Correspondence of nurses' and physiotherapists' records for orthopedic patients with the Nursing Outcomes Classification

Engelman, Bruna; Silva, Marcos Barragan da; Almeida, Míriam de Abreu

doi:10.1590/1983-1447.2020.20190287

Cited by 4 publications

(6 citation statements)

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“…Considerando estes achados, percebe-se que a operacionalização das linguagens padronizadas de enfermagem tende a beneficiar a qualidade dos registros de enfermagem, diminuindo a subjetividade da avaliação clínica realizada (5) . Estratégias educativas para capacitação dos enfermeiros serão imprescindíveis para a dessas linguagens na prática assistencial, como consequência favorece a validação dos diagnósticos, intervenções e resultados de enfermagem diretamente na beira do leito, cujos dados podem servir de base para tomada de decisões, melhorias nos indicadores de monitoramento e prevenção eventos adversos como quedas, ao qual a população de pacientes submetidos à ATQ corre risco (20) .…”

Section: Discussionunclassified

Linguagens padronizadas de enfermagem em ortopedia na perspectiva do nursing role effectiveness model

Silva

Engelman

Figueiredo

et al. 2022

Rev. Gaúcha Enferm.

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RESUMO Objetivo Analisar as Linguagens padronizadas de enfermagem em ortopedia na perspectiva do Nursing Role Effectiveness Model. Método Pesquisa com método misto realizado em um hospital do Sul do Brasil entre abril de 2016 a fevereiro de 2017. Os dados quantitativos foram coletados de 85 pacientes ortopédicos usando a NANDA-International, Classificação de Intervenções e Resultados de enfermagem, submetidos à análise estatística. Os dados qualitativos foram coletados por meio de entrevistas com 10 enfermeiros e foram analisadas mediante análise de conteúdo. Resultados Dor aguda (96%) foi diagnóstico de enfermagem prevalente. Prevenção de quedas (33,3%) foi a intervenção mais prescrita. Nível de Dor, Posicionamento do Corpo: autoiniciado e Mobilidade apresentaram aumento nos escores de resultado (p<0,001). Nas entrevistas os enfermeiros apontaram que os diagnósticos prioritários e as intervenções de enfermagem contribuíram para a melhoria dos resultados de mobilidade. Conclusão Os resultados revelaram que o foco das Linguagens padronizadas de enfermagem em ortopedia na perspectiva do Nursing Role Effectiveness Model reside no contexto da mobilidade, porém precisa de melhorias na acurácia diagnóstica e registro no prontuário do paciente.

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Section: Discussionunclassified

Linguagens padronizadas de enfermagem em ortopedia na perspectiva do nursing role effectiveness model

Silva

Engelman

Figueiredo

et al. 2022

Rev. Gaúcha Enferm.

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“…Educational strategies for training nurses will be essential for the use of these languages in care practice. This favors the validation of nursing diagnoses, interventions and outcomes at the bedside, and such data can provide a basis for decision-making processes, improvements in monitoring indicators and prevention of adverse events such as falls, to which the population of patients undergoing ATQ is subject (20) .…”

Section: Discussionmentioning

confidence: 99%

Standardized nursing languages in orthopedics from the perspective of the nursing role effectiveness model

Silva

Engelman

Figueiredo

et al. 2022

Rev. Gaúcha Enferm.

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Objective To analyze the standardized nursing languages in orthopedics from the perspective of the Nursing Role Effectiveness Model. Method Mixed method research carried out in a hospital in southern Brazil between April 2016 and February 2017. Quantitative data were collected from 85 orthopedic patients using the NANDA-International, Nursing Interventions and Outcomes, and submitted to statistical analysis. Qualitative data were collected through interviews with 10 nurses and were analyzed using content analysis. Results Acute pain (96%) was a prevalent nursing diagnosis. Fall Prevention (33.3%) was the most prescribed intervention. Pain Level, Body Positioning: self-initiated and Mobility showed an increase in outcome scores (p<0.001). In the interviews, nurses indicated that priority diagnoses and nursing interventions contributed to improving mobility outcomes. Conclusion The findings revealed that the focus of Standardized Nursing Languages in orthopedics from the perspective of the Nursing Role Effectiveness Model lies in the context of mobility, but it needs improvements in diagnostic accuracy and electronic health record.

