CARPENITO PORTUGUES PDF

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Nursing Diagnosis Index Activity Intolerance, 58 Development, Risk for Delayed, Activity Planning, Ineffective, 68 Diarrhea, Activity Planning, Ineffective. Concordamos com CARPENITO1 que "os diagnósticos de enfermagem aplicação à prática clínica", de Lynda Juall Carpenito1, traduzido para o português. 𝗣𝗗𝗙 | Resumo Objetivo: Investigar a produção científica de análise artigos em português, publicados em peri- . Carpenito-Moyet LJ.


Carpenito Portugues Pdf

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Save this Book to Read descargar manual de diagnosticos de enfermeria carpenito PDF eBook at our Online Library. Get descargar manual de. res e o sistema vascular” (Carpenito, ). Constituem características definidoras des- se diagnóstico: dispnéia ao esforço; tendência a assumir posição de. However, in most health institutions in Brazil, manual annotation systems are still . 12 (%) were published in Portuguese and 11 (%) in English. Based on Dorothea Orem's Theory of Self-Care, the NANDA taxonomy and Carpenito.

The incorporation of information technology in nursing practice is a facilitator that must be stimulated based on scientific knowledge and training so that this technology become accessible to professionals and patients who need it.

The NCS is a methodology to guide the nursing care, being operationalized through the NP, grounding the evidence-based practice and consolidating nursing as a science. In the present study, researches on the nursing process applied to softwares were identified, showing an increasing production of works from onwards, with emphasis on Brazilian productions.

Among the selected papers, there were two categories of analysis: Among the studies, eight described the five stages of the NP, two integrated the assistance and management dimension, noting that the use of both facilitates the reduction of bureaucracy and allows more time to be dedicated to the patients.

Regarding the use of the systems, it was verified that the electronic prescription of nursing has greater usability when compared to the manual process; and it is important to emphasize the clinical application of the systems for improvement.

There is a lack of studies on the development of systems based on nursing theories that address the nursing care and management dimensions and measure the impact of the computerized nursing process.

In this sense, further research focusing on these issues is recommended with the objective to expand the use of softwares with the NP. The development of the present study highlights that the computerized nursing process generates positive effects on nursing care and has implications for practice as the use of software increases the satisfaction of professionals, reflecting in a greater time spent with direct care to patients.

Thus, it is necessary to encourage the development of systems based on nursing theories, using standardized languages, expanding their use to other scenarios, and contemplating the three levels of care. Health Inform. Processo de Enfermagem Informatizado: Santos SR. Texto e Contexto Enferm. Texto Contexto Enferm.

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Rev Latino-Am Enferm. Nursingcare for hodgkin's lymphomapatientssubjecttochemotherapy: Online Braz J Nurs. Disponivel em: Acta Paul Enferm [Internet]. Rev Bras Enferm. A tecnologia como instrumento facilitador do cuidado integral de Enfermagem.

Enfermagem Revista. Rev Latino-am Enfermagem. Esc Anna Nery Rev Enferm. Keenan G, Yakel E. Acta Paul Enferm. Apply creative thinking of decision support in electrical nursing record. Stud Health Technol Inform. Cho I, Park H. Development and evaluation of a terminology-based electronic nursing record system.

Journal of Biomedical Informatics. Pinto N.

Design and implementation of a rule based system for ambulatory nursing data management. Processo de enfermagem informatizado em unidade de terapia intensiva: Saba VK, Feeg V. Prophet CM. Siders AM, Peterson M. Increasing patient satisfaction and nursing productivity through implementation of an automated nursing discharge summary. Liaskos J, Mantas J. Cogitare Enfermagem. J Am Med Inform Assoc.

Revisiones The application of computerized nursing process: Results There was an increase in productions from onwards; most of the publications originated in Brazil and were characterized as descriptive studies. Conclusion The use of softwares with NP strengthens evidence-based practice and consolidates nursing as a science. Descriptive study. VI The analysis of the records of nursing crossed with the ICNP was accomplished, and narrative standards were found with the later development of an electronic nursing registration system.

Schrader, Marx, Balint, To develop a referral system to collect nursing classifications and standards and make it available. VI Selecting a specific record is facilitated by a hierarchical browser.

