NANDA Research Articles

Impaired sleep pattern in rotary nursing internships according to the North American Nursing Diagnosis Association (NANDA)

Introduction: Sleep is an indicator of quality of life, so good sleep leads to good academic and work performance, rotating interns, being subject to shifts and academic hours, usually present a deterioration in the sleep pattern since that it is postponed having 5 to 6 hours of rest. Objective: To analyze the deterioration of the sleep pattern in rotary nursing interns according to the North American Nursing Diagnosis Association (NANDA). Methodology: This research is quantitative, non-experimental, descriptive and cross-sectional. It uses the data collection with the application of the Pittsburgh Sleep Quality Index survey in 78 nursing interns and its subsequent analysis in Excel and IBM SPSS 25. Results: it was possible to analyze the results in seven components: 1) subjective sleep quality, 2) sleep latency, 3) sleep duration, 4) habitual sleep efficiency, 5) sleep disturbances, 6) use of hypnotic medication, and 7) daytime dysfunction. Conclusion: there is a deterioration in the sleep pattern in rotating nursing interns with the presence of drowsiness and daytime dysfunction.

PROPOSAL FOR A CLINICAL PROTOCOL FOR THE CONSERVATIVE TREATMENT OF URGE URINARY INCONTINENCE

Objective: To present a proposal for a clinical protocol for the conservative treatment of urge urinary incontinence. Method: Experience report based on existing scientific evidence and clinical experience of authors who perform nursing consultations for people with urge urinary incontinence, outlined in accordance with the Brazilian Ministry of Health’s proposal for the elaboration of clinical protocols. Results: A clinical protocol was proposed with nursing diagnosis and interventions based on the North American Nursing Diagnosis Association (NANDA) and Nursing Interventions Classifications (NIC), with systematized steps to verify the presence of related factors or conditions associated with the diagnosis, namely: hyperactive pelvic floor, anxiety, constipation, urinary tract infection, low fluid intake, inadequate sanitary behavior, diabetes mellitus, pelvic organ prolapse, high consumption of potential bladder irritants and persistence of symptoms. Soon after, the actions that should be implemented by the nurse were described in detail. Conclusion: It is considered that the flow and detailing of the actions presented can be adopted by nurses in order to identify and treat people with urge urinary incontinence, thus minimizing the prevalence of the problem and promoting the quality of life of these people.

Development and Evaluation of a Web-Based Application for Trauma Nursing Documentation in Thailand: A Feasibility Study.

Electronic nursing documentation has advantages for monitoring and improving the quality of trauma nursing documentation. However, electronic nursing documentation has rarely been implemented in Thailand. This study aimed to assess the feasibility and nursing satisfaction of a web-based trauma nursing documentation application. A descriptive cross-sectional survey design was used to assess the feasibility and nursing satisfaction with a web-based trauma nursing documentation application. The application was based on literature review, Advanced Trauma Life Support principles, and the North American Nursing Diagnosis Association. The survey was administered to trauma and emergency department registered nurses in a hospital in Thailand from November 2021 to January 2022. Patient data were also extracted from the web application system for analysis. A total of 59 nurses piloted the web-based application on 79 trauma patients. Of 59 nurses, 45 (76.3%) were female, 44 (74.6%) had worked in the emergency department for more than 5 years, and 49 (83.1%) had no prior experience with using web-based applications. The nurses were satisfied with the application (M = 3.51, SD = 0.62), and they suggested that it was feasible to apply in practice (M = 3.46, SD = 0.79). These preliminary data demonstrate that implementing a web-based application for trauma nursing documentation in the emergency department is feasible and satisfactory to nurses.

Implementation of transoperative and immediate postoperative nursing diagnoses in the computerized management system.

