Simone Roque Mazoni

Classificação Internacional para a Prática de Enfermagem e a contribuição brasileira

The study aimed to identify the scientific productions about the International Classification for Nursing Practice - ICNP and its national contribution, using integrative review as research for approaching of the investigation object. In total 111 scientific productions were identified in the period from 1994 to 2008, 45,5%, were Brazilian studies. The average world scientific production per year was 7.3, including Brazil with 3.3 annual productions in average. The predominance of quantitative correlation descriptive studies was verified. Clinical-individual model and researches related to ICNP use in States of Rio Grande do Sul, Santa Catarina, Paraná and Paraíba, as well as the important contribution of the Brazilian Nursing Association with the project International Classification for Nursing Practice Collective Health.O estudo teve por objetivo identificar as producoes cientificas sobre a Classificacao Internacional da Pratica de Enfermagem - CIPE® e sua contribuicao nacional, empregando-se a revisao integrativa como pesquisa para a aproximacao do objeto de investigacao. Identificaram-se 111 producoes cientificas no periodo de 1994 a 2008, sendo 45,5%, estudos brasileiros. A media de producao cientifica mundial anual foi de 7,3, incluindo o Brasil com a media de 3,3 producoes anuais. Verificou-se a predominância de estudos descritivos correlacionais quantitativos voltados ao modelo clinico-individual e pesquisas relatando o uso da CIPE® nos Estados do Rio Grande do Sul, Santa Catarina, Parana e Paraiba, bem como a importante contribuicao da Associacao Brasileira de Enfermagem com o projeto Classificacao Internacional da Pratica de Enfermagem na Saude Coletiva.

NANDA’s taxonomy employment in Brazil: integrative review

Objectives: to identify and to classify the studies developed in Brazil that had used in the practical assistential the Taxonomy of the NANDA. Method: integrative review of the literature, carried through in the databases LILACS and MEDLINE, using itself the word-key Taxonomy and NANDA, being selected studies with summary, published in Brazil and that presented the practical application of the taxonomy. Results: of the 46 selected studies, 80.4% had been developed in the clinical area and excessively in the surgical area. It had predominance of prospectives studies in the hospital scene; the used theoretical referencial more had been of Horta and Orem. The studies had presented the descriptive delineations and study of case, having been classified as evidence level 4. Conclusion: the evidences point with respect to the use of the Taxonomy of the NANDA as bases for the development of the nursing assistance considering the universality of the language used in the practical area, the individuality of the necessities presented for the customers in the diverse scenes, the aiding of the education of the customer/family, to the results reached with specific interventions. Describers: taxonomy; nursing; diagnosis.

Clinical validation of the nursing diagnosis labor pain

OBJETIVOS: a proposta neste estudo foi identificar a presenca dos indicadores clinicos da dor em situacao de parto e correlacionar a referencia verbal de intensidade de dor com a ocorrencia de contracoes uterinas, como proposta de validacao clinica do diagnostico de enfermagem dor de parto. METODO: trata-se de estudo observacional dos 22 indicadores clinicos que representaram as caracteristicas definidoras para o diagnostico. RESULTADOS: participaram 55 parturientes (18 na fase ativa inicial, 6 na fase ativa final e 31 em ambas as fases), maiores de 18 anos, gestacao unica, contracoes efetivas e dilatacao cervical ≥4cm. Testaram-se 22 caracteristicas definidoras, 6 presentes na maioria das participantes nas duas fases: relato verbal ou codificado, evidencia observada de contracao uterina, alteracao do tonus muscular, evidencia observada de dor, comportamento expressivo e expressao facial de dor. Houve diferencas entre as fases para diaforese, expressao facial de dor, gestos protetores, posicao antalgica, comportamento de distracao, foco em si proprio e sensacao de pressao perineal. CONCLUSOES: observou-se correlacao linear positiva entre escores de intensidade de dor e amplitude de pressao intrauterina na fase inicial. A dor de parto evidenciou-se como fenomeno compativel a um diagnostico de enfermagem.OBJECTIVE The study intends to identify the presence of clinical indicators of pain during labor and to correlate the verbal reference of pain intensity with uterine contractions as a proposal to validate the clinical nursing diagnosis Labor Pain. METHOD Observational study of the 22 clinical indicators that represented the defining characteristics for the diagnosis. RESULTS There were 55 participants in labor (18 in the initial active stage, 6 in the final active stage and 31 in both stages), over 18 years old, in their first pregnancy, with effective contractions and cervical dilation of 4 cm or more. Among the 22 defining characteristics tested, 6 were present in most participants during the two stages: verbal or codified report, noted evidence of uterine contraction, altered muscle tension, noted evidence of pain, expressive behavior and facial expression of pain. There were differences between the stages in relation to perspiration, facial expression of pain, protective gestures, anodyne position, distractive behavior, self-focus and perineum pressure feeling. CONCLUSIONS A positive linear correlation was noted between pain intensity scores and the extent of intra-uterine pressure in the initial stage. Labor pain was proven to be compatible with a nursing diagnosis.