The browser uses the data representing the taxonomies of the different classifications. Campbel, Stoupa, Warren, To design a program for the collection of nursing history, problem tracking and documentation to organize the use of hospitalization time during the clinical check-in of the patient.

Quase-experimental study. III The interaction driver assists the nurse with time spent with tracking problems, allows data recording and nursing interventions. Nursing problems are placed on problem lists within the computerized registry.

Malucelli, Otemaier, Bonnet, Cubas, Garcia, To describe the methodological steps and results of the development of the referred information system. VI Development of the system with rapid access to information, diagnoses, interventions and nursing outcomes, reports and relevant statistics to obtain epidemiological information. Santos, To develop an information system with application in the assistance and management of the nursing service in the Medical Clinic of the University Hospital Lauro Wanderley.

VI In the care area, the nurse can visualize the patient's history, elaborate the plan of care and follow their clinical evolution. The management area follows the hospital indicators, the patient classification system, among others.

Methodological study. The third stage was the presentation of the current structure of the computerized NP. The 4th and 5th stages addressed the use of Nursing data, by the clients in the scenarios of the Intensive Care Units. The system offers the functions of description, generate evolution and reports.

Keenan, Yakel, It reports a pilot care plan for possible integration into an electronic health record. The activities took place in three specific stages: Peres et al, To develop an electronic system for nursing documentation for clinical and surgical patients. Pinto, To develop and implement a clinical nursing record system at a day care center for the elderly. Three of the eight hospital units use the program. VI In the pilot structure, it includes nursing evaluation, nursing diagnosis, nursing plan and nursing record.

The system will be built based on the pilot structure next year. VI Using the system, the nurse can produce a summary of an uncomplicated patient in 10 to 15 minutes and of a complex patient in 20 to 30 minutes. Saba, Feeg, To develop and evaluate the effectiveness of electronic graphics simulation using a bedside computer. Experience Report. Dykes et al, To evaluate the feasibility of using wireless devices for data collection and patient assessment information.

Randomized clinical trial.

II Overall satisfaction was significantly higher with electronic devices mean rating: Aquino, Lunardi Filho, Collectively building of a methodological instrument for the operationalization of the nursing process proposed.

Convergent care study. Experience report. The average number of uses per sentence was In a study about the development of a prototype of nursing documentation in the puerperium, it was pointed out that the proposed system did not have a standardized data collection at the bedside, nor was it characterized as a decision support system Another study carried out in Germany identified the delay to integrate nursing information systems into routine work due to lack of experience with the system and lack of knowledge of nurses in the preparation of individual care plans The daily record of care and management activities for the system to be used in its fullness was a recommendation found in one of the studies of the sample of this study Another study 19 emphasized the need for the systems to be updated and tested in professional practice.

The authors 4 suggest extending the software developed for the use in intensive care units to the other scenarios of the professional practice. In this study, it is highlighted that the amplification of the use of the developed instrument can promote integration with different hospital information systems, thus allowing the construction of quality indicators for patient safety with subsequent development of studies to measure the main outcomes of nursing interventions.

This category consisted of 10 articles of the total sample.

Studies 31 , 32 comparing the use of manual versus computerized nursing prescriptions found that overall satisfaction was significantly higher with electronic devices. In addition to eliminating manual documentation, computer-generated forms make it possible to execute computerized prescriptions based on nursing diagnosis, improving the review and recovery of associated clinical notes 33 , According to a study developed by Liaskos and Mantas , nurses, for the most part, express a positive attitude towards the use of softwares for the application of the NP, considering them innovative, interesting, useful and simple to use.

Researchers 35 found that by using the automated function, the nurse can produce a synthesis of the conditions of a patient who needs minimal care in 10 to 15 minutes, and for critical patients, in 20 to 30 minutes. For the authors Oliveira, Barros and Oliveira the ideal time to carry out systematization, in the opinion of these nurses, is between 10 to 30 minutes.

When submitting the development of the system to the Usability Test, the authors 36 , 37 found a quite satisfactory result; all items received indices 4 or 5, meaning a good or very good evaluation.

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As a result of the qualitative evaluation, it is possible to identify that the system was considered good by the evaluators, that is, it can be used with a small limitation, yet friendly and adequate to meet the proposed objective.

For Oliveira, Barros and Oliveira the development of the software allowed the validation of the interface by the users themselves during the construction of the system.

