INTERVENÇÕES DE ENFERMAGEM PROPOSTAS PELA NURSING INTERVENTIONS CLASSIFICATION PARA O DIANÓSTICO DE ENFERMAGEM DÉBITO CARDÍACO DIMINUÍDO.

Abstract

The aim of the study was to analyze the use of interventions proposed by Nursing Interventions Classification indicated for Nursing Diagnosis. Cardiac output decreased in Pediatric Intensive Care Unit (UTIP). This is a descriptive and exploratory study carried out with nurses of the Pediatric Intensive Care Unit of a hospital in the city of São Luís – Maranhão, from September 2016 to October 2017. The research followed the established ethical principles, with appreciation and approval of the Committee of Ethics in Research of the University Hospital of the Federal University of Maranhão. Data collection was performed in three moments: survey of nursing activities together with the nurses of the UTIP, cross-mapping to compare non-standardized nursing data with the Nursing Interventions Classification (NIC) language, and analysis and refinement of data by the expert nurses. For quantitative analysis of the interventions, the content validity index was measured by arithmetic measures, determining critical and support interventions. A total of 113 activities were identified, which were mapped to 38 NIC activities, contained in 11 interventions, four of which were priority, five suggested and two optional. The interventions "Cardiac care", "Cardiac care: acute phase" and "Hemodynamic regulation" were the ones that presented the greatest number of reported activities; they are all part of the priority level, considered the most sensitive and likely to solve the problem. Ten expert nurses reorganized and modified some activities; they maintained others according to the language of the participants or according to the language of the taxonomy. After the refinement of the crossed mapping, nine activities remained according to the language described by the UTIP nurses, sixteen remained with the same NIC writing and thirteen were reorganized according to the suggestion of the expert nurses. For critical activities, averages greater than or equal to 0.8 were considered; the ones with the highest mean were: maintaining an accurate record of ingestion and elimination; monitor water balance; monitor respiratory status for symptoms of heart failure; monitor vital signs frequently, and check the prescription or medication request before giving the medicine. The study made it possible to identify that the use of the NIC taxonomy in the UTIP is adequate, with adjustments to the reality of the place. To all the activities reported by the nurses, were found equivalent in Nursing Intervention Classification for the diagnosis Decreased cardiac output.