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Classificação das intervenções de enfermagem

During the last years, Nursing is seeking to classify its diagnoses, interventions/actions and outcomes. Here is presented one of the classifications of nursing interventions that was proposed by nurses of the University of Iowa in 1987, the Nursing Interventions Classifications (NIC) as well as the reasons os its creation, in order to contribute to the dissemination of one of the most advanced proposals for classifying nursing interventions.During the last years, Nursing is selking to classify its diagnoses, interventions/actions and outcomes. Here is presented one of the classifications of nursing interventions that was proposed by nurses of the University of Iowa in 1987, the Nursing Interventions Classifications (NIC) as well as the reasons os its creation, in order to contribute to the dissemination of one of the most advanced proposals for classifying nursing interventions.

Incidence of ventilator-associated pneumonia in patients using open-suction systems and closed-suction systems: a prospective study - preliminary data

Ensaio clinico, randomizado, com amostra de 20 pacientes, sendo 12 submetidos a aspiracao endotraqueal pelo sistema aberto e 8 a aspiracao endotraqueal pelo sistema fechado, com o objetivo de verificar a incidencia de pneumonia associada a ventilacao mecânica (PAV) entre os dois grupos. A incidencia de PAV entre os mesmos nao foi significante (p = 0.39). Diferencas como Acute Physiology and Chronic Health Evaluation II, tempo de entubacao e uso de esteroides foram todas nao significantes. Todos os pacientes da amostra usaram bloqueador H2 e sonda nasogastrica. O prosseguimento deste estudo implicara em aumento da amostra com possiveis alteracoes dos resultados.This a randomized clinical trial in which 20 patients were prospectively evaluated for the incidence of ventilator-associated pneumonia (VAP), of whom 12 received endotracheal suctioning by an open-suction method and 8 by a closed-suction method. Differences in the incidence of VAP was not significantly different (p = 0.4) between closed and open suctioning. Differences in Acute Physiology and Chronic Health Evaluation II, duration of entubation, and the use of steroids were all not significant. All patients in the study used H2 antagonist and a nasogastric tube. Proceeding with the study will involve a sample increase with a possible change in the results.

Consensual Validation of the Nursing Diagnoses Fear and Anxiety Identified at the Immediate Preoperative Period in Patients Undergoing Elective Surgery

PURPOSE.  To identify the most frequent defining characteristics (DCs) for the diagnoses fear and anxiety in Brazilian patients in the immediate preoperative period following elective cardiac surgery; to develop conceptual and operational definitions for the DCs; to develop consensual validation. METHODS.  Clinical and observational, descriptive study developed in two phases. FINDINGS.  Forty DCs were identified for fear and 19 for anxiety. One expert judged it necessary to include “altered bowel motility” as a DC for fear. There was 100% agreement among the five experts in relation to the DCs. CONCLUSIONS.  To add “altered bowel motility” to the DCs for the nursing diagnosis fear. IMPLICATIONS FOR PRACTICE.  To enable nurses to more accurately assess patients for these diagnoses. OBJETIVOS.  Selecionar as caracteristicas definidoras mais frequentes dos diagnosticos de enfermagem de medo e ansiedade em pacientes brasileiros no pre-operatorio imediato submetidos a cirurgia cardiaca eletiva; formular definicoes conceituais e operacionais para as caracteristicas definidoras; realizar a validacao consensual. METODOS.  Estudo clinico e observacional desenvolvido em duas fases. RESULTADOS.  Foram identificadas 14 caracteristicas definidoras para medo e 19 para ansiedade. Inicialmente, um especialista julgou necessaria a inclusao de “mobilidade intestinal alterada” para medo. Posteriormente, foram atingidos 100% de concordância entre os cinco especialistas em relacao as caracteristicas definidoras. CONCLUSAO.  Acrescentar “mobilidade intestinal alterada” para o diagnostico de enfermagem de medo. IMPLICACOES PARA A PRATICA.  Fornecer subsidios para uma melhor avaliacao dos pacientes com tais diagnosticos.

Alterações do nível pressórico e fatores de risco em graduandos de enfermagem

Objetivos: Identificar possiveis alteracoes do nivel presoricoem graduandos de Enfermagem da Universidade Federal de Sao Paulo; Identificar fatores de risco para hipertensao arterial sistemica; Verificar a associacao entre os niveis pressoricos e os fatores de risco para hipertensao arterial sistemica. Metodos: Estudo de corte transversal, desenvolvido entre novembro de 2006 a maio de 2007. A amostra foi composta por 120 graduandos de enfermagem da Universidade Federal de Sao Paulo. Foi aplicado um questionario especifico sobre fatores de risco para hipertensao arterial e afericao da pressao arterial. O Teste de Fischer foi usado para determinar possiveis associacoes. Resultados: Dos graduandos, 92,5% apresentaram niveis pressoricos normais, 4,2% eram hipertensos e 3,3% com pressao limitrofe. Notou-se o aparecimento de alguns fatores de risco para hipertensao arterial e doenca cardiovascular. Conclusao: De acordo com os resultados, deve-se atentar para mudancas de habito e estilo de vida mais saudavel desses futuros enfermeiros.Objectives: To identify risk factors and alterations in blood pressure levels in undergraduate nursing students and to examine the associations between the risk factors and blood pressure levels. Methods: A cross-sectional descriptive study was conducted between November 2006 and May 2007. The sample consisted of 120 undergraduate nursing students from the Federal University of Sao Paulo. A specific questionnaire on risk factors for high blood pressure was used. Blood pressure measures were taken and recorded. Fishers exact test was used to determine associations between risk factors and high blood pressure. Results: The majority of participants (92.5%) had normal blood pressure levels. A few students had high (4.2%) or borderline (3.3%) blood pressure levels. Students had some of the risk factors for high blood pressure and cardiovascular diseases. Conclusion: There is a need to emphasize lifestyle changes among those future nurses.