To implement, on health management software, electronic records of the perioperative nursing process and the stages of transoperative and immediate postoperative nursing diagnoses, based on the NANDA International taxonomy. Experience report conducted from the completion of the Plan-Do-Study-Act cycle, which allows improvement planning with a clearer purpose, directing each stage. This study was carried out in a hospital complex in southern Brazil, using the software Tasy/Philips Healthcare. For the inclusion of nursing diagnoses, three cycles were completed, predictions of expected results were established, and tasks were assigned, defining "who, what, when, and where". The structured model covered seven possibilities of aspects, 92 symptoms and signs to be evaluated, and 15 nursing diagnoses to be used in the transoperative and immediate postoperative periods. The study allowed implementing electronic records of the perioperative nursing process on health management software, including transoperative and immediate postoperative nursing diagnoses, as well as nursing care.

The analysis of nursing diagnoses determined by students for patients in rehabilitation units.

This study aimed to analyze nursing diagnoses determined by the nursing students for patients in rehabilitation unit. Data were collected from 190 case reports submitted by the nursing students who practiced in the rehabilitation unit, and analyzed on the basis of North American Nursing Diagnosis Association (NANDA) International, Inc. nursing diagnoses. Thirty different diagnoses were documented in rehabilitation unit. The most frequent nursing diagnosis was impaired physical mobility (n=68, 14.6%). The 30 diagnoses were grouped into 10 domains and 20 classes of the NANDA International, Inc. human response patterns. The average quality of nursing statements corresponded to a score of 8.63, indicating relatively good quality. The results of this study will help to improve the quality of nursing process education and provide guidelines to improve the quality of nursing care for the rehabilitation nursing situation in Korea.

Multicenter application of a nursing workload measurement scale in adult hospitalization units

ObjectivesThe study aimed to the multicenter application of a nursing workload measurement scale in the internal medicine and surgery adults hospitalization units. MethodsThe study design was a multicenter, observational, and descriptive study. A multicenter application of the MIDENF® nursing workload measurement scale was carried out, which consists of 21 items, and covers the four nursing functions (patient care items, teaching, manager, and researcher), in units of hospitalization of adults of internal medicine and surgery of four different hospitals. Each item contains one or more of the nursing interventions of Nursing Interventions Classification (NIC) and has an assigned time, after comparing the real time it takes to perform each intervention with the North American Nursing Diagnosis Association (NANDA) standardized time. The study was carried out during nine months of the year 2020, measuring two days each month in the three work shifts (morning, evening, and night) to all patients admitted on the days of measurement in the indicated units. ResultsThe descriptive and inferential analysis of 11,756 completed scales, 5,695 in general surgery and 6,061 in internal medicine, showed a greater care load for the two units during the morning shift (227,034 min in general surgery, 261,835 min in internal medicine), especially in the items of “self-care”, “medication”, “common invasive procedures”, “fluid therapy”, and “patient and family support”, while the managerial function was similar during the three work shifts in the two units studied, getting values between 57,348 and 62,901 min. In the analysis by shift and unit, statistical significance was obtained both for the total workload and the four nursing functions(P < 0.001). ConclusionsIt is shown that the use of validated scales with the standardized language of nursing functions, adapted to the units, provides objective information to adjust the nursing staff to the real situation of care in any hospital and unit where it is applied, improving quality and patient safety.

The effect of nursing care and follow-up for mothers of infants undergoing congenital heart surgery: a quasi-experimental study.

