Produção Nacional
Evaluation of the Accuracy of Nursing Diagnoses in a Brazilian Emergency Service
2011; Wiley; Volume: 22; Issue: 2 Linguagem: Inglês
10.1111/j.1744-618x.2010.01175.x
ISSN1541-5147
AutoresMaiko Marini, Enaura Helena Brandão Chaves,
Tópico(s)Patient Satisfaction in Healthcare
ResumoInternational Journal of Nursing Terminologies and ClassificationsVolume 22, Issue 2 p. 56-67 Evaluation of the Accuracy of Nursing Diagnoses in a Brazilian Emergency Service Maiko Marini RN, Corresponding Author Maiko Marini RN Federal University of Rio Grande do Sul in Porto Alegre, Rio Grande do Sul, BrazilAuthor contact: maikomarini@gmail.comSearch for more papers by this authorEnaura Helena Brandão Chaves PhD, RN, Enaura Helena Brandão Chaves PhD, RN School of Nursing, Federal University of Rio Grande do Sul in Porto Alegre, Rio Grande do Sul, BrazilSearch for more papers by this author Maiko Marini RN, Corresponding Author Maiko Marini RN Federal University of Rio Grande do Sul in Porto Alegre, Rio Grande do Sul, BrazilAuthor contact: maikomarini@gmail.comSearch for more papers by this authorEnaura Helena Brandão Chaves PhD, RN, Enaura Helena Brandão Chaves PhD, RN School of Nursing, Federal University of Rio Grande do Sul in Porto Alegre, Rio Grande do Sul, BrazilSearch for more papers by this author First published: 27 April 2011 https://doi.org/10.1111/j.1744-618X.2010.01175.xCitations: 9Read the full textAboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinked InRedditWechat Abstract PURPOSE. The study aims to verify the accuracy of 10 prevalent nursing diagnoses (NDs) in the emergency service of a Brazilian university hospital. METHODS. The accuracy of 10 prevalent diagnoses was evaluated using the Lunney (1990) scale. The evaluation was based on data recorded from patient charts by nurses. Each diagnosis was evaluated in three separate clinical instances, resulting in a total of 30 evaluations. FINDINGS. The evaluation characterized 24% (7) of the NDs as highly accurate, while 76% (23) were considered to be of low accuracy. CONCLUSION. The low levels of accuracy detected in some diagnoses highlight the need for nurses to develop skills in accurately applying the diagnostic process involving the use of NDs. However, in order to confirm (or not) the observed low levels of diagnostic accuracy, studies with larger sample sizes should be carried out. This is essential as it is recommended that care processes be supported by knowledge about accuracy. IMPLICATIONS FOR NURSING PRACTICE. Educational interventions should be implemented that hone the ability to make accurate NDs in clinical nursing practice. Further studies are also needed to evaluate the accuracy of NDs elaborated by nurses in different clinical contexts. OBJETIVO. Verificar o grau de acurácia dos diagnósticos de enfermagem (DE) prevalentes em um serviço de emergência em um hospital brasileiro. MÉTODO. O grau de acurácia foi avaliado através da escala de Lunney (1990). Essa avaliação foi realizada a partir dos dados registrados pelos enfermeiros no prontuário do pacientes. Cada DE foi avaliado em 3 situações clínicas diferentes, totalizando 30 avaliações. RESULTADOS: A avaliação da acurácia dos DE apontou que 24% (07) foram classificados com alto grau de acurácia e 76% (23) com baixo grau de acurácia. CONCLUSÕES. A baixa acurácia detectada demonstra a necessidade de que os enfermeiros desenvolvam habilidades para aplicar acuradamente o processo diagnóstico com o uso das classificações dos DE. Entretanto, para confirmar (ou não) a baixa acurácia diagnóstica deve-se desenvolver estudos com amostra maiores. Recomenda-se, pois, que o processo de cuidar seja sustentado por conhecimentos sobre a acurácia. IMPLICAÇÕES PARA A PRáTICA EM ENFERMAGEM. Faz-se necessário direcionar práticas educativas que promovam o desenvolvimento de habilidades para elaborar DE acurados na prática clínica de enfermagem. É preciso, pois, o contínuo desenvolvimento de estudos que avaliem a acurácia dos DE elaborados pelos enfermeiros nos diferentes contextos clínicos Citing Literature Volume22, Issue2April‐June 2011Pages 56-67 RelatedInformation
Referência(s)