Another advantage is the personalization, that is, the product is suitable for the operation of the institution. The use of Software Engineering and Usability techniques allowed the construction of a functional software with good quality of use, especially when the user is involved during the development process.

With the use, there was improvement in the reception of patients, making it possible to individualize the care to the patient 31 , 34 , with reduced time for elaboration of nursing diagnoses, unification of language of the practice in nursing, becoming a differential in the attendance and being able to interfere positively in the rates of morbidity and mortality 37 , The authors 32 , 33 , 35 stated that access to evaluative content is reliable and valid in devices that are integrated into workflows with the implementation of automated nursing summary, and facilitates the filling of a nursing assessment database with the potential to support evidence-based practice and nursing research.

As a limitation, Dykes et al highlights the difficulty of finding published reports of randomized trials conducted to assess the efficacy of the use of portable devices by nurses for documentation of patient assessment in inpatient units.

As recommendations, the studies 31 , 38 stressed the need to create a tutorial to guide the use of the tool and that this must be further tested in other clinical settings. In addition, they emphasize that additional studies are necessary to evaluate the effectiveness of hand devices in relation to other outcomes and for use in different clinical settings and specifically for use by nurses who perform the patient evaluation at the medical center.

The analysis of the selected works in the sample that describe the development and use of softwares showed their application in different scenarios. It was observed that only 11 papers 4 , 16 , 19 , 20 , 21 , 22 , 32 , 34 , 37 , 39 , 40 described the scenario where the software is used. Three studies 16 , 21 , 34 mentioned the use of the software throughout the hospital. One study 19 described the use of systems in basic health units.

The system was used in Intensive Care Units in two studies 4 , 39 , in hospitalization units in two studies 22 , 32 , and one study addressed the use of the system in eight sectors, namely, the medical clinic, surgical clinic, maternity, psychiatry, pediatrics, rehabilitation, anesthesia and dentistry One study addressed the use in the maternity ward Finally, one study addressed the use of the system in traumatized victims, to be used in pre-hospital care The use of softwares applying the NP in secondary levels of health care was not observed.

The construction and use of softwares has direct implications in nursing. Besides the assistance dimension, the use of systems aids the management of care. The incorporation of information technology in nursing practice is a facilitator that must be stimulated based on scientific knowledge and training so that this technology become accessible to professionals and patients who need it.

The NCS is a methodology to guide the nursing care, being operationalized through the NP, grounding the evidence-based practice and consolidating nursing as a science. In the present study, researches on the nursing process applied to softwares were identified, showing an increasing production of works from onwards, with emphasis on Brazilian productions.

Among the selected papers, there were two categories of analysis: Among the studies, eight described the five stages of the NP, two integrated the assistance and management dimension, noting that the use of both facilitates the reduction of bureaucracy and allows more time to be dedicated to the patients.

Regarding the use of the systems, it was verified that the electronic prescription of nursing has greater usability when compared to the manual process; and it is important to emphasize the clinical application of the systems for improvement.

There is a lack of studies on the development of systems based on nursing theories that address the nursing care and management dimensions and measure the impact of the computerized nursing process. In this sense, further research focusing on these issues is recommended with the objective to expand the use of softwares with the NP.

The development of the present study highlights that the computerized nursing process generates positive effects on nursing care and has implications for practice as the use of software increases the satisfaction of professionals, reflecting in a greater time spent with direct care to patients.

Thus, it is necessary to encourage the development of systems based on nursing theories, using standardized languages, expanding their use to other scenarios, and contemplating the three levels of care. Health Inform. Processo de Enfermagem Informatizado: Santos SR. Texto e Contexto Enferm.

Texto Contexto Enferm. Rev Latino-Am Enferm. Nursingcare for hodgkin's lymphomapatientssubjecttochemotherapy: Online Braz J Nurs. Disponivel em: Acta Paul Enferm [Internet]. Rev Bras Enferm. A tecnologia como instrumento facilitador do cuidado integral de Enfermagem. Enfermagem Revista. Rev Latino-am Enfermagem.

Esc Anna Nery Rev Enferm. Keenan G, Yakel E. Acta Paul Enferm. Apply creative thinking of decision support in electrical nursing record. Stud Health Technol Inform. Cho I, Park H.

