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Published on: February 16, 2011
Nursing interventions for people in palliative care, based on the Dignity Model
Rudval Souza da Silva1, Fernanda Carneiro Mussi2, Maria Miriam Lima da Nóbrega3
1Nursing Collegiate, Universidad of State of Bahia; Permanent Professor of the Postgraduate Programme in Nursing and Health at the Federal University of Bahia, Brazil.
Background:
The use of the standardised nursing language aims to accurately represent clinical practice, contributing to proper documentation and the creation of evidence-based practice.
Aims:
To validate nursing interventions (NI) for patients in palliative care, structuring these using the Dignity-Conserving Care Model.
Methods:
A methodological study was conducted, developed according to the recommendations of the International Council of Nurses (ICN) and anchored in the Dignity-Conserving Care Model. The NI were developed in four stages: 1) construction of NI, based in the International Standards Organisation's standard (18.104:2014); 2) content validation by 26 expert nurses; 3) cross-mapping with the NIs contained in the International Classification for Nursing Practice (ICNP®) catalogue, Palliative Care for Dignified Dying, to identify those already existing in the catalogue; and 4) structuring the NI based on the concepts of the Dignity-Conserving Care Model.
Findings:
209 NI were validated and grouped into categories, namely: illness-related concerns; dignity-conservation repertoire; social dignity inventory. Of these, 183 were new and 26 already existed in the ICNP® Catalogue.
Conclusion:
The study presents new insights into palliative care in Brazil and presents 183 new NI in addition to those already published by the ICN.
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