Standardization of activities in an oncology surgical center according to nursing intervention classification

Possari, João Francisco; Gaidzinski, Raquel Rapone; Fugulin, Fernanda Maria Togeiro; Lima, Antônio Fernandes Costa; Kurcgant, Paulina

doi:10.1590/S0080-623420130000300011

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• Rev. esc. enferm. USP 47 (3) • June 2013 • https://doi.org/10.1590/S0080-623420130000300011 linkcopy

Standardization of activities in an oncology surgical center according to nursing intervention classification^*

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

This study was undertaken in a surgical center specializing in oncology, and it aimed to identify nursing activities performed during the perioperative period and to classify and validate intervention activities according to the Nursing Interventions Classification (NIC). A survey of activities was conducted using records and by direct observation of nursing care across four shifts. Activities were classified as NIC nursing interventions using the cross-mapping technique. The list of interventions was validated by nursing professionals in workshops. Forty-nine interventions were identified: 34 of direct care and 15 of indirect care. Identifying nursing interventions facilitates measuring the time spent in their execution, which is a fundamental variable in the quantification and qualification of nurses' workloads.

Hospital Surgery Center; Oncology; Oncologic nursing; Classification

Taxonomy – nic

Domain	Class	Intervention
1. Physiological: Basic	B - Elimination Management	0580 - Urinary catheterization*
	C - Immobility Management	0970 - Transfer*
		1806 - Self-care assistance: transfer*
	E – Physical Comfort Promotion	6482 - Environmental management : comfort*
	F - Self-Care Facilitation	1770 - Postmortem care*

2. Physiological: Complex	G - Electrolyte and Acid-base Management	2000 - Electrolyte management*
	H - Drug Management	2260 - Sedation management*
	J - Perioperative Care	6545 - Infection control: intraoperative*
		0842 - Positioning: intraoperative*
		2870 - Postanesthetic care*
		2900 - Surgical assistance*
		2920 - Surgical precautions*
	K - Respiratory Management	3320 - Oxygen therapy*
	L - Skin/Wound Management	3500 - Pressure Management*
		3582 - Skin care: donnor site*
		3583 - Skin care: graft site*
		3590 - Skin surveillance*
		3660 - Wound care*
	M - Thermoregulation	3840 - Malignant hyperthermia Precautions *
		3902 - Temperature regulation: intraoperative*
	N - Tissue Perfusion Management	4030 - Blood products Administration*
		4130 - Fluid monitoring*

3. Behavioral	Q - Communication Enhancement	4920 - Active listening*
	R - Coping Assistance	5270 - Emotional support*
		5340 - Presence*
		5460 - Touch*
	T - Psychological Comfort Promotion	5820 - Anxiety reduction *

4. Safetty	V - Risk Management	6412 - Anaphylaxis management*
		6486 - Environmental management: safety*
		6570 - Latex precautions *
		6590 - Pneumatic tourniquets Precautions *
		6654 - Suvillance: safety*
		6680 - Vital signs monitoring of *

5. Family	X – Lifespan Care	7140 - Family support*

6. Health System	Y - Health System Mediation	7460 - Patient rights protection of **
	a - Health System Management	7640 – Critical path Development**
		7650 - Delegation**
		7710 - Physician support **
		7722 - Preceptor: employee**
		7726 - Preceptor: student**
		7760 - Product evaluation**
		7800 - Quality monitoring**
		7820 - Specimen management**
		7840 – Supply management**
		7850 – Staff development**
		7880 - Technology management**
	b - Information Management	7920 - Documentation**
		8140 - Shift reportr**

7. Community	d - Community Risk Management	6489 - Environmental management: worker safety*

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Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[TFN02t02] * Direct care interventions; **Indirect care interventions

Standardization of activities in an oncology surgical center according to nursing intervention classification*

Abstract

Standardization of activities in an oncology surgical center according to nursing intervention classification^*