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“…Nurses can plan their interventions accordingly by evaluating the postoperative condition of patients using NOC, and determining the severity and degree of the problem (Almeida et al, 2014, da Silva et al, 2018, Gencbas et al, 2020. In their study evaluating the responsibilities of nurses and physiotherapists in using NOC for patients of orthopedics, Engelman et al (2020) determined that more than half of the nurses used Wound Healing: Primary Intention NOC form. In the present study, the wound healing: Primary Intention NOC (1102) scale was used to evaluate the wound site after hip replacement surgery, and the CVI value of the form was found to be 95.71.…”

Section: Discussionmentioning

confidence: 99%

“…In their study evaluating the responsibilities of nurses and physiotherapists in using NOC for patients of orthopedics, Engelman et al. (2020) determined that more than half of the nurses used Wound Healing: Primary Intention NOC form. In the present study, the wound healing: Primary Intention NOC (1102) scale was used to evaluate the wound site after hip replacement surgery, and the CVI value of the form was found to be 95.71.…”

Section: Discussionmentioning

confidence: 99%

“…After hip replacement surgery, monitoring the surgical wound is very important due to the risk of infection. When evaluating the wound site, nurses should monitor and evaluate the progress of the wound by measuring the size of the incision, monitoring the wound tissue, and paying attention to reepithelialization, the integrity of the suture line, potential exudates, and drainage (Engelman et al., 2020). In accordance with the literature, the wound sites of patients were evaluated on the 1st, 2nd, and 7th day (before discharge) after the hip replacement surgery according to the stages of wound healing using Wound Healing: Primary Intention NOC (1102) scale in the present study.…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of wound healing in patients with hip prosthesis according to nursing outcome classification

AKMAN

Gençbaş

2021

Int J of Nursing Knowl

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Purpose The purpose of this study is to perform Turkish adaptation and validation of NOC (1102) Wound Healing: Primary Intent and examine wound healing in patients with hip prosthesis diagnosed with impaired tissue integrity. Method The study was carried out in methodological and descriptive design, and the sample of the study consisted of 55 patients. Introductory Characteristics Form and Wound Healing: Primary Intention NOC Form were used for data collection. Ethical consent was obtained before initiating the study. Findings In the study, content validity index value of the NOC scale was calculated was 95.71%. Looking at NOC scale indicators for postoperative day 1, 2, and 7 and the distribution of the total mean scores, it was determined that there was a statistically significant difference between the mean scores over time (p = 0.000). It was found that patients with chronic disease had lower NOC scale scores and wound healing was slower on the postoperative first day compared to the patients with no chronic diseases (p < 0.05). Conclusions As a result of the study, it was concluded that the Turkish version of the Wound Healing: Primary Intention NOC (1102) scale was a valid tool for evaluating the location of the wound in patients with hip prosthesis, the presence of chronic diseases affected wound healing, and mean scores obtained by the patients in NOC scale increased over time with a good progress in terms of wound healing. Implications of Nursing Practice With the use of Wound Healing: Primary Intention NOC (1102) scale, a common language will be formed in the evaluation of the wound site of patients undergoing hip prosthesis.

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Correspondence of nurses' and physiotherapists' records for orthopedic patients with the Nursing Outcomes Classification

Cited by 4 publications

References 10 publications

Linguagens padronizadas de enfermagem em ortopedia na perspectiva do nursing role effectiveness model

Linguagens padronizadas de enfermagem em ortopedia na perspectiva do nursing role effectiveness model

Standardized nursing languages in orthopedics from the perspective of the nursing role effectiveness model

Evaluation of wound healing in patients with hip prosthesis according to nursing outcome classification

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