Nursing Interventions for Patients with Acute Pain
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Cavalheiro JT, Ferreira GL, Souza MB de et al. Nursing interventions for patients with...
English/Portuguese
J Nurs UFPE online., Recife, 13(3):632-9, Mar., 2019 632
ISSN: 1981-8963ISSN: 1981-8963 https://doi.org/10.5205/1981-8963-v13i03a238069p632-639-2019
NURSING INTERVENTIONS FOR PATIENTS WITH ACUTE PAIN
INTERVENÇÕES DE ENFERMAGEM PARA PACIENTES COM DOR AGUDA
INTERVENCIONES DE ENFERMERÍA PARA PACIENTES CON DOLOR AGUDA
Júlia Torres Cavalheiro1, Graciane Lafuente Ferreira2, Michele Bulhosa de Souza3, Anali Martegani Ferreira4
ABSTRACT
Objective: to identify nursing interventions performed for patients with acute pain. Method: this is a
qualitative, exploratory and descriptive study, carried out in a prompt care unit of a philanthropic hospital.
The procedure of triangulation of techniques was adopted. The study was developed in three stages:
documentary analysis; cross-mapping to Nursing Interventions Classification (NIC) 13 for pain and validation of
Nursing interventions through a focus group. Results: 350 patient service bulletins attended at the emergency
and emergency service were included. It was observed that, of the 350 service bulletins, 338 (96.6%)
presented a diagnosis of Nursing "acute pain". It was verified that, in relation to the mapped Nursing
interventions, the only identified Nursing intervention was "Medication Administration". This NIC activity was
mapped. It was considered at the focus group session that the intervention mapped to the NIC was confirmed
and, as a result, 12 new Nursing interventions were included. Conclusion: it was possible to identify and
validate six Nursing interventions performed by the Nursing team and not registered in the nursing notes, and
12 new Nursing interventions. Descriptors: Nursing; Emergency Nursing; Acute pain; Nursing Process;
Standardized Terminology in Nursing; Emergency Medical Services.
RESUMO:
Objetivo: identificar as intervenções de Enfermagem realizadas para pacientes com dor aguda. Método:
trata-se de um estudo qualitativo, exploratório e descritivo, realizado em uma unidade de pronto
atendimento de um hospital filantrópico. Adotou-se o procedimento de triangulação de técnicas.
Desenvolveu-se o estudo em três etapas: análise documental; mapeamento cruzado à Nursing Interventions
Classification (NIC)13 para a dor e validação das intervenções de Enfermagem por meio de um grupo focal.
Resultados: incluíram-se 350 boletins de atendimento de pacientes atendidos no serviço de urgência e
emergência. Observou-se que, dos 350 boletins de atendimento, 338 (96,6%) apresentaram diagnóstico de
Enfermagem “dor aguda”. Constatou-se que, em relação às intervenções de Enfermagem mapeadas, a única
intervenção de Enfermagem identificada e registrada foi “Administração de medicamentos”. Mapeou-se esta
atividade da NIC. Considerou-se, na sessão do grupo focal, que houve a confirmação da intervenção mapeada
à NIC e, a partir disso, houve a inclusão de 12 novas intervenções de Enfermagem. Conclusão: permitiu-se
identificar e validar seis intervenções de Enfermagem realizadas pela equipe de Enfermagem e não
registradas nas anotações de Enfermagem, e 12 novas intervenções de Enfermagem. Descritores:
Enfermagem; Enfermagem em Emergência; Dor Aguda; Processo de Enfermagem; Terminologia Padronizada
em Enfermagem; Serviços Médicos de Emergência.
