Implantação e adaptação de catálago de diagnóstico e intervenção de enfermagem
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2018-02-26
Autores
Talita Ronchezi, Semprini
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Universidade Estadual Paulista (Unesp)
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SEMPRINI, TR. Implantação e Adaptação de Catálogo de Diagnóstico e Intervenção de Enfermagem em Saúde da Mulher. 2018. 237 f. Dissertação (Mestrado) - Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, 2018. Introdução: A Saúde da Mulher constitui-se em uma das áreas estratégicas nacionais para atuação no âmbito da Atenção Primária à Saúde (APS), sendo o enfermeiro importante membro da equipe.Dentre outras atribuições, lhe cabe realizar a consulta de enfermagem (CE), que abrange, além de outras etapas, o diagnóstico e intervenções de enfermagem, que podem ser realizados por meio de vários sistemas de classificação, e dentre eles, a Classificação Internacional para a Prática de Enfermagem (CIPE® ). Objetivo: Implantar e adaptar catálogo de Diagnóstico e Intervenção de Enfermagem em Saúde da Mulher, segundo a CIPE® . Método: O campo desta pesquisa foi o município de São Manuel/São Paulo. Na implantação do referido catálogo participaram 10 enfermeiras de unidades de APS e sua coordenadora.Esta se deu em três etapas: diagnóstico situacional; capacitação dos enfermeiros participantes e monitoramento. Para adaptação do catálogo proposto – CIPE Saúde da Mulher Botucatu, desenvolveu-se estudo observacional e transversal, com amostra de conveniência composta por 200 mulheres em idade fértil e na pós-menopausa. As variáveis em estudo incluíram dados sociodemográficos, comportamentais e clínicos, diagnósticos e intervenções de enfermagem.Os dados foram obtidos de março a setembro de 2017 empregando-se instrumento de consulta de enfermagem e analisados por estatística descritiva. Resultados:A maioria das enfermeiras participantes do estudo tinha pós-graduação lato senso, experiência com CE e emprego da CIPE. Observou-se que a maioria das enfermeiras (7) estava utilizando em sua prática clínica o catálogo proposto, sendo que quatro delas empregavam em todas as consultas agendadas. Os elementos facilitadores do emprego do catálogo mais apontados foram: articulação dos diagnósticos de enfermagem com as intervenções de enfermagem (50,0%), guiar as ações de enfermagem (18,7%) e ser de fácil manuseio (18,7%) eo maior tempo despedido para realização da CE (40,0%) e a falta de tempo para sua utilização (30,0%) constituíram-se em dificultadores do seu emprego.Dentre os 864 diagnósticos de enfermagem realizados, foram descritos 82 diferentes títulos, sendo 67 (81,7%) relacionados às necessidades psicobiológicas e 15 (18,3%) às psicossociais e a maioria 60 (73,2%) denotava situaçãodesfavorável à saúde e entre as 1091 intervenções de enfermagem relacionadas com descrição de 61 diferentes títulos.Considerando as contribuições das enfermeiras, ocatálogo proposto foi acrescido de três diagnósticos acompanhados das respectivas descrições de sinais/sintomas/queixas associadas e Intervenções de enfermagem, uma nova intervenção e uma nova descrição de queixa para diagnósticos pré-existentes, constituindo-se no “Catálogo de Diagnóstico e Intervenção de Enfermagem em Saúde da Mulher – CIPE - São Manuel”, produto deste mestrado profissional.Conclusão:o catálogo proposto é adequado à realidade do município e recebeu as contribuições das enfermeiras participantes e encontra-se em processo de implantação. Sugere-se que a gestão da APS mantenha o monitoramento da implantação do catálogo oportunizando discussão e eliminação dos entraves à sua utilização. Este estudo vem contribuir para o aprimoramento do Catálogo – CIPE Saúde da Mulher e, assim, com o cuidado de enfermagem prestado a esse grupo populacional, na atenção primária à saúde.
