Proposta de um subconjunto terminológico da CIPE® para clientes submetidos à prostatectomia.

• Autor(a) principal: Nascimento, Danielle Martins do
• Data de Publicação: 2013
• 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/5112
• topic: Enfermagem; Prostatectomia; Cuidado de enfermagem; Práticas de enfermagem; Nursing; Prostatectomy; Nursing Care; Classification; Nursing Practice; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

Introduction: The care is inherent to human beings since the beginning of mankind. Inserted in the complex process of providing nursing care to surgical patients, fits the role of the nurse, which requires use of a body of knowledge in search of answers to solving the phenomena, considered as health aspects relevant to nursing practice. Nurses need to worry about creating strategies to ensure that patients and their families receive adequate information about the surgery and about the care that must be performed at home. We stress the importance of building a terminological Subset that includes terms related to diagnoses / outcomes and nursing actions to promote the use of a common language and at the same time, integrate scientific knowledge with practical knowledge of the rofession. Objective: Structure a terminological subset of ICNP® for hospitalized patients undergoing prostatectomy, based on theoretical basic human needs identified by Horta. Methodology: This is a methodological research, which ere adopted in some of the steps recommended by the International Council of Nurses. Before its completion, the research project was registered on the Platform Brazil's Ministry of Health and approved by the Research Ethics Committee, receiving the assent under CAAE 00866812.1.0000.5188. The research was conducted in the Surgical Clinic of the University Lauro Wanderley / UFPB, located in the city of João Pessoa / PB. The study population was comprised of nurses and faculty in the Department of Clinical Nursing (DENC), Technical School of Nursing and UFPB HULW / UFPB, working in the area of Surgery. The research was conducted in three stages: 1) Mapping of affirmative diagnoses / outcomes and nursing interventions with the concepts pre-combined diagnostics / outcomes and nursing interventions contained in the ICNP® Version 2011, 2) Validation of affirmative diagnostic / outcomes and nursing interventions developed for hospitalized patients undergoing prostatectomy and mapped with the ICNP®2011, and 3) Structuring the terminological subset of ICNP ® prostatectomy for customers, based on theoretical basic human needs of Horta. Results: We obtained 39 statements in mapping diagnostics / results nursing developed for customers who underwent prostatectomy, which when crossed with the concepts of the ICNP ® 2011, 20 were classified as affirmative equal to ICNP®; 12 as similar to ICNP®; 2 as the most comprehensive classification, 2 narrower and 3 as there is no agreement. Of the 158 claims of nursing interventions categorized and mapped with the ICNP®2011, were obtained: 61 equal interventions, 20 Similar to the statements of ICNP®, 55 more comprehensive interventions, 19 affirmative stricter and 3 interventions there were no agreement with the ICNP®. In the process of validating the content of the 39 nursing diagnoses, 25 diagnoses (64.1%) had a CI greater than or equal to 0.80, 4 (10.26%) with CI 1.00, 5 (12.82 %) 0.93 HF and 16 (41.02%) HF between 0.80 and 0.86, and 14 diagnoses (35.9%) reached the IC equal to or smaller than 0.79. The structuring of terminological subset contained significance for Nursing, the theoretical model used, based on human needs of Horta, and the relationship of the statements of 33 diagnoses / outcomes of nursing and 206 nursing interventions distributed, according to the theoretical model. Final Thoughts:This terminological subset of ICNP ® for clients undergoing prostatectomy aims to contribute to improving professional practice, providing safe care and quality, and contribute to the development of a standardized language.