Improvements in congenital heart surgery have resulted in an increasing number of infants surviving, but there remain concerns about home care and difficulties experienced by mothers. This study was designed to evaluate the effect of nursing care and follow-up for the mothers of infants undergoing congenital heart surgery on anxiety, care burden, and self-efficacy. The study was designed as a quasi-experimental study with a pre-test and post-test control group design. The study included 40 mothers whose infants had undergone congenital heart surgery. Nursing care was provided to the mothers of the infants included in the study group through a total of six home follow-ups until the third month after surgery, guided by the North American Nursing Diagnosis Association and Nursing Diagnosis System and Nursing Interventions Classification. Data were collected through Care Needs Identification Form, Spielberger's State-Trait Anxiety Inventory, Zarit Burden Interview, and Parental Self-efficacy Scale. The mean State-Trait Anxiety Inventory and Zarit Burden Interview scores for the mothers in the intervention group decreased, while the mean Parental Self-efficacy Scale scores increased as the follow-up progressed and it was determined that by the third month, the difference between the mothers in the intervention group and those in the control group in terms of post-test State-Trait Anxiety Inventory, Zarit Burden Interview, and Parental Self-efficacy Scale had become statistically significant. Providing appropriate nursing care practices to the mothers of the infants had undergone congenital heart surgery in home setting has the potential to decrease the problems experienced by the mothers.

Efficacy of a light convex appliance and mouldable ring in an early postoperative stoma with effluent leakage

Aim: This study aimed to analyse the impact of using both a light convex appliance and mouldable ring in the early postoperative period on leakage frequency, peristomal skin health and quality of life after discharge. Methods: This prospective non-randomised study was performed in patients with a digestive stoma experiencing effluent leakage during the early postoperative period. Evaluation was performed at baseline (V1) during admission and at 2–3 weeks after discharge (V2). The outcomes measurements were: number of leaks per day; satisfaction (0 to 10 VAS scale); DET score evaluating discolouration (D); erosion/ulceration (E) and tissue overgrowth (T); stoma morphology and NANDA International nursing diagnosis, which measures anxiety, fear and image deterioration as well as insomnia. NANDA International diagnosis were evaluated as a percentage of cases with the diagnosis and categorically according to several dimension scores. Signed rank, McNemar, chi-squared and Bowker's tests were used for comparison. Results: Of 257 patients screened, 244 completed the study. The mean number of leak episodes using the light convex appliance and mouldable ring in the early postoperative period decreased from 3.4±5.2 (V1) to 1.3±2.3 (V2) (p&lt;0.0001). Mean discolouration, erosion and tissue overgrowth (DET) score decreased from 3.3±3.3 (V1) to 1.6±2.3 (V2) (p&lt;0.0001). Mean self-reported satisfaction with the appliance increased from 5.1±2 (V1) to 7.2±1.7 (V2) (p&lt;0.0001). The proportion of patients with a retracted peristomal area changed from 27.9% to 21.7%, while that of patients with protruded stoma increased from 32.9% to 40% (p=0.025). Regarding NANDA International diagnosis, anxiety reduced from 36.5% to 9.5% (p&lt;0.0001), fear from 40.6% to 4.9% (p&lt;0.0001), image deterioration from 19.2% to 10.9% (p=0.002) and insomnia from 39.3% to 2.5% (p&lt;0.0001). All the categorical dimensions evaluated for each NANDA International diagnosis improved (p&lt;0.0001). Conclusion: Patients with an ostomy and effluent leakage in the early postoperative period clearly benefited from the use of both a light convex appliance and mouldable ring. This approach had a positive impact on number of leakages per day, peristomal skin status and patient satisfaction, as well as meeting several NANDA International nursing diagnosis criteria.

Readiness for discharge from hospital: a concept analysis

PurposeThis study aimed to analyze and define the concept of readiness for hospital discharge (RHD) in patients with myocardial infarction (MI).Design/methodology/approachWalker and Avant's approach was used for concept analysis. Electronic text searches were performed using valid databases with “readiness for hospital discharge” and “MI” keywords. The research included quantitative and qualitative studies related to RHD published between 1997 and 2021 in English and Persian. Out of 103 obtained articles, 29 met the inclusion criteria.FindingsIn the analysis, the authors identified stable physical state, desirable individual and social conditions, psychological stability, adequate support, adequate information and knowledge, and multidisciplinary care as the attributes of the determinants of RHD. Antecedents were divided into two categories, including preadmission conditions (economic and social, etc.) and postadmission conditions (disease severity and patient health needs, etc). The consequences were also identified as both positive (e.g. self-care) and side effects (e.g. reduced readmission).Originality/valueThe results showed that the concept of RHD in MI patients is a complex and multidimensional condition that applies to all patients on discharge. It is critical for the care team to pay attention to its attributes and scopes in the process of preparing the patient for discharge. It is also suggested that the concept be used as a nursing diagnosis on the North American Nursing Diagnosis Association (NANDA) list. The Association provides nurses with an up-to-date list of nursing diagnoses.

