RESUMO
PURPOSE: A standardized language system can support the elaboration of clinical guidelines by matching information from similar patterns of response to people. To identify the factors that are related to a higher likelihood of an ineffective health management nursing diagnosis. METHODS: We conduct a systematic review and meta-analysis. An electronic search was conducted in MEDLINE databases via PubMed, Web of Science, SciELO, CINAHL, SCOPUS, and Embase between October and November 2020. Descriptive data were extracted from each article. The odds ratios for each etiological factor related to ineffective health management were directly extracted from the articles or calculated from the data described in the articles. The analysis of the measurements of exposure and the magnitude of the effect was performed using the statistical software R, and a forest plot was constructed for each etiological factor. FINDINGS: Ten studies were included, and 15 related factors were recovered from the primary studies. The factors that significantly increased the likelihood of an ineffective health management nursing diagnosis were insufficient knowledge of the therapeutic regimen, perceived barriers, powerlessness, economic disadvantage, and difficulty managing complex treatment regimens. No effect was verified with the following factors: decision conflict, family pattern of healthcare, and inadequate number of cues to action. CONCLUSION: Factors related to a higher likelihood of ineffective health management may be the focus of early and targeted nursing interventions, contributing to an improved quality of care. CLINICAL RELEVANCE: Understanding exposure to these factors can improve diagnostic reasoning at different population levels.
Assuntos
Atenção à Saúde , Diagnóstico de Enfermagem , HumanosRESUMO
PURPOSE: To develop and validate the content of the nursing diagnosis proposal for perioperative thirst. METHODS: A content analysis by 34 judges. An online Delphi panel was used in one round, evaluating criteria of relevance, clarity and precision. Wilcoxon's one-tailed test was used and the content validity index to maintain the item was set to 0.80. FINDINGS: The content validity index in relation to the evaluated items reached levels between 0.87-1.00. The final components of the diagnosis proposal included the following items as defining characteristics: dry mouth, dry throat, dry lips, thick saliva, thick tongue, constant swallowing of saliva, desire to drink water, bad taste in the mouth, and caregiver's report. Related factors are as follows: pre- and postoperative fasting, oral breathing, dehydration, hypovolemia, insensitive loss of hydration by breathing, dry mouth, habit of drinking water, high room temperature. Associated conditions: intubation, use of muscarinic and nicotinic anticholinergics and water restriction. CONCLUSIONS: All components of the nursing diagnosis were validated in relation to relevance, clarity, and accuracy, demonstrating high levels of agreement between experts. Qualitative observations were found to be fundamental for both combining and excluding some items. IMPLICATIONS FOR NURSING PRACTICE: Improvement of refinement and clarity levels of this nursing diagnosis proposal aiding its inclusion in the NANDA International taxonomy and thus enabling greater understanding of the phenomenon of thirst in surgical patients. This study helps to explain and facilitate the identification of defining characteristics, related factors, and associated conditions for nurses, nursing students, and researchers on this subject.
Assuntos
Diagnóstico de Enfermagem , Sede , Humanos , RespiraçãoRESUMO
Objetivo: Objetivou-se analisar a utilidade da Teoria do autocuidado para a assistência de enfermagem as mulheres com AIDS, sob o modelo de Meleis. Metodologia: Estudo de revisão integrativa, com busca nas bases de dados LILACS, MEDLINE, SciELO, Scopus, CINAHL, Cochrane e PubMed. Após verificação dos critérios de inclusão, foram identificados três artigos referentes à temática. Na análise dos estudos, focou-se o componente utilidade da teoria de Meleis. Resultados: A análise dos estudos, segundo a utilidade, evidenciou que a Teoria do autocuidado foi fundamental para analisar a capacidade e os déficits de mulheres com HIV/AIDS quanto ao autocuidado.Com a análise crítica de Meleis, foi possível verificar a utilidade da Teoria do autocuidado para a assistência de enfermagem a mulheres com infecção pelo HIV/AIDS. Evidenciaram-se, ainda, diversos cenários e abordagens de aplicação da teoria, identificado sua utilização voltada a vários objetivos do autocuidado de mulheres com HIV.
Objetivo: Este estudio tuvo como objetivo analizar la utilidad de la Teoría del autocuidado para la atención de enfermería para las mujeres con sida, conforme al modelo de Meleis. Metodología: Estudio de revisión integradora, cuya búsqueda se realizó en las bases de datos LILACS, MEDLINE, SciELO, Scopus, CINAHL, Cochrane y pubMed. Después de comprobar los criterios de inclusión, se identificaron tres artículos relacionados con el tema. El análisis de los estudios se centró en el componente de Meleis de la utilidad de la teoría. Resultados: El análisis de los estudios, de acuerdo con la utilidad, mostró que la Teoría del autocuidado es esencial para examinar la capacidad y los déficits en las mujeres con VIH/sida como el autocuidado. Con el análisis crítico de Meleis, pudimos comprobar la utilidad de la teoría del autocuidado para la atención de enfermería para las mujeres con VIH /sida. Se presentaron también diferentes escenarios y enfoques de la aplicación de la teoría, cuyo uso fue identificado para varios objetivos encaminados a la autoatención de las mujeres con VIH.
Objective: This study aimed to analyze the usefulness of the Theory of Self-care for nursing care for women with AIDS, under the Meleis model. Methodology: Study of integrative review, with database search in LILACS, MRDLINE, SciELO, Scopus, CINAHL, Cochrane and PubMed. After checking the inclusion criteria, were identified three articles related to the topic. The analysis of the studies was focused on the component of utility theory Meleis. Results: Analysis of the studies, according to the utility, showed that the Theory of Self-care is essential to examine the ability and deficits in women with HIV/AIDS as self-care. With the critical analysis of Meleis, we could verify the usefulness of the Theory of Self-care for nursing care for women with HIV/AIDS. It was apparent also different scenarios and approaches to application of theory, its use identified several objectives aimed at self-care of women with HIV.