Análise das intervenções de enfermagem proposta pela Nursing Intervention Classification para o diagnóstico de enfermagem padrão respiratório ineficaz

Abstract

The Nursing Assistance Systematization is able to offer support for the development of interdisciplinary and humanized care methodologies, providing nurses greater autonomy and security in assistance providing. The objective was to analyze the applicability of the interventions proposed by the Nursing Interventions Classification - NIC indicated for the diagnosis of Ineffective Breathing Patterns in a Pediatric Intensive Care Unit - PICU. This is a descriptive, exploratory study, conducted in the PICU of a highly complex teaching hospital in São Luis-MA. Nine PICU nurses participated. Data collection was carried out between July to September 2015, which had the instruments to characterize the participants and description of activities for Ineffective Breathing Patterns ND. The study followed the ethical principles set out in Resolution CNS / MS 466/12, with consideration and approval of the CEP, identified as opinion nth 1,047,920 and CAAE: 42619815.8.0000.5086. After the description of the activities, the researcher compared the activities of the NIC, carrying the cross mapping. Eight nurses experts conducted the review and refinement of the data. The comparison of the activities pointed out that from 61 activities reported by nurses, 54 were selected as activities of the NIC. From interventions two were described as priority, seven described as suggested, five optional and eight not suggested for diagnosis. The most frequently reported by nurses were: remove secretions stimulating coughing or breathing in; perform endotraquel or nasotracheal aspiration, as appropriate; monitoring frequency, pace, depth and effort in breathing and realization of auscultation. In the evaluation of expert nurses it was suggested that some activities remain under the language of the PICU nurses; some were reorganized with additions of terms and change of verbs; others remain with the description of the NIC. The study identified the use of standardized language in the PICU environment and the possibility of this taxonomy be used and prove adequate to performed this site; besides observing the gaps to expand and improve the care provided for the diagnosis Ineffective Breathing Patterns.