RESUMEN
Objetivo: identificar las intervenciones de Enfermería realizadas para pacientes con dolor agudo. Método: se
trata de un estudio cualitativo, exploratorio y descriptivo, realizado en una unidad de pronta atención de un
hospital filantrópico. Se adoptó el procedimiento de triangulación de técnicas. Se desarrolló el estudio en tres
etapas: análisis documental; mapeo cruzado a la Nursing Interventions Classification (NIC)13 para el dolor y
validación de las intervenciones de Enfermería a través de un grupo focal. Resultados: se incluyeron 350
boletines de atención de pacientes atendidos en el servicio de urgencia y emergencia. Se observó que, de los
350 boletines de atención, 338 (96,6%) presentaron diagnóstico de Enfermería “dolor agudo”. Se constató
que, en relación a las Intervenciones de Enfermería mapeadas, la única intervención de Enfermería
identificada y registrada fue "Administración de medicamentos". Se ha mapeado esta actividad de la NIC. Se
consideró en la sesión del grupo focal, que hubo la confirmación de la intervención asignada a la NIC y, a
partir de eso, hubo la inclusión de 12 nuevas intervenciones de Enfermería. Conclusión: se permitió identificar
y validar seis intervenciones de enfermería realizadas por el equipo de enfermería y no registradas en las
anotaciones de Enfermería, y 12 nuevas intervenciones de Enfermería. Descriptores: Enfermería; Enfermería
en Emergencia; Dolor Agudo; Proceso de Enfermería; Terminología Padronizada en Enfermería; Servicios
Médicos de Emergencia.
1Specialist, Federal University of Pampa / UNIPAMPA. Uruguaiana (RS), Brazil. Email: juliatcavalheiro@gmail.com ORCID ID:
https://orcid.org/0000-0003-0786-0575; 2Nurse, Federal University of Pampa / UNIPAMPA. Uruguaiana (RS), Brazil. Email:
gralafuente@hotmail.com ORCID ID: https://orcid.org/0000-0002-8522-1667; 3Master, Federal University of Pampa / UNIPAMPA.
Uruguaiana (RS), Brazil. Email: michelebulhosa@gmail.com ORCID ID: https://orcid.org/0000-0003-1818-9537; 4PhD, Federal University of
Rio Grande do Sul / UFRGS. Porto Alegre (RS), Brazil. Email: analimf@gmail.com ORCID ID: https://orcid.org/0000-0002-9049-087X
ORIGINAL ARTICLE
English/Portuguese
J Nurs UFPE online., Recife, 13(3):632-9, Mar., 2019 632
ISSN: 1981-8963ISSN: 1981-8963 https://doi.org/10.5205/1981-8963-v13i03a238069p632-639-2019
NURSING INTERVENTIONS FOR PATIENTS WITH ACUTE PAIN
INTERVENÇÕES DE ENFERMAGEM PARA PACIENTES COM DOR AGUDA
INTERVENCIONES DE ENFERMERÍA PARA PACIENTES CON DOLOR AGUDA
Júlia Torres Cavalheiro1, Graciane Lafuente Ferreira2, Michele Bulhosa de Souza3, Anali Martegani Ferreira4
ABSTRACT
Objective: to identify nursing interventions performed for patients with acute pain. Method: this is a
qualitative, exploratory and descriptive study, carried out in a prompt care unit of a philanthropic hospital.
The procedure of triangulation of techniques was adopted. The study was developed in three stages:
documentary analysis; cross-mapping to Nursing Interventions Classification (NIC) 13 for pain and validation of
Nursing interventions through a focus group. Results: 350 patient service bulletins attended at the emergency
and emergency service were included. It was observed that, of the 350 service bulletins, 338 (96.6%)
presented a diagnosis of Nursing "acute pain". It was verified that, in relation to the mapped Nursing
interventions, the only identified Nursing intervention was "Medication Administration". This NIC activity was
mapped. It was considered at the focus group session that the intervention mapped to the NIC was confirmed
and, as a result, 12 new Nursing interventions were included. Conclusion: it was possible to identify and
validate six Nursing interventions performed by the Nursing team and not registered in the nursing notes, and
12 new Nursing interventions. Descriptors: Nursing; Emergency Nursing; Acute pain; Nursing Process;
Standardized Terminology in Nursing; Emergency Medical Services.
