Classification of Patient Care Complexity: Cloud Technology.

Presentation of the computerized structure to implement, in a university hospital in the South of Brazil, the Patients Classification System of Perroca, which categorizes patients according to the care complexity. This solution also aims to corroborate a recent study at the hospital, which evidenced that the increasing workload presents a direct relation with the institutional quality indicators. The tools used were the Google applications with high productivity interconnecting the topic knowledge on behalf of the nursing professionals and information technology professionals.

Conceptualization of an electronic system for documentation of nursing diagnosis, outcomes, and intervention.

Electronic nursing documentation constitutes technical, scientific, legal, and ethical documents. The objective of this study was to develop an electronic nursing documentation system. The system was developed in four phases (conceptualization, detailing, prototype building, implementation), and the knowledge base was based on domains and classes according to the NANDA-I, NIC, and NOC unified framework. The result is an electronic system (PROCEnf--USP--Nursing Process Electronic Documentation System of the University of São Paulo) which allows documenting nursing process generating reports of nursing process, besides supporting decisions on nursing diagnosis, expected outcomes, and interventions. Integration of different fields of knowledge, as well as the institutional feature of valuing continuous theoretical and practical improvement of nursing process were factors of success of this technological project.

An analysis of nursing diagnoses for patients undergoing procedures in a Brazilian interventional radiology suite.

Innovations in minimally invasive surgery have led to more procedures being performed in the interventional radiology suite. It, therefore, is essential that nurses in radiology departments be competent to care for all types of patients. Use of nursing classification systems can improve care by providing standardized language for documentation. We conducted a project that involved 25 patients undergoing interventional radiology procedures between August and October 2006 in São Paulo, Brazil, to identify the most frequent North American Nursing Diagnosis Association (NANDA) nursing diagnoses used and then compared the NANDA diagnoses to Perioperative Nursing Data Set diagnoses. The most frequent nursing diagnoses in the participants were anxiety, chronic pain, inefficient tissue perfusion-peripheral, deficient knowledge, and risk for falls. These results are similar to diagnoses that have been reported in outpatient centers. The NANDA and Perioperative Nursing Data Set diagnoses were found to be similar.

Diseño e implementación del sistema de información para la relación docencia-servicio del programa de enfermería en la Universidad Libre de Pereira / Design and implementation of information system for teaching-service relationship of the nursing program at the Universidad Libre of Pereira

Objetivo: Presentar la metodología empleada en el diseño del sistema de información para la relación docencia-servicio, según el acuerdo 003 de 2003 y describir los resultados de su implementación en el primer semestre de 2008. Metodología: Se construyeron indicadores a partir de los criterios de evaluación para cada una de los factores y características del acuerdo. Se definieron los subsistemas de gestión y operación y la información generada de las unidades básicas: convenio, acta de reunión de la relación docencia-servicio, evaluación y costos y suministros. Resultados: El 100 de los convenios se realizó con instituciones que tenían certificación y habilitación y se elaboraron siguiendo los criterios del modelo docencia-servicio. Se realizaron comités al inicio del semestre, en el 100 de los convenios realizados. El 37,5, de los usuarios atendidos por los estudiantes fueron adultos jóvenes, el 18,0 niños menores de 10 años y adultos mayores, el 10,4. Los diagnósticos enfermeros más frecuentes fueron: el riesgo de infección, el dolor agudo y el deterioro de la movilidad física. El 36,6 de los procedimientos de enfermería fueron administrativos el 39,8, clínicos y el 23,6 de tipo ambulatorio y comunitario. Conclusiones: El diseño del sistema de información para la relación docencia-servicio ha sido útil para realizar su seguimiento desde el orden gerencial y operativo y en el proceso de toma de decisiones referente al proceso educativo de los estudiantes de enfermería durante sus prácticas formativas.

