Intervenções de enfermagem para os diagnósticos de enfermagem mais freqüentes em dois serviços públicos de assistência à saúde da mulher

Abstract

INTRODUÇÃO: Trata-se de uma pesquisa descritiva, analítica, retrospectiva sobre as intervenções de enfermagem para os diagnósticos de enfermagem mais freqüentes em ginecologia, entre as 165 mulheres assistidas em consultas de enfermagem em dois centros regionais de saúde de Campo Grande, MS, e sobre a construção destas intervenções a partir dos eixos A (tipo ação), B (alvo), C (meios) e H (beneficiário) da Classificação Internacional para a Prática de Enfermagem (CIPE®) - versão beta 2. OBJETIVOS: Estabelecer as intervenções de enfermagem e os resultados esperados. MÉTODO: Foram analisados 165 protocolos de consulta de enfermagem nas quais havia sido utilizado um instrumento de levantamento de dados sistematizado. RESULTADOS: Foram identificados 60 diagnósticos de enfermagem, cuja freqüência simples variou de um a 137, dos quais selecionamos os cinco mais freqüentes para o estabelecimento das intervenções. As ações estabelecidas mais freqüentes foram ‘orientar’, ‘referir’, ‘explicar’ e ‘prover’. CONCLUSÕES: Ao estabelecermos as intervenções, verificamos a necessidade premente do trabalho multidisciplinar, uma vez que a ação ‘encaminhar’ significou o equivalente ao encaminhamento a outros serviços de saúde. Outra constatação foi a imprescindibilidade do papel de educadora da enfermeira.

Uso da Classificação Internacional para as Práticas de Enfermagem na assistência a mulheres mastectomizadas

“…It is a relatively new classification, when compared to other diagnostic classifications such as NANDA and, additionally, not many nursing professionals know and use it correctly in our country. For that reason, a few studies that used it have been carried out, and we could not find studies on women with breast cancer within the area of women's health (11)(12) .…”

“…The first was carried out in a hospital from the public sector in the city of João Pessoa -PB, in the care of individuals with leprosy being hospitalized and or in outpatient treatment, in which ICNP®-version Beta 2 was used to identify the nursing diagnoses for these patients (13) . Another study carried out in Campo Grande-MS, was developed in two regional health centers and nursing interventions were assessed for the most frequent diagnoses in gynecology based on ICNP®-version Beta 2 (11) . Another study tried to identify and classify nursing actions with pregnant women with HIV, using version Beta 2 in São Paulo -SP (12) .…”

Processo de enfermagem conforme a classificação internacional para as práticas de enfermagem: uma revisão integrativa

“…Elaborated using combinatorial terminology, through a multi-axial structure, this version consisted of eight axes in the nursing phenomena classification structure, and another eight axes in nursing action classification. 2,17 The ICNP® Beta version was used by 27% (12) of the analyzed articles as a classification system. However, the Beta 2 version had a broader global use.…”

“…1 Nursing, realizing the need to develop a working method that would make its practice more visible, legitimate and autonomous, sought its identity by developing its own body of knowledge. [2][3] The "Nursing Process" then emerged, which was used for the first time in 1961 by Orlando. 1 The Nursing Process (NP) at that time consisted of three basic elements: the client's behavior, the nurse's reaction, and the nursing actions.…”

“…Because it is connected with the technical-scientific and philosophical underpinnings of the profession, the NP consists of a care technology that can be used by all nurses in their professional practice, demonstrating the unfolding of thoughts and judgments during the care provided. 2,5 By providing quality care, safe and free of risk, it is understood that nurses make a nursing diagnosis assessment, elaborate the clinical evolution in every work shift, provide complex care demanding specific skills and knowledge, and manage technological equipment. 6 Therefore, for nurses to develop their practice, whether it is educational, administrative, research-based or clinical in character, they must be grounded in a sound conceptual basis.…”