Nursing Interventions Classification (NIC) (4th ed.). St. Louis, MO: Mosby. Nursing Interventions Classification (NIC), 4th edition. Intervention Labels & Definitions. Center for Nursing Classification and Clinical Effectiveness. Editor, Nursing Interventions Classification (NIC). Editor, Csomay Center Evidence Based Practice. Nursing Interventions Classification-Mosby (HERRY).pdf. Herry Setiawan. Permissions and Licensing Use of any portion of NIC in any printed publication.
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𝗣𝗗𝗙 | to validate the Nursing Intervention Classifications (NIC) for the diagnosis ' Risk of Impaired Skin Integrity' in patients at risk of pressure ulcers (PU). the. Because the Nursing Intervention Classification System (NIC) had the most comprehensive list of neogosynchpromath.gq neogosynchpromath.gq pdf/guideline/asthma. pdf. Classification of Nursing Diagnoses and Interventions: NANDA and NIC. Clasificaciones de diagnóstico e intervención de enfermería: NANDA-NIC. Alba Lucia.
It was also identified that 7 The nine nursing interventions validated as priority are presented in Table 1.
Discussion The selection of the expert nurses was guided by the search for professionals with experience in clinical care practice, in two university hospitals recognized in Brazil for their excellence in health care, teaching and research.
For this reason, the participants had a significant number of scientific publications and courses taken on NP and on PU, which demonstrates their technical-scientific knowledge and strengthens the reliability of the results of this content validation study. The importance of this data is corroborated by the literature, which demonstrates the need for these interventions to help in the early minimization of risk factors for PU, with emphasis on controlling sources of pressure and on constant supervision of the skin It is emphasized that the use of products applied topically can alter or maintain the integrity of the skin and that currently there are various products for this, aimed at avoiding the development of PU They require, however, constant assessment on the part of nursing The changes in the patient's position, whether in bed or the chair, and the use of equipment adapted to relieve pressure, are essential in the prevention of PU, as they help interrupt the process of local cellular hypoxia, which interferes directly in the appearance of the lesion The interventions Bathing, Vital signs monitoring and Nutrition management were also validated as 'priority' in the present study.
The intervention Bathing includes skin hygiene, which must be clean, without moisture, and sufficiently hydrated to reduce the risk of PU and invasion of pathogens In addition to this, in the case of bathing, the nurses can supervise the condition of skin integrity and provide relief from the sources of pressure, stimulating the circulation and repositioning the patient. The importance of Vital signs monitoring in the evaluation of the circulatory condition and the skin temperature is also recognized, as it can support the nurse in making a risk diagnosis such as the one studied.
Similarly, the evaluation of these patients' nutritional status is important, as it determines the need for the validated intervention of Nutrition management, to maintain the organism with an adequate nutritional intake and thus facilitate its capacity to maintain skin integrity, in addition to promoting its regeneration and the process of healing 16, It is known that one of the determinants for PU is skin moisture, a condition which makes it more fragile and susceptible to friction and maceration.
Moisture, whether from products or from physiological secretions or fluids, causes softening and maceration of the skin, with a reduction in its tensile strength, rendering it weaker to compression, friction and shear, in addition to fostering an increase in the growth of micro-organisms which impair its integrity Accordingly, all of the interventions validated as priority are applicable to the clinical conditions which interfere in maintaining skin integrity, and may minimize the risk of PU.
The differences found in the study in relation to the level of linkage between the NIC interventions and the NANDA-I NDs are explained, considering that the NIC indicates interventions associated with NDs, while emphasizing that these are not prescriptive but depend on the nurse's judgment of the condition presented by the individual 3.
Added to this, the validation studies seek to identify, in a set of interventions, those which are most suitable for the care of patients in specific clinical situations, such as, for example, that of being at risk of a PU In the present study, it was interventions for the ND Risk for Impaired Skin Integrity in the setting of care for patients at risk of PU that were validated, rather than interventions for other types of risk involving skin lesions.
This study's results may also be related to the six subscales which make up the Braden scale, which evaluate sensory perception, skin moisture, activity, mobility, nutritional intake, friction and shear. The number of nursing interventions validated as 'priority' in the care of patients at risk of PU nine was greater than that presented at this level in the chapter on linkages of NIC interventions with the ND of Risk for Impaired Skin Integrity.
These results strengthen the specificity of care for this clinical situation, which - on its own - indicates the need for a specific ND which could be termed Risk of Pressure Ulcer In relation to the 22 This set of interventions corroborates the nurses' concerns in relation to the control of nutrition, care of wounds, the importance of assistance with self-care, and protection against and control of infection, which are contributing factors in the appearance of PU Twenty This idea is backed up by the fact that some of the discarded interventions refer to exercise therapy, amputation care, joint mobility, and to the feet and the nails, and are applicable to other care settings.
