Greicy Kelly Gouveia Dias Bittencourt

Theoretical model of critical thinking in diagnostic processes in nursing

Aim: to propose a theoretical model of critical thinking within the nursing diagnostic process. Method: This is a descriptive exploratory study using a qualitative approach. There were three focus group sessions with seven nursing students, aiming at the definition and relationship of critical thinking skills in the diagnostic process in nursing, using content analysis. Results: it was found that the technical and scientific knowledge and clinical experience permeate phases of the diagnostic process in nursing. Data collection requires analysis, application of standards, knowledge of the patient and a contextual perspective. Collection is followed by interpretation and grouping data in a continuous process of analysis and the application of standards associated with logical reasoning. Health problems are known, generating diagnostic hypotheses to be judged using logical reasoning and discernment. At that time, the decision can be made with regard to nursing diagnosis priorities. Conclusions: The theoretical model shows the complexity of the nursing diagnostic process based on the critical thinking skills in making clinical decisions. This way, is possible to think of strategies to facilitate the operationalization of the diagnostic process in nursing

Aplicação de mapa conceitual para identificação de diagnósticos de enfermagem

Trata-se del relato de experiencia cuyo objetivo es relatar la aplicacion del Mapa Conceptual, como estrategia para desarrollar habilidades del pensamiento critico, en la identificacion de los diagnosticos de enfermeria prioritarios en una situacion de clinica. Para tanto, se presenta uno caso clinico ficticio y el Mapa Conceptual construido con auxilio del software Cmaps Tools. Se concluye que la utilizacion del Mapa Conceptual en la identificacion de los diagnosticos de enfermeria posibilita el desarrollo de habilidades del pensamiento critico, debiendo ser estimulado su uso a lo largo de la formacion academica.This is an experience report, aiming at describing the application of the Concept Map as a strategy to develop critical thinking skills in the identification of priority nursing diagnoses in a clinical situation. An elaborated fictitious clinical case and the concept map, created by using the IHMC CmapTools computer program, are presented. It was concluded that the use of Concept Map to identify the nursing diagnoses led to the development of critical thinking skills; therefore, its use should be stimulated during the academic program.

Concepções de idosos sobre vulnerabilidade ao HIV/Aids para construção de diagnósticos de enfermagem

OBJECTIVE to know the beliefs of older adults about their vulnerability to HIV/Aids, and to identify nursing diagnoses. METHOD a field research implemented in Family Health Units, in João Pessoa, Brazil. The sample included 250 older adults of both genders with data collected from April to July of 2011. A Test of Free Word Association was applied using the term HIV/Aids. A content analysis and cross-mapping of the most frequent terms with the International Classification for Nursing Practice, 2011 were performed. RESULTS 202 terms were identified in terms, with an overall frequency of 1156. Of the 202 terms, 16 were more frequent and were used to construct the nursing diagnoses. The diagnoses identified were knowledge about appropriate sexual behavior, ability for partial protection, fear of death and hopelessness. CONCLUSION understanding these beliefs drew from knowledge about factors related to, vulnerability to HIV/Aids aimed at planning health care actions for this population segment.

Concept maps of the graduate programme in nursing: experience report

O mapa conceitual e considerado uma estrategia que possibilita o desenvolvimento de habilidades de pensamento critico. O objetivo deste estudo foi avaliar mapas conceituais elaborados por discentes para compreensao de projetos de pesquisa. Trata-se de um relato de experiencia oriundo do Topico Especial: Mapa Conceitual, do Programa de Pos-Graduacao em Enfermagem da Universidade Federal da Paraiba, em fevereiro de 2012. Desenvolveram-se leituras interativas sobre mapas conceituais, instalacao e manuseio do software Cmap Tools, e construcao de mapas conceituais. A avaliacao considerou coerencia entre conceitos, visualizacao de proposicoes, clareza de ideias e relacao logica entre conceitos. Como resultado, mapas foram evidenciados com coerencia entre conceitos, relacoes significantes, clareza de ideias e relacao logica entre as etapas de um projeto de pesquisa. Salienta-se que o mapa conceitual pode ser uma estrategia de avaliacao do processo de ensino-aprendizagem e pode ser utilizado no ensino, na pesquisa e em reflexoes sobre a pratica clinica em enfermagem.The conceptual map is considered a strategy that enables the development of critical thinking skills. The aim of this article was to evaluate concept maps produced by students to obtain an understanding of research projects. This is an experience report based on the Special Topic: concept map of the Graduate Program in Nursing/Federal University of Paraiba in February/2012. Methodology comprised interactive reading of concept maps, installation and use of Cmap Tools software and construction of concept maps. Concept evaluation included coherence, propositions, clarity of ideas and logical relation between concepts. This evaluation of maps revealed consistency among concepts, significant relationships, clarity of ideas and logical relationship between the stages of a research project. Results showed that the concept map is a valid strategy to evaluate the learning-teaching process and can be used for education, research and reflection in the nursing practice.

