Most Frequent Nursing Diagnoses, Nursing Interventions, and Nursing‐Sensitive Patient Outcomes of Hospitalized Older Adults With Heart Failure: Part 1

Abstract

Similar analyses may be used for continuing education, quality improvement, and documentation system refinement. Part 2 will discuss data retrieval and implications for building a multiorganizational data warehouse.

Diagnósticos de enfermagem em clínica cirúrgica

“…The reasons for such susceptibility are related to the local irrigation of fat tissue, poorly vascularized, and to the longer duration of surgical procedures. (4) It is also observed that 26 patients (92.8%) of this sample had 'impaired skin/tissue integrity'. All the patients were submitted to invasive procedures like surgery (82.1%), administration of medicines, collection of biological material for exams and venous puncture.…”

“…Lack of ambulation, pathologies and therapeutic process are some of the many reasons that make patients of surgical and orthopedic clinics more prone to disturbances in intestinal motility. (4,7) Through these results, we realized the need for interventions aiming at preventing risks during hospitalization, in order to decrease health aggravations. Similar studies can be carried out in diverse areas of knowledge and with more numerous populations for results validation, and they must help to expand nursing knowledge by linking the nursing diagnoses with the interventions and outcomes.…”

“…(4,8) It is important to observe that it constitutes one of the main factors related to other nursing diagnoses such as 'bathing and hygiene self-care deficit' (32.1%), 'dressing and grooming self-care deficit' (25%) and 'risk for impaired skin integrity' (21.4%). The association among diagnoses must be studied deeper, because it may be possible to identify a diagnostic profile in patients of medical, surgical and orthopedic clinics.…”

“…(3) Several authors have focused on identifying nursing diagnoses in specific groups, like the elderly with cardiac insufficiency, patients of surgical clinic, oncologic clinic, the elderly, transplanted patients etc. (4)(5)(6)(7)(8) This study aimed to identify the frequency of the main nursing diagnoses in hospitalized patients in surgical clinic. This identification is justified as the subsidy of interventions that are effective and adequate to the individual needs of each patient, as well as the prevision and provision of workload of the nursing staff, besides contributing to the continuing education in quality of care.…”

Consenso de diagnósticos, resultados e intervenções de enfermagem para pacientes com insuficiência cardíaca em domicílio

“…Among the limitations of the study, the difficulty in linking records related to the patient diagnoses, interventions and outcomes was pointed out. This means identifying the best nursing intervention to obtain the expected result for treatment of a particular diagnosis, which is essential for future research (6) .…”