Patricia dos Santos Claro Fuly

The nursing process and its application in intensive care at Rio de Janeiro as a support to the development of an electronic patient record

This study aims at evaluating the utilization of the nursing process in intensive care units in the metropolitan area of Rio de Janeiro, in order to identify the potential conditions for the deployment of a computerized system in those units. Interviews with 27 nursing team leaders were performed in the period from January to July 2003. The interviews revealed that: the nursing process was not fully implemented and not systematically including the nursing diagnostic stage; 13 units had nursing prescription forms, but only 11 released them; and, 5 units used some type of computerized information system. From the forms so obtained, 128 different nursing actions were identified with high variability of use and no existence of standards for data recording. In this scenario, it can be concluded that the conditions for a computerized system for the nursing process are not adequate.

Perfil dos pacientes admitidos em uma unidade de Terapia Intensiva Oncológica/ Profile of patients admitted in a oncological Intensive Therapy Unit

Este estudo objetiva analisar o perfil dos pacientes admitidos em uma unidade de terapia intensiva oncologica. Trata-se de um estudo descritivo de abordagem quantitativa. A coleta de dados foi realizada no periodo de setembro a dezembro de 2016, atraves de sistema informatizado utilizado pela instituicao. Foram admitidos 55 pacientes durante o periodo da coleta. A idade variou entre 18 e 80 anos, com media de 55 anos. Em sua maioria, sao pacientes com neoplasias gastrointestinais (29,09%), provenientes das enfermarias do hospital (32,73%). No geral, 14,55% receberam cuidados paliativos e a mortalidade total no periodo foi de 34,55%. A carga de trabalho apresentada foi de 79,04%, traduzida em uma demanda de trabalho de 18 horas e 57 minutos. Houve predominio do Karnofsky Performance Status 30% (52,73%) e de pacientes com Indice de Comorbidade de Charlson entre 2 e 5 pontos (76,36%). As unidades de terapia intensiva oncologica devem estar preparadas para atuar com pacientes sem possibilidades de cura. A mortalidade nao e superior quando comparada a unidades de terapia intensiva de outras especialidades, desmistificando a admissao de pacientes oncologicos em unidades de terapia intensiva.

Validation Form for a Pediatric Nursing: descriptive study

This is a dissertation project of professional nursing care to validate the information from a nursing history form to be implemented in a teaching hospital in the State of Rio de Janeiro. Objective: To propose a model of nursing history to assess the growth and development in the pediatric nursing consultation, using the conceptual framework of Wanda Horta. Method: This is an observational study, of a descriptive nature with quantitative approach, developed in two phases. The first stage deals with the actual construction of a form to survey the history of nursing in baby care, considering empirical indicators extracted from the literature. For this we used the databases of the Latin American and Caribbean Literature on Health Sciences of the Virtual Health Library (Lilacs) and Medline with the keywords: nursing process, and pediatric nursing. The second phase deals with the validation of the contents of the form of expertise, who are nurses and / or teachers who work in the setting of the study, the complex mother-child of Antonio Pedro University Hospital. Results: The treatment of the data collected will be accomplished through the use of descriptive statistics with non-parametric association measure (chi-square test). The ethical aspects will be respected, according to Resolution 196/96.This is a dissertation project of professional nursing care to validate the information from a nursing history form to be implemented in a teaching hospital in the State of Rio de Janeiro. Objective: To propose a model of nursing history to assess the growth and development in the pediatric nursing consultation, using the conceptual framework of Wanda Horta. Method: This is an observational study, of a descriptive nature with quantitative approach, developed in two phases. The first stage deals with the actual construction of a form to survey the history of nursing in baby care, considering empirical indicators extracted from the literature. For this we used the databases of the Latin American and Caribbean Literature on Health Sciences of the Virtual Health Library (Lilacs) and Medline with the keywords: nursing process, and pediatric nursing. The second phase deals with the validation of the contents of the form of expertise, who are nurses and / or teachers who work in the setting of the study, the complex mother-child of Antonio Pedro University Hospital. Results: The treatment of the data collected will be accomplished through the use of descriptive statistics with non-parametric association measure (chi-square test). The ethical aspects will be respected, according to Resolution 196/96.