Avaliação da acurácia diagnóstica em enfermagem: papel versus sistema de apoio à decisão

Abstract

Objective: To compare the degree of accuracy of certain nursing diagnoses, for nursing students in system decision support and paper-based records. Methods: Cross-sectional descriptive study with a sample of 17 undergraduate nursing students. The data collection was conducted through forms of characterization of students and one clinical case, validated previously, for the indication of the system and paper-based diagnostic. The diagnostic accuracy was assessed by the Scale for Accuracy of Nursing Diagnoses (SAND) and non-parametric tests. Results: There was statistical significance in the highly accurate diagnosis (p=0.013), when graduate students used the system for decision support, demonstrating the determination of more accurate diagnosis in clinical case studies. Conclusion: The use of decision support systems favors the diagnostic accuracy of nursing and is inferred that it can support clinical reasoning of nursing students. ResumoObjetivo: Comparar o grau de acurácia dos diagnósticos de enfermagem determinados, por graduandos de enfermagem, em sistema de apoio à decisão e manuscrito. Métodos: Estudo descritivo-exploratório com amostra de 17 graduandos de enfermagem. Realizada coleta de dados por meio de formulários de caracterização dos graduandos e de um caso clínico, validado previamente, para a indicação dos diagnósticos no sistema e manuscrito. Avaliada a acurácia diagnóstica por meio da Escala de Acurácia de Diagnósticos de Enfermagem (EADE) e de testes não paramétricos. Resultados: Houve significância estatística nos diagnósticos altamente acurados (p=0,013), quando os graduandos utilizam o sistema de apoio à decisão, demonstrando a determinação de diagnósticos mais acurados em estudos de caso clínicos. Conclusão: A utilização de sistemas de apoio a decisão favorece a acurácia diagnóstica de enfermagem e infere-se que pode apoiar o raciocínio clínico de graduandos de enfermagem.

Brazilian Nursing Process Research Network contributions for assistance in the COVID-19 pandemic

“…Nursing Classification Systems facilitate the use of nurses' disciplinary knowledge, allowing, in the interdisciplinary context, to highlight their unique contribution to health teams (6)(7) . They also help to document evidence-based nursing care, as they are developed through research, in addition to favoring nursing activity introduction in computerized systems, such as electronic medical records and decision support software (8)(9) .…”

Avaliação de orientações geradas por sistema computacional a acompanhantes de pacientes pediátricos submetidos à quimioterapia

“…Therefore, the profiles of the companions and nurses did not influence follow-up treatment, but the variable difficulties, in both groups, resulted in negative statements about the knowledge of care for paediatric oncology patients in chemotherapy, as shown in the statistical analysis of the results obtained in this study in relation to evidence in literature (10)(11)(12)(13)(14)(15)(16)(17) .…”

“…The nurses' assessment shows that the workers of G2 had a greater concordance with the guidelines generated with the aid of the SADC-COSQ than nurses of G1, who did not use the software, as shown in Table 4. In a descriptive-exploratory study carried out by nursing graduates to compare the effectiveness of the nursing diagnoses of a decision support system with the manuscript (12) , there was statistical significance in the diagnoses generated with the aid of the system, resulting in the score p = 0.013. This score can be compared with the score of this study (p < 0.05) in the assessment of nurses who used the SADC-COSQ to support guideline generation.…”

“…This score can be compared with the score of this study (p < 0.05) in the assessment of nurses who used the SADC-COSQ to support guideline generation. Thus, it is clear that the information generated with the aid of a software has better satisfaction results than the information produced without software, possibly related to the easy operation of the system, the standardisation of procedures and clinical records, and the availability of a database for nurses to clinically judge which care guidelines are best suited for the companions (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13) .…”

“…Research shows the support that the SADC can provide at the time of individual recommendations for each patient or companion, according to the prescribed treatment (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12) . For health workers, it can help them choose and guide the care they provide, and ensure the continuity of care and treatment, both in the hospital and in the home (12)(13) . The SADC promotes recovery of a given pathology by notifying possible incompatibilities with other medication, and adverse reactions through recommended action (1)(2) .…”