Krepker FF, Arreguy-Sena C, Braga LM, Krempser P, Santos JDC, Dutra HS. Nursing protocol in chronic kidney disease prevention in older adults in primary care.
Rev Bras Enferm 2022;
76:e20220052. [PMID:
36449972 PMCID:
PMC9728820 DOI:
10.1590/0034-7167-2022-0052]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Accepted: 08/09/2022] [Indexed: 12/23/2022] Open
Abstract
OBJECTIVES
to develop a protocol for Nursing Process operationalization in approaching older adults with vulnerability to chronic kidney disease in Primary Health Care, based on Neuman's stressors.
METHODS
a methodological study, carried out in two stages: 1) synthesis of evidence using an inductive strategy (mixed method study) and 2) protocol development to support the nursing process operationalization with older adults enrolled in a Basic Health Unit, using a deductive strategy (Neuman's stressor concepts, NANDA, NIC, and NOC taxonomies, Risner's line of reasoning, and cross-mapping), described according to A Step-by-Step Guide to Developing Protocols.
RESULTS
102 older adults participated, and 17 diagnoses, 34 interventions and 26 nursing outcomes were identified.
CONCLUSIONS
the protocol developed is a technology that makes it possible to operationalize the Nursing Process, based on Neuman's stressors and on taxonomy, conceptual and care frameworks, guiding care and nursing records.
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