Construction and validation of nursing diagnoses for individuals with diabetes in specialized care

Nogueira, Luciana Gomes Furtado; Nóbrega, Maria Míriam Lima da

doi:10.1590/s0080-623420150000100007

Cited by 16 publications

(26 citation statements)

References 8 publications

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“…The evolution of the ICNP ® is well known, and terms are added at each issue (3) . In spite of advances, the results of several studies show a considerable amount of new terms used in nursing practice to different populations with the possibility of inclusion in the ICNP ® (23)(24)(25)(26)(27) . The percentages of different terms indicated in these studies range from 22.28 (27) to 68.76% (23) .…”

Section: Discussionmentioning

confidence: 99%

“…Scholars should make a commitment to complete the process necessary to submit new terms to the International Council of Nurses and propose the necessary modifications to avoid perpetuating the gaps. Terms classified as different from the ICNP ® have been repeatedly identified in studies that use cross-mapping (23)(24)(25)(26)(27)(28) but to date, have not yet been included in the ICNP ® .…”

Section: Discussionmentioning

confidence: 99%

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Useful terms for nursing practice in the care of people with leprosy

et al. 2019

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Objectives: To identify useful terms for nursing practice in the care of people with leprosy and to cross-mapp the identified terms with the ICNP® terms. Method: A descriptive, documentary study that included publications of the Ministry of Health in the area of leprosy launched between 2002 and 2017. The terms identified in these publications were extracted and underwent a normalization proces and then, were cross-mapped with terms of the ICNP® version 2015 for the identification of constant and non-constant terms in this terminology. Results: In total, were extracted 1,177 terms, of which 26.76% were equal, 4.59% similar, 4.26% were broader, 19.62% were more restricted, and 44.77% were totally different from the ICNP® terms. Conclusions: The large number of terms identified and not included in the ICNP® show the need for its expansion in order to contemplate the phenomena of clinical practice more effectively and allow better representation of nursing care for people with leprosy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Useful terms for nursing practice in the care of people with leprosy

et al. 2019

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“…In addition, there may be a decrease in tactile and painful sensitivity (neuropathies). 20,28,32,34,42 A study was found that up to 50% of diabetic users have this type of alteration. 42 Neuropathies are shown to be the leading causes of lower extremity lesions, ulcerations and amputations, more specifically, the feet of diabetic users.…”

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confidence: 99%

“…21 One article indicates that hypertensive patients who had as a symptom of SAH have a more careful behavior with the control and treatment of the disease. 47 Lower limb edema was associated with other symptoms related to hypertension 20, 21,34 meaning complications due to the disease, be it renal damage or heart failure. Edema has also been identified as a sign of complication in users with DM with nephropathies.…”

mentioning

confidence: 99%

“…Edema has also been identified as a sign of complication in users with DM with nephropathies. 34 Another complication, also associated with hypertension and DM, is albuminuria, 24 and its screening is a recommended procedure to prevent or delay further complications such as nephropathy. 48 It is reported that DM is often asymptomatic; however, when symptomatic, the classic symptoms are polyuria, polydipsia, polyphagia, and nocturia.…”

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confidence: 99%

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Evidências clínicas para hipertensos e diabéticos na saúde da família

Costa

Duran

2018

Rev enferm UFPE on line.

