Elaboração de diagnósticos e intervenções à luz de diferentes sistemas de classificações de enfermagem

Abstract

This study analyzes the use of different nursing classification systems to meet the standards established by the norm ISO 18.104:2003, based on a fictitious clinical situation. Nursing diagnoses and interventions were created using NANDA-I, NIC and ICNP® and an analysis was performed of the terminology agreement of these classification systems with the model proposed by the norm ISO 18.104:2003. For the creation of nursing diagnoses, NANDA-I and ICNP® comply with norm ISO 18.104:2003. As for the creation of nursing interventions, ICNP® meets the terminology reference model proposed by ISO 18104:2003. NIC, on the other hand, does not propose a combinatory terminology reference model. The unification of nursing terminology depends on reviewing, standardizing and testing these classifications in order to establish a common and sound language for the profession.

Diagnósticos de enfermagem identificados em instituições psiquiátricas

“…8,13 It is a complex and doubly significant challenge to rehabilitate this individual according to the premises of psychiatric reform and Geriatrics. 11,15 It is therefore considered necessary to contextualize the diagnosis of Despair (00124) defined as "subjective state in which an individual does not see alternatives or personal choices available or sees alternatives and is unable to mobilize energies in his favor", 5 because the defining characteristics included decreased affection and lack of initiative, followed by factors related to abandonment, social isolation and prolonged restriction of activities. Thus, the need for Nursing care of physical and psychosocial rehabilitation, the importance of the evaluation of the perception of the elderly, the history of a restricted environment and the presence of sensory-perceptual alterations.…”

Applying the WHO International Classification of Functioning, Disability and Health in Nursing Assessment of Population Health

“…This system combines terminology into a structure with different axes (i.e., one or several simple concepts are combined to establish complex concepts, providing a clear meaning of nursing diagnoses, interventions, or outcomes) [2]. The ICNP has emerged from the need for a clear structure for nursing practice.…”

“…In addition to this, it has enabled a more rigorous assessment of nursing care, thus allowing more effective interventions. These advantages become apparent in an improvement of the care provided to patients [2]. Nursing classification and standardized nursing languages have shown major benefits for nursing documentation and research.…”

Diagnóstico de enfermagem risco de infecção em pacientes no pós-operatório: estudo transversal.

“…Neste contexto, ressalta-se a importância dos Diagnósticos de Enfermagem (DE), fundamental etapa do Processo de Enfermagem, estabelecidos por julgamento clínico acurado na identificação de respostas humanas às condições de saúde ou de vulnerabilidade. Este é realizado através da coleta de dados obtidos pelo histórico e exame físico, e subsidia a seleção de intervenções de enfermagem, monitoradas através dos resultados de enfermagem (5) .…”