RESUMO
Registered nurses on a medical unit questioned whether current practice adequately met the emotional needs of patients with chronic obstructive pulmonary disease hospitalized for acute dyspnea. The unit's education committee surveyed nursing staff regarding priority nursing activities during dyspneic episodes. After discussion with staff development educators, several registered nurses met with the center's nurse researcher, formed a research team, and designed a descriptive study. Findings of the study gave evidence for clinical practice change and revision of care guidelines.
Assuntos
Dispneia/enfermagem , Educação Continuada em Enfermagem/organização & administração , Medicina Baseada em Evidências , Pesquisa em Avaliação de Enfermagem , Recursos Humanos de Enfermagem Hospitalar/educação , Doença Pulmonar Obstrutiva Crônica/complicações , Doença Aguda , Atitude do Pessoal de Saúde , Atitude Frente a Saúde , Benchmarking , Competência Clínica , Difusão de Inovações , Dispneia/etiologia , Dispneia/psicologia , Medicina Baseada em Evidências/educação , Medicina Baseada em Evidências/organização & administração , Necessidades e Demandas de Serviços de Saúde , Saúde Holística , Humanos , New England , Papel do Profissional de Enfermagem/psicologia , Relações Enfermeiro-Paciente , Avaliação em Enfermagem , Pesquisa em Avaliação de Enfermagem/educação , Pesquisa em Avaliação de Enfermagem/organização & administração , Recursos Humanos de Enfermagem Hospitalar/psicologia , Assistência Centrada no Paciente , Guias de Prática Clínica como Assunto , Comitê de Profissionais/organização & administração , Projetos de Pesquisa , Índice de Gravidade de Doença , Inquéritos e QuestionáriosRESUMO
Like pain, dyspnea, or difficulty in breathing, is a strong subjective experience of physiologial distress. Using a model developed by DeVito, this study focused on the emotional aspects of the acute experience of dyspnea in patients diagnosed with chronic obstructive pulmonary disease (COPD) on a medical unit and explored nursing activities that eased the intensity of the symptoms. The study was descriptive in design and used a semistructured interview format with four open-ended questions and a numerical self-assessment of dyspnea using the Modified 0-10 Borg Scale (MBS). The sample included 41 hospitalized patients with COPD between the ages of 43 and 89 years who had experienced episodes of acute dyspnea both prior to and during their current inpatient stays. This article provides descriptions of the experience of dyspnea, identifies themes from the participants' responses, notes the patients'perceptions of the efficacy of nursing actions, and extends the use of the MBS to an inpatient population.