Objective: To present the methodology used in designing the information system for teaching-service relationship, according to the agreement 003 of 2003 and describing the results of its implementation in the first semester of 2008. Methodology: Indicators were constructed upon the evaluation criteria for each of the factors and features of the agreement. Management and operational subsystems were defined and the information generated from the basic units: agreement, minutes of meeting of the Teaching-service relationship, evaluation, costs and supplies. Results: 100 of the agreements were made with institutions with certification and accreditation and developed using the criteria of teaching-service model. Committees were made at the beginning of the semester, in the 100 of the agreements. 37.5 of users assisted by the students were young adults, 18.0 children under age 10 and 10.4 senior adults. The most frequent nursing diagnoses were: the risk of infection, acute pain and impaired physical mobility. The 36.6 of the nursing procedures were administrative, 39.8 clinical and 23.6 of outpatient and community patients. Conclusions: The design of follow up system for teaching-service relationship has been useful for tracking of the managerial and operational command and the decision making process, relating to the education of nursing students during their internship.

[Nurses' perception of a nursing diagnosis implemented in a teaching hospital]. / Percepções de enfermeiras de um hospital universitário sobre a implantação dos diagnósticos de enfermagem.

This article describes a qualitative descriptive exploratory study carried out in Hospital de Clinicas de Porto Alegre, RS, Brazil, in 2005, in which the perception of nurses on the Nursing Diagnosis (ND) introduced in the institution, was analyzed. Data were collected using semi-structured interviews with ten nurses working in different units, and were analyzed by the Minayo method, taking into account ethical aspects. Two categories were identified in the ND: positive aspects, and aspects needing improved, each with its subcategories. It was concluded that ND was beneficial to nurses; however, there are still doubts and criticism on this subject.

Sistematização da assistência de enfermagem em um ambulatório de hanseníase: estudo de caso / The nursing care systematization in a leprosy out-patient service: case study

O objetivo deste estudo foi implementar as etapas do processo de enfermagem, ou seja, a sistematização da assistência em enfermagem (SAE) a um paciente portador de hanseníase, atendido em um Ambulatório de Dermatologia do interior de São paulo. Os dados foram coletados em instrumento baseado na teoria do autocuidado de OREM e os principais dignósticos identificados segundo a taxonomia da NANDA. A partir de então, foi feito o planejamento (,etas/objetivos e prescrição de enfermagem), a implementação das prescrições de enfermagem e a evolução. A implantação ocorreu durante as consultas de enfermagem, previamente agendadas, no período de fevereiro a maio de 2003 e consideramos que a SAE em um Programa de Controle da Hanseníase, não apenas é possível, mas fundamental para a melhoria da qualidade de vida do paciente

Necesidad de la aplicación del proceso de enfermería en el sistam nacional de salud / Need of appliction of the nursing process in the national system of health

Se realiza una revisión detallada de los autores señalados en la bibliografía. Comparando las etapas del proceso de atención de enfermería que analiza el autor, se toman de cada uno de ellos los que son comunes y útiles para realizar un diagnóstico de enfermería con calidad científica. Se llegan a conclusiones previas para orientar el uso del diagnóstico de enfermería en la aplicación del proceso de enfermería. Se realizan recomendaciones para facilitar la aplicación de este proceso en el Sistema nacional de Salud (AU)

Necesidad de la aplicación del proceso de enfermería en el sistam nacional de salud / Need of appliction of the nursing process in the national system of health

Se realiza una revisión detallada de los autores señalados en la bibliografía. Comparando las etapas del proceso de atención de enfermería que analiza el autor, se toman de cada uno de ellos los que son comunes y útiles para realizar un diagnóstico de enfermería con calidad científica. Se llegan a conclusiones previas para orientar el uso del diagnóstico de enfermería en la aplicación del proceso de enfermería. Se realizan recomendaciones para facilitar la aplicación de este proceso en el Sistema nacional de Salud

[The implementation of nursing diagnosis in a postanesthesia recovery unit--a pilot study]. / Implementação do diagnóstico de enfermagem na unidade de recuperação pós-anestésica--estudo piloto.

Implementation of the nursing process at the Post-anesthesia Recovery Room--a preliminary study. This paper presents the preliminary results about a research on Nursing Diagnoses at the Post-Anesthesia Recovery Room based on the Taxonomy I. In a population of 19 patients, the nursing diagnoses with high frequency plus then 50% were injury (potential), hypothermia, and alteration in comfort.