Acurácia de diagnósticos de enfermagem: revisão integrativa

Abstract

Objetivo: O estudo tem como objetivo sistematizar o conhecimento produzido sobre a acurácia dos diagnósticos de enfermagem. Métodos: Esta revisão integrativa foi realizada nos meses de junho e julho de 2018, com recorte temporal do período de 2013 a 2018. Resultados: Dez artigos foram incluídos no estudo, sendo identificadas três categorias de análise: 1) O desenvolvimento do raciocínio clínico melhora a capacidade diagnóstica dos enfermeiros; 2) O enunciamento de diagnósticos de enfermagem acurados favorece a escolha de ações de enfermagem mais adequadas para o alcance dos resultados esperados; e 3) Diferentes diagnósticos podem ser enunciados, mas o enfermeiro deverá priorizar aquele que melhor expressa as respostas humanas do paciente assistido. Conclusão: Os resultados evidenciaram que a acurácia das interpretações das respostas humanas é um aspecto importante do conhecimento sobre diagnóstico de enfermagem e merece atenção especial por parte dos enfermeiros.Palavras-chave: processos de enfermagem, diagnóstico de enfermagem, precisão da medição dimensional, cuidados de enfermagem.

Validação de cenário de simulação realística para ensino do raciocínio diagnóstico na consulta de enfermagem a pacientes com tuberculose pulmonar

“…Diante desse cenário e perante a equipe multiprofissional, enfermeiro exerce um papel fundamental na gestão do cuidado e das ações programáticas de saúde pública, possibilitando assim o diagnóstico precoce da TB e a implementação uma assistência à saúde longitudinal e eficaz ( da Silva et al, 2020;Guimarães, 2017).…”

Evaluation of the Accuracy of Nursing Diagnoses Determined by Users of a Clinical Decision Support System

“…The concept of diagnostic accuracy in nursing was based on the assumption that several NDs are present in the same clinical condition (da Silva et al, 2020; Lunney, 1990). In this context, diagnostic accuracy is analyzed under a null‐to‐high continuum, in which diagnoses with higher levels of accuracy reflect a patient’s health condition more appropriately (da Silva et al, 2020; Lunney, 1990).…”

“…The concept of diagnostic accuracy in nursing was based on the assumption that several NDs are present in the same clinical condition (da Silva et al, 2020; Lunney, 1990). In this context, diagnostic accuracy is analyzed under a null‐to‐high continuum, in which diagnoses with higher levels of accuracy reflect a patient’s health condition more appropriately (da Silva et al, 2020; Lunney, 1990). However, a diagnosis with high accuracy of human responses is complex, as it reflects the patient’s sole and unique experience, depends on the pool of information about a patient’s clinical condition (Apostólico et al, 2017; Lunney et al, 2004), and requires that a nurse have intellectual, technical, and interpersonal skills (Carvalho, Oliveira‐Kumakura, & Morais, 2017; Lunney, 2012).…”

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A nurse's diagnostic clinical judgment about actual and potential problems, as well as about patients' life processes, should be expressed by nursing diagnoses (NDs) with high accuracy, as these will enable the achievement of better patient results (Apostólico, Egry, Fornari, & Gessner, 2017;da Silva et al, 2020). However, interpretations with low accuracy may lead to omission of care and unnecessarily prolong treatment rather than be beneficial to patients (Lunney, Marques, de Barros, Michel, & Anderson, 2004;Matos & Cruz, 2013).The concept of diagnostic accuracy in nursing was based on the assumption that several NDs are present in the same clinical condition (da Silva et al, 2020;Lunney, 1990). In this context, diagnostic accuracy is analyzed under a null-to-high continuum, in which diagnoses with higher levels of accuracy reflect a patient's health condition more appropriately (da Silva et al, 2020;Lunney, 1990).

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“…However, interpretations with low accuracy may lead to omission of care and unnecessarily prolong treatment rather than be beneficial to patients (Lunney, Marques, de Barros, Michel, & Anderson, 2004;Matos & Cruz, 2013).The concept of diagnostic accuracy in nursing was based on the assumption that several NDs are present in the same clinical condition (da Silva et al, 2020;Lunney, 1990). In this context, diagnostic accuracy is analyzed under a null-to-high continuum, in which diagnoses with higher levels of accuracy reflect a patient's health condition more appropriately (da Silva et al, 2020;Lunney, 1990). However, a diagnosis with high accuracy of human responses is complex, as it reflects the patient's sole and unique experience, depends on the pool of information about a…”