Nursing diagnoses in post-anesthetic recovery: outcomes and interventions according to standardized languages
DOI:
https://doi.org/10.5433/1679-0367.2021v42n2p187Keywords:
Postanesthesia nursing, Nursing records, NANDA-I, NIC terminology, NOC terminologyAbstract
Introduction: the classification systems with standardized languages are established in a set of structured knowledge, concepts founded in a logical and coherent way, based on their similarities. In this sense, identifying a profile with the populations can cooperate for a better definition and situational understanding for that unit and/or patients.Objectives: to perform cross-mapping between the nursing diagnoses of NANDA-I with the manual nursing records in the post-anesthetic recovery room; and, to propose interventions and outcomes, according to standardized language.
Method: exploratory, descriptive and retrospective analysis of the nursing records of 187 patients hospitalized from June to July 2018, in the post-anesthetic recovery room of an oncology hospital. Cross-mapping was carried out in three stages: identification of diagnostic indicators; proposition of interventions and activities; and outcomes indicators. The data were analyzed and described in absolute and relative frequencies. Results: of the 13 NANDA-I domains, five were highlighted; were identified five risk diagnoses and 11 focused on the problem; 100% frequency was observed for the diagnoses of: Aspiration, infection and falling risk; Impaired transfer capacity; Impaired bed mobility; Impaired skin/tissue integrity and impaired comfort.
Conclusions: from the 16 nursing diagnoses mapped, were selected 22 interventions and 58 activities; 23 results and 48 outcomes indicators.
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References
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Bertoncello KCG, Sávio B, Ferreira JM, Amante LN, Nascimento ERP. Nursing diagnoses and proposals for nursing interventions for patients in the immediate post-operative period following elective surgery. Cogitare Enferm. 2014;19(3):582-9. Available from: https://revistas.ufpr.br/cogitare/article/view/33676/23252
Bonetti AEB, Girardello DTF, Coneglian ALA, Egevardt D, Batista J, Cruz EDA. Assistance of the nursing team to the patient in postanesthetic recovery room. Rev Enferm UFSM. 2017;7(2):193-205. doi: 10.5902/2179769226840
Bulecheck GM, Butcher HK, Dochterman JM. Classificação das intervenções de enfermagem (NIC). 6a ed. Rio de Janeiro: Elsevier; 2016.
Campos MPA, Dantas DV, Silva LSL, Santana JFNB, Oliveira DC, Fontes LL. Complications in the post-anesthesia care unit: an integrative review. Rev SOBECC. 2018;23(3):160-8. doi: 10.5327/Z1414-4425201800030008
Conselho Federal de Enfermagem. Resolução Cofen-358/2009. [Internet]. Brasília: COFEN; 2009. [citado 2021 Ago 18]. Disponível em: http://www.cofen.gov.br/resoluo-cofen-3582009_4384.html Não tem ponto final em link de site e nem em pdf
Cruz LF, Felix MMS, Ferreira MBG, Pires PS, Barichello E, Barbosa MH. Influence of socio-demographic, clinical and surgical variables on the Aldrete-Kroulik Scoring System. Rev Bras Enferm. 2018;71(6):3189-95. doi: 10.1590/0034-7167-2017-0813
Ferreira AM, Rocha EN, Lopes CT, Bachion MM, Lopes JL, Barros ALBL. Nursing diagnoses in intensive care: cross-mapping and NANDA-I taxonomy. Rev Bras Enferm. 2016;69(2):307-15. doi: 10.1590/0034-7167.2016690214i
Gonçalves MCS, Brandão MAG, Duran ECM. Validation of the defining characteristics of the nursing diagnosis impaired comfort in oncology. Acta Paul Enferm. 2016;29(1):115-24. doi: 10.1590/1982-0194201600016
Herdman TH, Kamitsuru S. Diagnósticos de enfermagem da NANDA I: definições e classificação (2018-2020). 11a ed. Garcez RM, tradutora. Porto Alegre: Artmed; 2018.
Horta WA. Processo de enfermagem. Rio de Janeiro: Guanabara Koogan; 2011.
Horta WA. Processo de enfermagem. São Paulo: EPU-EDUSP; 1979.
Mendonça FT, Lucena MC, Quirino RS, Govêia CS, Guimarães GMN. Risk factors for postoperative hypothermia in the post-anesthetic care unit: a prospective prognostic pilot study. Rev Bras Anestesiol. 2019;69(2):122-30. doi: 10.1016/j.bjane.2018.11.002
Moorhead S, Johnson M, Maas M. Classificação dos resultados de enfermagem: NOC. 5a ed. Rio de Janeiro: Elsevier; 2016.
Morais SCRV, Nóbrega MML, Carvalho EC. Cross-mapping of results and Nursing Interventions: contribution to the practice. Rev Bras Enferm. 2018;71(4):1993-2000. doi: 10.1590/0034-7167-2017-0324
Pereira GN, Abreu RNDC, Bonfim IM, Rodrigues AMU, Monteiro LB, Sobrinho JM. Relationship between systematization of nursing care and patient safety. Enferm Foco. 2017; 8(2):21-5. Available from: http://revista. cofen.gov.br/index.php/enfermagem/article/view/985
Riegel F, Oliveira Junior NJ. Nursing process: implications for the safety of surgical patients. Cogitare Enferm. 2017;22(4):1-5. doi: 10.5380/ce.v22i1.45577
Saraiva EL, Sousa CS. Critically ill patients in the postanesthesia care unit: integrative review. Rev SOBECC. 2015;20(2):104-12. doi: 10.5327/Z1414-4425201500020006
Silva DVA, Sousa INM, Rodrigues CAO, Pereira FAF, Gusmão ROM, Araújo DD. Nursing diagnoses in a home-based program: cross-mapping and NANDA-I Taxonomy. Rev Bras Enferm. 2019;72(3):584-91. doi: 10.1590/0034-7167-2018-0323
Silva HVC, Souza VP, Silva PCV. Systematization of perioperative nursing care in a postanesthetic recovery unit. Rev Enferm UFPE. 2016;10(10):3760-7. doi: 10.5205/reuol.9667-87805-1-ED1010201606
Sociedade Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterilização. Diretrizes de práticas em enfermagem cirúrgica e processamento de produtos para a saúde. 7a ed. São Paulo: SOBECC; 2017.
Tannure MC, Salgado PO, Chianca TCM. Cross-Mapping: diagnostic labels formulated according to the ICNP® versus diagnosis of NANDA International. Rev Bras Enferm. 2014;67(6):972-8. doi: 10.1590/0034-7167.2014670616
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Published
2021-09-28
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Prearo M, Vocci MC, Fontes CMB. Nursing diagnoses in post-anesthetic recovery: outcomes and interventions according to standardized languages. Semin. Cienc. Biol. Saude [Internet]. 2021 Sep. 28 [cited 2024 Nov. 24];42(2):187-200. Available from: https://ojs.uel.br/revistas/uel/index.php/seminabio/article/view/42927
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