International Journal of Nursing Knowledge

OBJECTIVES.  To identify the learning needs of patients with cardiac disease and the aspects of the disease and anesthetic and surgical procedures about which Brazilian patients have the greatest gaps in knowledge.

METHODS.  Eighty preoperative patients answered a General Evaluation Questionnaire, a Questionnaire to Evaluate Patient Knowledge, and the Mini-Mental State Exam.

FINDINGS.  Fifty-nine patients had learning needs. More than 50% of the patients were mistaken or unable to answer questions about the disease, and the goals of and type of surgery to be performed and anesthesia to be used.

CONCLUSIONS.  Most patients had poor performance on the questionnaire that assessed their knowledge about coronary artery disease and its treatment.

PRACTICE IMPLICATIONS.  This study can contribute to health professionals' assessment of patients' knowledge.

OBJETIVOS.  Identificar as necessidades de aprendizagem de pacientes com doença cardíaca e os aspectos da doença arterial coronariana e da revascularização do miocárdio do nos quais os pacientes brasileiros apresentam conhecimento deficiente.

MÉTODO.  Oitenta pacientes responderam o Questionário para avaliação geral, o Questionário para avaliar o conhecimento e o Mini-Exame do Estado Mental.

RESULTADOS.  Cinqüenta e nove pacientes apresentaram necessidade de aprendizagem. Mais de 50% dos pacientes erraram ou não souberam responder as questões referentes ao nome da doença, aos sinais e sintomas de complicação da doença, aos objetivos e tipo de cirurgia e anestesia.

CONCLUSÃO.  Muitos pacientes não apresentaram bom desempenho no questionário para medir conhecimento em relação à Doença Arterial Coronária e seu tratamento.

IMPLICAÇÕES PRÁTICAS.  Este estudo poderá contribuir para a avaliação do conhecimento dos pacientes por profissionais da saúde.

PURPOSE.  The purpose of this article was to define and describe the fundamental aspects of similarity with application to the use of nursing terminologies.

DATA SOURCES.  Data were obtained from Google, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsychINFO, and PubMed using the keywords “similarity views,”“similarity,”“concepts and categorization,” and other published sources.

DATA SYNTHESIS.  Three prominent similarity views were compared, contrasted, and applied to the use of nursing diagnoses.

CONCLUSIONS.  Each view has intentions (requirements) that guide the categorization of information to concepts and influence naming of nursing concepts.

IMPLICATIONS.  By understanding similarity, nurse educators and technology designers can influence how nursing concepts are represented.

PURPOSE.  To evaluate how the nursing process has been registered at a Brazilian teaching hospital.

METHODS.  Descriptive and retrospective study of 68 medical records.

FINDINGS.  The data collection of history was more frequent on the admission day. The documentation of physical exam was prioritized. Sometimes there were records of nursing interventions but not of nursing diagnoses.

CONCLUSIONS.  It was found some failures in the record of some steps of the nursing process. Although all steps had been used, they were not carried out consistently.

IMPLICATIONS FOR NURSING PRACTICE.  Some aspects deserve to be considered to improve the use and registration of all steps of the nursing process as to develop specific protocols, redesign the formulary of data record with careful and equal consideration of all steps, and empower all members of the nursing staff to implement the nursing process more effectively.

OBJETIVO.  Avaliar como o processo de enfermagem foi registrado em um hospital de ensino Brasileiro.

MÉTODOS.  Estudo descritivo e retrospectivo de 68 prontuários.

DADOS.  A coleta de dados do histórico foi mais freqüente no primeiro dia de internação. A documentação do exame físico foi priorizada. Às vezes havia registro de intervenções de enfermagem, mas não de diagnósticos de enfermagem.

CONCLUSÕES.  Foram encontradas falhas no registro de algumas etapas do processo de enfermagem. Embora todos os passos tenham sido usados, não foram realizados de forma consistente.

IMPLICAÇÕES PARA A PRÁTICA DE ENFERMAGEM.  Alguns aspectos devem ser considerados para melhorar o uso e registro de todas as etapas do processo de enfermagem, como desenvolver protocolos específicos, reformular o formulário de registro de dados com uma cuidadosa e igual consideração de todas as etapas, e capacitar todos os membros da equipe de enfermagem para implementar o processo de enfermagem de forma mais eficaz.

BACKGROUND.  The majority of nursing programs identify the nursing process and diagnosis as critical elements in their curricula, yet it is often absent in classroom and clinical discussions. The failure of faculty to integrate the nursing process and diagnoses into learning experiences creates students spending endless hours creating a care plan document that requires little critical thinking, a document that does not improve the student's likelihood of utilizing nursing diagnosis after graduation.

PURPOSE.  This paper would outline the educational barriers for integration of these concepts into practice.

DISCUSSION.  Classroom and clinical strategies that guide the student to focused learning on nursing diagnoses and utilize standardized predicted care plans can produce desired curriculum outcomes, and ultimately, practice utilization will be presented.

PURPOSE.  This case study focused on the care of a child with global developmental delay.

DATA SOURCES.  Data were obtained through the author's clinical practice in long-term care pediatric rehabilitation and literature sources.

DATA SYNTHESIS.  NANDA-International Classifications, the Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) were used to identify the appropriate nursing diagnosis, nursing interventions, and patient outcomes.

CONCLUSIONS.  This case study provides the pertinent nursing diagnoses, interventions, and outcomes for a child with global developmental delay. The interdisciplinary team approach and family involvement is addressed.

IMPLICATIONS FOR NURSING.  Use of NANDA, NIC, and NOC outcomes constructs for enhancing the care of a child with global developmental delay.