Nursing Outcomes for the Diagnosis Impaired Tissue Integrity (00044) in Adults With Pressure Ulcer

Abstract

Purpose

The study aims to validate nursing outcomes from the Nursing Outcomes Classification (NOC) related to the nursing diagnosis of impaired tissue integrity (00044) in adults with pressure ulcer (PU).

Methods

It was a consensus validation study using the focus group technique. Data were analyzed by descriptive statistics, and NOCs that obtained 100% consensus were considered validated.

Findings

Of the 16 NOCs evaluated, nine were validated.

Conclusions

The NOCs validated may identify the effectiveness, impact, and quality of interventions, making it possible to maintain or change the care planning of PU patients.

Implications for Nursing Practice

This work may serve to contribute to the future development of NOC, making it possible to evaluate the outcomes of PU patients in terms of the interventions performed in nursing practice.

Objetivo

O estudo tem como objetivo validar os resultados de enfermagem da Nursing Outcomes Classification (NOC) relacionados ao diagnóstico de enfermagem Integridade Tissular Prejudicada (00044) em adultos com úlcera por pressão (UP).

Métodos

Trata-se de um estudo de validação por consenso utilizando-se a técnica de grupo focal. Os dados foram analisados pela estatística descritiva e os resultados NOC que obtiveram 100% de consenso foram considerados validados.

Resultados

Dos 16 resultados NOC avaliados, nove foram validados.

Conclusões

Os resultados NOC validados podem identificar a efetividade, o impacto e a qualidade das intervenções, possibilitando manter ou alterar o planejamento da assistência de pacientes com UP.

Implicações para a prática de enfermagem

Este trabalho pode contribuir para o desenvolvimento futuro da NOC, tornando possível avaliar os resultados de pacientes com UP em resposta às intervenções realizadas na prática de enfermagem.

Keywords

Classification nursing diagnosis outcome assessment pressure ulcer validation study

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References

Azzolin

Souza

E. N.

Ruscel

K. B.

Mussi

C. M.

Lucena

A. F.

Rabelo

E. R.

(2012). Consensus on nursing diagnoses, interventions and outcomes for home care of patients with heart failure. Revista Gaúcha de Enfermagem, 33(4), 56–63.

Barreto

R. A. S. S.

Rocha

L. O.

Souza

A. C. S.

Tipple

A. F. V.

Suzuki

Bisinoto

A. S.

(2009). Handwashing: The adhesion among nursing professionals on post-anesthetic recovery room. Revista Eletrônica de Enfermagem, 11(2), 334–340.

Bavaresco

Lucena

A. F.

(2012). Nursing intervention classifications (NIC) validated for patients at risk of pressure ulcers. Revista Latino-Americana de Enfermagem, 20(6), 1109–1116.

Carlson

(2006). Consensus validation process: A standardized research method to identify and link the relevant NANDA, NIC, and NOC terms for local populations. International Journal of Nursing Knowledge, 17(1), 23–24.

Dall'Agnol

C. M.

Trench

M. H.

(1999). Using focus groups as a methodologic approach in nursing research. Revista Gaúcha de Enfermagem, 20(1), 5–25.

Dealey

(2008). The care of wounds: A guide for nurses (3rd ed.). São Paulo, Brazil: Atheneu Editora.

Debus

(1997). Manual for excellence in research through focus groups. Washington, DC: Academy for Education Development.

European Pressure Ulcer Advisory Panel . (2009). Prevention and treatment of pressure ulcers: Quick reference guide . Retrieved June 2010, from http://www.npuap.org/resources/educational-and-clinical-resources/prevention-and-treatment-of-pressure-ulcers-clinical-practice-guideline/

Fehring

R. J.

(1987). Methods to validate nursing diagnosis. Heart and Lung: The Journal of Critical Care, 16(6), 625–629.

10.

Fernandes

N. C. S.

Torres

G. V.

(2008). Incidence and risk factors of ulcers of pressure in patients in the intensive care unit. Ciência e Cuidados de Saúde, 7(3), 304–310.

11.

Ferreira

Miguéns

Gouveia

Furtado

(2007). Risk for development of pressure ulcer, national implementation of the Braden scale. Coimbra, Portugal: Lusociência.