RESUMO:
Objetivo: identificar as intervenções de Enfermagem realizadas para pacientes com dor aguda. Método:
trata-se de um estudo qualitativo, exploratório e descritivo, realizado em uma unidade de pronto
atendimento de um hospital filantrópico. Adotou-se o procedimento de triangulação de técnicas.
Desenvolveu-se o estudo em três etapas: análise documental; mapeamento cruzado à Nursing Interventions
Classification (NIC)13 para a dor e validação das intervenções de Enfermagem por meio de um grupo focal.
Resultados: incluíram-se 350 boletins de atendimento de pacientes atendidos no serviço de urgência e
emergência. Observou-se que, dos 350 boletins de atendimento, 338 (96,6%) apresentaram diagnóstico de
Enfermagem “dor aguda”. Constatou-se que, em relação às intervenções de Enfermagem mapeadas, a única
intervenção de Enfermagem identificada e registrada foi “Administração de medicamentos”. Mapeou-se esta
atividade da NIC. Considerou-se, na sessão do grupo focal, que houve a confirmação da intervenção mapeada
à NIC e, a partir disso, houve a inclusão de 12 novas intervenções de Enfermagem. Conclusão: permitiu-se
identificar e validar seis intervenções de Enfermagem realizadas pela equipe de Enfermagem e não
registradas nas anotações de Enfermagem, e 12 novas intervenções de Enfermagem. Descritores:
Enfermagem; Enfermagem em Emergência; Dor Aguda; Processo de Enfermagem; Terminologia Padronizada
em Enfermagem; Serviços Médicos de Emergência.
RESUMEN
Objetivo: identificar las intervenciones de Enfermería realizadas para pacientes con dolor agudo. Método: se
trata de un estudio cualitativo, exploratorio y descriptivo, realizado en una unidad de pronta atención de un
hospital filantrópico. Se adoptó el procedimiento de triangulación de técnicas. Se desarrolló el estudio en tres
etapas: análisis documental; mapeo cruzado a la Nursing Interventions Classification (NIC)13 para el dolor y
validación de las intervenciones de Enfermería a través de un grupo focal. Resultados: se incluyeron 350
boletines de atención de pacientes atendidos en el servicio de urgencia y emergencia. Se observó que, de los
350 boletines de atención, 338 (96,6%) presentaron diagnóstico de Enfermería “dolor agudo”. Se constató
que, en relación a las Intervenciones de Enfermería mapeadas, la única intervención de Enfermería
identificada y registrada fue "Administración de medicamentos". Se ha mapeado esta actividad de la NIC. Se
consideró en la sesión del grupo focal, que hubo la confirmación de la intervención asignada a la NIC y, a
partir de eso, hubo la inclusión de 12 nuevas intervenciones de Enfermería. Conclusión: se permitió identificar
y validar seis intervenciones de enfermería realizadas por el equipo de enfermería y no registradas en las
anotaciones de Enfermería, y 12 nuevas intervenciones de Enfermería. Descriptores: Enfermería; Enfermería
en Emergencia; Dolor Agudo; Proceso de Enfermería; Terminología Padronizada en Enfermería; Servicios
Médicos de Emergencia.
1Specialist, Federal University of Pampa / UNIPAMPA. Uruguaiana (RS), Brazil. Email: juliatcavalheiro@gmail.com ORCID ID:
https://orcid.org/0000-0003-0786-0575; 2Nurse, Federal University of Pampa / UNIPAMPA. Uruguaiana (RS), Brazil. Email:
gralafuente@hotmail.com ORCID ID: https://orcid.org/0000-0002-8522-1667; 3Master, Federal University of Pampa / UNIPAMPA.
Uruguaiana (RS), Brazil. Email: michelebulhosa@gmail.com ORCID ID: https://orcid.org/0000-0003-1818-9537; 4PhD, Federal University of
Rio Grande do Sul / UFRGS. Porto Alegre (RS), Brazil. Email: analimf@gmail.com ORCID ID: https://orcid.org/0000-0002-9049-087X
ORIGINAL ARTICLE
Cavalheiro JT, Ferreira GL, Souza MB de et al. Nursing interventions for patients with...