Mapas conceituais no ensino de pós-graduação em enfermagem: relato de experiência

O mapa conceitual e considerado uma estrategia que possibilita o desenvolvimento de habilidades de pensamento critico. O objetivo deste estudo foi avaliar mapas conceituais elaborados por discentes para compreensao de projetos de pesquisa. Trata-se de um relato de experiencia oriundo do Topico Especial: Mapa Conceitual, do Programa de Pos-Graduacao em Enfermagem da Universidade Federal da Paraiba, em fevereiro de 2012. Desenvolveram-se leituras interativas sobre mapas conceituais, instalacao e manuseio do software Cmap Tools, e construcao de mapas conceituais. A avaliacao considerou coerencia entre conceitos, visualizacao de proposicoes, clareza de ideias e relacao logica entre conceitos. Como resultado, mapas foram evidenciados com coerencia entre conceitos, relacoes significantes, clareza de ideias e relacao logica entre as etapas de um projeto de pesquisa. Salienta-se que o mapa conceitual pode ser uma estrategia de avaliacao do processo de ensino-aprendizagem e pode ser utilizado no ensino, na pesquisa e em reflexoes sobre a pratica clinica em enfermagem.The conceptual map is considered a strategy that enables the development of critical thinking skills. The aim of this article was to evaluate concept maps produced by students to obtain an understanding of research projects. This is an experience report based on the Special Topic: concept map of the Graduate Program in Nursing/Federal University of Paraiba in February/2012. Methodology comprised interactive reading of concept maps, installation and use of Cmap Tools software and construction of concept maps. Concept evaluation included coherence, propositions, clarity of ideas and logical relation between concepts. This evaluation of maps revealed consistency among concepts, significant relationships, clarity of ideas and logical relationship between the stages of a research project. Results showed that the concept map is a valid strategy to evaluate the learning-teaching process and can be used for education, research and reflection in the nursing practice.

Application of concept map for the identification of nursing diagnosis

Trata-se del relato de experiencia cuyo objetivo es relatar la aplicacion del Mapa Conceptual, como estrategia para desarrollar habilidades del pensamiento critico, en la identificacion de los diagnosticos de enfermeria prioritarios en una situacion de clinica. Para tanto, se presenta uno caso clinico ficticio y el Mapa Conceptual construido con auxilio del software Cmaps Tools. Se concluye que la utilizacion del Mapa Conceptual en la identificacion de los diagnosticos de enfermeria posibilita el desarrollo de habilidades del pensamiento critico, debiendo ser estimulado su uso a lo largo de la formacion academica.This is an experience report, aiming at describing the application of the Concept Map as a strategy to develop critical thinking skills in the identification of priority nursing diagnoses in a clinical situation. An elaborated fictitious clinical case and the concept map, created by using the IHMC CmapTools computer program, are presented. It was concluded that the use of Concept Map to identify the nursing diagnoses led to the development of critical thinking skills; therefore, its use should be stimulated during the academic program.

Term base for nursing practices with elderly women with HIV/AIDS

The aim of this study was to create a term base for nursing practices with elderly women with HIV/AIDS. This documental descriptive research was conducted at the Universidade Federal de Paraíba, from August 2012 to July 2013, based on a list of terms from the Integrated Plan to Combat the Feminization of AIDS and other STDs. These terms were cross-mapped with those of the International Classification for Nursing Practices 2011 (CIPEr 2011) and use of these terms in nursing practices was confirmed with the help of 15 participants. The base comprised 106 constant terms and 69 non-constant terms in the CIPEr 2011. Results revealed the need to reconsider nursing care for elderly women with HIV/AIDS in light of epidemiological changes in relation to aging and feminization of the disease. The term base will support the construction of more appropriate wording for nursing diagnoses, results and interventions for elderly women with HIV/AIDS.

Banco de termos para a prática de enfermagem com mulheres idosas com HIV/aids

The aim of this study was to create a term base for nursing practices with elderly women with HIV/AIDS. This documental descriptive research was conducted at the Universidade Federal de Paraíba, from August 2012 to July 2013, based on a list of terms from the Integrated Plan to Combat the Feminization of AIDS and other STDs. These terms were cross-mapped with those of the International Classification for Nursing Practices 2011 (CIPEr 2011) and use of these terms in nursing practices was confirmed with the help of 15 participants. The base comprised 106 constant terms and 69 non-constant terms in the CIPEr 2011. Results revealed the need to reconsider nursing care for elderly women with HIV/AIDS in light of epidemiological changes in relation to aging and feminization of the disease. The term base will support the construction of more appropriate wording for nursing diagnoses, results and interventions for elderly women with HIV/AIDS.

Beliefs of older adults about their vulnerability to HIV/Aids, for the construction of nursing diagnoses

OBJECTIVE to know the beliefs of older adults about their vulnerability to HIV/Aids, and to identify nursing diagnoses. METHOD a field research implemented in Family Health Units, in João Pessoa, Brazil. The sample included 250 older adults of both genders with data collected from April to July of 2011. A Test of Free Word Association was applied using the term HIV/Aids. A content analysis and cross-mapping of the most frequent terms with the International Classification for Nursing Practice, 2011 were performed. RESULTS 202 terms were identified in terms, with an overall frequency of 1156. Of the 202 terms, 16 were more frequent and were used to construct the nursing diagnoses. The diagnoses identified were knowledge about appropriate sexual behavior, ability for partial protection, fear of death and hopelessness. CONCLUSION understanding these beliefs drew from knowledge about factors related to, vulnerability to HIV/Aids aimed at planning health care actions for this population segment.

Structural elements of critical thinking of nurses in emergency care

The objective of this study was to analyze the structural elements of critical thinking (CT) of nurses in the clinical decision-making process. This exploratory, qualitative study was conducted with 20 emergency care nurses in three hospitals in southern Brazil. Data were collected from April to June 2009, and a validated clinical case was applied from which nurses listed health problems, prescribed care and listed the structural elements of CT. Content analysis resulted in categories used to determine priority structural elements of CT, namely theoretical foundations and practical relationship to clinical decision making; technical and scientific knowledge and clinical experience, thought processes and clinical decision making: clinical reasoning and basis for clinical judgments of nurses: patient assessment and ethics. It was concluded that thinking critically is a skill that enables implementation of a secure and effective nursing care process.