The relevance of this study to clinical practice is to increase the awareness and involvement of the nursing team in the maintenance of a continuous surveillance system of the process and results of chemotherapy administration in order to increase the quality of care and the safety of the patient.
Objective: Construct and validate instrument content for nursing consultation in an adult chemotherapy outpatient clinic. Method: Methodological study composed of two stages: elaboration of the instrument and validation of content. A literary review of the dimensions of customer care was carried out in the light of Theory of Basic Human Needs Theory, culminating in two instruments: one for admission consultation and other for follow-up. The content was validated by the evaluation of listed experts based on the adapted Fehring’s Validation Model. Results: In the first round, two items of the admission instrument and three items of follow-up required reformulation. In the second round, there was an increase in agreement rate: 11% in the instrument of admission and 10% in follow-up. Final Consideration: The instrument represents a guideline for the Nursing Process and future research, but it cannot be seen as a substitute for nurses’ knowledge and clinical reasoning.
This descriptive study, grounded upon Donabedian's outcomes approach, had as purpose to evaluate the satisfaction level of cancer patients with the assistance received at the Adult Chemotheraoy Ambulatory of Hospital São Paulo. The sample was constituted of 105 patients who accepted to participate in the study The patients' evaluation was positive both with nursing care (54% very good and 46% good) and with the overall care received in that service (50% very satisfied and 46% satisfied). The level of satisfaction manifested by the clients was related mainly to the organization accessibility, the welcoming environment and the assistance process, in its professional/client interaction and the technical performance dimensions. However, they also pointed out the need for measures aimed at preventing drugs shortage and the lack of vacancies for new patients.
RESUMOObjetivos: Identificar os diagnósticos de enfermagem mais frequentes, segundo a taxonomia II da NANDA -I; as características definidoras, fatores relacionados e de risco que deram suporte para elaboração dos mesmos, em pacientes com distúrbios respiratórios. Métodos: Estudo transversal, realizado em um hospital universitário da cidade de São Paulo. Os diagnósticos de enfermagem foram elaborados pela pesquisadora e submetido à validação consensual de três especialistas. Os resultados foram descritos baseados na frequência absoluta e percentual. Resultados: Trinta e quatro pacientes foram avaliados e 35 diagnósticos de enfermagem apresentaram concordância entre a pesquisadora e os especialistas. Conclusão: Estudos epidemiológicos que informam sobre a frequência dos diagnósticos de enfermagem em uma população contribuem para organizar a base de conhecimento de enfermagem e prever os cuidados de enfermagem necessários a uma população específica. Descritores: Sistema respiratório; Diagnóstico de enfermagem; Saúde do adulto ABSTRACT Objectives: To identify the most frequent nursing diagnoses according to NANDA International´s Taxonomy II; the defining characteristics, related factors and risk factors, in patients with respiratory disorders. Methods: Cross-sectional study in a university hospital in São Paulo. The nursing diagnoses were determined by the researcher, and subjected to consensual validation by three experts. Results are based on absolute frequency and percentage. Results: Thirty-four patients were evaluated and 35 nursing diagnoses were identified that achieved consensus across the researcher and the experts. Conclusion: Epidemiological studies that report on the frequency of nursing diagnoses in a population contribute to organizing the knowledge base of nursing and the appropriate provision of nursing care required by a specific population. Keywords: Respiratory system; Nursing diagnoses; Adult health RESUMEN Objetivos: Identificar los diagnósticos de enfermería más frecuentes, según la taxonomia II de la NANDA -I; las características definidoras, factores relacionados y de riesgo que dieron soporte a la elaboración de los mismos, en pacientes con disturbios respiratorios. Métodos: Estudio transversal, realizado en un hospital universitario de la ciudad de Sao Paulo. Los diagnósticos de enfermería fueron elaborados por la investigadora y sometido a la validación consensual de tres especialistas. Los resultados fueron descritos basados en la frecuencia absoluta y porcentual. Resultados: Fueron evaluados treinta y cuatro pacientes presentando concordancia entre la investigadora y los especialistas 35 diagnósticos de enfermería. Conclusión: Estudios epidemiológicos que informan sobre la frecuencia de los diagnósticos de enfermería en una población, contribuyen para organizar la base del conocimiento de enfermería y prever los cuidados de enfermería necesarios a una población específica. Descriptores: Sistema respiratorio; Diagnóstico de enfermería; Salud de los adultos Autor Correspondente: Ana rita ...
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