6,994 research outputs found
Mapping the diagnosis axis of an interface terminology to the NANDA International Taxonomy
No full textBackground: Nursing terminologies are designed to support nursing practice but, as with any other clinical tool, they should be evaluated. Cross-mapping is a formal method for examining the validity of the existing controlled vocabularies. Objectives: The study aims to assess the inclusiveness and expressiveness of the nursing diagnosis axis of a newly implemented interface terminology by cross-mapping with the NANDA-I taxonomy. Design/Methods: The study applied a descriptive design, using a cross-sectional, bidirectional mapping strategy. The sample included 728 concepts from both vocabularies. Concept cross-mapping was carried out to identify one-to-one, negative, and hierarchical connections. The analysis was conducted using descriptive statistics. Results: Agreement of the raters" mapping achieved 97%. More than 60% of the nursing diagnosis concepts in the NANDA-I taxonomy were mapped to concepts in the diagnosis axis of the new interface terminology; 71.1% were reversely mapped. Conclusions: Main results for outcome measures suggest that the diagnosis axis of this interface terminology meets the validity criterion of cross-mapping when mapped from and to the NANDA-I taxonomy
Kepentingan Amerika Serikat dalam Proses Denuklirisasi Korea Utara. BY AUTHOR: Javira Ardiani Bima Jon Nanda Zulkifli Harza
No full textKepentingan Amerika Serikat dalam Proses Denuklirisasi Korea Utara. BY AUTHOR: Javira Ardiani Bima Jon Nanda Zulkifli Harz
Cuidados de enfermagem no pós operatório de cirurgia eletiva: proposta de intervenções, baseado em NANDA e NIC.
No full textTCC (graduação em Enfermagem) - Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Curso de Enfermage
Skin and pollution: the smart nano-based cosmeceutical-tissues to save the planet’ ecosystem
No full textNanotechnology is key to the design and manufacture of the new generation of cosmetics. Nanotechnology can enhance the performance and properties of cosmetics, including colour, transparency, solubility, texture, and durability. Sunscreen products, such as UV nano-filters, nano-TiO2 and nano-ZnO particles, can offer an advantage over their traditional counterparts due to their broad UV-protection and non-cutaneous side effects. For perfumes, nano‐droplets can be found in cosmetic products including Eau de Toilette and Eau de Parfum.
Nanomaterials can also be used in cosmetics as transdermal drug delivery systems. By using smart nanocontainers, active compounds such as vitamins, antioxidants, nutrients, and anti-inflammatory, anti-infective agents, can be delivered effectively. These smart nanocontainers are typically related with the smart releasing property for their embedded active substances. These smart releases could be obtained by using the smart coatings as their outer nano-shells. These nano-shells could prevent the direct contact between these active agents and the adjacent local environments.
Nanocosmetics: Fundamentals, Applications and Toxicity explores the formulation design concepts and emerging applications of nanocosmetics. The book also focuses on the mitigation or prevention of their potential nanotoxicity, potential global regulatory challenges, and the technical challenges of mass implementation. It is an important reference source for materials scientists and pharmaceutical scientists looking to further their understanding of how nanotechnology is being used for the new generation of cosmetics
Growth and cycles in Australia's wine industry : a statistical compendium, 1843 to 2013 /
No full textAnother magisterial statistical compendium from Kym Anderson, with the assistance of Nanda Aryal: surely no nation's wine endeavours have ever been more precisely tracked through history than Australia's are here. The depth and intricacy of the global context, too, makes fascinating and often enlightening reading for any student of wine.Includes bibliographical references (pages 73-82).Another magisterial statistical compendium from Kym Anderson, with the assistance of Nanda Aryal: surely no nation's wine endeavours have ever been more precisely tracked through history than Australia's are here. The depth and intricacy of the global context, too, makes fascinating and often enlightening reading for any student of wine.Print version record.JSTO
Evaluation of billing and charging architecture for the Internet service provisioning
No full textThis article develops a charging scheme that is simple and easily usable for the users and provides them with the incentives to use only the resources they require. Our scheme has been developed and based on the use of Internet resource and demonstrates how the contributing providers can share the total charge earned by each mobile and wireless services in a fair way. We made a comparison of our architecture with existing architectures and demonstrated that our architecture adopts an accommodating approach for customer which is economically viable for the ISP provider
Pengaruh Pelatihan Proses Keperawatan (Nanda Noc Nic) Terhadap Tingkat Pengetahuan Perawat Dalam Penyusunan Diagnosa Keperawatan (Nanda) Di Ruang Anak Rumah Sakit Saiful Anwar Malang
