Consenso de diagnósticos, resultados e intervenções de enfermagem para pacientes com insuficiência cardíaca em domicílio

Abstract

This was a consensus study with six cardiology nurses with the objective of selecting nursing diagnoses, outcomes and interventions described by NANDA International (NANDA-I), Nursing Outcomes Classification (NOC), Nursing Intervention Classification (NIC), for home care of patients with heart failure (HF). Eight nursing diagnoses (NDs) were pre-selected and a consensus was achieved in three stages, during which interventions/activities and outcomes/ indicators of each NDs were validated, and those considered valid obtained 70% to 100% consensus. From the eight pre-selected NDs, two were excluded due to the lack of consensus on appropriate interventions for the clinical home care scenario. Eleven interventions were selected from a total of 96 pre-selected ones and seven outcomes were validated out of 71. The practice of consensus among expert nurses provides assistance to the qualifications of the care process and deepens the knowledge about the use of taxonomies in nursing clinical practice.Descriptors: Home visit. Nursing Process/classification. Heart Failure. RESUMO Estudo de consenso realizado entre seis enfermeiras especialistas da área de cardiologia, com o objetivo de selecionar diagnósticos, intervenções e resultados de enfermagem descritos pela NANDA Internacional (NANDA-I), Nursing Outcomes Classification 57Versão on-line em Português/Inglês: http://www.scielo.br/ scielo.php?script=sci_serial&pid=1983-1447&lng=pt&nrm=iso Azzolin K, Souza EN, Ruscel KB, Mussi CM, Lucena AF, Rabelo ER. Consensus on nursing diagnoses, interventions and outcomes for home care of patients with heart failure. Rev Gaúcha Enferm. 2012;33(4):56-63. RESUMEN

Linkages of Nursing Diagnoses, Outcomes, and Interventions Performed by Nurses Caring for Medical and Surgical Patients Using a Decision Support System

“…This type of study is important because it offers information about the contributions of nursing to patient care in real clinical environments and can be used to elaborate clinical guidelines, build databases of CDSS s, and support management decision-making. Validation of linkages among diagnoses, outcomes, and interventions has captured the interest of researchers around the world (Azzolin et al, 2012;Lunney, McGuire, Endozo, & McIntosh-Waddy, 2010). Taken together, these findings may contribute to advancing existing nursing knowledge about possible linkages, although clinical validations studies are needed.…”

“…Several researchers have shown interest in identifying the linkages between specific nursing diagnoses, outcomes, and interventions (Azzolin et al, 2012;Moon, 2011). Establishing NNN linkages is an important step in facilitating the use of SNLs in practice, education, and research, in addition to contributing content to plans of care for specific populations.…”

Nursing outcomes for pain assessment of patients undergoing palliative care

“…In this sense, it seems appropriate to make a prior selection of the results and indicators for each ND, considering the specificity of the patients to be assessed, in order to facilitate the clinical applicability of this classification (2) . In addition, the development of conceptual and operational definitions for the indicators and the five levels of their scales, in order to favor the way in which each of them is understood and used in the practice of care, with parameters delimited and with greater reliability in the clinical trial (5)(6) .…”

Self‐Care Behaviors in Heart Failure

“…The Nursing Outcomes Classification (NOC) can be used for planning nursing care and must be continually improved (Moorhead, Johnson, Mass, & Swanson, ). Several NOC outcomes are suitable for the care of people with heart failure (HF) (Azzolin et al., ; Park, ; Scherb et al., ; Zampieron, Silla, & Marilisa, ). In a nursing outpatient health education facility for people with cardiac diseases, cardiology nurse specialists selected the NOCs, Self Management: Cardiac Disease [1617] and Adherence Behavior [1600] as expected outcomes (Carneiro et al., ; Moorhead et al., ).…”