Nursing diagnoses for family members of adult burned patients near hospital discharge

This study aimed to identify the nursing diagnoses for family members of adult burned patients in the period near hospital discharge. We evaluated 10 family members of burned patients through interviews and observation. The nursing diagnoses were established on the basis of the NANDA International Taxonomy II and on Carpenito's interpretation of the NANDA Taxonomy I. We identified 11 different diagnosis categories, all of which were real. The most frequent diagnoses among the family members under analysis were knowledge deficit and anxiety. The former was characterized by the family members' need for information about care for the burned areas and infection prevention. The feeling of anxiety was mainly related to the changes in the appearance, structure or function of the burned patient's body and to the family members' expectations with respect to the patient's return to the family and work environment, accompanied by some physical, psycho-emotional or social consequence.     

Nursing diagnoses in patients after heart catheterization--contribution of Orem

Sectional study of multiple cases involving 30 patients after heart catheterization aiming to establish the nursing diagnoges according to the North American Nursing Diagnoses Association (NANDA). The method of data collection was the Nursing Process based on the Self-care Deficit Theory. Twenty-five different nursing diagnoses had been established. All patients presented Impaired tissue integrity, Risk of infection, Pain incisive in the area inguinal, Injured physical mobility, Self-care deficit related to personal hygiene, and Risk of organic renal lesion. It has been concluded that the Self-care Deficit theory allowed the classification of all nursing diagnoses according to NANDA. It contributed to the nursing assistance individualization, humanization, and qualification. Beyond advance self-knowledge, self-control and patient participation on his/her self-car.     

The nursing process implementation: a post-partum case study

The study aimed at implementing the nursing process for a post-partum woman with cardiomyopathy after cardiorespiratory arrest. We conducted a clinical case study, in an intensive care unit of Fortaleza, Ceará, Brazil, in the period from September to October, 2005. The data were obtained after evaluation for elaboration of Nursing Diagnoses according to NANDA Taxonomy II, clinical judgment, intervention and goals. The nursing diagnoses found were: impaired verbal communication, decreased cardiac output, inefficient respiratory pattern, excessive volume of fluids, diarrhea, impaired physical mobility and deficit in selfcare. We highlighted the importance of the process as focus of the nurse's work in the clinic, in order to favor the patient's return to his family context as well as give credibility to the nurse's job.     

Evaluation of patients with chronic pain in nursing consultations: Proposal of an instrument for nursing diagnosis

This article describes the tool used to collect data for nursing evaluation of patients with chronic pain patient in the League Against Pain of the University of S?o Paulo at Ribeir?o Preto Faculty of Medicine, Brazil. The aim is to identify the patients' nursing care needs. The nursing diagnoses proposed by the North American Nursing Diagnosis Association (NANDA) were used to point out the patients' nursing care needs. The Human Response Patterns, in which the nursing diagnoses are classified by NANDA, were used as a framework to construct the tool. The way it is used by nursing undergraduate students, members of the League Against Pain, is also described.     

The most frequent nursing diagnoses in a gynecological admission unit

Our objective was to identify the most frequent nursing diagnoses in a gynecological admission unit. The defining characteristics were surveyed from the data reported in the nursing case history and the patient files of 30 patients. The nursing diagnoses were found according to the revised NANDA Taxionomy I. The five most frequent nursing diagnoses were: risk for infection (30 cases); risk for pain (24 cases); health-seeking behaviors (11 cases); fear (10 cases) and stress incontinence (5 cases).     

Fluid management: a nursing intervention for the patient with fluid volume excess

The objective of this research is to identify which nursing activities contained in the fluid management intervention proposed by the Nursing Intervention Classification (NIC) are realized and considered important by nurses, to attend patients who received fluid volume excess as a nursing diagnosis, as proposed by the North American Nursing Diagnoses Association (NANDA). Data were collected in three hospitals. The sample included 77 nurses, who chose the best alternative on a Likert scale, to indicate the realization of which of those actives they considered important and which activities are realized in their daily care practice. It was concluded that most of the nursing activities were always considered important and were always performed by the nurses. These activities were classified as independent and dependent.     