SEMPRINI, TR. Implantation and Adaptation of the Catalog of Diagnosis and Nursing Intervention in Women's Health. 2018. 237 f. Dissertation (Master Degree) - Faculty of Medicine of Botucatu, State University of São Paulo, Botucatu, 2018. Introduction: Women's Health is one of the strategic areas for action in the field of Basic Health Care, which has in the Family Health care model its main organizational strategy. The nurse is an important member of the multidisciplinary team of the Family Health Strategy, being responsible for, among other attributions, the nursing consultation, which includes nursing diagnosis and interventions. These can be performed through several classification systems, among them, the International Classification for Nursing Practice - CIPE®. Objective: To implant and adapt the catalog of Diagnosis and Intervention of Nursing in Women's Health, according to CIPE®. Method: the field of this research was the municipality of São Manuel / São Paulo. In the implementation of this catalog, 10 nurses from primary health care units and their coordinator participated. This was done through training of the participating nurses and periodic monitoring to elucidate doubts and solutions to the difficulties. To adapt the proposed catalog, an observational and cross-sectional study was developed with a convenience sample of 200 women in periods of menstrual activity, including adolescents and postmenopausal periods. The study variables included sociodemographic, behavioral and clinical data of women, nursing diagnoses and interventions, according to the proposed catalog. The data were obtained from March to September of 2017 using a nursing consultation instrument, which contains open and closed questions and analyzed by descriptive statistics.Results: Most of the nurses participating in the study had broad-based postgraduate, experience with EC and CIPE employment. It was observed that the majority of the nurses (7) were using the proposed catalog in their clinical practice, four of them being employed in all scheduled appointments. The facilitating elements of the most sought-after catalog were: articulation of nursing diagnoses with nursing interventions (50.0%), guide nursing actions (18.7%) and be easy to handle (18.7%) and the longest dismissal to achieve the EC (40.0%) and lack of time for its use (30.0%) were constituted in difficulties in their employment.Among the 864 nursing diagnoses, 82 different titles were described, 67 (81.7%) related to psychobiological needs and 15 (18.3%) to psychosocial ones, and the majority 60 (73.2%) showed a situation unfavorable to health and among the 1091 nursing interventions related to the description of 61 different titles. Considering the contributions of the nurses, the proposed catalog was supplemented by three diagnoses accompanied by the respective descriptions of associated signs / symptoms / complaints and Nursing interventions, a new intervention and a new description of a complaint for preexisting diagnoses, constituting the " Catalog of Diagnosis and Intervention of Nursing in Women's Health - CIPE - São Manuel ", product of this professional master's degree. Conclusion: the catalog proposed is adequate to the reality of the municipality and received the contributions of the participating nurses and is in the process of implementation. It is suggested that the management of the PHC maintains the monitoring of the implantation of the catalog allowing discussion and elimination of the obstacles to its use. This study contributes to the improvement of the Catalog - CIPE Women's Health and, thus, to the nursing care provided to this population group, in primary health care.
SEMPRINI, TR. Implantation and Adaptation of the Catalog of Diagnosis and Nursing Intervention in Women's Health. 2018. 237 f. Dissertation (Master Degree) - Faculty of Medicine of Botucatu, State University of São Paulo, Botucatu, 2018. Introduction: Women's Health is one of the strategic areas for action in the field of Basic Health Care, which has in the Family Health care model its main organizational strategy. The nurse is an important member of the multidisciplinary team of the Family Health Strategy, being responsible for, among other attributions, the nursing consultation, which includes nursing diagnosis and interventions. These can be performed through several classification systems, among them, the International Classification for Nursing Practice - CIPE®. Objective: To implant and adapt the catalog of Diagnosis and Intervention of Nursing in Women's Health, according to CIPE®. Method: the field of this research was the municipality of São Manuel / São Paulo. In the implementation of this catalog, 10 nurses from primary health care units and their coordinator participated. This was done through training of the participating nurses and periodic monitoring to elucidate doubts and solutions to the difficulties. To adapt the proposed catalog, an observational and cross-sectional study was developed with a convenience sample of 200 women in periods of menstrual activity, including adolescents and postmenopausal periods. The study variables included sociodemographic, behavioral and clinical data of women, nursing diagnoses and interventions, according to the proposed catalog. The data were obtained from March to September of 2017 using a nursing consultation instrument, which contains open and closed questions and analyzed by descriptive statistics.Results: Most of the nurses participating in the study had broad-based postgraduate, experience with EC and CIPE employment. It was observed that the majority of the nurses (7) were using the proposed catalog in their clinical practice, four of them being employed in all scheduled appointments. The facilitating elements of the most sought-after catalog were: articulation of nursing diagnoses with nursing interventions (50.0%), guide nursing actions (18.7%) and be easy to handle (18.7%) and the longest dismissal to achieve the EC (40.0%) and lack of time for its use (30.0%) were constituted in difficulties in their employment.Among the 864 nursing diagnoses, 82 different titles were described, 67 (81.7%) related to psychobiological needs and 15 (18.3%) to psychosocial ones, and the majority 60 (73.2%) showed a situation unfavorable to health and among the 1091 nursing interventions related to the description of 61 different titles. Considering the contributions of the nurses, the proposed catalog was supplemented by three diagnoses accompanied by the respective descriptions of associated signs / symptoms / complaints and Nursing interventions, a new intervention and a new description of a complaint for preexisting diagnoses, constituting the " Catalog of Diagnosis and Intervention of Nursing in Women's Health - CIPE - São Manuel ", product of this professional master's degree. Conclusion: the catalog proposed is adequate to the reality of the municipality and received the contributions of the participating nurses and is in the process of implementation. It is suggested that the management of the PHC maintains the monitoring of the implantation of the catalog allowing discussion and elimination of the obstacles to its use. This study contributes to the improvement of the Catalog - CIPE Women's Health and, thus, to the nursing care provided to this population group, in primary health care.
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Palavras-chave
processo de enfermagem, estratégia saúde da familia, saúde da mulher, diagnóstico de enfermagem, nursing process, family health strategy, women's health, nursing diagnosis