English/Portuguese
J Nurs UFPE online., Recife, 13(3):632-9, Mar., 2019 633
ISSN: 1981-8963ISSN: 1981-8963 https://doi.org/10.5205/1981-8963-v13i03a238069p632-639-2019
Pain is presented as a subjective and
multifactorial experience. It is known that
each individual responds to painful stimuli
according to personal experience and with
influence and reflection of cultural,
environmental, emotional, and sensory
factors, among others.1 It is observed that the
prevalence is high mainly because it is
associated, in most specific health problems
or therapeutic procedures.2
In Brazil, there is no precise
epidemiological data on the rates of pain
occurring.3 However, it is the main cause of
disability in work, when compared to other
isolated health problems, including around 45
to 80% of the causes of hospital admissions.4
Urgency and emergency services are
structured to provide assistance to patients in
serious and life-threatening situations. They
thus become sites with higher rates of pain
patients.5 It is observed that acute pain
presents as the main complaint reported by
patients in emergency and emergency
services, highlighting that, of approximately
90% 45% of the patients present the pain
symptom related to some specific event.6
It is also observed that acute pain is the
most prevalent in emergency room and
emergency room visits.7 It can be seen that
few visits to patients with chronic pain in
these places are very few, since they seek
care of urgency and emergency, most of the
time, when a new acute process of the
symptom occurs.8
It is described that acute pain occurs due
to the triggering of several events involving
the autonomic, peripheral and central nervous
system.9 Several stimuli that can trigger the
symptom are known: physical, chemical or
thermal, and may be associated, commonly,
to traumatisms, infectious and / or
inflammatory conditions.10
It is known that acute pain can cause an
increase in blood pressure, heart rate and
respiratory rate. It is also noticed that the
considerable increase of cortisol (caused by
the stress caused by the acute pain) can
contribute to the appearance of other signs,
such as sweating and anxiety.7
It is therefore considered a priority to
evaluate and treat pain in health services,
since pain presents as a symptom that can
trigger psychic and physiological changes that
can aggravate the health situation of
patients.10
It is analyzed, however, that there are not
many studies that address care and its impact
for patients attending urgency and emergency
services.11 It is noted that this situation
hinders the process of raising awareness
among professionals working in these services,
making it difficult to plan actions and the
organization of material and human
resources.11
It is also verified that pain control and
relief become essential, especially when
referring to patients who are life-threatening,
since, besides presenting as a humanitarian
and ethical issue, they contribute to the
maintenance of the functions physiological
characteristics of the patient, thus allowing
the control of the side effects of pain
persistence.12 It is necessary for the control
and relief of pain to identify and implement
specific Nursing interventions.12
Therefore, the following question was
asked: "Which Nursing interventions are
performed in the emergency and emergency
unit for patients with acute pain?".
• To identify the nursing interventions
performed for patients with acute pain.
This is a qualitative, exploratory and
descriptive study, carried out in 2015, in a
prompt care unit of a philanthropic hospital in
the city of Uruguaiana, Rio Grande do Sul,
Brazil. The procedure of triangulation of
techniques was adopted. The study was
developed in three stages: documentary
analysis; cross-mapping to Nursing
Interventions Classification (NIC) 13 for pain
and validation of Nursing interventions
through a focus group.
For the first stage of the study, the
documentary analysis was used, a data
collection tool constructed by the researchers
with the purpose of recording information
contained in users' service bulletins (SB's). The
service bulletins were selected from the
following criteria: documents filled with
legible information and with complete patient
identification data.