NANDA International nursing diagnoses in the coping/stress tolerance domain and their linkages to Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions in the pre-hospital emergency care.

AimTo determine the prevalence of NANDA International nursing diagnoses in the coping/stress tolerance domain and their linkages to Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions in the pre‐hospital emergency care setting.DesignRetrospective descriptive study of electronic record review.MethodsEight thousand three hundred three episodes recorded during the year 2019 were recovered from the electronic health records of a public emergency care agency. The prevalence of NANDA International nursing diagnosis, Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions was determined. A cross‐tabulation analysis was performed to determine the linkages. Data were accessed in November 2020.ResultsNANDA International nursing diagnoses Anxiety (00146) and Fear (00148) represented more than 90% of the diagnoses recorded in the domain. Anxiety level (1211) and emotional support (5270) were the most recorded Nursing Outcomes Classification outcomes and Nursing Interventions Classification interventions, with almost 20% and 5% of total records, respectively. The linkage between nursing diagnosis Anxiety (00146), outcome Anxiety level (1211) and intervention Anxiety reduction (5820) was the most recorded with slightly more than 3% of the total.ConclusionEight different NANDA International nursing diagnoses in the coping/stress tolerance domain were recorded. Nursing Outcomes Classification outcomes were selected aimed mainly at psychological well‐being and Nursing Interventions Classification interventions to support coping. In general, linkages were aimed to provide emotional support, physical well‐being, information, education and safety.ImpactThis study showed that pre‐hospital emergency care nurses diagnose and treat human responses in the coping/stress tolerance domain. Expert consensus‐based linkages may be complemented by the results of this study, increasing the levels of evidence of both individualized and standardized care plans for critical patients assisted by pre‐hospital emergency care nurses.

Providing a Nursing Care Plan as a Requirement for Secondary Prevention for People Living With HTLV-1.

IntroductionThe absence of nursing care plans aimed at people living with HTLV-1 (PLHTLV) led us to develop and test a proposed nursing care plan based on the evaluation of 55 PLHTLV to outline interventions according to the clinical stage.MethodsAfter interviews with symptomatic patients, nursing diagnoses were made using the NANDA International Nursing Diagnoses (The International Nursing Knowledge Association). Subsequently, interventions were selected through the Classification of Nursing Interventions (NIC), and expected results were selected through the Classification of Nursing Outcomes (NOC).ResultsThe actual diagnoses included (ii) chronic pain, (iii) impaired urinary elimination, and (iv) sexual dysfunction; the health promotion diagnosis was (i) risk-prone health behavior; and the risk diagnoses were (i) risk of feeling powerless and (ii) risk of falls in adults. Nursing care must prevent the lack of adherence to monitoring, establish goals and promote family involvement. A safe home environment requires intervention for fall prevention. Full support in understanding pharmacological and non-pharmacological therapies for chronic pain is needed. Interventions allow patients with impaired urinary function to be reintroduced to society. For sexual dysfunction, it is necessary to discuss safe sex and behavioral changes. Regarding risk behaviors, it is necessary to guide the patient/family, adapt language to the education level of these individuals, and help them better accept the condition, among other guidelines.ConclusionThe development of a nursing care plan for PLHTLV is essential for preventing the rapid progression of disease and the improvement of the quality of life of PLHTLV and should be included in the multidisciplinary approach to the secondary level of prevention of HTLV-1.

Evaluation of the NANDA International, Inc. diagnostic classification in Spain: Development and validation of the EVALUAN-I tool.

