Nursing intervention: post-operative care with chest tube in adults

Keywords: Validation Studies; Nursing Process; Perioperative Nursing; Postanesthesia Nursing; Thoracic Surgical Procedures; Drainage.

Abstract

Objective: to validate the nursing activities for intervention established by the Nursing Interventions Classification "chest tube care". Methods: content validation study carried out in two intensive units, in which 30 specialist nurses evaluated each activity belonging to the intervention “chest tube care, according to importance and objectivity. The activities were analyzed through a Likert-type scale to determine the index of content validation and reliability. Results: of the 38 activities that are part of the intervention, thirty-five were considered validated. The three non-validated activities were related to the determination of the indication for chest drain, availability of non-traumatic clamps, and occlusion of the device. Conclusion: based on the analysis of the participating nurses, the intervention could be considered as validated and feasible in the Brazilian care practice in order to facilitate the implementation of systematized care.

References

Associação Brasileira de Enfermeiros de Centro Cirúrgico, Recuperação Anestésica e Centro de Material e Esterelização. Diretrizes de práticas em enfermagem cirúrgica e processamento de produtos para saúde. Barueri: Manole; 2017.

Cook M, Idzior L, Bena JF, Albert NM. Nurse and patient factors that influence nursing time in chest tube management early after open heart surgery: a descriptive, correlational study. Intensive Crit Care Nurs. 2017; 42:116-21. doi: http://dx.doi.org/10.1016/j.iccn.2017.03.008

Filosso PL. Chest drainage management: where are we now? Thorac Surg Clin. 2017; 27(1):9. doi: http://dx.doi.org/10.1016/j.thorsurg.2016.10.001

Barbosa AS, Studart RMB. Diagnósticos de enfermagem em pacientes internados em uma unidade de pós-operatório de alta complexidade. Rev Enferm UFPI [Internet]. 2017 [citado 2018 jun. 10]; 6(3):18-23. Disponível em: http://www.ojs.ufpi.br/index.php/reufpi/article/view/5893/pdf

Bulechek GM, Butcher HK, Dochterman JM, Wagner CM. Nursing interventions classification (NIC). St. Louis: Mosby Elsevier; 2016.

Polit DF, Beck CT. Essentials of nursing research: appraising evidence for nursing practice. Philadelphia: Lippincott Williams & Wilkins; 2014.

Souza PA, Santana RF, Cassiano KM. Differential validation of nursing diagnoses of impaired memory and chronic confusion. Rev Enferm UFPE on line [Internet]. 2015 [cited 2018 June 03]; 9(7):9078-85. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/10700

Agência Nacional de Vigilância Sanitária (BR). Medidas de prevenção de infecção relacionada à assistência à saúde [Internet]. 2017 [citado 2018 jun. 10]. Disponível em: http://portal.anvisa.gov.br/documents/33852/271855/Medidas+de+Prevenção+de+Infecção+Relacionada+à+Assistência+à+Saúde/6b16dab3-6d0c-4399-9d84-141d2e81c809

Lu C, Jin YH, Gao W, Shi YX, Xia X, Sun WX, et al. Variation in nurse self-reported practice of managing chest tubes: A cross-sectional study. J Clin Nurs. 2017; 27(5-6):e1013. doi: https://doi.org/10.1111/jocn.14127

Zisis C, Tsirgogianni K, Lazaridis G, Lampaki S, Baka S, Mpoukovinas I, et al. Chest drainage systems in use. Ann Transl Med. 2015; 3(3):43. doi: https://doi.org/10.3978/j.issn.2305-5839.2015.02.09

Karimov JH, Gillinov AM, Schenck L, Cook M, Sweeney DK, Boyle EM, et al. Incidence of chest tube clogging after cardiac surgery: a single-centre prospective observational study. Eur J Cardiothorac Surg. 2013; 44(6):1029-36. doi: https://doi.org/10.1093/ejcts/ezt140

Melo JAC, Gelbcke FL, Huhn A, Vargas MAO. The work process in radiological nursing: invisibility of ionizing radiation. Texto Contexto Enferm. 2015; 24(3):801-8. doi: http://dx.doi.org/10.1590/0104-07072015003130014

Santos ES, Gastaldi AB, Garanhani ML, Montezeli JH. Receptional and education process in health to family members patients boarding in adult ICU. Ciênc Cuid Saúde. 2016; 15(4):639-6. doi: http://dx.doi.org/10.4025/cienccuidsaude.v15i4.33903

Carvalho ACTR, Oliveira KT, Almeida RS, Souza FS, Menezes HF. Reflecting on the practice of nursing care systematization in the intensive care unit. Rev Pesqui Cuid Fundam. 2013; 5(2):3723-29.doi:http://dx.doi.org/10.9789/2175-5361.2013v5n2p3723

Silva EA, Machado MAA, Ribeiro KR, Shimoda, E. Percepção de enfermeiros quanto à implementação do processo de enfermagem em uma unidade de terapia intensiva adulta do noroeste fluminense. Rev Científ Interdiscip [Internet]. 2014 [citado 2018 jul. 25]; 2(1):64-77. Disponível em: http://revista.srvroot.com/linkscienceplace/index.php/linkscienceplace/article/view/25/20

Published
2018-08-16
Section
Research Article