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RESUMO Objetivo: identificar evidências atribuídas aos usuários hipertensos e diabéticos na Estratégia Saúde da Família. Método: revisão integrativa, realizada de novembro a dezembro de 2015, nas bases de dados LILACS, SCOPUS, MEDLINE, CINAHL, na biblioteca virtual SCIELO. A avaliação dos estudos foi feita pela leitura dos títulos e resumos selecionando aqueles que apresentassem evidências dos usuários hipertensos e/ou diabéticos que frequentam a Estratégia Saúde da Família. Os resultados foram apresentados em forma de tabela e sínteses. Resultados: foram selecionados 25 artigos que relataram as preferências do usuário, os sinais e sintomas da doença, as complicações e fatores associados à hipertensão e ao diabetes. Conclusão: as 31 evidências relacionadas a usuários hipertensos e ou diabéticos que frequentam a ESF mostram-se importantes para um melhor acompanhamento dessa população, uma vez que o planejamento e a implementação do cuidado de Enfermagem devem ser individualizados e baseados no conhecimento dessas condições clínicas e preferências do usuário. A prestação do cuidado baseado nas evidências encontradas pode, ainda, fortalecer a APS enquanto porta de entrada do sistema de saúde e responsável pela prevenção de agravos e promoção da saúde. Descritores: Hipertensão; Diabetes Mellitus; Sinais e Sintomas; Diagnóstico de Enfermagem; Atenção Primária à Saúde; Estratégia Saúde da Família.ABSTRACT Objective: to identify evidence attributed to hypertensive and diabetic users in the Family Health Strategy. Method: integrative review, carried out from November to December 2015, in the databases LILACS, SCOPUS, MEDLINE, CINAHL, in the virtual library SCIELO. The evaluation of the studies was done by reading the titles and abstracts selecting those who presented evidence of the hypertensive and / or diabetic users that attend the Family Health Strategy. The results were presented in table form and summaries. Results: 25 articles were selected that reported on user preferences, signs and symptoms of the disease, complications and factors associated with hypertension and diabetes. Conclusion: the 31 evidences related to hypertensive and / or diabetic patients attending the FHS are important for a better follow-up of this population, since the planning and implementation of Nursing care should be individualized and based on the knowledge of these clinical conditions and preferences. The provision of evidence-based care can further strengthen PHC as a gateway to the health system and is responsible for the prevention of diseases and health promotion. Descriptors: Hypertension; Diabetes Mellitus; Signals and symptons; Nursing diagnosis; Primary Health Care; Family Health Strategy.RESUMENObjetivo: identificar evidencias atribuidas a los usuarios hipertensos y diabéticos en la Estrategia Salud de la Familia. Método: revisión integrativa, realizada de noviembre a diciembre de 2015, en las bases de datos LILACS, SCOPUS, MEDLINE, CINAHL, en la biblioteca virtual SCIELO. La evaluación de los estudios fue hecha por la lectura de los títulos y resúmenes seleccionando aquellos que presentaran evidencias de los usuarios hipertensos y / o diabéticos que frecuentan la Estrategia Salud de la Familia. Los resultados se presentaron en forma de tabla y síntesis. Resultados: se seleccionaron 25 artículos que relataron las preferencias del usuario, los signos y síntomas de la enfermedad, las complicaciones y factores asociados a la hipertensión y la diabetes. Conclusión: las 31 evidencias relacionadas a usuarios hipertensos y / o diabéticos que frecuentan la ESF se muestran importantes para un mejor acompañamiento de esa población, una vez que la planificación y la implementación del cuidado de Enfermería deben ser individualizados y basados en el conocimiento de esas condiciones clínicas y, preferencias del usuario. La prestación del cuidado basado en las evidencias encontradas puede, además, fortalecer la APS como puerta de entrada del sistema de salud y responsable por la prevención de agravios y promoción de la salud. Descriptores: Hipertensión; Diabetes Mellitus; Signos y Síntomas; Diagnóstico de Enfermería; Atención Primaria de Salud; Estrategia De Salud Familiar.

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Nurses “Seeing Forest for the Trees” in the Age of Machine Learning

Kwon

Karim

Topaz

et al. 2019

CIN: Computers, Informatics, Nursing

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Although machine learning is increasingly being applied to support clinical decision making, there is a significant gap in understanding what it is and how nurses should adopt it in practice. The purpose of this case study is to show how one application of machine learning may support nursing work and to discuss how nurses can contribute to improving its relevance and performance. Using data from 130 specialized hospitals with 101 766 patients with diabetes, we applied various advanced statistical methods (known as machine learning algorithms) to predict early readmission. The best-performing machine learning algorithm showed modest predictive ability with opportunities for improvement. Nurses can contribute to machine learning algorithms by (1) filling data gaps with nursing-relevant data that provide personalized context about the patient, (2) improving data preprocessing techniques, and (3) evaluating potential value in practice. These findings suggest that nurses need to further process the information provided by machine learning and apply “Wisdom-in-Action” to make appropriate clinical decisions. Nurses play a pivotal role in ensuring that machine learning algorithms are shaped by their unique knowledge of each patient's personalized context. By combining machine learning with unique nursing knowledge, nurses can provide more visibility to nursing work, advance nursing science, and better individualize patient care. Therefore, to successfully integrate and maximize the benefits of machine learning, nurses must fully participate in its development, implementation, and evaluation.

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Construction and validation of nursing diagnoses for individuals with diabetes in specialized care

Cited by 16 publications

References 8 publications

Useful terms for nursing practice in the care of people with leprosy

Useful terms for nursing practice in the care of people with leprosy

Evidências clínicas para hipertensos e diabéticos na saúde da família

Nurses “Seeing Forest for the Trees” in the Age of Machine Learning

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