To develop and validate a tool to evaluate the NANDA International, Inc. diagnostic classification. The tool, EVALUAN-I, was validated in a non-probabilistic sample (N = 460) on Spanish Registered Nurses (September-December 2019) in two phases. First, design and construct the instrument in three steps: (1) literature review to define the construct focusing on the orientation toward nursing concepts and theoretical foundations, the level of scientific evidence, the structural configuration, the applicability, the nurses' clinical reasoning skills, and the attitudes toward nursing diagnosis, (2) substantiation of the questionnaire items and design according to the criteria for a diagnostic classification, (3) expert test to establish the face validity and content validity. The second phase revolved around (4) conducting a pilot test and measuring the temporal stability (test-retest) and Cohen's kappa coefficient; assessing psychometric properties by measuring (5) reliability (internal consistency using Cronbach alpha and interfactor correlation) and (6) construct validity (exploratory and confirmatory factor analysis). The manuscript follows the STROBE checklist. The study was approved by the Research Ethics Committee with registration number 2019-190-1. EVALUAN-I displayed moderate test-retest stability, adequate construct validity, and excellent reliability. The confirmatory factor analysis provided evidence about the configuration of EVALUAN-I in relation to nine analytical dimensions: clinical competence, nurses' reasoning skills, attitudes towards nursing diagnosis, discipline's central concepts, classification's contents, physiopathological attributes, level of scientific evidence, diagnostic precision, and conceptual correspondence between terminologies. EVALUAN-I is a valid and reliable instrument, which can be used to improve the epistemological, normative, and intuitive configuration of NANDA International, Inc. in a structured, systematic manner. Comprehensive evaluation of NANDA International, Inc. in different clinical settings around the world using a validated instrument, like EVALUAN-I, would allow strengths and weaknesses to be identified and contribute to the classification's development and practical application.

Current Diagnosis and Treatments of Female Sexual Dysfunction

Sexual health is an important part of health. The definition of sexual health is one of the basic rights of all people, men, women, young and old, which includes being in complete physical and emotional well-being, as in the definition of health. Sexual dysfunctions are problems that occur due to psychophysiological changes in the sexual response cycle and sexual desire. Although sexual dysfunctions vary according to societies, they are frequently seen problems that reduce the quality of life of the individual and force the individual. Although the incidence of sexual dysfunctions is increasing day by day, it is an important health problem that is little known and less intervened by health professionals. Sexuality has been recognized as an important and integral part of nursing by organizations covered by the American Nursing Association (ANA). The North American Nursing Diagnosis Association added the diagnosis of sexual dysfunction to the list of nursing diagnoses in 1980. Sexuality is an issue that is considered taboo in our country as well as in most societies and is ignored by health professionals. Sexual dysfunction in women is affected by many factors, and sexual dysfunction in women causes lack of self-confidence, emotional stress and deterioration in personal relationships. Sexual problems are affected by biological and psychological factors. Therefore, they must be considered together. In this review, the current diagnosis and treatment of sexual dysfunctions in women are discussed.

Unbearable Suffering: A Concept Analysis.

To understand and analyze the concept of "unbearable suffering" using a concept analysis method and to propose a new nursing diagnosis, the Walker and Avant method of concept analysis was used. Following the concept analysis method in 8 steps, a literature search was carried out in the MEDLINE, Dialnet, WOS, and PsycINFO databases between 2016 and 2020. Articles of theoretical or empirical nature, written in English, with the abstract available were included. As a result, 11 articles (4 theoretical and 7 empirical) were included. In addition, 2 cases were developed. The proposed new diagnosis, "unbearable suffering," refers to the situation of an individual who, because of a variety of factors, regardless of the cause, feels that he/she is unable to bear the suffering he/she is experiencing. The diagnosis is proposed for inclusion in "Domain 9: Coping/Stress Tolerance" and "Class 2: Coping Responses" of the North American Nursing Diagnosis Association taxonomy. Recognition of a nursing diagnosis for unbearable suffering could be key in identifying this type of suffering and facilitating interventions to reduce or mitigate it. Nurses play a fundamental role in situations of high levels of end-of-life suffering.

