This study mapped the 52 nursing care actions prescribed for orthopedic patients onto Validación del mapeo de cuidados de enfermería prescritos para pacientes ortopédicos com la clasificación de las intervenciones de enfermeríaEste trabajo tuvo como objetivo validar el mapeo de los 52 cuidados de enfermería prescritos para pacientes ortopédicos con la Clasificación de las Intervenciones de Enfermería (NIC), referente a tres diagnósticos: déficit en el autocuidado (baño y/o higiene), movilidad física perjudicada y riesgo de infección. El estudio fue desarrollado en el Hospital de Clínicas de Porto Alegre, utilizándose el método de validación de contenido por medio de la aplicación de la Técnica Delphi, considerándose 70% de acuerdo entre jueces. Los datos fueron analizados por medio de estadística descriptiva. Participaron del estudio 22 jueces que, en dos rodadas, validaron el mapeo de 51 cuidados de enfermería con 56 intervenciones de la NIC. Es posible afirmar que el objetivo fue alcanzado, ya que apenas un cuidado no alcanzó la relación establecida. Ninguno de los cuidados alcanzó un consenso de 100%, colocando en evidencia las varias posibilidades de comparación y la importancia de los estudios de validación.

This study aimed to validate the results of Nursing selected from the link NANDA-I-NOC (Nursing Outcomes Classification--NANDA--International) for diagnosis Ineffective Breathing Pattern and Impaired Spontaneous Ventilation in adult intensive care unit. This is a content validation study conducted in a university hospital in southern Brazil with 15 expert nurses with clinical experience and knowledge of the ratings. The instruments contained five-point Likert scales to rate the importance of each outcome (1st step) and indicator (Step 2) for the diagnoses studied. We calculated weighted averages for each outcome/indicator, considering) 1 = 0. 2 = 0.25, 3 = 0.50 4 = 0.75 and 5 = 1. The outcomes suggested by the NOC with averages above 0.8 were considered validated as well as the indicators. The results Respiratory State--airway permeability (Ineffective Breathing Patterns) and 11 indicators, and Response to mechanical ventilation: adult (Impaired Spontaneous Ventilation) with 26 indicators were validated.

The purpose of this research is to explore the Nursing Outcomes Classification (NOC) applicability on hospitalized orthopedic patients diagnosed with Self-care Deficit: bathing/hygiene. This is a quantitative, descriptive study developed in a university hospital with patients submitted to total hip replacement in 2008. The data collection instrument was composed of 24 NOC Self-care outcome indicator: Self-care: Activities of Daily Living; Self-care: Bathing; Self-care: Hygiene; Self-care: Oral Hygiene; and a Likert scale in which 1 = dependent 2 = does not participate; 3 = requires an assistant; 4 = independent but requires an assistant mechanism; 5 = completely independent. 25 patients bathing on first and third post-operative day were observed. Ethical aspects were respected. In 21 cases there was significant statistical variation between average scores from first to second bath. NOC classification scales presented internal consistency, proving their reliability to measure the patient evolution during nursing care implementation.

Objective: To describe the elaboration and validation of a protocol for administration of enteral nutrition. Method: Validation study by consensus of experts conducted in a university hospital. The construction took place after literature review. The validation was guided by the tool: plan, do, study and act. For validation of the final protocol, 100% consensus was considered. After implementation, preceded by training, evaluation was carried out by using indicators. Results: The protocol describes the actions that guide the nursing team in enteral nutrition. In the validation, there was a 100% consensus on the protocol items. The presential training brought together 425 participants in 80 meetings. After the pilot period, the rate of care for patients with enteral nutrition increased from 39.5% to 73.3%. There was a reduction of 41 hours in the time to release the X-ray report. Conclusion: The protocol provided elements for the prevention of adverse events in patients with enteral nutrition.

Objetivo : analisar uma literatura científica que versa sobre qualidade e segurança na assistência obstétrica. Método : revisão integrativa que respeitou como seis etapas metodológicas do referencial utilizado. Por meio das bases de dados Sistema de Análise e Recuperação de Literatura Médica Online  e Literatura Latino-Americana e Caribe em Ciências da Saúde, recrutados 606 publicações, das quais nove foram publicadas com conhecimento do conhecimento. Resultados : eram estudos transversais / quantitativos (55,5%) e com nível de evidência VII (55,5%). Como foram sintetizados em três eixos condutores: Comunicação interprofissional e trabalho em equipe na assistência obstétrica;Práticas intervenientes na assistência obstétrica; e, Ações para melhoria da qualidade e segurança na assistência obstétrica. Conclusões : apesar das falhas na comunicação e no trabalho em equipe, além de diversos riscos na segurança assistencial evidenciados pelo modelo intervencionista no cuidado obstétrico, existem ações de políticas, técnicas e aplicações que alavancam a qualidade e a segurança na atenção materno-infantil.Descritores : Obstetrícia; Segurança do paciente; Qualidade da assistência à saúde; Centros de assistência à gravidez e ao parto; Enfermagem obstétrica; Qualidade, Acesso e Avaliação da Assistência à Saúde.