From 1970, there has been a problem regarding the standardization of nursing language to enhance communication amid nurses from dissimilar medical backgrounds and aid the initiation of nursing information on the electronic medical records of patients. This problem resulted in the creation of classifications for nursing judgments, interventions, and results (Alessandra, Silla, & Marilisa, 2011). Amid the classifications are the North American Nursing Diagnosis Association International (NANDA-I), Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC) that are mainly used across the globe. Nevertheless, the application of nursing classifications in medical progression in Brazil is a more modern progress (de Lima Lopes, de Barros, & Michel, 2009). It has necessitated the carrying out of this study with the aim of evaluating whether the interventions are deemed successful in the treatment of Brazilian patients having excess fluid volume and if the results are deemed valuable in assessing the improvement (or need for improvement) of the patients in the course of their treatment.
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The form of study employed is the quantitative technique. A pilot-study built up in accordance with a version of Fehring’s model was carried out for content validation. The population of the sample was the health professionals in the cardiology departments (medical clinical section as well as critical care unit) of a teaching infirmary in Brazil. The study was carried out in the last two months of 2002 after approval of the Committee for Ethics in Research (de Lima Lopes et al., 2009). The sample size comprised of seven professional nurses in cardiology with the criterion for inclusion being over two years’ experience in any of the cardiology sections and agreement for participation in the study. The research instrument was a questionnaire itemizing the endeavors of NIC interventions fluid administration, fluid checking, and hypervolemia administration, in addition to the pointers of NOC results fluid proportionality, acid-base proportionality, hydration, and electrolyte balance. The participants were requested to choose one among the values provided on a Likert scale.
The results of the study established that the nurses had been utilizing the NANDA-I classification of nursing diagnosing for an average of about 4 years. 4 of the participants had been utilizing the NIC classification in the planning of undertakings while 3 of the nurses employed the NOC classification in the evaluation of the patients. The period that the subjects employed the classifications was approximately 2 years for both NOC and NIC (de Lima Lopes et al., 2009). Among the eighty-three undertakings recorded in the NIC interventions, just 9 received scores of below 0.5, deemed ineffective by the professional nurses, and fifty received scores greater than 0.8. The results of the study imply that the nurses deemed the majority of the undertakings recorded in the precedence NIC interventions for excess fluid volume valuable. An assessment of the results establishes association amid the majority of the undertakings deemed major, which highlights the significance of the undertakings in designing nursing care for patients having excess fluid volume.
The article is pertinent to medical practice since the literature coupled with the recommendations made by the professional nurses offer great knowledge to health professionals and other stakeholders. For instance, the article enlightens that the disregard of the psychological necessities of patients could arise due to the impact of a mechanistic perspective of caring for the patients, which results in nurses concentrating on the physical characteristics of care and neglecting the social, psychological, and environmental features. To ensure quality of care and improvement of patient satisfaction, the attainment of a holistic outlook and deepening of perceptiveness for the psychological facet of patient have been deemed vital in the article (de Lima Lopes et al., 2009).
Alessandra, Z., Silla, A., & Marilisa, C. (2011). A retrospective study of nursing diagnoses, outcomes, and interventions for patients admitted to a cardiology rehabilitation unit. International Journal of Nursing Terminologies and Classifications, 22(4), 148-156.
de Lima Lopes, J., de Barros, A., & Michel, J. (2009). A pilot study to validate the priority nursing interventions classification interventions and nursing outcomes classification outcomes for the nursing diagnosis “excess fluid volume” in cardiac patients. International Journal of Nursing Terminologies and Classifications, 20(2), 76-88.