The data collection instrument was applied
containing the following variables: numerical
code of identification of the user; number of
records; date of birth; age; sex; time of
service; health problem referred by the
patient that determined the search for the list
of health problems; nursing diagnoses (if the
patient was described); defining
characteristics of acute pain (if any) and
interventions and care for pain recorded by
nurses. The data for spreadsheets were
METHOD
OBJECTIVE
INTRODUCTION
English/Portuguese
J Nurs UFPE online., Recife, 13(3):632-9, Mar., 2019 633
ISSN: 1981-8963ISSN: 1981-8963 https://doi.org/10.5205/1981-8963-v13i03a238069p632-639-2019
Pain is presented as a subjective and
multifactorial experience. It is known that
each individual responds to painful stimuli
according to personal experience and with
influence and reflection of cultural,
environmental, emotional, and sensory
factors, among others.1 It is observed that the
prevalence is high mainly because it is
associated, in most specific health problems
or therapeutic procedures.2
In Brazil, there is no precise
epidemiological data on the rates of pain
occurring.3 However, it is the main cause of
disability in work, when compared to other
isolated health problems, including around 45
to 80% of the causes of hospital admissions.4
Urgency and emergency services are
structured to provide assistance to patients in
serious and life-threatening situations. They
thus become sites with higher rates of pain
patients.5 It is observed that acute pain
presents as the main complaint reported by
patients in emergency and emergency
services, highlighting that, of approximately
90% 45% of the patients present the pain
symptom related to some specific event.6
It is also observed that acute pain is the
most prevalent in emergency room and
emergency room visits.7 It can be seen that
few visits to patients with chronic pain in
these places are very few, since they seek
care of urgency and emergency, most of the
time, when a new acute process of the
symptom occurs.8
It is described that acute pain occurs due
to the triggering of several events involving
the autonomic, peripheral and central nervous
system.9 Several stimuli that can trigger the
symptom are known: physical, chemical or
thermal, and may be associated, commonly,
to traumatisms, infectious and / or
inflammatory conditions.10
It is known that acute pain can cause an
increase in blood pressure, heart rate and
respiratory rate. It is also noticed that the
considerable increase of cortisol (caused by
the stress caused by the acute pain) can
contribute to the appearance of other signs,
such as sweating and anxiety.7
It is therefore considered a priority to
evaluate and treat pain in health services,
since pain presents as a symptom that can
trigger psychic and physiological changes that
can aggravate the health situation of
patients.10
It is analyzed, however, that there are not
many studies that address care and its impact
for patients attending urgency and emergency
services.11 It is noted that this situation
hinders the process of raising awareness
among professionals working in these services,
making it difficult to plan actions and the
organization of material and human
resources.11
It is also verified that pain control and
relief become essential, especially when
referring to patients who are life-threatening,
since, besides presenting as a humanitarian
and ethical issue, they contribute to the
maintenance of the functions physiological
characteristics of the patient, thus allowing
the control of the side effects of pain
persistence.12 It is necessary for the control
and relief of pain to identify and implement
specific Nursing interventions.12
Therefore, the following question was
asked: "Which Nursing interventions are
performed in the emergency and emergency
unit for patients with acute pain?".
• To identify the nursing interventions
performed for patients with acute pain.
This is a qualitative, exploratory and
descriptive study, carried out in 2015, in a
prompt care unit of a philanthropic hospital in
the city of Uruguaiana, Rio Grande do Sul,
Brazil. The procedure of triangulation of
techniques was adopted. The study was
developed in three stages: documentary
analysis; cross-mapping to Nursing
Interventions Classification (NIC) 13 for pain
and validation of Nursing interventions
through a focus group.
For the first stage of the study, the
documentary analysis was used, a data
collection tool constructed by the researchers
with the purpose of recording information
contained in users' service bulletins (SB's). The
service bulletins were selected from the
following criteria: documents filled with
legible information and with complete patient
identification data.
