Use of patients’ classification instruments: analysis of the brazilian production of knowledge

Abreu, Sonia Portella de; Pompeo, Daniele Alcalá; Perroca, Márcia Galan

doi:10.1590/s0080-623420140000700020

Cited by 6 publications

(10 citation statements)

References 34 publications

(57 reference statements)

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“…Although the development of such instruments, especially those for classifying patients (PCI), began in the 1960s in the United States, it was only after the 1990s that they were developed in Brazil (41) . Nevertheless, they were intended for clinical areas other than psychiatric nursing, and, thus, they placed more emphasis on somatic characteristics, with little sensitivity to changes in patients' psychopathological conditions (21,23) .…”

Section: Discussionmentioning

confidence: 99%

Approaches to workload in psychiatric and mental health nursing

2020

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Objective: to investigate approaches to workload in psychiatric and mental health nursing in Brazilian and international production of knowledge Methods: integrative literature review using six databases, covering January 2005 to March 2019. Articles in full in English, Spanish and Portuguese were included. Results: the sample consisted of 23 original articles classified as quantitative or emotional. The quantitative dimension was addressed in 12 articles and included: assessing patient care needs, identifying activities performed by the team, measuring time spent and developing and validating a measurement instrument. The emotional dimension included 11 articles the focus of which was on identifying stressors in the workplace, psychosocial risks and coping strategies. Conclusion: strategies were found for measuring workload and assessing the impact of stressors on nursing teams.

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Section: Discussionmentioning

confidence: 99%

Approaches to workload in psychiatric and mental health nursing

2020

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“…Instruments for patient classification, including the Perroca scale (2) , were designed for the management's decision making regarding the dimensioning of the nursing team (6,14) or care planning during hospitalization (5,11) . In the national literature was found no evidence of its use for the classification of care needs in Palliative Care Units or in hospital discharge planning (15) .…”

Section: Discussionmentioning

confidence: 99%

“…Patient classification instruments (PCI) are guiding factors in the decision-making process of care management (5) . However, its use in nurses' professional practice has not been the object of national research, but rather the evaluations of the care profile and workload (6) .…”

Section: Introductionmentioning

confidence: 99%

Análise da Escala de Perroca em Unidade de Cuidados Paliativos

Santos

Klug

Campos

et al. 2018

Rev. esc. enferm. USP

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Objective To analyze the complexity of nursing care with use of the Perroca scale in a Palliative Care Unit. Method Retrospective descriptive study of quantitative analysis. Results Between 2008 and 2016, the total of 2,486 patients were hospitalized, and their median length of hospital stay was 12 days. Of these patients, 1,568 had at least one Perroca scale evaluation. Nine hundred and ten patients (58%) were classified as minimal or intermediate care. Of these, 602 (66%) were discharged. As semi-intensive and intensive care were classified 658 (42%) patients, of whom 64% died and only 36% were discharged. Conclusion The Perroca scale is a tool to identify patients with greater need for care and the possible prognosis for hospitalized patients.

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“…Thus, studies are needed to develop strategies and technological innovations to improve the work process and its results. Considering such demands, the Patient Classification Instrument (PCI) is a measurement scale for carrying out evidence-based practices (EBP) and obtaining reliable results that will be used in the decision-making and care management process (6) . Therefore, it is a relevant technology to be used in neonatal units.…”

Section: Introductionmentioning

confidence: 99%

Adaptation of an instrument to classify neonatal patients into care categories

Dini

Oliveira

Almeida-Hamasaki

et al. 2021

Rev. esc. enferm. USP

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Objective: To adapt and validate a patient classification instrument for neonatal units. Method: Methodological study, with adaptation of the Pediatric Patients Classification Instrument for neonatal patients. After content validation by judges, the instrument was tested for reliability, applied to 33 neonates by two nurses, simultaneously. To assess the agreement among nurses regarding the scores of each patient on the classification scale, an intraclass agreement coefficient was applied. To assess the agreement regarding the classification in care categories, the weighted Kappa coefficient was calculated. Results: The adapted instrument consisted of a total of nine indicators, with three care categories: high dependence on care, semi-intensive care and intensive care. The Content Validity Index varied between 0.85 and 0.92 for items of the instrument. The intraclass agreement was 0.87 and the weighted Kappa for care categories was 0.56. Conclusion: An instrument that allows neonatal patients to be classified into care categories, with satisfactory reliability was validated to support the dimensioning of the nursing team.

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Use of patients’ classification instruments: analysis of the brazilian production of knowledge

Cited by 6 publications

References 34 publications

Approaches to workload in psychiatric and mental health nursing

Approaches to workload in psychiatric and mental health nursing

Análise da Escala de Perroca em Unidade de Cuidados Paliativos

Adaptation of an instrument to classify neonatal patients into care categories

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