Quality of life and depressive symptoms in nursing residents

This study aimed to evaluate quality of life and prevalence of dysphoria/depressive symptoms in nursing residents at a medical school in São Paulo, Brazil. An exploratory, descriptive and cross-sectional study was carried out, involving 68 nursing residents from the first and second year of residency from all specialty areas, by applying the Brazilian version of the quality of life questionnaire SF-36 (Medical Outcomes Study 36--Item Short-Form Health Survey) and the Brazilian Version of the Beck Depression Inventory (BDI). Aspects related to quality of life were at risk in the mental component of SF-36: emotional aspects, vitality and mental health. Dysphoria/depression were found in 27.9% of the nursing residents.O objetivo deste estudo foi avaliar a qualidade de vida e a prevalencia de disforia/sintomas depressivos nos residentes de enfermagem de uma Escola Paulista de Medicina. Trata-se de um estudo exploratorio, descritivo e transversal com 68 residentes de enfermagem do primeiro e do segundo ano de residencia de todas as areas de especialidade, atraves da aplicacao da versao brasileira do questionario de qualidade de vida SF-36 (Medical Outcomes Study 36 - Item Short-Form Health Survey) e da versao brasileira do Inventario de Depressao de Beck (IDB). Os aspectos relacionados a qualidade de vida mostraram-se comprometidos no componente mental do SF-36: aspectos emocionais, vitalidade e saude mental. Houve prevalencia de disforia/depressao em 27,9% dos residentes de enfermagem.

Application analysis of Nursing Care Systematization according to Horta's Conceptual Model

This study has as purpose to analyse the implementation of the Nursing Care Systematization in a private hospital in medical surgical units. Results evidenced that the Hortas Conceptual Model was present only in part of nursing hystory instrument, that the remaining phases of nursing process were not inter-related and that there was a lack of coherence of the prescribed actions in relation to the patients health condition. From the results of the study it can be concluded that the model used for Nursing Care Systematization is eclectic, not obeying therefore, only to Hortas conceptual model; the totality of the data had not been collected in some phases of the nursing process; there is no correlation of the phases in the majority of analyzed patient records; diagnostic and planning phases do not comprise the phases of the nursing process as proposed by Horta.Este estudo teve como proposito fazer uma analise da implementacao da Sistematizacao da Assistencia de Enfermagem num hospital privado, nas unidades de clinica medico-cirurgica. Os resultados evidenciam que o modelo conceitual de Horta estava presente apenas em parte no instrumento do historico de enfermagem, que as fases do processo de enfermagem nao estavam inter-relacionadas e que existia falta de coerencia das acoes prescritas com o estado de saude do paciente. A partir dos resultados do estudo, pode-se concluir que o modelo utilizado para a sistematizacao da assistencia de enfermagem e ecletico nao obedecendo, portanto, apenas o referencial de Horta; a totalidade dos dados nao foram coletados nas varias fases do processo de enfermagem; nao existe correlacao das fases na maioria dos prontuarios analisados e as fases diagnostica e de planejamento nao contemplam as fases do processo de enfermagem proposto por Horta.

A pesquisa nas classificações de enfermagem: a experiência brasileira

Trata-se de uma avaliacao da producao cientifica brasileira na area das classificacoes de enfermagem, apresentada durante o VI SINADEN (SIMPOSIO NACIONAL SOBRE DIAGNOSTICO DE ENFERMAGEM) e I SICE (SIMPOSIO INTERNACIONAL SOBRE CLASSIFICACOES DE ENFERMAGEM), ocorrido em Sao Paulo, em agosto de 2002. Foram identificados quatro diferentes tipos de pesquisa sendo realizados no pais, e mensurada a participacao de enfermeiras1 brasileiras nas ultimas cinco conferencias da NANDA (NORTH AMERICAN NURSING DIAGNOSIS ASSOCIATION), como um indicador desta producao.

