Articles - Revista Brasileira de Enfermagem

ABSTRACT

Objective:

to determine the accuracy of nursing diagnoses of fatigue, intolerance to activity and decreased cardiac output in hospitalized HF patients.

Method:

descriptive study applied to nurses with experience in NANDA-I and/or HF nursing diagnoses. Evaluation and accuracy were determined by calculating effi cacy (E), false negative (FN), false positive (FP) and trend (T) measures. Nurses who showed acceptable inspection for two diagnoses were selected.

Results:

the nursing diagnosis of fatigue was the most commonly mistaken diagnosis identifi ed by the nursing evaluators.

Discussion:

the search for improving diagnostic accuracy reaffi rms the need for continuous and specifi c training to improve the diagnosis capability of nurses.

Conclusion:

the training allowed the exercise of clinical judgment and better accuracy of nurses.

ABSTRACT

Objective:

identify the average direct cost (ADC) of the activities performed by nursing professionals in the nursing process development and documentation at the medical clinic of a teaching hospital.

Method:

1040 activities were observed and the ADC was calculated by multiplying the time spent by professionals by the unit cost of direct labor.

Results:

the ADC of patient admission was R$ 55.57 (SD=19.44); among the activities of patient follow-up, the assessment phase documentation had the most significant ADC (R$ 17.70 – SD=14.60); the ADC of descriptive records corresponded to R$ 1.21 (SD=1.21) and the ADC of the nursing team for shift change was R$ 54.23 (SD=28.95).

Conclusion:

the study promotes visibility of the work performed by nursing professionals in the development of the nursing process, providing financial data to ensure consistent arguments for proper resources to its feasibility.

ABSTRACT

Objective:

to assess the association between perceived health status and the mental health of patients submitted to percutaneous coronary intervention after hospital discharge.

Method:

a quantitative and cross-sectional study involving 101 participants. The following instruments were used: a sociodemographic and clinical characterization instrument, the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36), and the Hospital Anxiety and Depression Scale (HADS). Participants were divided into three groups: no anxiety and no depression (G1); anxiety or depression (G2); and both (G3). The ANOVA test was used for the intergroup comparison of means on the SF-36 domains.

Results:

There was an association between perceived health status and mental health. The participants in G1 presented higher scores in all SF-36 domains in comparison with participants in G2 and G3.

Conclusion:

Participants with no anxiety and depression presented better-perceived health status in comparison with those with anxiety or depression, or both.