The data collection instrument was applied
containing the following variables: numerical
code of identification of the user; number of
records; date of birth; age; sex; time of
service; health problem referred by the
patient that determined the search for the list
of health problems; nursing diagnoses (if the
patient was described); defining
characteristics of acute pain (if any) and
interventions and care for pain recorded by
nurses. The data for spreadsheets were
METHOD
OBJECTIVE
INTRODUCTION
Cavalheiro JT, Ferreira GL, Souza MB de et al. Nursing interventions for patients with...
English/Portuguese
J Nurs UFPE online., Recife, 13(3):632-9, Mar., 2019 634
ISSN: 1981-8963ISSN: 1981-8963 https://doi.org/10.5205/1981-8963-v13i03a238069p632-639-2019
transcribed into the Microsoft Excel 2010
Program. The study analysis corpus was then
formed.
Nursing Interventions Classification (NIC) 13
was used for the second stage of the study,
for each Nursing prescription or registration
performed at the unit for patients with acute
pain or definitive characteristics (signs and
symptoms). symptoms) indicating the
presence of this diagnosis. The interventions
were selected according to the similarity
suggested in the Nursing records.
The sample was composed by four nurses
who developed assistance activities and/or
teaching in the emergency and emergency
unit. The following inclusion criteria were
adopted: emergency and emergency nurses
who had at least three years of experience in
an emergency care unit. Nurses who were on
vacation or health leave during the survey
data collection period were excluded from the
study.
The focus group was conducted from a
moderator through a script with interventions
pre-selected according to the NIC
Classification and according to the research
objective. A two-hour focal session was held
in the afternoon, depending on the availability
of participants. It is exposed that the meeting
occurred in a room of the Nursing service in
emergency and emergency of the co-
participant institution.
It is evidenced that the focus group session
was recorded and transcribed for further
analysis. It is portrayed that one of the
moderators investigated the opening of the
focal group so that the participants of the
group could present themselves, including the
moderator and the observer.
The objectives of the study were
presented, highlighting the theme - Nursing
interventions for pain - identified in SB of
patients attended at the emergency and
emergency unit and their correlation to the
classification of NIC.12
Two printed copies of the Free and
Informed Consent Term (FICT) were then
handed out to each nurse and read. The FICT
was signed by all the professionals who
accepted to participate in the study, stating
the procedures that would be performed and
the contact of the researchers. For the
maintenance of confidentiality of information,
codes with the letter N (Nurse) and
identification number 1, 2, 3 and 4 were used.
The group was provided with printed
material with the complete list of Nursing
interventions listed in the NIC Classification
Book of Interventions.12 The list of
interventions was read out. After the group,
the analysis and discussion of each one of the
interventions was started until reaching a
consensus of 100% agreement. It should be
noted that participants had the possibility to
include, change or exclude interventions. At
the end of the meeting, the reading of the
selected interventions and their confirmation
by the group were carried out.
It is evidenced that the research was
approved by the Research Ethics Committee
of the Federal University of Pampa - Campus
Uruguaiana, under Protocol N. 996,155, dated
03/19/2015, in compliance with Resolution
466 of December 12, 2012, of the National
Health Council (NHC).13
A total of 350 SB's of patients attended in
the emergency and emergency services were
used, and the mean age of the patients was
35.0 years, and of the 350 SBs, 338 (96.6%)
had "acute pain" ND. The following table
shows the demographic characteristics
available in SB's.
Table 1. Demographic characteristics available in the Service Bulletins. Uruguaiana /
RS, Brazil, 2015.
Characteristics n %
Adults 216 81.4
Sex (Female) 201 57.4
Children (1 – 11 years) 63 18.6
Sex (Female) 39 61.9
Elderly (> 60 years) 59 17.4
Sex (Female) 34 57.6
Total 896 30.3
Variables expressed in median and percentile. Categorical variables expressed in n (%).
It should be noted that the demographic
characteristics for the characterization of the
sample available in the SB's records were age,
sex and previous health problems, since there
are not too many demographic data in the SB's
records.