Development and evaluation of a terminology-based electronic nursing record system. Journal of Biomedical Informatics. Pinto N. Design and implementation of a rule based system for ambulatory nursing data management. Processo de enfermagem informatizado em unidade de terapia intensiva: Saba VK, Feeg V. Prophet CM.

Siders AM, Peterson M.

Nursing diagnosis : application to clinical practice

Increasing patient satisfaction and nursing productivity through implementation of an automated nursing discharge summary. Liaskos J, Mantas J. Cogitare Enfermagem. J Am Med Inform Assoc. Revisiones The application of computerized nursing process: Results There was an increase in productions from onwards; most of the publications originated in Brazil and were characterized as descriptive studies. Conclusion The use of softwares with NP strengthens evidence-based practice and consolidates nursing as a science.

Descriptive study. VI The analysis of the records of nursing crossed with the ICNP was accomplished, and narrative standards were found with the later development of an electronic nursing registration system. Schrader, Marx, Balint, To develop a referral system to collect nursing classifications and standards and make it available. Therefore, attentive monitoring of care while in hospital is fundamental For the sake of greater treatment efficacy, multiple drug therapy is commonly used to induce sedation, calm down the patients quickly and, consequently, reduce the risks involved in this type of episode.

Nevertheless, this treatment entails potential risks, which may cause irreversible damage to the patient. The objective in this study was to survey the pairs of potential drug interactions administered at the same time at a psychiatric emergency service of a general hospital during the first 24 hours of care.

In addition, the data analysis permitted the construction of a tool to inform the professionals on the main care related to the potential interactions among drugs used in psychiatry emergency care. Stratified probabilistic sampling was used for the study. The strata considered were the months of the year in function of the unequal distribution of patient histories in each month. The population refers to the histories of patients attended at the Emergency Service of HCU-UFU, in the specialty area psychiatrics, in the course of 2, histories.

For this study, a tool was used with information on the prescribed drug, dose and administration route, time of prescription and administration and professional category of the professional administering the drug. The drugs administered at the same time and registered in the files selected for the research, after the collection, were grouped and consulted regarding the potential and severity of the interaction. Nevertheless, many studies have used this type of tool to investigate drug interactions in other clinical services, besides the severity of the interactions, adverse effects and drug compatibility When the interaction is proven, this may entail a risk for patient safety.

It is important to highlight the large number of drug interactions in mental illnesses, demanding an assessment of the risks of interactions and possible measures to reduce the unwanted effects they may cause The potential interactions between the drug pairs found in the study were presented according to their severity.

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It was technically unfeasible to control all drugs on a prescription and their possible interactions. Therefore, the health professionals should be concerned with the drugs they frequently use at the services and know what associations can provoke an interaction A team trained to assess and manage the interactions could minimize the health problems and risks In other studies found in the literature, higher frequencies were found of pairs with potential interactions classified as major.

Nevertheless, the benefit of using this combination does not exclude its risks This association promotes the sedation of agitated patients, as Promethazine is a sedative antihistaminic that enhances the action of Diazepam Amongst the drug classes, the most frequent association, totaling Nevertheless, this approach comes with several disadvantages, as benzodiazepines can cause respiratory depression, thus requiring strict monitoring.

The association of these classes can be related to the patient profile attended at the psychiatric emergency services, as it demands care related to agitation through drug barriers Due to the need of the emergency services to rapidly obtain conditions for agitated patients to cooperate, the medical conduct requires pharmacological intervention Then, a tool was constructed for the safe monitoring of patients using these drugs, in order to complement and enhance care practice, minimizing the effects these possible interactions can cause for the patients.

With the same intent as in this study, in his research, Secoli formulated a list with orientations for management and associated care Thus, the goal was to transform this theoretical study into practical relevance for the place of study.Among the 23 articles, nine Despite different discussions on its administration and side effects, according to the studies found, this interaction is the best option for the pharmacological management of agitated patients in psychiatric emergency services, without excluding the need for monitoring.

One study addressed the use in the maternity ward January 31, Another advantage is the personalization, that is, the product is suitable for the operation of the institution. Disponivel em: VI In the pilot structure, it includes nursing evaluation, nursing diagnosis, nursing plan and nursing record. Thus, the guiding question was: This shows the large number of possible drug interactions found in psychiatric emergency care at the place of study.

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