Construção da proposição diagnóstica de enfermagem retorno venoso periférico ineficaz em pacientes adultos com condições clínicas cardiovasculares

This study aimed to build the proposition of nursing diagnosis Ineffective peripheral venous return in adult patients with cardiovascular clinical conditions directed to the taxonomy NANDA International, Inc. This is a methodological study, operationalized by the model of Lopes, Silva and Araújo...

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Autor principal: Silva, Hanna Priscilla da
Outros Autores: Vitor, Allyne Fortes
Formato: Dissertação
Idioma:pt_BR
Publicado em: Brasil
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Endereço do item:https://repositorio.ufrn.br/jspui/handle/123456789/28421
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Resumo:This study aimed to build the proposition of nursing diagnosis Ineffective peripheral venous return in adult patients with cardiovascular clinical conditions directed to the taxonomy NANDA International, Inc. This is a methodological study, operationalized by the model of Lopes, Silva and Araújo (2012). To achieve the objectives proposed in this study, a concept analysis was performed, adapted from the model proposed by Walker and Avant (2019) and operationalized through an integrative review, according to Whittemore Knalfl (2005). The search in the literature took place between February and June 2019, by a pair of researchers on the same days and places, in different computers, without communication until the crossing was exhausted, according to the protocol built for this review. The following data sources were used: Science Direct, Scopus, Cumulative Index to Nursing and Allied Health Literature (Cinahl), Pubmed (Public Medline), Cochrane, Web of Science and the Virtual Health Library (VHL). We opted for an advanced, uncontrolled search through the use of the keyword: “Peripheral” and the Medical Subject Headings (MeSH) and Health Sciences Descriptors (DeCS) indexed descriptors, “Venous Insufficiency”, “Lower Extremity ”and“ Leg ”. Inclusion criteria were studies available in full in the selected databases, in Portuguese, English and / or Spanish, and answering the guiding questions of the research. Articles that do not answer the guiding question, which were not available in full and electronically in the databases, editorials, letters to the editor, abstracts and expert opinions were excluded. Articles were counted only once. In the initial search, 24,559 studies were found, which through screening, application of the inclusion and exclusion criteria and thorough reading totaled the final sample of 131 publications. The analysis of the articles allowed us to identify the components of the nursing diagnosis Ineffective peripheral venous return in adult patients with cardiovascular clinical conditions, identifying the definition, attributes, antecedents and consequences of the diagnostic focus in question. It can be concluded that the obtained data can support the construction of ND Ineffective peripheral venous return by proposing a definition for the diagnostic label and identifying 9 defining characteristics, four related factors, three populations at risk and four associated conditions. Finally, we highlight the improvement of the taxonomy made possible by offering a DE that addresses the human responses presented by this group of patients, until then incipient.