ABSTRACT
Hybrid study of technological production and methodological research aimed at restructuring and organize data and information from the Computerized Nursing Process, based on the International Classification for Nursing Practice (ICNP(r)) version 2.0 for Intensive Care Units. Study carried out in four stages: review of conceptual modeling and system logic; grouping of clinical situations in order of increasing complexity; determination of diagnoses and interventions for each clinical situation and; selection and registration of diagnoses and nursing interventions in the computerized system. As a result, 1,349 possibilities for clinical evaluations, 949 diagnoses and 438 nursing interventions were organized, restructured and divided into nine human body systems. The Computerized Nursing Process based on ICNP(r) can measure results, is adaptable to any reality and allows nurses to use this tool as a structured knowledge base.
DESCRIPTORS:
Nursing informatics; Nursing process; Classification; Point-of-Care systems; Intensive care units
Legend: arrow 1: clinical assessment screen of neurological system; arrow 2: diagnosis screen suggested by CNP based on the nurse’s clinical assessment
Legend: arrow 1: nursing diagnosis screen; arrow 2: screen with nursing interventions suggested by CNP based on the diagnoses selected by the nurse