Produção de conhecimento sobre resultados de enfermagem

Abstract

This literature review aimed at identifying and analysing the knowledge production regarding nursing outcomes in a worldwide context. A systematized review was carried out using LILACS and MEDLINE databases. The following key words were used: outcomes, nursing and classification. No national production was identified. The main issues raised were: the use of the standardized outcomes classifications to measure changes in the patient's health condition; the use of the Nursing Outcomes Classifications (NOC) as the chosen terminology for nursing practice; the need to rank effectivity of nursing interventions by identifying the nursing-sensitive patient outcomes, as well as to make the nursing practice a profitable one to the institutions. It is important to develop and Brazilian studies addressing the issue.

Knowledge produced from the outcomes of the "Nursing Outcomes Classification - NOC": integrative review

“…Previous studies (1)(2) have verified the knowledge produced from nursing outcomes. The first review (2) , conducted in 2007, addressed the growing use of standardized outcome classifications to assess health conditions in professional practice.…”

“…To achieve quality care, one of the great challenges of nursing consists in establishing a standardized language that promotes communication between the professionals of diff erent health services (1)(2) . In recent decades, numerous terminologies have emerged to unify the terms used in the clinical nursing practice.…”

“…These strategies include the Omaha System, which presents a problems classification scale for the outcomes; the Home Healthcare Classification, which uses the measurements of improvement, stabilization and aggravation (regression) of the presented clinical condition; The Patient Care Data Set, which displays the results for severe cases of hospitalized patients; and The Outcome Assessment Information Set (OASIS), which presents results for patients with specific characteristics (2)(3) . Given the clear and standardized approach of the NOC and its ease of use with the NANDA-I and NIC taxonomies, it is thought to facilitate the communication between nurses and is considered clinically useful for healthcare practice (2) . This taxonomy, currently in its fi fth edition, is composed of seven domains, 31 classes and 490 nursing results.…”

“…Each indicator that pertains to a given situation has a score that ranges from 1 (less desirable state) to 5 (most desired state) (7) . In spite of the strategies to assess nursing results, the use of these strategies in the clinical practice is still incipient (2) . Thus, in view of the need to incorporate outcome measures in care and considering that the NOC is a viable proposal for this purpose, it is important to identify scientific literature on the subject.…”

Nursing Taxonomy and Studies of Efficacy, Efficiency and Effectiveness: A Challenge

“…Although still incipient, in Brazilian scientific production about studies using the Nursing Interventions Classification (1) and, even more, the Classification of Nursing Results (2) , contributions can already be identified in studies about the International Classification of Nursing Practice, especially those related to the CIPESC project, a taskforce of the Brazilian Nursing Association and, as an even greater contribution, studies referring to nursing diagnoses, mainly involving the taxonomy of the North American Nursing Diagnosis Association International.…”