The study aimed to identify the scientific productions about the International Classification for Nursing Practice - ICNP and its national contribution, using integrative review as research for approaching of the investigation object. In total 111 scientific productions were identified in the period from 1994 to 2008, 45,5%, were Brazilian studies. The average world scientific production per year was 7.3, including Brazil with 3.3 annual productions in average. The predominance of quantitative correlation descriptive studies was verified. Clinical-individual model and researches related to ICNP use in States of Rio Grande do Sul, Santa Catarina, Paraná and Paraíba, as well as the important contribution of the Brazilian Nursing Association with the project International Classification for Nursing Practice Collective Health.
Processo gerencial em centro cirúrgico sob a ótica de enfermeiros Management process in surgicenters from the perspective of nurses Proceso de gestión en el quirófano bajo la óptica de enfermeros
Validación clínica del diagnóstico de enfermería dolor de partoObjetivos: El estudio propuso identificar la presencia de los indicadores clínicos de dolor de parto y correlacionar el relato verbal de intensidad del dolor con la ocurrencia de contracciones uterinas, como propuesta de validación clínica del diagnóstico de enfermería Dolor de Parto.Método: Estudio observacional de los 22 indicadores clínicos que representan las características definidoras para el diagnóstico. Resultados: Participaron 55 parturientes (18 en la fase activa inicial, 6 en la fase activa final y 31 en ambas fases), mayores de 18 años, gestación de feto único, contracciones efectivas y dilatación cervical ≥4cm. Fueron testadas 22 características definidoras, 6 presentes en la mayoría de las participantes en las dos fases: relato verbal o codificado, evidencia observada de contracción uterina, alteración del tono muscular, evidencia observada de dolor, comportamiento expresivo y expresión facial de dolor. Fueron encontradas diferencias entre las fases para diaforesis, expresión fácil de dolor, gestos protectores, posición antiálgica, comportamiento de distracción, foco en si mismo y relato de presión perineal.Conclusiones: Se observó correlación linear positiva entre escores de intensidad de dolor y amplitud de presión intrauterina en la fase inicial. El dolor de parto se evidenció un fenómeno compatible para diagnóstico de enfermería.
Barcellos Dalri pelas valiosas sugestões na condução deste estudo. .-À Eva Adlero e Rose Vazille Engracia Garcia pelo apoio sempre presente.-À secretaria de pós-graduação, em especial: Carla, Ketleen e Flávia.-Aos membros do grupo de pesquisa Enfermagem e Comunicação da EERP-USP pelas sugestões e conquistas conjuntas.-Às minhas coordenadoras Dra. Dulce Maria Silva Vendruscolo (FIPA), Dra. Dircelene Jussara Sperandio (FIPA) e Dra. Maria Cristina Traldi (FMJ), ao Assessor de Diretoria Dr. Antonio Carlos Araújo (FIPA), Diretores Nélson Jimenez (FIPA) e Dr. Itibagi Rocha Machado (FMJ), pelo empenho e incentivo a minha formação acadêmica em nível de Doutorado.
Objective: Identify experiences of the person with intestinal ostomy related to their social life. Methods: Descriptive study, qualitative in nature, carried out with ten people with intestinal ostomy. Data collection was performed at the Stomatherapy Service of a teaching hospital in the Federal District, through semi-structured interviews relating to family and social experience before and after the ostomy. Results: Six men and four women participated, with a mean age of 49 years, most with a permanent colostomy. From the analysis, two categories emerged: “What is it like to live with an ostomy and its challenges”; and “Strategies developed in the face of changes”. In the first category, the following stand out: self-care, lack of adequate bathroom, work activity, eating habits, disruption of body image and embarrassing situations. In the second category, they seek to support religiosity, maintain positive feelings and preserve emotional balance. Conclusion: The ostomy interferes with family and social life. It was evident that the person with ostomy develops strategies to face changes. It is believed that social isolation stems, in part, from the lack of information from society, the lack of quality material that offers comfort and safety, and, finally, the lack of adapted public and private bathrooms.
