Conceptual and operational definition of nursing outcomes regarding the breastfeeding establishment

Abstract

Objective: to construct conceptual and operational definitions of Nursing Outcomes “Breastfeeding establishment: infant (1000)” and “Breastfeeding establishment: maternal (1001)”. Method: integrative literature review in the following databases: PUBMED (United States National Library of Medicine); LILACS (Latin American and Caribbean Health Sciences Literature); CINAHL (Cumulative Index to Nursing and Allied Health Literature); SciVerse SCOPUS; Web of Science; BDENF (Brazilian Nursing Database) and EMBASE (Excerpta Medica Database). The gray literature was explored to elucidate topics not covered by the articles. Of 3242 articles, 96 were selected to be read in full, and 43 were used for constructing the definitions. Five theses, three dissertations, three books and two manuals were selected. Results: all the results were reviewed. The definitions facilitated the improvement of the content proposed by the Nursing Outcomes Classification, favoring its application in clinical practice and supporting the development of research and teaching. Conclusion: it was proposed to change the definition of the two outcomes, as well as to change the title of one of them to “Breastfeeding establishment: newborn & infant” (1000), modifying seven of its indicators and excluding one. For the outcome related to the mother, it was proposed to modify two indicators and exclude one.

Validation of Nursing Outcomes Classification: Knowledge and Self-management for Cardiac Disease

“…Although both definitions were validated as acceptable, there were some areas in need of improvement according to respondents' feedback. For the definition of knowledge outcome, the respondents recommended reflecting on patients' roles and changing the word “conveyed.” For the definition of self-management outcome, the respondents recommended describing the domain of personal actions and changing the word “manage” to “make response.” It is a line with findings from other validation studies of conceptual and operational definitions of NOC outcomes 28–30 that clear definitions will support nurses to accurately and purposefully assess and evaluate clinical outcomes. Thus, the recommendations should be considered when updating the definition of the NOC outcomes in the next edition.…”

A influência do retorno ao trabalho no aleitamento materno de trabalhadoras da enfermagem

“…Embora a atenção às lactantes e as orientações sobre o aleitamento materno sejam uma atribuição multidisciplinar, usualmente, nos serviços de saúde, essas ações são consideradas atribuições da equipe de enfermagem 7 . Contudo, apesar do conhecimento adquirido pelas mães trabalhadoras da enfermagem em sua prática profissional, os desafios e dificuldades do retorno ao trabalho podem se apresentar a elas de maneiras diferentes, devido à sobrecarga de trabalho, aos turnos, especialmente os noturnos, e à escala de plantões, fazendo com que a rotina do trabalho de enfermagem em si possa ser considerada uma barreira para o processo de amamentação 8 .…”