Construção e validação de instrumento para coleta de dados de enfermagem em adultos de uma unidade de tratamento intensivo

• Autor(a) principal: Ramalho Neto, José Melquiades
• Data de Publicação: 2010
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/tede/5183
• topic: Enfermagem; Processos de enfermagem; Coleta de dados; Unidades de Terapia Intensiva; Cuidados críticos; Nursing; Nursing processes; Data collection; Intensive Therapy Units; Critical care; CIENCIAS DA SAUDE::ENFERMAGEM

Introduction: The intensive nursing care constitutes a continuous improvement process taking into account the magnitude and the complexity of clinical decisions that the nurses are led to take, in regard to the daily practice of taking care of ill people, in a highly unstable clinical course, with a high life risk and in health conditions subject to frequent variations. Nevertheless, the nurses involved in the specialized assistance do need to have in mind that, in the caring process, the high level of technological incorporation existent in the ICU can never overshadow the real focus of their actions and attention: the client in a critical state, to whom care should be provided. Objectives: To construct an instrument of nursing data collection for adult clients hospitalized in the General ICU of the HULW/UFPB, based on Horta´s Theory of Basic Human Needs; and to validate the instrument content with assistant nurses and professors who act in the area. Methodology: It is a methodological research developed in the General ICU of the Intensive Therapy Center of the University Hospital Lauro Wanderley (HULW), placed at Campus I of the Federal University of Paraíba, in the town of João Pessoa - PB, having as population and sample the assistant nurses and the professors of the Nursing in Emergency and ICU subject, of the Federal University of Paraíba (UFPB). Such research was developed in three phases: identification of the empirical indicators by means of a large bibliographical survey about the basic human needs in hospitalized adults in units for critical care; validation of the empirical indicators and the preliminary version arrangement of the data collection instrument; apparent and content validation with a posterior arrangement of the instrument final version of nursing data collection. Results: A number of 545 empirical indicators were identified, being 451 of them related to the psychobiological needs, 88 indicators pertaining to psychosocial needs and 06 of them refer to psychospiritual needs. From this total of indicators identified in literature and analyzed by the nurses, 179 remained with IC ≥ 0.80, being 164 related to the psychobiological needs and 15 referring to the psychosocial needs. After the construction and arrangement of the preliminary version of the data collection instrument with a posterior validation of appearance and content, the final version of data collection instrument was made up in four large domains, such as: Identification; Interview; Physical Test; and Nurses´ Impressions and Intercurrences. Final comments: It is believed that this Nursing History will allow a closer contact and a better interpersonal relationship among nurses, clients and families; it will reveal the systematization imperativeness of the nursing assistance as concerns care quality; it will prompt new researches which focus on Nursing tools as well as it will incite their agents to adopt more and more suitable practices for specific clients, and to accomplish the Nursing Process in all its essence and conjuncture.