No full textPengetahuan dan keterampilan perawat merupakan salah satu upaya untuk menciptakan tenaga keperawatan professional yang memberikan asuhan keperawatan dengan pedoman NANDA, NOC, NIC yang berkembang seiring dengan perkembangan IPTEK dan tuntutan kebutuhan masyarakat. Dimana NANDA, NOC, NIC merupakan system klasifikasi keperawatan yang telah menjadi standarisasi dalam dunia keperawatan. Penelitian ini dilakukan untuk mengetahui pengaruh pelatihan proses keperawatan NANDA, NOC, NIC terhadap peningkatan pengetahuan perawat dalam menyusun diagnosa keperawatan di rumah sakit Saiful Anwar. Penelitian ini menggunakan desain Quasi-eksperimental dengan pendekatan pretest-postest pada kelompok perlakuan (One Group Pra-Post test Design).sampel penelitian ini sebanyak 38 responden yang dipilih dengan metode Purposive Sampling. Pengumpulan data dilakukan dengan menggunakan kuisioner. Pengolahan dan analisa pengaruh pelatihan proses keperawatan dengan peningkatan pengetahuan perawat menggunakan uji wilcoxon. Hasil penelitian menunjukkan tingkat pengetahuan dalam penyusunan NANDA sebelum diberikan pelatihan proses keperawatan (NANDA, NIC, dan NOC) adalah hanya 1 responden (3%) yang baik dan setelah diberikan pelatihan menjadi sebanyak 17 responden (45%) yang baik. Hasil uji statistic wilcoxon rank test didapatkan p value = 0,000 (p value < 0,05). Dari penelitian ini dapat diambil kesimpulan bahwa ada pengaruh pelatihan proses keperawatan (NANDA, NIC, dan NOC) terhadap pengetahuan perawat dalam penyusunan NANDA
Analisis Strategi Bersaing PT. Kosoema Nanda Putra
No full textThe purpose of this research is to analyze the implementation of
competitive strategy of PT Kosoema Nanda Putra in textile industry by analyzing
the company internal and external factors. PT Kosoema Nanda Putra chosen as an
sample because the company is able to maintain sustainability during this tight
national textile competition. However in the middle of this dynamic change, the
company has to be able to anticipate by analyzing the internal and external factors
in order to formulate an adequate competitive strategy to conquer the competition.
Analytical method employed in this research refer to external
environmental analysis comprises of macro environmental analysis, five forces
model porter, and key success factor analysis. Meanwhile internal analysis
comprises of core competence and value chain analysis.
The research result shows that the cost leadership strategy employed by
PT. Kosoema Nanda Putra is appropriate to compete among other textile company
because of the limitation of product differentiation in textile industry. Even
though, the strategy employed is appropriate, author suggests the company should
assign special division to handle information technology to adapt current
condition of which is based on information technology. This can strengthen
company competence to compete among competitors in this tight national textile
competition
Acurácia dos diagnósticos de enfermagem de integridade da pele prejudicada e de integridade tissular prejudicada dos pacientes portadores de úlcera crônica de etiologia diversa internados em serviço de emergência
No full textDissertação (mestrado profissional) - Universidade Federal de Santa Catarina, Centro de Ciências da Saúde, Programa de Pós-Graduação em Gestão do Cuidado em Enfermagem, 2014.Os problemas relacionados à integridade da pele são frequentes no ambiente hospitalar, requerendo a atenção de enfermagem e o planejamento de intervenções seguras e consistentes para o paciente que se configura pela realização do Processo de Enfermagem que, num processo dinâmico, inclui: as etapas de histórico da situação do paciente, estabelecimento de Diagnósticos de Enfermagem, plano e realização das intervenções planejadas e avaliação dos resultados. A fim de unificar a linguagem da profissão, foram desenvolvidas classificações diagnósticas, dentre elas a NANDA-I, a qual é utilizada no estudo. O Diagnóstico de Enfermagem consiste no julgamento clínico das respostas do paciente a problemas de saúde reais ou potenciais. Foram elencados para este estudo os diagnósticos de Integridade da Pele Prejudicada e Integridade Tissular Prejudicada em pacientes portadores de úlceras crônicas de etiologia diversa (úlcera por pressão, arterial e venosa) atendidos em um serviço de emergência adulto para investigar a acurácia diagnóstica neste ambiente assistencial. Um diagnóstico é considerado acurado quando se aproxima do estado geral do paciente, sendo importante o enfermeiro identificar a relevância, especificidade e coerência do mesmo. Objetivo: determinar a acurácia dos Diagnósticos de Enfermagem de Integridade da Pele Prejudicada e de Integridade Tissular Prejudicada da NANDA- I (2013) em pacientes portadores de úlceras crônicas de etiologia diversa, internados no serviço de emergência adulto do Hospital Universitário da Universidade Federal de Santa Catarina. Método: pesquisa com abordagem quantitativa, do tipo descritivo prospectivo, longitudinal de amostra intencional, não probabilístico, intencional, realizado com dados de prontuários de 41 pacientes portadores de úlcera