Risk factors and alterations in blood pressure levels in undergraduate nursing students

Objetivos: Identificar possiveis alteracoes do nivel presoricoem graduandos de Enfermagem da Universidade Federal de Sao Paulo; Identificar fatores de risco para hipertensao arterial sistemica; Verificar a associacao entre os niveis pressoricos e os fatores de risco para hipertensao arterial sistemica. Metodos: Estudo de corte transversal, desenvolvido entre novembro de 2006 a maio de 2007. A amostra foi composta por 120 graduandos de enfermagem da Universidade Federal de Sao Paulo. Foi aplicado um questionario especifico sobre fatores de risco para hipertensao arterial e afericao da pressao arterial. O Teste de Fischer foi usado para determinar possiveis associacoes. Resultados: Dos graduandos, 92,5% apresentaram niveis pressoricos normais, 4,2% eram hipertensos e 3,3% com pressao limitrofe. Notou-se o aparecimento de alguns fatores de risco para hipertensao arterial e doenca cardiovascular. Conclusao: De acordo com os resultados, deve-se atentar para mudancas de habito e estilo de vida mais saudavel desses futuros enfermeiros.Objectives: To identify risk factors and alterations in blood pressure levels in undergraduate nursing students and to examine the associations between the risk factors and blood pressure levels. Methods: A cross-sectional descriptive study was conducted between November 2006 and May 2007. The sample consisted of 120 undergraduate nursing students from the Federal University of Sao Paulo. A specific questionnaire on risk factors for high blood pressure was used. Blood pressure measures were taken and recorded. Fishers exact test was used to determine associations between risk factors and high blood pressure. Results: The majority of participants (92.5%) had normal blood pressure levels. A few students had high (4.2%) or borderline (3.3%) blood pressure levels. Students had some of the risk factors for high blood pressure and cardiovascular diseases. Conclusion: There is a need to emphasize lifestyle changes among those future nurses.

Alteraciones del nível de la presión y factores de riesgo en profesionales graduandos en enfermería

Objetivos: Identificar possiveis alteracoes do nivel presoricoem graduandos de Enfermagem da Universidade Federal de Sao Paulo; Identificar fatores de risco para hipertensao arterial sistemica; Verificar a associacao entre os niveis pressoricos e os fatores de risco para hipertensao arterial sistemica. Metodos: Estudo de corte transversal, desenvolvido entre novembro de 2006 a maio de 2007. A amostra foi composta por 120 graduandos de enfermagem da Universidade Federal de Sao Paulo. Foi aplicado um questionario especifico sobre fatores de risco para hipertensao arterial e afericao da pressao arterial. O Teste de Fischer foi usado para determinar possiveis associacoes. Resultados: Dos graduandos, 92,5% apresentaram niveis pressoricos normais, 4,2% eram hipertensos e 3,3% com pressao limitrofe. Notou-se o aparecimento de alguns fatores de risco para hipertensao arterial e doenca cardiovascular. Conclusao: De acordo com os resultados, deve-se atentar para mudancas de habito e estilo de vida mais saudavel desses futuros enfermeiros.Objectives: To identify risk factors and alterations in blood pressure levels in undergraduate nursing students and to examine the associations between the risk factors and blood pressure levels. Methods: A cross-sectional descriptive study was conducted between November 2006 and May 2007. The sample consisted of 120 undergraduate nursing students from the Federal University of Sao Paulo. A specific questionnaire on risk factors for high blood pressure was used. Blood pressure measures were taken and recorded. Fishers exact test was used to determine associations between risk factors and high blood pressure. Results: The majority of participants (92.5%) had normal blood pressure levels. A few students had high (4.2%) or borderline (3.3%) blood pressure levels. Students had some of the risk factors for high blood pressure and cardiovascular diseases. Conclusion: There is a need to emphasize lifestyle changes among those future nurses.

Calidad de vida y sintomas depresivos en residentes de enfermería

This study aimed to evaluate quality of life and prevalence of dysphoria/depressive symptoms in nursing residents at a medical school in São Paulo, Brazil. An exploratory, descriptive and cross-sectional study was carried out, involving 68 nursing residents from the first and second year of residency from all specialty areas, by applying the Brazilian version of the quality of life questionnaire SF-36 (Medical Outcomes Study 36--Item Short-Form Health Survey) and the Brazilian Version of the Beck Depression Inventory (BDI). Aspects related to quality of life were at risk in the mental component of SF-36: emotional aspects, vitality and mental health. Dysphoria/depression were found in 27.9% of the nursing residents.O objetivo deste estudo foi avaliar a qualidade de vida e a prevalencia de disforia/sintomas depressivos nos residentes de enfermagem de uma Escola Paulista de Medicina. Trata-se de um estudo exploratorio, descritivo e transversal com 68 residentes de enfermagem do primeiro e do segundo ano de residencia de todas as areas de especialidade, atraves da aplicacao da versao brasileira do questionario de qualidade de vida SF-36 (Medical Outcomes Study 36 - Item Short-Form Health Survey) e da versao brasileira do Inventario de Depressao de Beck (IDB). Os aspectos relacionados a qualidade de vida mostraram-se comprometidos no componente mental do SF-36: aspectos emocionais, vitalidade e saude mental. Houve prevalencia de disforia/depressao em 27,9% dos residentes de enfermagem.