Meus agradecimentos especiais, ao meu Deus, que me ilumina, protege e por ter colocado a minha família e estas pessoas no meu caminho. Á Profa. Dra. Yolanda Dora Martinez Évora, que conduziu este estudo com dedicação, paciência e compartilhou sua sabedoria e conhecimento. Acima de tudo, pela amizade conquistada nestes anos, por acreditar em mim e indicar os caminhos. Á Fundação Padre Albino e as Faculdades Integradas Padre Albino, por apoiarem minha participação neste estudo que contribuiu para meu crescimento profissional.

This study aims to develop a software prototype to help hospital nurses plan nursing care, and carry out nursing interventions and all documentation in a computerized way. The methodology is based on the life cycle of system development, particularly the prototype concept, involving two phases: definition and development. The definition phase began with the planning stage, followed by the definition and analysis of requirements for the construction, and culminated with the specification of the software requirements. The development phase translated the group of requirements into a computerized model, structured in 10 modules, regarding the nursing care system process. The performance of this innovative resource in the different stages of the nursing care system process will be analyzed in future studies.

The purpose of this study is to develop a software-prototype to help the nurses to plan the nursing care, to make nursing interventions and all documentation in a computerized way. The multi-professional team is involved in the development of this software-prototype and constituted by the researcher, a system analyst and a programmer. The methodology is based in the life cycle of system development, basing on the prototype concept. It is following up into two phases: the definition and the development one. The definition phase began with the planning stage, following for the definition and analysis of the requirements for the construction and it culminated with the specification of the software requirements.The development phase translated the group of requirements in a computerized model, structured in 10 modules, regarding the process of nursing care system. The Identification, Clinical Data, Interview and additional Information modules store data related to the basic human needs and they include: the index of corporal mass, clinical situation, admission summary, and the patient's identification.The Data Collection module was design to register information related to the signs and symptoms and to generate, automatically, the List of Problems module. This makes possible the elaboration of the nursing prescription of each patient using the data base established previously by the system. To make better the documentation activities, the Vital Signs module allows to transform, electronically, the values attributed to the blood pressure, pulse, breathing and temperature in individualized graphs.The fluid and electrolyte metabolism balance module allows to implement, automatically, the partial and total response helping the nurses in the execution of this task, as well as to accomplish the subsequent attendance. The evaluation of this innovative resource in the performance of Nursing Care System will be object of a subsequent study.

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