Tecnologia móvel à beira do leito: processo de enfermagem informatizado em terapia intensiva a partir da cipe 1.0®

Abstract

RESUMO:Produção tecnológica e estudo metodológico baseado na evidência que avaliou com os enfermeiros de Terapia Intensiva os critérios de Ergonomia e Usabilidade do Processo de Enfermagem Informatizado desenvolvido em um dispositivo tecnológico móvel a partir da Classificação Internacional para as Práticas RESUMEN:Producción tecnológica e investigación metodológica basada en la evidencia que tuvo por objeto evaluar, con los enfermeros de las Unidades de Cuidados Intensivos, los criterios de Ergonomía y Usabilidad de los sistemas computadorizados del Proceso de Enfermería desarrollado en un dispositivo tecnológico móvil, a partir de la Clasificación Internacional para las Prácticas de Enfermería versión 1.0. El estudio se realizó de mayo a junio de 2008 con 13 evaluadores. Los datos se analizaron mediante el establecimiento de promedios y fueron considerados a partir de la Clasificación Internacional para las Prácticas de Enfermería y de las evidencias de los estudios en el área. La investigación muestra que el sistema tiene criterios de Ergonomía y Usabilidad que están de acuerdo con la Organización Internacional de Patrones de Sistemas. El sistema desarrollado tiene aplicación práctica ya que permite evaluar, intervenir y gestionar la prestación de cuidados de enfermería proporcionando una mayor seguridad, el conocimiento y la participación de los enfermeros con las necesidades del paciente en la cabecera del lecho. DESCRIPTORES:Procesos de enfermería. Unidades de terapia intensiva. Informática aplicada a la enfermería. Tecnología de la información. Terminología.

Tecnologia, inovação tecnológica e saúde: uma reflexão necessária

“…It is obvious that these innovations must be assessed in terms of their impact on professional practice and patient safety. 20 One study made a metaphorical comparison between the historical phases of technology construction in nursing and the cyclic phases of the moon, considering the current time as a 'full moon, marked by the presence of records, patents in the National Institute of Industrial Propriety (Instituto Nacional de Propriedade Industrial -INPI), and the development of research proposals involving the production of nursing technologies, supported by funding agencies, in addition to theses and publications with growing visibility. However, the author questions if the use of information technology is resulting in more time to generate new sensitivities in nursing care, promoting the explicitation of the art underlying the practice.…”

Processo de enfermagem conforme a classificação internacional para as práticas de enfermagem: uma revisão integrativa

“…6,22,[28][29][30][31][32] The first study developed and evaluated a proposal for clinical evaluation and nursing diagnoses and interventions for the cardiovascular system, using ICNP® version β1. 28 The second study proposed and evaluated the development of NP stages for the respiratory system, also applying ICNP® version β1.…”

“…It was concluded that this computerized system using a PDA interface was a coherent, effective, possible and consistent proposal because, in addition to permitting the integration between research, professional practice and teaching, it allowed nurses to provide bedside care to patients. [31][32] These studies also pointed out that the ICNP® permitted nurses to organize and develop their logical rationale in the process of taking care of ICU inpatients, because it permitted these professionals to establish a concrete relationship between the clinical evaluations and the nursing diagnoses, interventions and outcomes through the use of computerized tools. 6,22,[28][29][30][31][32] In this sense, it is highlighted that the computerized NP applying the ICNP® can contribute to nursing, as it promotes the improvement of healthcare quality, stimulates reflexive and affective thinking, facilitates planning, decision making, communication, and management, and promotes changes to the organizational structure.…”

“…[31][32] These studies also pointed out that the ICNP® permitted nurses to organize and develop their logical rationale in the process of taking care of ICU inpatients, because it permitted these professionals to establish a concrete relationship between the clinical evaluations and the nursing diagnoses, interventions and outcomes through the use of computerized tools. 6,22,[28][29][30][31][32] In this sense, it is highlighted that the computerized NP applying the ICNP® can contribute to nursing, as it promotes the improvement of healthcare quality, stimulates reflexive and affective thinking, facilitates planning, decision making, communication, and management, and promotes changes to the organizational structure. 30 Considering all the articles included in this study, the results pointed out that almost all the clinical specialties and/or areas of nursing practice have been assessed by studies applying the several ICNP® versions as the theoretical framework and/or classification system used to develop the Nursing Process.…”

Contribuições dos registros eletrônicos para a segurança do paciente em terapia intensiva: uma revisão integrativa

“…[14][15][16] One of the major challenges to be overcome by nursing is the effective and qualified implementation of the clinical record, making it more complete, detailed and integrated with the records/information sharing systems of other health care professionals. 1,4,[17][18][19][20][21][22] The nurses must ensure that their need for information and knowledge is met. This huge task, allied with the need to guarantee the continuity of nursing care, and consequently the patient's safety, can be achieved through the integration of information and computing systems, by means of the resources made available by the ICTs.…”