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Nursing diagnoses, patient outcomes, and nursing interventions for patients undergoing peritoneal dialysis

Abstract

Objective:

To identify the main nursing diagnoses, patient outcomes and nursing interventions, and to validate a proposed care plan for patients on peritoneal dialysis.

Methods:

Cross-sectional study with 68 patients from a referral center for kidney disease, according to the steps: identification of nursing diagnoses, according to NANDA International; proposal of patient outcomes and nursing interventions according to Nursing Outcomes Classification and Nursing Interventions Classification; and, development of a care plan using expert validation.

Results:

Six diagnoses with frequency higher than 50% were identified; 16 patient outcomes and 35 nursing interventions were proposed. Eight patient outcomes and 21 nursing interventions were selected using the validation process conducted with specialist nurses, with very good concordance index (≥0.8).

Conclusion:

The study identified diagnoses, select patient outcomes, and nursing interventions for clinical practice, in order to support the process of care and the knowledge of nursing taxonomies.

Keywords
Renal insufficiency, chronic; Peritoneal dialysis; Nursing care; Nursing diagnosis; Nursing process

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
E-mail: actapaulista@unifesp.br