Enfermagem

• Autor(a) principal: Ferreira, Anali Martegani [UNIFESP]
• Data de Publicação: 2016
• Outros Autores: da Rocha, Elisiane do Nascimento, Lopes, Camila Takao [UNIFESP], Bachion, Maria Marcia [UNIFESP], Lopes, Juliana de Lima [UNIFESP], de Barros, Alba Lucia Bottura Leite [UNIFESP]
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional da UNIFESP
• Texto Completo: http://dx.doi.org/10.1590/0034-7167.2016690214i; https://repositorio.unifesp.br/handle/11600/57941
• topic: Nursing; Nursing diagnosis; Nursing Process; Intensive Care Units; Classifi cation

Objective: to identify nursing diagnoses in intensive care unit (ICU) patients by means of a cross-mapping of terms contained in nursing records with the NANDA-I taxonomy. Method: an exploratory, descriptive study with a retrospective analysis of nursing records in 256 medical records of patients that were hospitalized in the general ICU of a hospital in the western border of the state of Rio Grande do Sul. Terms indicating conditions demanding nursing interventions were collected from the records; cross-mapping of these terms with the NANDA-I taxonomy diagnoses was performed and confirmed in a nursing focus group. Data were analyzed through descriptive statistics. Results: a total of 832 terms and expressions referring to 52 different diagnoses in 9 of the 13 domains of the NANDA-I taxonomy were identified. Conclusion: the present study enabled the identification of nursing diagnoses in patients hospitalized in ICUs, affecting care management, the training process of experts in the area, and information systems.