'Sono solo parole': Facing challenges entailed in developing and applying terminologies to document nursing care.

Nurses' need to document activities is urgent. The panorama of available terminologies is heterogeneous. It seems necessary to understand the premises of available tools and their limits and benefits to make conscious choices and shape future development. Taxonomies (e.g., North American Nursing Diagnosis Association) and 'pure terminologies' (e.g., International Classification for Nursing Practice), or nursing languages, are available tools to document nurses' activities and to produce theoretical models or reference systems. These tools respond first to a practical problem: 'translating' nursing facts into linguistic descriptions. Taxonomies make reality describable through exhaustive definitions designed inductively. Thus, I argue that their philosophical basis is naïve semantics. Their framework is a closed hierarchy, that is, a system that provides defined levels of concepts, structured through dichotomous rules. This causes the problem of determining boundaries between concepts, and thus between phenomena, which I call the problem of 'closing the concept enclosure'. Rigid metaphysical structures are unable to cope with the complexity of phenomena that nurses deal with, so they seem to be unable to describe them. I follow Wittgenstein's argument, from Philosophical Investigations, which is useful to understand this challenge: the definition of terms is not a problem of lack of suitable words or an agreed decision, but is achieved by training in practice. Pure terminologies give us another way to address the question. They are usually composed of a glossary of terms, paired with rules to combine them to manage meaning. They are more like natural language and this implies adapting more to phenomena. Then, I argue that their philosophical background is a pragmatic approach to language, and I discuss some consequences and objections. Finally, I find that the development of pure terminologies rather than taxonomies in documenting nursing activities allows us to achieve key objectives, such as improving nursing visibility and measurability in health records, without jeopardising person-centred care.

Causal validation of the risk for corneal injury in critically ill adults.

The validity of a nursing diagnosis depends on a continuous investigation process in different populations to provide clinical evidence. The risk for corneal injury nursing diagnosis was approved in 2013 and only reviewed in 2017, demonstrating the need to perform a clinical validation to improve it. To perform a causal validation of the risk for corneal injury nursing diagnosis in critically ill adults. A prospective cohort study was performed in two intensive critical care units in Northern Brazil with adults aged over 18 years without corneal injury at admission. The patients were evaluated for 10 days, using a data collection tool composed of risk factors for the risk for corneal injury nursing diagnosis. The independent variables were described through absolute and relative frequency. The accuracy measures and risk factors were identified through Cox regression, considering a 95% confidence interval. The nurses assessed 209 critically ill adults and identified that 76.0% of them presented the risk for corneal injury nursing diagnosis, with 16.3% developing a corneal injury, all having previously presented the risk for corneal injury nursing diagnosis. The risk factors identified were eyeball exposure (hazard ratio: 1.78; 95% CI: 1.27-2.51), Glasgow score < 6 (hazard ratio: 1.73; 95% CI: 1.15-2.60) and periorbital oedema (hazard ratio: 1.43; 95% CI: 1.03-1.99), with these factors showing high specificity, and the mechanical ventilation variable, showing high sensitivity, with ROC curve of .86. Eyeball exposure, Glasgow score < 6 and periorbital oedema are the risk factors of the risk for corneal injury nursing diagnosis, in critically ill adults. These risk factors guide nursing interventions. This causal validation can improve the risk for corneal injury nursing diagnosis levels of evidence in the NANDA International Taxonomy. It is necessary to guide nursing interventions for critically ill adults with lowered level of consciousness and corneal exposure for the prevention of corneal injury.

Cross-mapping of nursing diagnoses and interventions in decompensated heart failure.

