CATALOG BASED ON THE
NURSING INTERNATIONAL CLASSIFICATION IN HEART FAILURE: A DESCRIPTIVE STUDY
Sílvia Maria de Sá Basílio Lins1, Fátima Helena do Espírito
Santo2, Patrícia dos Santos Claro Fuly3
1,2,3
Professional Masters in Assistive Nursing by the
ABSTRACT
Aim:This is a study of quantitative approach, of a
descriptive nature, to be developed in the coronary unit of a College hospital placed
in the city of
Descriptors:
Nursing Diagnostics;
Nursing Procedures; Heart Failure.
CONTEXTUALIZATION OF THE TOPIC AND THE
PROBLEMATIC OF THE RESEARCH
The
nursing procedures (NP) allow identifying individually the needs of
health-illness of each patient and the appropriate nursing care. The NP is
regulated by the Resolution 358/2009 of the Brazilian National Council of
Nursing (COFEN, in Portuguese), which describes the steps of the process and
determines that the same has to be based on a nursing theory(1).
For its application, however, besides the theory it is necessary that the use
of a unified language that consent to the communication of the nursing team
from different cultures and many clinics. The International Classification for
Nursing Practice (ICNP) arrived from a world desire of nurses willing for a
combined language. Its most updated printed version (ICNP 1.0) has seven axes –
Focus, Judgment, Means, Action, Time, Place and Client – which allow the
creation of declarations of the diagnosis, interventions and results from
nursing practices. These declarations, moreover, can help to develop ICNP
catalogues, which picture the application of the NP(2).
The Heart Failure (HF) is a complex syndrome, with prevalence in the world that
goes from 1% to 2% of the population, then being considered a chronic and
progressive pathology with high levels of hospitalization, therefore presenting
itself as a priority to the creation of an ICNP catalogue(3). Despite
the vast literature published in Brazil about NP, it is not a reality in many
hospitals, including the hospital where the research will be taken. Because of
that, this study has great relevance to the professional practice, as much as
for the teaching and learning. It can even contribute to the progress of
nursing while a profession and a science in construction, and also
proportionate an individual nursing care, more adapted to the patient.
OBJECTIVES
General: To elaborate an INCP
Catalogue for the patients hospitalized with Heart Failure.
Specific: To raise the nursing
phenomenon placed on medical records of patients with heart failure, during
their time of hospitalization. To identify the nursing interventions applied to
the patients with heart failure. To formulate, based on the nursing
diagnostics, declarations for the expected results.
METHODOLOGY
This
study has a quantitative approach, of a descriptive and transversal nature with
a data collection made from medical records. It will be taken from the coronary
unit of a school hospital of the city of Niterói,
Brazil. The population consists of the patients with heart failure that were
hospitalized in the coronary unit in the period of January to December of 2010.
A preliminary survey of the register books of the referred unit identified a
total of 21 patients admitted with the diagnosis of heart failure and, because
there are short, limited number of patients, it was decided to include all of
them in the data collection. There will be analyzed the registers about the
first five days of hospitalization, both the daytime and the nighttime
registers made by doctors and nurses. There will be a documental analysis in
the medical records of the patients with heart failure through a data collection
instrument made by the researchers, on which will be brought the clinical
manifestations that characterize nursing problems or their potentiality, as
well as the nursing actions described by the nurses. These problems will be
transformed in nursing diagnoses using the ICNP. The data will be submitted to
a simple statistical treatment to verify the representation of the same to the
patients with heart failure. The diagnoses which present more than 50% will be
included in the catalogue will be included in the catalogue and its
interventions will be described based on the bibliographical research. This
project was submitted to the Ethics Committee, as determined by the CONEP
through the Resolution 196/96, which deals with the research involving human
beings, than approved on 17/December/2010 by the protocol number 0238.0.258.000-10.
REFERENCES
1. Conselho
Federal de Enfermagem (BR). Resolução n° 358/2009 [site] 2011; [Ip.]. [citado 01 mai 2011]. Disponível em: http://site.portalcofen.gov.br/node/4384
2. Trigueiro EV, Lima MC, Araújo RTM, Nóbrega
MML, Garcia TR. Theoretical
definitions of terms attributed to nursing phenomena identified in a school
hospital. A systematic review. Online Braz J Nurs 2007, 6(0). Retirado em 09-11-2010, de http://www.objnursing.uff.br//index.php/import1/article/view/630/148
3. Quilici AP, et al.
Enfermagem
Project Data
Dissertation
Project for the Professional Masters Program in Assistive Nursing.
Financial
Support to the Research
Regional
Nursing Council – CRN/RJ
Ethics in
Research Committee Approval
Aproved in the Ethics in Research Committee of the
Address for correspondence
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2, apt. 1110
Rio de Janeiro, RJ, BRAZIL
22221-011