Deborah Hein Seganfredo

Validação de conteúdo de resultados de enfermagem, segundo a Classificação dos Resultados de Enfermagem (NOC) para pacientes clínicos, cirúrgicos e críticos

The objective of this study was to validate the Nursing Outcomes (NO) from the Nursing Outcomes Classification (NOC) for the two Nursing Diagnoses (ND) most frequent in hospitalized surgical, clinical and critical patients. The content validation of the REs was performed adapting the Fehring Model. The sample consisted of 12 expert nurses. The instrument for data collection consisted of the NOs proposed by NOC for the two NDs in the study, its definition and a five-point Likert scale. The data were analyzed using descriptive statistics. The NOs that obtained averages of 0.80 or higher were validated. The ND Risk for Infection was the most frequent, being validated eight (38.1%) of 21 NOs proposed by the NOC. The ND Self-Care Deficit: Bathing/Hygiene was the second most frequent and five (14.28%) out of 35 NOs were validated.Este estudo teve como objetivo validar os Resultados de Enfermagem (RE) da Classificacao dos Resultados de Enfermagem (NOC) para os dois Diagnosticos de Enfermagem (DE) frequentemente identificados em pacientes internados em unidades clinicas, cirurgicas e de terapia intensiva. A validacao de conteudo dos REs foi realizada adaptando-se o modelo de Fehring. A amostra constitui-se de 12 enfermeiros peritos. O instrumento de coleta de dados, na segunda etapa, se constituiu dos REs, propostos pela NOC, para os dois DEs em estudo, sua definicao e uma escala Likert de cinco pontos, para os peritos pontuarem. Os dados foram analisados por estatistica descritiva. Foram, ainda, validados os REs que obtiveram medias iguais ou maiores que 0,80. Risco de infeccao foi o DE mais frequente, sendo validados oito (38,1%) dos 21 REs propostos pela NOC. Deficit no autocuidado: banho/higiene foi o segundo DE mais frequente e cinco (14,28%) dos 35 REs foram validados.

Nursing outcomes content validation according to Nursing Outcomes Classification (NOC) for clinical, surgical and critical patients

The objective of this study was to validate the Nursing Outcomes (NO) from the Nursing Outcomes Classification (NOC) for the two Nursing Diagnoses (ND) most frequent in hospitalized surgical, clinical and critical patients. The content validation of the REs was performed adapting the Fehring Model. The sample consisted of 12 expert nurses. The instrument for data collection consisted of the NOs proposed by NOC for the two NDs in the study, its definition and a five-point Likert scale. The data were analyzed using descriptive statistics. The NOs that obtained averages of 0.80 or higher were validated. The ND Risk for Infection was the most frequent, being validated eight (38.1%) of 21 NOs proposed by the NOC. The ND Self-Care Deficit: Bathing/Hygiene was the second most frequent and five (14.28%) out of 35 NOs were validated.Este estudo teve como objetivo validar os Resultados de Enfermagem (RE) da Classificacao dos Resultados de Enfermagem (NOC) para os dois Diagnosticos de Enfermagem (DE) frequentemente identificados em pacientes internados em unidades clinicas, cirurgicas e de terapia intensiva. A validacao de conteudo dos REs foi realizada adaptando-se o modelo de Fehring. A amostra constitui-se de 12 enfermeiros peritos. O instrumento de coleta de dados, na segunda etapa, se constituiu dos REs, propostos pela NOC, para os dois DEs em estudo, sua definicao e uma escala Likert de cinco pontos, para os peritos pontuarem. Os dados foram analisados por estatistica descritiva. Foram, ainda, validados os REs que obtiveram medias iguais ou maiores que 0,80. Risco de infeccao foi o DE mais frequente, sendo validados oito (38,1%) dos 21 REs propostos pela NOC. Deficit no autocuidado: banho/higiene foi o segundo DE mais frequente e cinco (14,28%) dos 35 REs foram validados.

Produção de conhecimento sobre resultados de enfermagem

This literature review aimed at identifying and analysing the knowledge production regarding nursing outcomes in a worldwide context. A systematized review was carried out using LILACS and MEDLINE databases. The following key words were used: outcomes, nursing and classification. No national production was identified. The main issues raised were: the use of the standardized outcomes classifications to measure changes in the patients health condition; the use of the Nursing Outcomes Classifications (NOC) as the chosen terminology for nursing practice; the need to rank effectivity of nursing interventions by identifying the nursing-sensitive patient outcomes, as well as to make the nursing practice a profitable one to the institutions. It is important to develop and Brazilian studies addressing the issue.Esta revisao da literatura buscou identificar e analisar a producao de conhecimento sobre resultados de enfermagem no contexto mundial. Foi realizada uma revisao sistematizada nas bases de dados LILACS e MEDLINE com as palavras-chave: outcomes, nursing e classification. Nenhuma publicacao nacional foi identificada. As principais questoes levantadas foram: o uso de classificacoes padronizadas de resultados para mensurar mudancas no estado de saude do paciente; o uso da Classificacao dos Resultados de Enfermagem (NOC) como terminologia de escolha na pratica profissional; a necessidade de atribuir efetividade as intervencoes do enfermeiro por meio da identificacao de resultados do paciente sensiveis a profissao com enfase em tornar a pratica de enfermagem rentavel as instituicoes. Destaca-se e importância em desenvolver estudos brasileiros abordando a tematica.