A study of the process of nursing diagnosis of depressive patients by nursing students--through students' training records

The purpose of this research is to clarify the nursing diagnostic processes of nursing students. The study subjects were 20 nursing students who were in bedside learning and took charge of patients suffering from depression. We analyzed their training records and extracted the information on which their nursing diagnoses were made. The information was classified into the categories based on the nursing diagnosis of North American Nursing Diagnosis Association (NANDA). As a result, the students were more likely to make their nursing diagnoses based mainly on subjective complaints of the patients, without logical reasoning. The results indicated an insufficient knowledge of the disease and a shortage of opportunity for the students to collect objective information of the patients. In conclusion, our study results suggest that bedside learning students should have the chance to reconfirm their knowledge and the nursing diagnosis procedures; that arrangements have to be made for students and ward staff to confer with each other; and that students should be advised on how to make effective use of the meetings to share their experiences and increase their knowledge. The implications of these findings for nursing students'education are discussed.     

Self-care and HIV/AIDS patients: nursing care systematization

This research aimed at systematizing nursing care to HIV/aids patients in view of Orem's Self-care Deficit Nursing Theory, using the convergent-care method and the Self-Care Nursing Process. Subjects were thirteen HIV/AIDS patients attended at a non-governmental organization in Fortaleza/CE, Brazil. We used interview techniques, physical examination, observation and information records, with a structured instrument, addressing requisites related to universal self-care, development and health alterations. Self-care deficits corresponded to nineteen nursing diagnoses, named according to NANDA's Taxonomy II, ten of which were based on the requisites for universal self-care, five on the requisites for self-care related to development and four on the requisites for self-care related to health deviations. In care planning, goals were established and the system and health methods were selected, prioritizing support-education actions in order to engage HIV/aids patients in self-care.     

Implementation of the nursing process in a radiotherapy unit: development of a medical record

The goal of our service is to systematize the nursing care provided to the clients with gynecological and mammary cancer who underwent radiation therapy, using the nursing process, the North American Nursing Diagnosis Association (NANDA) taxonomy and collaborative problems in the diagnoses phase. Therefore, we created a record card in which we briefly reported the relevant data to nursing care, containing: anamnesis, general explanations about treatment, main collaborative problems, nursing diagnoses, interventions, outcomes and evolution. This card was tested in service and evaluated by the group that had created it regarding content and design, enabling the elaboration of its last version that is presented in the article.     

The use of classifications in the practice and teaching of nursing: the experience of the University of Campinas

One of the major aspects of Nursing Process used in nursing graduation courses is Nursing Diagnosis according to North American Nursing Diagnosis Association (NANDA). We've experienced the implementation of systematic nursing care in a school hospital at Campinas, Brazil since nearly one decade. During this time we could evaluate the teaching process as well as searched for data concerning nursing care provided there. We notice that nursing students state the importance of nursing diagnosis and its practical application. Among nursing staff, the classification of nursing practice and diagnosis taxonomy are worth wile, although they find difficulties in stablishing an accurated diagnosis, and evaluation/assessment of nursing care provided. We consider that there is an increasing motivation in using diagnosis; nevertheless, several challenges are to be overcome toward a better clinical reasoning, diagnosis accuracy and refinement of the diagnosis already used in a common basis.     