International Classification for Nursing Practice and the Brazilian contribution

The study aimed to identify the scientific productions about the International Classification for Nursing Practice - ICNP and its national contribution, using integrative review as research for approaching of the investigation object. In total 111 scientific productions were identified in the period from 1994 to 2008, 45,5%, were Brazilian studies. The average world scientific production per year was 7.3, including Brazil with 3.3 annual productions in average. The predominance of quantitative correlation descriptive studies was verified. Clinical-individual model and researches related to ICNP use in States of Rio Grande do Sul, Santa Catarina, Paraná and Paraíba, as well as the important contribution of the Brazilian Nursing Association with the project International Classification for Nursing Practice Collective Health.O estudo teve por objetivo identificar as producoes cientificas sobre a Classificacao Internacional da Pratica de Enfermagem - CIPE® e sua contribuicao nacional, empregando-se a revisao integrativa como pesquisa para a aproximacao do objeto de investigacao. Identificaram-se 111 producoes cientificas no periodo de 1994 a 2008, sendo 45,5%, estudos brasileiros. A media de producao cientifica mundial anual foi de 7,3, incluindo o Brasil com a media de 3,3 producoes anuais. Verificou-se a predominância de estudos descritivos correlacionais quantitativos voltados ao modelo clinico-individual e pesquisas relatando o uso da CIPE® nos Estados do Rio Grande do Sul, Santa Catarina, Parana e Paraiba, bem como a importante contribuicao da Associacao Brasileira de Enfermagem com o projeto Classificacao Internacional da Pratica de Enfermagem na Saude Coletiva.

Validação clínica do diagnóstico de enfermagem dor de parto

OBJETIVOS: a proposta neste estudo foi identificar a presenca dos indicadores clinicos da dor em situacao de parto e correlacionar a referencia verbal de intensidade de dor com a ocorrencia de contracoes uterinas, como proposta de validacao clinica do diagnostico de enfermagem dor de parto. METODO: trata-se de estudo observacional dos 22 indicadores clinicos que representaram as caracteristicas definidoras para o diagnostico. RESULTADOS: participaram 55 parturientes (18 na fase ativa inicial, 6 na fase ativa final e 31 em ambas as fases), maiores de 18 anos, gestacao unica, contracoes efetivas e dilatacao cervical ≥4cm. Testaram-se 22 caracteristicas definidoras, 6 presentes na maioria das participantes nas duas fases: relato verbal ou codificado, evidencia observada de contracao uterina, alteracao do tonus muscular, evidencia observada de dor, comportamento expressivo e expressao facial de dor. Houve diferencas entre as fases para diaforese, expressao facial de dor, gestos protetores, posicao antalgica, comportamento de distracao, foco em si proprio e sensacao de pressao perineal. CONCLUSOES: observou-se correlacao linear positiva entre escores de intensidade de dor e amplitude de pressao intrauterina na fase inicial. A dor de parto evidenciou-se como fenomeno compativel a um diagnostico de enfermagem.OBJECTIVE The study intends to identify the presence of clinical indicators of pain during labor and to correlate the verbal reference of pain intensity with uterine contractions as a proposal to validate the clinical nursing diagnosis Labor Pain. METHOD Observational study of the 22 clinical indicators that represented the defining characteristics for the diagnosis. RESULTS There were 55 participants in labor (18 in the initial active stage, 6 in the final active stage and 31 in both stages), over 18 years old, in their first pregnancy, with effective contractions and cervical dilation of 4 cm or more. Among the 22 defining characteristics tested, 6 were present in most participants during the two stages: verbal or codified report, noted evidence of uterine contraction, altered muscle tension, noted evidence of pain, expressive behavior and facial expression of pain. There were differences between the stages in relation to perspiration, facial expression of pain, protective gestures, anodyne position, distractive behavior, self-focus and perineum pressure feeling. CONCLUSIONS A positive linear correlation was noted between pain intensity scores and the extent of intra-uterine pressure in the initial stage. Labor pain was proven to be compatible with a nursing diagnosis.

