Abstract

AIM: to evaluate the clinical applicability of outcomes, according to the Nursing Outcomes Classification (NOC) in the evolution of orthopedic patients with Impaired Physical Mobility METHOD: longitudinal study conducted in 2012 in a university hospital, with 21 patients undergoing Total Hip Arthroplasty, evaluated daily by pairs of trained data collectors. Data were collected using an instrument containing five Nursing Outcomes, 16 clinical indicators and a five point Likert scale, and statistically analyzed. RESULTS: The outcomes Body Positioning: self-initiated, Mobility, Knowledge: prescribed activity, and Fall Prevention Behavior presented significant increases in mean scores when comparing the first and final evaluations (p<0.001) and (p=0.035). CONCLUSION: the use of the NOC outcomes makes it possible to demonstrate the clinical progression of orthopedic patients with Impaired Physical Mobility, as well as its applicability in this context.

Highlights

  • The Systematization of Nursing Care (SAE) is regulated, in Brazil, as a method which organizes professional work, making possible the implementation of the nursing process (NP), a methodological instrument which guides the professional nursing care, and which is organized in five interrelated stages: data collection, nursing diagnosis, planning, implementation and nursing evaluation(1)

  • The use of SAE affords individualized care, and allows greater visibility to her actions(3-4). This issue has been the object of study in nursing schools, due to the recognition of its importance in the training and work of the nurse, which leads to the question of how SAE has been undertaken in the undergraduate courses, as this is when the student has contact with the basics of her profession and begins the formation of her professional attitude

  • The students’ perception regarding SAE, over the duration of the course, is geared towards the learning and towards the practice of the NP and of the nursing consultation undertaken since the first year

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Summary

Introduction

The use of a scientific instrument ensures the professional the qualification of the management of the care, and the planning of her activities, as well as serving as a guide for her actions(2) In this perspective, the use of SAE affords individualized care, and allows greater visibility to her actions(3-4). The content is integrated and the curricular matrix is structured in interdisciplinary modules, which contain thematic units of teaching, made available throughout the four years of the course, and which seek a dynamic articulation between practice and theory. It presents transversal issues, termed ‘sap’ by the lecturers. There is the Methodology of Care, the topic in which this study was based

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