It is also possible that some of them may be used in the care of patients at risk of PU, although on a smaller scale, as - as has already been noted - rather as the NIC does not present a prescriptive character for its interventions, neither does this study. It is worth emphasizing one more time that the ND of Risk for Impaired Skin Integrity is broad and covers other situations of vulnerability of the skin integrity, raising doubts about its accurate applicability in specified situations such as that of risk of PU.
Thus, the results of the validation of the NIC interventions for this ND, taking into account the specificity of the care for the patient at risk of PU, may also help in establishing the risk of the same with greater discernment, as well as helping in its prevention and treatment Thus, it is understood that the study's results advance knowledge of the NANDA-I and NIC classifications - principally of the latter, which present interventions which foster communication, the recording and the implementation of continuous and systematic nursing actions.
These interventions were considered applicable to the prevention of PU, and may be used depending on the clinical situation evidenced and on the skills and knowledge of the nursing professionals who provide the continuous care to the patients, intervening in the risk factors for developing PU.
It was also observed that the use of instruments for predicting risk, such as the Braden scale, is important in guiding the ND, which is the basis for the nurse's action plan, to obtain positive results in preventing PU.
As a limiting factor for the study, one may cite the low number of similar publications, to help in the comparison and discussion of the results obtained. This research's implications are geared to the advance of knowledge in nursing care practice, as it validated priority interventions for the care of patients at risk of PU.
It also has positive implications for teaching, as its results may facilitate an approximation between theory and practice. Further, it promotes the students' and health professionals' decision-making and clinical reasoning, which are skills fundamental to the application of the Braden scale. In a similar way, it has implications for nursing research, as based on these results, other studies may be boosted, such as those involving clinical validation of the interventions, and the development of new NDs.
References 1. Porto Alegre: Artmed; Philadelphia: Wiley-Blackwell; The ICF categories most frequently linked with LEP nursing interventions were respiration functions, experience of self and time functions and focusing attention.
Conclusion The ICF Core Sets for the acute hospital and early post-acute rehabilitation facilities are highly relevant for rehabilitation nursing.
Using the ICF Core Sets to describe goals of nursing interventions both facilitates inter-professional communication and respects patient's needs. The ICF may thus be a useful framework to set nursing intervention goals. This process is experimental and the keywords may be updated as the learning algorithm improves.
Background The recovery of patients after an acute episode of illness or injury depends both on adequate medical treatment and on the early identification of needs for rehabilitation care. Acute rehabilitation is carried out by dedicated post-acute rehabilitation facilities, or by specialized wards within acute hospitals. Rehabilitation care in the acute situation is given individually by health professionals, mostly and typically by nurses with the goal to prevent complications and to restore functioning.
In the early post-acute situation, rehabilitation is carried out by a multidisciplinary team, consisting of specialized health professionals, e. In early post-acute rehabilitation, in addition to their rehabilitation care, patients also have needs for ongoing medical and nursing care. The goal of acute and early post-acute rehabilitation is to prevent disability, to promote patients' autonomy and to avert the need for long-term care [ 1 ]. The rehabilitation process is a continuous and cyclic process in which health professionals are involved to comprehensively assess patients' functioning, assign patients to appropriate rehabilitation programs and interventions and to manage and evaluate these programs and interventions [ 2 ].
Despite of the interdisciplinary approach in rehabilitation, different professions use different, profession-specific taxonomies or classifications to describe relevant phenomena. As those systems were developed and used internationally, other approaches were developed by national or regional collaborations, e. All these classification tools are useful in the context of communication and documentation among nurses, and well implemented in clinical practice.
However, they are not intended for interdisciplinary use, and thus do not meet the necessity of efficient interdisciplinary teamwork in rehabilitation, where sharing gathered information on patients' functioning with all team members is substantive to efficient rehabilitation management and an optimal outcome [ 9 ]. A central point in managing the rehabilitation process is to define rehabilitation goals and to derive intervention targets based on a comprehensive assessment of patients' functioning [ 2 ].
Yet, many rehabilitation interventions are complex and have more than a single goal. To give an example, the nursing intervention of positioning a patient after stroke might have two goals: to prevent pressure sores and to stimulate correct muscle tone [ 10 ]. To date there is no general accepted standardized language in nursing to decompose complex goals of nursing interventions and to communicate them to other health professional groups in order to align them. The International Classification of Functioning, Disability and Health ICF [ 11 ] is a multipurpose classification which belongs to the World Health Organization WHO family of international classifications and provides a comprehensive framework to draw a common picture of functioning, health and health-related domains.