12.

Filho

M. V. O. S.

Cardoso

D. P.

Girão

R. A.

(2009). Treatment of pressure ulcer with cutaneous and musculocutaneous flaps. The experience of Hospital Dr. Waldemar de Alcântara during three years. Revista Brasileira de Cirurgia Plástica, 24(3), 274–280.

13.

Louro

Ferreira

Povoa

(2007). Evaluation of a prevention protocol of pressure ulcers. Revista Brasileira de Terapia Intensiva, 19(3), 337–341.

14.

Lunney

McGuire

Endozo

McIntosh-Waddy

(2010). Consensus-validation study identifies relevant nursing diagnoses, nursing interventions, and health outcomes for people with traumatic brain injuries. Rehabilitation Nursing, 35(4), 161–166.

15.

Machado

S. P.

Castilho

S. R.

Guitton

(2006). Nurse assessment of scales for risk for pressure ulcer identification in intensive therapy patients. Revista Brasileira de Terapia Intensiva, 1(Suppl.), 225–226.

16.

Minthorn

Lunney

(2012). Participant action research with bedside nurses to identify NANDA, nursing interventions classification, and nursing outcomes classification categories for hospitalized persons with diabetes. Applied Nursing Research, 25(2), 75–80.

17.

Moorhead

Johnson

Maas

Swanson

(2008). Nursing outcomes classification (NOC) (4th ed.). St. Louis, MO: Mosby.

18.

NANDA-I . (2012). Nursing diagnoses: Definitions and classification 2012–2014. Porto Alegre, Brazil: Artmed.

19.

Paganin

Menegat

Klafke

Lazzarotto

Fachinelli

T. S.

Chaves

Souza

E. N.

(2010). Implementation of nursing diagnosis in intensive care units: A periodic review. Revista Gaúcha de Enfermagem, 31(2), 307–313.

20.

Rogenski

N. M. B.

Kurcgant

(2012). The incidence of pressure ulcers after the implementation of a prevention protocol. Revista Latino-Americana de Enfermagem, 20(2), 333–339.

21.

Rogenski

N. M. B.

Santos

V. L. C. G.

(2005). Incidence of pressure ulcers at a university hospital. Revista Latino-Americana de Enfermagem, 13(4), 474–480.

22.

Santos

J. B.

Porto

S. G.

Suzuki

L. M.

Sostizzo

L. R. Z.

Antoniazzi

J. L.

Echer

I. C.

(2011). Evaluation and treatment of wounds: Guidelines for health professionals. Porto Alegre, Brazil: Assessoria de Comunicação Social HCPA.

23.

Scherb

C. A.

Head

B. J.

Hertzog

Swanson

Reed

Maas

M. L.

, … Weinberg

(2013). Evaluation of outcome change scores for patients with pneumonia or heart failure. Western Journal of Nursing Research, 20(10), 1–24.

24.

Seganfredo

D. H.

Almeida

M. A.

(2011). Nursing outcomes content validation according to nursing outcomes classification (NOC) for clinical, surgical and critical patients. Revista Latino-Americana de Enfermagem, 19(1), 34–41.

25.

Silva

P. O.

(2011). Content validation of defining characteristics for the nursing diagnosis of fatigue in oncological patients (Dissertação de mestrado). Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.

26.

Smeltzer

S. C.

Bare

B. G.

(2012). Principles and rehabilitation practices. In Brunner

S. L.

Suddarth

D. L.

(Eds.), Tratado de enfermagem médico-cirúrgica (10th ed., pp. 166–198). Rio de Janeiro, Brazil: Guanabara Koogan.

27.

Studart

R. M. B.

Melo

E. M.

Lopes

M. V. O.

Barbosa

I. V.

Carvalho

Z. M. F.

(2011). Nursing technology in the prevention of pressure ulcer in people with spinal cord injury. Revista Brasileira de Enfermagem, 64(3), 494–500.

28.

Tazima

M. F. G. S.

Vicente

Y. A. M. V. A.

Moriya

(2008). Wound biology and healing. Medicina (Ribeirão Preto), 41(3), 259–264.