Navegando por Palavras-chave "Dimensional Measurement"

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    Elaboração e validação de um estudo de caso para o desenvolvimento do raciocínio diagnóstico de estudantes e enfermeiros
    (Universidade Federal de São Paulo (UNIFESP), 2020-09-24) Leandro, Daniela Luana Fernandes [UNIFESP]; Lopes, Juliana De Lima [UNIFESP]; Universidade Federal de São Paulo
    Introduction: Case studies are teaching tools that can be used for the development and improvement of diagnostic reasoning, contributing to an evidence-based nursing practice and with better health indicators for the patient. Therefore, they must be prepared based on the literature and their content must be validated. In the literature, there are few validated case studies and, to the best of our knowledge, none addressing peripheral arterial disease (PAD). Due to the high prevalence of this disease in the world population, it is relevant that nurses are able to identify the human responses common to patients with PAD. Objective: Develop and validate a case study to assist in the development of the diagnostic reasoning of students and nurses. Method: Methodological study, carried out in three stages: 1) preparation of the case study; 2) content validation of the case study and identification of the nursing diagnoses present; 3) assessment of diagnostic accuracy and establishment of priority diagnosis. This study was approved by the Unifesp Research Ethics Committee, Protocol 1550/2017. Participants: Twelve nurses specialized in Nursing Process selected according to pre-defined criteria. Results: The case study was based on a narrative review of the literature, which allowed the identification of clues related to the most frequent nursing diagnoses (ND) in patients with PAD, selected as the central health problem of the case. For the construction of the case, Lunney's eight assumptions were followed for the elaboration of case studies. The content of the case study was validated in the second evaluation round and the experts identified 18 ND with different degrees of accuracy. The most frequent diagnoses were: ineffective peripheral tissue perfusion (100%), impaired ambulation (83%), impaired comfort (50%) and chronic pain (50%). The diagnosis considered a priority by all specialists was "Ineffective peripheral tissue perfusion". Conclusion: The validated case study can be used by students and nurses to facilitate the development of diagnostic reasoning and critical thinking in the context of care practice, teaching and research.