ND defining characteristics related to the
change in vital signs "acute pain" , such as
"changes in heart rate", "changes in
respiratory rate" and "changes in blood
pressure" were identified. Patients who
presented a diagnosis or history of previous
diseases, such as Diabetes Mellitus, systemic
RESULTS
English/Portuguese
J Nurs UFPE online., Recife, 13(3):632-9, Mar., 2019 634
ISSN: 1981-8963ISSN: 1981-8963 https://doi.org/10.5205/1981-8963-v13i03a238069p632-639-2019
transcribed into the Microsoft Excel 2010
Program. The study analysis corpus was then
formed.
Nursing Interventions Classification (NIC) 13
was used for the second stage of the study,
for each Nursing prescription or registration
performed at the unit for patients with acute
pain or definitive characteristics (signs and
symptoms). symptoms) indicating the
presence of this diagnosis. The interventions
were selected according to the similarity
suggested in the Nursing records.
The sample was composed by four nurses
who developed assistance activities and/or
teaching in the emergency and emergency
unit. The following inclusion criteria were
adopted: emergency and emergency nurses
who had at least three years of experience in
an emergency care unit. Nurses who were on
vacation or health leave during the survey
data collection period were excluded from the
study.
The focus group was conducted from a
moderator through a script with interventions
pre-selected according to the NIC
Classification and according to the research
objective. A two-hour focal session was held
in the afternoon, depending on the availability
of participants. It is exposed that the meeting
occurred in a room of the Nursing service in
emergency and emergency of the co-
participant institution.
It is evidenced that the focus group session
was recorded and transcribed for further
analysis. It is portrayed that one of the
moderators investigated the opening of the
focal group so that the participants of the
group could present themselves, including the
moderator and the observer.
The objectives of the study were
presented, highlighting the theme - Nursing
interventions for pain - identified in SB of
patients attended at the emergency and
emergency unit and their correlation to the
classification of NIC.12
Two printed copies of the Free and
Informed Consent Term (FICT) were then
handed out to each nurse and read. The FICT
was signed by all the professionals who
accepted to participate in the study, stating
the procedures that would be performed and
the contact of the researchers. For the
maintenance of confidentiality of information,
codes with the letter N (Nurse) and
identification number 1, 2, 3 and 4 were used.
The group was provided with printed
material with the complete list of Nursing
interventions listed in the NIC Classification
Book of Interventions.12 The list of
interventions was read out. After the group,
the analysis and discussion of each one of the
interventions was started until reaching a
consensus of 100% agreement. It should be
noted that participants had the possibility to
include, change or exclude interventions. At
the end of the meeting, the reading of the
selected interventions and their confirmation
by the group were carried out.
It is evidenced that the research was
approved by the Research Ethics Committee
of the Federal University of Pampa - Campus
Uruguaiana, under Protocol N. 996,155, dated
03/19/2015, in compliance with Resolution
466 of December 12, 2012, of the National
Health Council (NHC).13
A total of 350 SB's of patients attended in
the emergency and emergency services were
used, and the mean age of the patients was
35.0 years, and of the 350 SBs, 338 (96.6%)
had "acute pain" ND. The following table
shows the demographic characteristics
available in SB's.
Table 1. Demographic characteristics available in the Service Bulletins. Uruguaiana /
RS, Brazil, 2015.
Characteristics n %
Adults 216 81.4
Sex (Female) 201 57.4
Children (1 – 11 years) 63 18.6
Sex (Female) 39 61.9
Elderly (> 60 years) 59 17.4
Sex (Female) 34 57.6
Total 896 30.3
Variables expressed in median and percentile. Categorical variables expressed in n (%).
It should be noted that the demographic
characteristics for the characterization of the
sample available in the SB's records were age,
sex and previous health problems, since there
are not too many demographic data in the SB's
records.
ND defining characteristics related to the
change in vital signs "acute pain" , such as
"changes in heart rate", "changes in
respiratory rate" and "changes in blood
pressure" were identified. Patients who
presented a diagnosis or history of previous
diseases, such as Diabetes Mellitus, systemic
RESULTS
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