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Nursing Outcomes for the Evaluation of Patients During Smoking Cessation
Vanessa Monteiro Mantovani1, Alba Luz Rodríguez Acelas2, Amália de Fátima Lucena3
1Vanessa Monteiro Mantovani, RN, MSc, is a Nurse at Hospital São Lucas, Porto Alegre, Rio Grande do Sul, Brazil, and member of the Nursing Research Group on the Care of Adults and the Elderly (GEPECADI-CNPq).
Objectives:
To select outcomes of the Nursing Outcomes Classification (NOC) and develop operational definitions for their indicators in order to evaluate patients during smoking cessation.
Methods:
A consensus study among experts, involving eight nurses. A 100% consensus was required to select the outcomes. Operational definitions were developed based on the literature.
Results:
Two outcomes were selected, Smoking Cessation Behavior (1625)-with nine indicators, and Substance Withdrawal Severity (2108)-with 11 indicators, for which we developed operational definitions.
Conclusions:
Consensus allowed the selection of NOC outcomes and indicators, which will allow us to evaluate patients during smoking cessation using a standardized classification.
Implications For Nursing Practice:
A standardized classification provides a more qualified evaluation of patients during smoking cessation.
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Assessment
Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Nursing Assessment
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...