Banca de QUALIFICAÇÃO: FABIANE ROCHA BOTARELI

Uma banca de QUALIFICAÇÃO de DOUTORADO foi cadastrada pelo programa.
DISCENTE : FABIANE ROCHA BOTARELI
DATA : 05/10/2016
HORA: 14:00
LOCAL: Departamento de Enfermagem
TÍTULO:

VALIDATION OF NURSING DIAGNOSIS RISK OF DRY EYE IN PATIENTS HOSPITALIZED IN THE INTENSIVE CARE UNIT

PALAVRAS-CHAVES:

Validation Studies, Nursing Process, Dry Eye, Critical Care, Nursing.  

PÁGINAS: 50
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:

The study's purpose is to validate the nursing diagnosis of dry eye risk in patients admitted to the Intensive Care Unit, based on the systematization of nursing care and their systems of classification. The validation of this diagnosis demonstrates innovation potential, particularly with regard to processes in that it observes the requirement of the National Health Surveillance Agency as the continuous improvement of care processes and the use of health technologies, the coordination and integration of processes risk management for ensuring good working practices of the health service. Moreover, it aims to improve the nursing process and the accuracy in the use of their taxonomies with a view to early detection of risk and injury prevention. Methodological study developed in two stages of Nursing Diagnoses validation according to Lopes, Silva and Araujo (2012): concept analysis and clinical validation. For the first step we used the model of Walker and Avant adapted and an integrative review second Whitemore and Knalf (2005), which enabled us to identify the attributes of the concept of the nursing diagnosis "dry eye risk" and their history with the construction of constitutive and operational definitions. The second stage conducted by the clinical validation of these definitions for the diagnosis in question and was in the ICU of the University Hospital Onofre Lopes (HUOL) through a cohort study subdivided into the following steps:
1. theoretical and practical training realization with a workload of 40 hours and Theoretical-practical assessment of data collection team composed of members of the Nucleo Study and Research in Clinical Nursing (NEPEC) in September 2015; 2. Pilot study with 30 patients in the period from November to December 2015; 3. Data collection carried out from January to July 2016. The data collection instrument was composed of the following variables: sociodemographic and clinical data; risk factors described in the NANDA-I for the diagnosis in question; Ocular specific assessment of the degree of exposure of the ocular surface (lagophthalmos), corneal-palpebral reflex; number of reflex blink per minute; chemosis, proptosis, conjunctival hemorrhage, presence and type of ocular discharge; general evaluation of neurological, hemodynamic, respiratory and water status; laboratory data; medications in use; and realization of the Schirmer test for quantitative measurement of tear film volumes. Inclusion criteria were patients older than 18 years do not have dry eye in the ICU admission without eye care set with topical medications. Exclusion criteria: under 18, have dry eye in the admission, length of stay in the ICU less than 24 hours. After attention to the eligibility criteria, the evaluation took place daily for a follow-up period of up to five days, with a final evaluation of the outcome by the established criteria and evaluated by two specialized diagnosticians in nursing diagnosis screen. The final sample consisted of 71 patients, of whom 132 were excluded by the criteria listed and 4 consisted as losses following a refusal to subsequent evaluations; 4. The descriptive analysis will use simple frequencies, mean, median and standard deviation. The incidence is calculated from the number of new cases in a given period by the number of at risk individuals in the same period. measures of association between the outcome variables and predictors are calculated using the chi-square test, Fisher's exact test. For quantitative variables, the Student t-test is used for symmetric samples and the Wilcoxon-Mann-Whitney test for asymmetric samples compared between the two groups. The symmetry of the sample will be checked by the Kolmogorov-Smirnov test. The significance level will be 5%. The measure of association between exposure and outcome to be used will be the relative risk. It is noteworthy that this study was submitted to and approved by the Ethics in Research of the Federal University of Rio Grande do Norte Committee, an opinion 918.510 and CAAE: 36079814.6.0000.5537 in accordance with the Resolution 466/2012 of the Ministry of National Health Council Health, and in it were observed and respected the bioethical principles governed by this ruling.

MEMBROS DA BANCA:
Presidente - 1552864 - ALLYNE FORTES VITOR
Externo à Instituição - ANA RAILKA DE SOUZA OLIVEIRA KUMAKURA - UNICAMP
Interno - 1352508 - MARCOS ANTONIO FERREIRA JUNIOR
Externo à Instituição - ROSIMERE FERREIRA SANTANA - UFF
Interno - 1220598 - VIVIANE EUZEBIA PEREIRA SANTOS