To adapt a questionnaire that assesses knowledge about heart failure (HF) and self-care and to analyze its content validity and reproducibility for use in Brazil. The questionnaire was validated through translation, summary, back-translation, expert committee review, pretest and assessment of psychometric properties. The final version (14 questions) was applied at the university hospital to HF outpatients under multidisciplinary team care. Five questions showed total agreement; seven scored Kappa > 0.4; one Kappa = 0.4, and just one presented no agreement. A group of 153 patients within 1-4 years of outpatient followup was assessed (age 59±13, 61% male). In the knowledge assessment, right answers varied from 4 to 14 (average 9.9±2.1). Adaptación transcultural y validación de un cuestionario de conocimiento de la enfermedad y autocuidado para una muestra de la población brasileña de pacientes con insuficiencia cardíaca Se tuvo por objetivo realizar la adaptación transcultural de un cuestionario que evalúa el conocimiento sobre la insuficiencia cardíaca (IC) y el autocuidado y analizar su validez de contenido y la reproductibilidad para uso en Brasil. Se trata de un proceso de validación constituido de traducción, síntesis, retrotraducción, revisión por comité de expertos, prueba piloto y verificación de las propiedades psicométricas. La versión final adaptada con 14 preguntas fue aplicada a pacientes con IC en acompañamiento en ambulatorio con el equipo multidisciplinar de un hospital universitario. Cinco preguntas presentaron concordancia total; siete obtuvieron coeficiente Kappa > 0,4; una obtuvo Kappa 0,4 y apenas en una pregunta no hubo concordancia. Se evaluaron 153 pacientes, edad de 59±13; 61% sexo masculino; mediana de tiempo de acompañamiento en el ambulatorio 2 (1-4) años. En la evaluación del conocimiento, los aciertos variaron de cuatro a 14, promedio 9,9±2,1. Concluimos que los resultados indicaron que este cuestionario fue validado para ser usado en Brasil.

PURPOSEWe developed linkages using interoperable standardized nursing terminologies, NANDA International (NANDA‐I) nursing diagnoses, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC), to present initial guidance for the development of care plans focused on COVID‐19 for nurses practicing in community or public health roles.METHODSSeven nurse experts identified the linkages of NANDA‐I, NOC and NIC for our work related to the COVID‐19 pandemic. A model was developed to guide the project. The first step in creating linkages focused on the identification of nursing diagnoses. Then, for each nursing diagnosis, outcomes aligned with all components of the diagnosis were categorized and a list of nursing interventions was selected. The experts used their clinical judgment to make final decisions on the linkages selected in this study.FINDINGSTwo community level nursing diagnoses were identified as key problems appropriate for a pandemic related to COVID‐19: Deficient Community Health and Ineffective Community Coping. For the nursing diagnosis Deficient Community Health, eight nursing outcomes and 12 nursing interventions were selected. In comparison for the nursing diagnosis, Ineffective Community Coping, nine nursing outcomes and 18 nursing interventions were identified. A total of40 concepts were identified for future development across the three classifications.CONCLUSIONSThe nursing diagnoses, outcomes and interventions selected during this linkage process provide knowledge to support the community challenged with responding to the COVID‐19 pandemic, provide the opportunity to quantify the impact of nursing care, and enhance nursing practice by promoting the use of three standardized terminologies.IMPLICATIONS FOR NURSING PRACTICENANDA‐I, NOC and NIC linkages identified in this manuscript provide resources to support clinical decisions and care plan development for nurses practicing in the community.

