Name: ELISANGELA RIBEIRO CHAVES
Type: MSc dissertation
Publication date: 05/06/2020
Advisor:
Name |
Role |
|---|---|
| CÂNDIDA CANIÇALI PRIMO | Co-advisor * |
| MARIA EDLA DE OLIVEIRA BRINGUENTE | Advisor * |
Examining board:
| Name |
Role |
|---|---|
| ANDRESSA BOLSONI LOPES | External Alternate * |
| CÂNDIDA CANIÇALI PRIMO | Co advisor * |
| ELIANE DE FÁTIMA ALMEIDA LIMA | Internal Alternate * |
| LORENA BARROS FURIERI | Internal Examiner * |
| MARIA EDLA DE OLIVEIRA BRINGUENTE | Advisor * |
Summary: The Nursing Process enables a systematized and qualified assistance.
However, Nurses still have difficulties in using the diagnosis reasoning and in
registering the Nursing Process. Hence, in attending to a request of the institution,
the organization of a didactic material was proposed for the surgical clinic unit for the
care of the bariatric patient. Objectives: To identify the Nursing diagnoses and
interventions most prevalent in bariatric post-surgical patients; To prepare the
protocol of Nursing diagnoses and interventions, and the case studies that are part of
the instructional material; To evaluate the content of the instructional material.
Method: This is a Technological Development Applied Research that followed three
stages: Integrative Review; Case Studies Preparation; and Instructional Material
preparation. Literature review was directed by the question: What are the Nursing
diagnoses and Interventions/Care related to the bariatric surgery post-surgical
patient? In the data bases: Medical Literature Analysis and Retrieval System Online
(MEDLINE) and Literatura Latino-Americana e do Caribe em Ciências da Saúde
(LILACS), with descriptors "cirurgia bariátrica" and "enfermagem"; bariatric surgery
and nursing. The inclusion criteria were: original papers published from 2013 to
2018, in Portuguese, English or Spanish. For the preparation of Case Studies, the
literature review data was used, as well as 10 real case studies, which were collected
in patients in bariatric post-surgery at the study hospital. The instructional material
used the category system of the Basic Human Needs of Horta, the NANDA-I
Classification and the Nursing Interventions Classification. The material was
evaluated by 20 nurses, members of the clinical body of a university hospital in the
Southwest of Brazil. The evaluation by judges was done in March 2020. The data
analysis used the content validity index, the Q test of Cochran, and alfa of Cronbach.
Results: The review was comprised of seven papers. The instructional material was
comprised of 10 case studies and one protocol with Nursing diagnoses, interventions
and activities. The material was evaluated as adequate, with nearly perfect reliability
(Cronbach α=92), it is clearly written, and it represents typical patient situations,
having received more than 80% of judges agreement. Product: The instructional
material containing case studies and a protocol with Nursing diagnoses, interventions
and activities, based in clinical evidence, and in the standardized classifications
enables the Nurse to train the diagnosis reasoning for accuracy in clinical judgement,
and to make decisions in a reliable manner, as well as contributing in planning a
better assistance to the patient at bariatric post-surgery, as well as in documenting
the Nursing process. Conclusion: The instructional material may contribute in the
professional education, in patient safety, and in consolidating the nursing process in
the institution. The material may also be used by undergraduate students that have
practical classes, curricular and extra-curricular internships at the surgical clinic, and
those who assist bariatric post-surgery. The protocol was included in the electronic
registry system, and the instructional material was made available for all Nurses at
the institution.stages: Integrative Review; Case Studies Preparation; and Instructional Material preparation. Literature review was directed by the question: What are the Nursing diagnoses and Interventions/Care related to the bariatric surgery post-surgical patient? In the data bases: Medical Literature Analysis and Retrieval System Online (MEDLINE) and Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS), with descriptors \\\\\\\\\\\\\\\"cirurgia bariátrica\\\\\\\\\\\\\\\" and \\\\\\\\\\\\\\\"enfermagem\\\\\\\\\\\\\\\"; bariatric surgery and nursing. The inclusion criteria were: original papers published from 2013 to 2018, in Portuguese, English or Spanish. For the preparation of Case Studies, the literature review data was used, as well as 10 real case studies, which were collected in patients in bariatric post-surgery at the study hospital. The instructional material
used the category system of the Basic Human Needs of Horta, the NANDA-I
Classification and the Nursing Interventions Classification. The material was
evaluated by 20 nurses, members of the clinical body of a university hospital in the Southwest of Brazil. The evaluation by judges was done in March 2020. The data analysis used the content validity index, the Q test of Cochran, and alfa of Cronbach. Results: The review was comprised of seven papers. The instructional material was comprised of 10 case studies and one protocol with Nursing diagnoses, interventions and activities. The material was evaluated as adequate, with nearly perfect reliability (Cronbach α=92), it is clearly written, and it represents typical patient situations, having received more than 80% of judges agreement. Product: The instructional material containing case studies and a protocol with Nursing diagnoses, interventions and activities, based in clinical evidence, and in the standardized classifications enables the Nurse to train the diagnosis reasoning for accuracy in clinical judgement, and to make decisions in a reliable manner, as well as contributing in planning a
better assistance to the patient at bariatric post-surgery, as well as in documenting the Nursing process. Conclusion: The instructional material may contribute in the professional education, in patient safety, and in consolidating the nursing process in the institution. The material may also be used by undergraduate students that have practical classes, curricular and extra-curricular internships at the surgical clinic, and those who assist bariatric post-surgery. The protocol was included in the electronic registry system, and the instructional material was made available for all Nurses at the institution.
