Nursing interventions in the management program for chronic patients: cross mapping

Abstract

One aimed to analyze nursing interventions in the medical records of the elderly assisted by the management program for chronic patients, comparing them with the Nursing Interventions Classification. The investigation was carried out in a private health service in Rio de Janeiro, Brazil, in March 2014. This is a cross mapping study, with a quantitative approach. The sample was composed of 80 medical records according to the following criteria: attended in 2013; average complexity II; age over 64 years old; received more than five home visits; and being active on December 2013 in low complexity I. The frequently mapped interventions were: education -disease process (98%); nutritional counseling (98%); environment control (95%); and exercise promotion (94%). The decline in the functional status of the program indicates that the guidelines were effective, but they are not standardized yet. It is recommended the adoption of a standardized language.

Nursing interventions and outcomes for pressure ulcer risk in critically ill patients

“…Then, the relationships between the expected outcomes based on the NOC (6) and the nursing interventions, according to the NIC (7) , were established for each factor in the scale. In order to perform this step, nursing interventions and outcomes related to pressure ulcer prevention were cross-mapped (8) with the NOC and NIC, according to the level of relatedness of the interventions and outcomes of each risk factor of the Braden Scale.…”

“…This technique of analysis consists in comparing data to identify similarity and validate objects of study in different contexts, and can be performed in three steps: identification of nursing prescriptions and goals linked to the selected risk factors and related to the development of pressure ulcer; comparison of each prescribed nursing care measure with interventions listed in the NIC and nursing goals with outcomes listed in the NOC; and organization of a list of NOC interventions and NIC outcomes for each risk factor studied (8) . The Statistical Package for Social Sciences version 21 was used to calculate the percentages, means and standard deviations of the dependent variables.…”