software con el proceso de enfermería en construcción.
This descriptive study aimed at elaborating nursing diagnostic labels according to ICNP®; conducting a cross-mapping between the diagnostic formulations and the diagnostic labels of NANDA-I; identifying the diagnostic labels thus obtained that were also listed in the NANDA-I; and mapping them according to Basic Human Needs. The workshop technique was applied to 32 intensive care nurses, the cross-mapping and validation based on agreement with experts. The workshop produced 1665 diagnostic labels which were further refined into 120 labels. They were then submitted to a cross-mapping process with both NANDA-I diagnostic labels and the Basic Human Needs. The mapping results underwent content validation by two expert nurses leading to concordance rates of 92% and 100%. It was found that 63 labels were listed in NANDA-I and 47 were not.
This is a qualitative study, based on comprehensive sociology, which aimed to understand the meaning assigned by health professionals of Belo Horizonte-MG, Brazil, to the principle of resolvability in the everyday actions of health. Thirty-two workers were the informants of this research. We used a semi-structured interview technique and content analysis. Professionals describe what is the solution and the factors that hinder their achievement. They realize, too, that patients do not always leave the Units with the response they want; and that the service is resolute in that matches your level of attention, although for some people and managers is the reverse. We conclude that it becomes urgent to reorganize aspects of this doctrinal principle of SUS.
Descriptive study that aimed to identify nursing actions prescribed by nurses in the medical records of patients admitted to an Intensive Care Unit (ICU) for adults, in Belo Horizonte (MG), the terms used, their frequency and map the actions to the Theory of Basic Human Needs and NIC interventions. It was obtained a sample of 44 patient records. It was identified 2,260 nursing actions. After exclusion of repetitions, it was found 124 different actions. All nursing actions have been mapped to physiological needs and also to NIC interventions. It was obtained 100% of agreement among experts in the validation of the mapping process. It is suggested that similar studies in ICUs from other locations and different contexts / specialties should be driven to identify nursing actions developed and its evolution.
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