Validación clínica del diagnóstico de enfermería dolor de parto

OBJETIVOS: a proposta neste estudo foi identificar a presenca dos indicadores clinicos da dor em situacao de parto e correlacionar a referencia verbal de intensidade de dor com a ocorrencia de contracoes uterinas, como proposta de validacao clinica do diagnostico de enfermagem dor de parto. METODO: trata-se de estudo observacional dos 22 indicadores clinicos que representaram as caracteristicas definidoras para o diagnostico. RESULTADOS: participaram 55 parturientes (18 na fase ativa inicial, 6 na fase ativa final e 31 em ambas as fases), maiores de 18 anos, gestacao unica, contracoes efetivas e dilatacao cervical ≥4cm. Testaram-se 22 caracteristicas definidoras, 6 presentes na maioria das participantes nas duas fases: relato verbal ou codificado, evidencia observada de contracao uterina, alteracao do tonus muscular, evidencia observada de dor, comportamento expressivo e expressao facial de dor. Houve diferencas entre as fases para diaforese, expressao facial de dor, gestos protetores, posicao antalgica, comportamento de distracao, foco em si proprio e sensacao de pressao perineal. CONCLUSOES: observou-se correlacao linear positiva entre escores de intensidade de dor e amplitude de pressao intrauterina na fase inicial. A dor de parto evidenciou-se como fenomeno compativel a um diagnostico de enfermagem.OBJECTIVE The study intends to identify the presence of clinical indicators of pain during labor and to correlate the verbal reference of pain intensity with uterine contractions as a proposal to validate the clinical nursing diagnosis Labor Pain. METHOD Observational study of the 22 clinical indicators that represented the defining characteristics for the diagnosis. RESULTS There were 55 participants in labor (18 in the initial active stage, 6 in the final active stage and 31 in both stages), over 18 years old, in their first pregnancy, with effective contractions and cervical dilation of 4 cm or more. Among the 22 defining characteristics tested, 6 were present in most participants during the two stages: verbal or codified report, noted evidence of uterine contraction, altered muscle tension, noted evidence of pain, expressive behavior and facial expression of pain. There were differences between the stages in relation to perspiration, facial expression of pain, protective gestures, anodyne position, distractive behavior, self-focus and perineum pressure feeling. CONCLUSIONS A positive linear correlation was noted between pain intensity scores and the extent of intra-uterine pressure in the initial stage. Labor pain was proven to be compatible with a nursing diagnosis.

Clasificación Internacional para la Práctica de Enfermería y la contribución brasileña

The study aimed to identify the scientific productions about the International Classification for Nursing Practice - ICNP and its national contribution, using integrative review as research for approaching of the investigation object. In total 111 scientific productions were identified in the period from 1994 to 2008, 45,5%, were Brazilian studies. The average world scientific production per year was 7.3, including Brazil with 3.3 annual productions in average. The predominance of quantitative correlation descriptive studies was verified. Clinical-individual model and researches related to ICNP use in States of Rio Grande do Sul, Santa Catarina, Paraná and Paraíba, as well as the important contribution of the Brazilian Nursing Association with the project International Classification for Nursing Practice Collective Health.O estudo teve por objetivo identificar as producoes cientificas sobre a Classificacao Internacional da Pratica de Enfermagem - CIPE® e sua contribuicao nacional, empregando-se a revisao integrativa como pesquisa para a aproximacao do objeto de investigacao. Identificaram-se 111 producoes cientificas no periodo de 1994 a 2008, sendo 45,5%, estudos brasileiros. A media de producao cientifica mundial anual foi de 7,3, incluindo o Brasil com a media de 3,3 producoes anuais. Verificou-se a predominância de estudos descritivos correlacionais quantitativos voltados ao modelo clinico-individual e pesquisas relatando o uso da CIPE® nos Estados do Rio Grande do Sul, Santa Catarina, Parana e Paraiba, bem como a importante contribuicao da Associacao Brasileira de Enfermagem com o projeto Classificacao Internacional da Pratica de Enfermagem na Saude Coletiva.