Nursing diagnoses and most common collaboration problems in high-risk pregnancy

This study identified the demographic profile, obstetric and clinical diagnoses, nursing diagnosis and most common collaboration problem among pregnant women subject to high-risk at a hospital in S?o Paulo, Brazil. Data were collected by means of a form based on Gordon's Functional Health Patterns. Nursing diagnoses were determined on the basis of the NANDA (North American Nursing Diagnosis Association) taxonomy. The nursing diagnoses found in 50% or more of the pregnant women were: risk for infection (90.1%), altered health maintenance (84.5%), altered comfort (80.3%), risk of ineffective breastfeeding (59.2%), altered sexuality patterns (52.1%), fear (52.1%) and pain (50.7%). The collaboration problem found in 50% or more of the cases was: potential complication: preterm labor (62.0%), potential complication: maternal tachycardia (54,9%) and potential complication: hypotension (54,9%). Thus, these results will allow us to guide the nursing care rendered to these pregnant women.     

The Taxonomy II proposed by the North American Nursing Diagnosis Association (NANDA)

This article aims to disseminating the development and characteristics of NANDA's Taxonomy II multiaxial structure. This structure offers greater flexibility to diagnoses statements and is more adequate to the contemporaneous nursing practices than the Taxonomy I.     

Nursing diagnoses from NANDA's taxonomy in women with hospitalized premature child and King's conceptual system

This study aimed at identifying nursing diagnoses presented by mothers with a hospitalized preterm child in an NICU by the use of King's Conceptual System and Taxonomy I of NANDA's nursing diagnoses. The case-study methodology was applied to 35 puerperal women. Eight diagnoses were identified, the frequency of which was over 50%, as follows: Risk of Infection, Risk of Injury, Impaired Tissue Integrity, Altered Health Maintenance, Risk of Inefficient Breast-feeding; Risk of Altered Parent/Infant Attachment; Fear; Parental Role Conflict and Impaired Social Interaction.     

The total laryngectomy patient: validation of the defining characteristics for the nursing diagnosis of "hindered communication"

This study aimed at validating the defining characteristics of the nursing diagnosis "hindered communication" for patients submitted to total laryngectomy. The diagnostic content validation model (DCV) proposed by FEHRING (1986, 1987) was used. Data were collected by means of a Likert-type frequency scale consisting of twenty-six defining characteristics from the list of the North American Nursing Diagnosis Association (NANDA) and three fictional defining characteristics. Twenty-six clinical and faculty nurses participated in the study. The results showed a total DCV of 0.84 for larger defining characteristics and a total DCV of 0.69 for smaller defining characteristics. It was recognized that the study validated the defining characteristics preconized by NANDA for the nursing diagnosis "hindered communication".     

Nursing diagnoses of premature infant under intermediary care

The study aims at identifying nursing diagnoses of premature infants attended in a neonatal intermediary care unit in the countryside of S?o Paulo State, Brazil. That was a retrospective study conducted from 118 patient records of hospitalized premature infants. The most frequent nursing diagnosis were sleep deprivation (83.1%), risk for infection (76.3%) and dysfunctional family processes (75.4%), belonging to NANDA domains: activity/rest, security/protection and role relations, this order. Study results articulated the diagnosis frequency with NANDA domain to which they belong identifying their approach limitation and main domains pointed in assistance systematization to premature newborn in intermediary care.     

Anxiety in children following hospitalization: a proposal for a nursing diagnosis

Objective:

to describe the process of developing a nursing diagnosis regarding child anxiety following hospitalization, which is to be submitted to the international classification for nursing practice, in accordance with the guidelines set out by the International Council of Nurses and the ISO standard 18104:2014.

Method:

this methodological study includes a conceptual analysis that bases itself on analyzing the phenomena of anxiety and hospitalization, while identifying the critical attributes of the concept and developing an operational definition.

Results:

all the criteria for including a new nursing concept were followed and there was no violation of the framework of the International Classification for Nursing Practice with the proposed inclusion, since the concept of anxiety already exists in this classification system and the concept of anxiety from hospitalization would be considered a species or subclass of this concept.

Conclusion:

this analysis of the concept of hospitalization anxiety in children allowed its meaning to be clarified and, consequently, understanding to be constructed regarding its practical applicability. This achievement contributed in terms of providing incentive to develop new proposals for nursing diagnoses to be included in the International Classification for Nursing Practice.