Abstract
to evaluate the effect of implementation of hospital discharge planning based on the taxonomies of NANDA-International, nursing interventions classification (NIC) and nursing outcomes classification (NOC) for patients with heart failure (HF) or diabetes mellitus (DM). quasi-experimental quantitative study conducted in a public university hospital located in the state of Rio Grande do Sul, Brazil. Convenience sampling included 28 adult patients hospitalized for HF or DM with the nursing diagnosis Ineffective Health Management (00078), who received the following nursing interventions: Teaching: Disease Process, Teaching: Prescribed Medication and Teaching: Prescribed Diet. Before and after the intervention, the following nursing outcomes were evaluated : Knowledge: Diabetes Management and Knowledge: Heart Failure Management. the score of the nursing outcome Knowledge: Heart Failure Management went from 2.05±0.28 to 2.54±0.30 (P=0.002), and of the nursing outcome Knowledge: Diabetes Management went from 2.61±0.55 to 3.21±0.57 (P=0.000). discharge planning based on the NIC improves the NOC score and may interfere in the health outcomes.
Highlights
Design, place of study and periodSafe clinical practice and efficient nursing research and education are based on the use of a homogeneous language
The nursing diagnosis (ND) was validated by 25 patients (89.3%), 13 hospitalized for heart failure (HF) and 12
This study revealed that the nursing education interventions included in a hospital discharge plan improved the results of knowledge about disease and treatment in patients with HF and diabetes mellitus (DM) who presented the ND Ineffective Health Management
Summary
Place of study and periodSafe clinical practice and efficient nursing research and education are based on the use of a homogeneous language. The NANDA-I Nursing Diagnoses Classification[1], Nursing Outcomes Classification (NOC)(2), and Nursing Interventions Classification (NIC)(3) are among the most studied classification systems currently. They can be used with several theoretical references in the most different domains and environments of nursing practice[4]. Discharge planning is an important part of nursing care and should begin early for better outcomes[5,6] It is the beginning of the transition process between inpatient hospital care and care provided to patients in other health contexts, and a strategy to prepare both patients and their families for taking over the responsibility for the continuity of care safely and effectively[7]
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