To map the terms recorded in medical records of patients with decompensated heart failure for nursing diagnoses and interventions from the NANDA International and Nursing Interventions Classification. This is an exploratory and descriptive research, carried out by a cross-mapping study. Data were collected from 107 medical records of a Hospital Institute in the city of Rio de Janeiro/Brazil, in a period between October 2017 to February 2019. The diagnoses and interventions mapped were assessed by four clinical experts. Data analysis was performed using the content validation index and the Fleiss Kappa. The most frequent nursing diagnoses were: risk for infection (74.8%), decreased cardiac output (55.1%) and excessive fluid volume (49.5%). The interventions were: vital signs monitoring (79.4%), fluid monitoring (72.9%) and positioning (52.3%). The research mapped 32 titles of nursing diagnoses from NANDA-I and 21 nursing interventions from NIC. The diagnoses and interventions mapped will contribute to the quality of the nurses' records and patient safety.

Palatoplasty in children: nursing diagnoses and interventions related to the immediate postoperative period.

To identify the main nursing diagnoses and interventions in children in the immediate postoperative period of palatoplasty. Documentary and retrospective study, developed in a Brazilian public and tertiary hospital, between August and September 2020. Children who underwent only palatoplasty, between January and December 2019, aged between 10 and 24 months, were included. Those with medical syndromes and/or comorbidities were excluded. The Theoretical Framework of Basic Human Needs and the NANDA International and Nursing Interventions Classification Taxonomies were used. Data underwent descriptive statistical analysis. The sample consisted of 126 children. Psychobiological needs such as oxygenation, hydration, nutrition, elimination, cutaneous-mucosal and physical integrity, pain and environmental perception predominated. Based on them, nine nursing diagnoses, with four focusing on the problem and five on risk, as well as 17 interventions, were identified. The use of standardized languages to identify affected human needs and, based on them, diagnoses and interventions, favored clinical reasoning for the construction and organization of clinical nursing practice.

PESSOAS PRIVADAS DE LIBERDADE: DIAGNÓSTICO DE ENFERMAGEM À LUZ DA TEORIA DE HORTA

ABSTRACT Objective: to identify the Nursing diagnoses in men deprived of their freedom, based on the Basic Human Needs framework. Methods: a descriptive and exploratory study with a qualitative approach conducted by means of the Theory of Basic Human Needs framework. Data collection took place from June to November 2019, with individual interviews carried out with 220 men deprived of their freedom. The data were submitted to thematic and content analysis directed to NANDA International Taxonomy II. All ethical aspects were respected. Results: 12 Nursing diagnoses belonging to the categories of health problems and potential risks were identified, grouped and interpreted according to the theoretical framework. Sedentary lifestyle, obesity, overweight, risk-prone health behavior, and ineffective health control are factors that have been related to the psychobiological needs. Involvement in recreational activities, anxiety, ineffective coping, risk of violence directed toward others, disrupted family processes, and risk of ineffective relationships were related to the psychosocial needs, while the risk of impaired religiosity was related to the psychospiritual needs. Conclusion: the absence of Nursing diagnoses in the health promotion category signals the need for actions that provide quality of life to these people.

Nursing diagnoses in elderly people with diabetes mellitus according to Orem's Self-Care Theory.

To identify nursing diagnoses and conditioning factors of self-care in older adults with diabetes mellitus, in the light of Orem's Theory of Self-Care. Exploratory, descriptive study with a qualitative approach, conducted with the theoretical framework of Orem's Theory of Self-Care. It was developed with 12 older people with diabetes, in a country's southern municipality, between October and November 2019. For data collection, it was used individual interviews and focus groups. The data was submitted to thematic and content analysis directed to taxonomy II of NANDA International. Twenty nursing diagnoses related to universal self-care requirements and health deviations were identified. All diagnoses were anchored in the supportive-education nursing system. The development of the disease and the consequences of chronic hyperglycemia were poorly recognized by the elderly, interfering with low adherence to self-care practices and disease control.