PurposeTo provide guidance to nurses caring for individuals with COVID‐19, we developed linkages using interoperable standardized nursing terminologies: NANDA International (NANDA‐I) nursing diagnoses, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC). We also identified potential new NANDA‐I nursing diagnoses, NOC outcomes, and NIC interventions for future development related to nurses’ role during a pandemic.MethodsUsing a consensus process, seven nurse experts created the linkages for individuals during the COVID 19 pandemic using the following steps: (a) creating an initial list of potential nursing diagnoses, (b) selecting and categorizing outcomes that aligned with all components of each nursing diagnosis selected, and (c) identifying relevant nursing interventions.FindingsA total of 16 NANDA‐I nursing diagnoses were identified as the foundation for the linkage work, organized in two dimensions, physiological and psychosocial. A total of 171 different NOC outcomes were identified to guide care based on the nursing diagnoses and 96 NIC interventions were identified as suggested interventions. A total of 13 proposed concepts were identified for potential future development across the three classifications.ConclusionsThe linkages of nursing diagnoses, outcomes, and interventions developed in this article provide a guide to enhance nursing practice and determine the effectiveness of nurses’ contribution to patient outcomes for individuals at risk for or infected by COVID‐19.Implications for nursing practiceNANDA‐I, NOC, and NIC linkages identified in this paper are an important example of the value of using standardized nursing terminologies to guide and document nursing care. When included in electronic health record databases and used widely, the data generated from the care plans can be used to create new knowledge about how to better improve outcomes for patients with COVID‐19.

Objective: To assess treatment adherence in patients with heart failure receiving nurse-led home visits after hospital discharge. Methods: This was a before-and-after study involving patients who had been recently hospitalized for decompensated heart failure. Three home visits were conducted within 45 days of hospital discharge. Treatment adherence was assessed in the first and third visits through a 10-item questionnaire (cutoff point: 18 = 70% adherence). In the first and second visits, patients were educated as to their condition, treatment adherence and self-care. Results: There were 32 patients included, mean age 65±16 years, 18(58%) male. The 32 patients received a total of 96 home visits. Treatment adherence scores were of 16±2.6 vs 20.4±2.7 in the first and third visits, respectively (p=0,001). Weight monitoring and liquid restriction behaviors improved significantly following the intervention. Conclusion: The in-home educational intervention led to significant improvements in the treatment adherence of recently-hospitalized patients with heart failure. ResumoObjetivo: Verificar a adesão ao tratamento de pacientes com insuficiência cardíaca em acompanhamento domiciliar por enfermeiras após alta hospitalar. Método: Estudo tipo antes-depois realizado com pacientes recentemente internados por insuficiência cardíaca descompensada. Três visitas domiciliares foram realizadas após alta em um intervalo de 45 dias. Avaliou-se a adesão na primeira e terceira visitas através de um questionário validado (10 questões, ponto de corte 18 pontos=70%=adesão satisfatória). Durante a primeira e segunda visitas, os pacientes receberam educação quanto à doença, adesão e autocuidado. Resultados: Foram incluídos 32 pacientes, idade média 65±16 anos, 18(58%) masculinos. Os 32 pacientes receberam um total de 96 visitas domiciliares. Os escores de adesão foram 16±2.6 vs 20.4±2.7 na primeira e terceira visitas, respectivamente (p=0,001). Questões como peso e restrição hídrica aumentaram significativamente após a intervenção. Conclusão: A intervenção de educação no domicílio melhorou significativamente a adesão ao tratamento de pacientes com insuficiência cardíaca e internação recente.

nursing staff upsizing caused a positive impact on managerial and healthcare indicators and helped qualify care and improve work conditions for the nursing team.

Onze cuidados de enfermagem prioritários foram citados pelos enfermeiros e mapeados em oito intervenções de enfermagem NIC, incluindo a Thrombolytic Therapy Management (4270). CONCLUSÕES: Houve correspondência entre todos os cuidados de enfermagem prioritários para pacientes com acidente vascular encefálico tratados com a terapia trombolítica e as intervençães de enfermagem NIC. IMPLICAÇÕES PARA A PRÁTICA DE ENFERMAGEM: Os cuidados de enfermagem citados pelos enfermeiros foram corroborados pela NIC, produzindo evidências para a prática clínica.

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PURPOSE To evaluate pain levels in patients who underwent total hip arthroplasty (THA) using the Nursing Outcomes Classification (NOC). METHODS Prospective cohort study conducted in the surgical hospitalization units of a university hospital in southern Brazil. Twenty‐four patients were evaluated and followed‐up for four consecutive days after THA. FINDINGS A significant difference was found between the first and last evaluations for the outcome pain level (2102). Two indicators also showed statistically significant differences overtime. CONCLUSIONS The NOC outcome and indicators demonstrated the different pain levels of patients who underwent THA. IMPLICATIONS FOR NURSING PRACTICE The NOC system is applicable to clinical practice, because it facilitated the follow‐up of patient progression.