Nursing diagnoses in elderly people admitted in surgical unit / Diagnósticos de enfermagem em idosos internados em unidade cirúrgica

Abstract

Objetivo: identificar os diagnósticos de enfermagem em idosos internados em unidade cirúrgica, determinar a prevalência desses diagnósticos, verificar associação entre os diagnósticos mais prevalentes e as características definidoras/fatores de risco. Métodos: Estudo exploratório-descritivo, transversal, quantitativo, realizado com 38 idosos internados em um hospital universitário do Sul do Brasil. A coleta de dados ocorreu por meio da aplicação do histórico de enfermagem. Para análise utilizou-se a Taxonomia II North American Nursing Diagnosis Classification e o software SPSS versão 21.0. Resultados: Os idosos internados na clínica cirúrgica apresentaram uma média de 3,4 (±1,9) diagnósticos de enfermagem e os mais prevalentes foram: Risco de Infecção (44,7%); Conhecimento Deficiente (42,1%); Dor (36,8%) e, Risco de Quedas (26,3%). Conclusão: Os diagnósticos de enfermagem possibilitam subsidiar o planejamento e a implementação das ações de enfermagem, levando em consideração as especificidades da pessoa idosa.

Development and validation of a case study to aid in the diagnostic reasoning of nursing students and nurses

“…Although reporting an incorrect perception about one's own health status is a highly sensitive cue to identify this diagnosis (Amaral et al, 2019;Borba et al, 2019;Martins et al, 2019;Zeleníková & Žiaková, 2012), we believe that the fact that we only showed one DC for this ND was insufficient for the other experts to value it. On the other hand, insufficient knowledge of therapeutic regimens may also have been considered a factor related to the ND ineffective health management (00078).…”

“…The ND deficient knowledge (00126), which was related to a low educational level and characterized by the patient's report of not knowing how to inform his previous history of diseases and not understanding his current health status, was identified by only two experts. Although reporting an incorrect perception about one's own health status is a highly sensitive cue to identify this diagnosis (Amaral et al., 2019; Borba et al., 2019; Martins et al., 2019; Zeleníková & Žiaková, 2012), we believe that the fact that we only showed one DC for this ND was insufficient for the other experts to value it. On the other hand, insufficient knowledge of therapeutic regimens may also have been considered a factor related to the ND ineffective health management (00078).…”

“…Regarding Lunney's first, second, and third assumptions (Lunney, 1992) to validate case studies, the case study was written clearly and represented a clinical situation of a patient with PAOD, a disease with epidemiological relevance in clinical and surgical hospitalization units (Benjamin et al., 2019; Crawford et al., 2016; Gerhard‐Herman et al., 2017), as well as five of the most prevalent NDs in this population: ineffective peripheral tissue perfusion (00204), chronic pain (00133), risk for infection (00004), deficient knowledge (00126), and impaired physical mobility (00085; Lohmann, 2001; Martins et al., 2019; Ubaldo et al., 2017).…”