Knowledge production about nursing outcomes

This literature review aimed at identifying and analysing the knowledge production regarding nursing outcomes in a worldwide context. A systematized review was carried out using LILACS and MEDLINE databases. The following key words were used: outcomes, nursing and classification. No national production was identified. The main issues raised were: the use of the standardized outcomes classifications to measure changes in the patients health condition; the use of the Nursing Outcomes Classifications (NOC) as the chosen terminology for nursing practice; the need to rank effectivity of nursing interventions by identifying the nursing-sensitive patient outcomes, as well as to make the nursing practice a profitable one to the institutions. It is important to develop and Brazilian studies addressing the issue.Esta revisao da literatura buscou identificar e analisar a producao de conhecimento sobre resultados de enfermagem no contexto mundial. Foi realizada uma revisao sistematizada nas bases de dados LILACS e MEDLINE com as palavras-chave: outcomes, nursing e classification. Nenhuma publicacao nacional foi identificada. As principais questoes levantadas foram: o uso de classificacoes padronizadas de resultados para mensurar mudancas no estado de saude do paciente; o uso da Classificacao dos Resultados de Enfermagem (NOC) como terminologia de escolha na pratica profissional; a necessidade de atribuir efetividade as intervencoes do enfermeiro por meio da identificacao de resultados do paciente sensiveis a profissao com enfase em tornar a pratica de enfermagem rentavel as instituicoes. Destaca-se e importância em desenvolver estudos brasileiros abordando a tematica.

Analysis of ineffective breathing pattern and impaired spontaneous ventilation of adults with oxygen therapy

ABSTRACT Objective: to analyze the manifestation of the defining characteristics of the nursing diagnoses of ineffective breathing pattern and impaired spontaneous ventilation, of the NANDA International and the defining characteristics identified in the literature for the concept of “ventilation” in adult patients hospitalized in an intensive care unit with use of oxygen therapy. Method: clinical diagnostic validation study, conducted with 626 patients in intensive care using oxygen therapy, in three different modalities. Multiple correspondence analysis was used to verify the discriminative capacity of the defining characteristics and latent class analysis to determine the diagnostic accuracy of them, based on the severity level defined by the ventilatory mode used. Results: in the multiple correspondence analysis, it was demonstrated that the majority of the defining characteristics presented low discriminative capacity and low percentage of explained variance for the two dimensions (diagnoses). Latent class models, separately adjusted for the two diagnoses, presented a worse fit, with sharing of some defining characteristics. Models adjusted by level of severity (ventilation mode) presented better fit and structure of the component defining characteristics. Conclusion: clinical evidence obtained in the present study seems to demonstrate that the set of defining characteristics of the two nursing diagnoses studied fit better in a single construct.

Producción de conocimiento acerca de los resultados de enfermería

This literature review aimed at identifying and analysing the knowledge production regarding nursing outcomes in a worldwide context. A systematized review was carried out using LILACS and MEDLINE databases. The following key words were used: outcomes, nursing and classification. No national production was identified. The main issues raised were: the use of the standardized outcomes classifications to measure changes in the patients health condition; the use of the Nursing Outcomes Classifications (NOC) as the chosen terminology for nursing practice; the need to rank effectivity of nursing interventions by identifying the nursing-sensitive patient outcomes, as well as to make the nursing practice a profitable one to the institutions. It is important to develop and Brazilian studies addressing the issue.Esta revisao da literatura buscou identificar e analisar a producao de conhecimento sobre resultados de enfermagem no contexto mundial. Foi realizada uma revisao sistematizada nas bases de dados LILACS e MEDLINE com as palavras-chave: outcomes, nursing e classification. Nenhuma publicacao nacional foi identificada. As principais questoes levantadas foram: o uso de classificacoes padronizadas de resultados para mensurar mudancas no estado de saude do paciente; o uso da Classificacao dos Resultados de Enfermagem (NOC) como terminologia de escolha na pratica profissional; a necessidade de atribuir efetividade as intervencoes do enfermeiro por meio da identificacao de resultados do paciente sensiveis a profissao com enfase em tornar a pratica de enfermagem rentavel as instituicoes. Destaca-se e importância em desenvolver estudos brasileiros abordando a tematica.