In the midst of the pandemic caused by the new coronavirus (SARS-CoV-2), researchers and governmental and non-governmental institutions are mobilizing to implement strategies to face cases of COVID-19. Aim: This study aimed to map the triage strategies for cases of COVID-19, with the purpose of identifying sources in the literature that make it possible to explore the understanding of the strategies in different contexts. A scope review was conducted with searches in the CINAHL Database, PubMed, LILACS and hand-search, considering studies carried out with users of health services and documents published by governmental and non-governmental institutions, between the years 2019 and 2020, resulting in 40 articles for full reading. To explore the key concept, thematic analysis was carried out at two levels: (1) triage strategies, (2) forms and experiences of triage. Five triage strategies were mapped: health services triage; digital triage by remote use of technologies; community triage; home visit triage and airport and port triage. The forms and experiences of mapped triages involved risk classification, diagnosis and definition of conducts or combined. The use of strategies with remote technological resources stands out, as well as the adaptation of existing scales with simple algorithms as a tendency.
Objectives: to identify and to classify the studies developed in Brazil that had used in the practical assistential the Taxonomy of the NANDA. Method: integrative review of the literature, carried through in the databases LILACS and MEDLINE, using itself the word-key Taxonomy and NANDA, being selected studies with summary, published in Brazil and that presented the practical application of the taxonomy. Results: of the 46 selected studies, 80.4% had been developed in the clinical area and excessively in the surgical area. It had predominance of prospectives studies in the hospital scene; the used theoretical referencial more had been of Horta and Orem. The studies had presented the descriptive delineations and study of case, having been classified as evidence level 4. Conclusion: the evidences point with respect to the use of the Taxonomy of the NANDA as bases for the development of the nursing assistance considering the universality of the language used in the practical area, the individuality of the necessities presented for the customers in the diverse scenes, the aiding of the education of the customer/family, to the results reached with specific interventions. Describers: taxonomy; nursing; diagnosis.RESUMOObjetivos: identificar e classificar os estudos desenvolvidos no Brasil que empregaram na prática assistencial a Taxonomia da NANDA. Método: revisão integrativa da literatura, realizada nas bases de dados LILACS e MEDLINE, utilizando-se as palavras-chave Taxonomia e NANDA, sendo selecionados estudos com resumo, publicados no Brasil e que apresentassem a aplicação prática da taxonomia. Resultados: dos 46 estudos selecionados, 80,4% foram desenvolvidos na área clínica e os demais na área cirúrgica. Houve predomínio de estudos prospectivos no cenário hospitalar; os referenciais teóricos mais empregados foram os de Horta e Orem. Os estudos apresentaram os delineamentos descritivos e estudo de caso, sendo classificados como nível 4 de evidência. Conclusão: as evidências apontam para a utilização da Taxonomia da NANDA como sustentáculo para o desenvolvimento da assistência de enfermagem considerando a universalidade da linguagem utilizada na prática, a individualidade das necessidades apresentadas pelos clientes nos diversos cenários, o favorecimento da educação do cliente/família, a resultados atingidos com intervenções específicas. Descritores: taxonomia; enfermagem; diagnóstico.RESUMENObjetivos: identificar y clasificar los estudios se convirtieron en el Brasil que había utilizado en el assistencial práctico la taxonomía del NANDA. Método: revisión de Integrativa de la literatura, llevada a través en las LILAS de las bases de datos y el MEDLINE, usándose la taxonomía y el NANDA de la palabra-llave, siendo estudios seleccionados con el resumen, publicado en el Brasil y ése presentaron el uso práctico de la taxonomía. Resultados: de los 46 seleccionó los estudios, 80.4% tenidos convertido en el área clínica y excesivamente en el área quirúrgica. Tenía predominio de los estudios de los prospectivos en la escena del hospital; los referenciais teóricos usados habían estado más de Horta y de Oren. Los estudios habían presentado las delineaciones y el estudio descriptivos del caso, siendo clasificado como nivel 4 de la evidencia. Resultados: las evidencias señalan con respecto al uso de la taxonomía del NANDA como sustentáculo para el desarrollo de la ayuda del oficio de enfermera que considera la universalidad de la lengua usada en la práctica, la individualidad de las necesidades presentadas para los clientes en las escenas diversas, el ayudar de la educación del cliente/de la familia, los resultados alcanzados con intervenciones específicas. Describers: taxonomia; enfermería; diagnosis.
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