crônica de etiologia diversa, internados no serviço de emergência adulto de um hospital universitário do sul doBrasil no período entre setembro e dezembro de 2013. No primeiro momento, nove enfermeiros previamente capacitados para trabalhar com os diagnósticos de Integridade da Pele Prejudicada e Integridade Tissular Prejudicada participaram como colaboradores, avaliando e registrando os Diagnósticos de Enfermagem relativos à integridade da pele nos históricos e evoluções dos pacientes internados na unidade de emergência. No segundo momento, a pesquisadora, por meio da Escala de Acurácia dos Diagnósticos de Enfermagem (EADE) ? Versão 2 (MATOS; CRUZ, 2009), verificou a acurácia dos diagnósticos elencados pelos enfermeiros, a presença de pistas, relevância, especificidade, coerência e manutenção dos diagnósticos. Os resultados relacionados ao perfil dos pacientes mostraram que a maioria é do sexo masculino e idoso; desconhecem sua condição de saúde-doença, apresentam baixa escolaridade, possuem a família como principal rede de apoio e procuraram a especialidade médica vascular para o tratamento das úlceras, tem doenças associadas, como Diabetes Mellitus e Hipertensão Arterial Sistêmica. A verificação da acurácia diagnóstica evidenciou 156 (100%) diagnósticos de Integridade da Pele Prejudicada. No entanto, os enfermeiros identificaram 138 diagnósticos de Integridade da Pele Prejudicada, perfazendo um total de 88,46%. Os enfermeiros identificaram também 18 (11,54%) diagnósticos para Integridade Tissular Prejudicada. Foi constatado um elevado número de diagnósticos associados à úlcera arterial, seguido da úlcera por pressão e venosa. Observou-se que houve uma tendência estatística elevada com grau de acurácia alto para o Diagnóstico de Enfermagem Integridade da Pele Prejudicada e a característica definidora destruição de camadas da pele (78,26%), bem como um grau de acurácia baixo para Integridade Tissular Prejudicada (50%) e a característica definidora tecido destruído (63,64%). Para Integridade da Pele Prejudicada percebeu-se que presença de pistas, relevância, especificidade, coerência e manutenção do diagnóstico obtiveram majoritariamente maior importância estatística em relação à Integridade Tissular Prejudicada. Discussão: os resultados encontrados neste estudo estão de acordo com a literatura acerca do diagnóstico de enfermagem no que se refere à alta acurácia para Integridade da Pele Prejudicada e baixa para Integridade Tissular Prejudicada. Observou-se no estudo a dificuldade dos enfermeiros na identificação dos diagnósticos de enfermagem interferindo na definição da acurácia diagnóstica. A identificação de um diagnóstico acurado depende da habilidade e da experiência profissional do enfermeiro, assim como a identificação de características definidoras e fatores peculiares relacionados a cada situação clínica dos pacientes. Também o ambiente de emergência pode influenciar na identificação dos problemas humanos mais relevantes, no que diz respeito às úlceras de etiologia diversa, pois os profissionais que atuam nesta área estão mais atentos aos problemas agudos, uma vez que estes colocam a pessoa em risco de morte. Conclusão: conhecer o grau e as categorias de acurácia dos Diagnósticos de Enfermagem de Integridade da Pele Prejudicada e de Integridade Tissular Prejudicada, assim como o perfil dos pacientes portadores de úlcera crônica de etiologia diversa internados em um serviço de emergência adulto pode contribuir positivamente com o planejamento da assistência de enfermagem, resultando em intervenções mais eficazes. O estudo possibilitou uma aproximação dos enfermeiros com a etapa diagnóstica, ratificando a necessidade de uma assistência sistematizada aos pacientes portadores de úlcera crônica de etiologia diversa em serviço de emergência.Abstract : The problems related to the integrity of the skin are frequent in the hospital environment, requiring nursing care and planning of safe and consistent interventions for the patient which is configured by the realization of the Nursing Process, which in a dynamic process, include: the steps of the historic situation of the patient, establishing Nursing Diagnoses, plan and fulfillment of planned interventions and outcome assessment. In order to unify the terminology of the profession, diagnostic classifications were developed, among them the NANDA-I, which is used in the present study. The Nursing Diagnosis consists of the clinical judgment of the patient?s responses to the real or potential health problems. For this study were listed diagnoses of Impaired Skin Integrity and Impaired Tissue Integrity in patients witch chronic ulcers of various etiologies (pressure ulcers, arterial and venous) assisted in an adult emergency service to investigate the diagnostic accuracy in the healthcare environment. A diagnosis is considered to be accurate when it approaches to the condition of the patient, so it is important that the nurse identifies the relevance, specificity and consistency of the diagnosis. Objective: to determine the accuracy of the Nursing Diagnosis for Impaired Skin Integrity and Impaired Tissue Integrity of NANDA-I (2013) in patients with chronic ulcers of various etiologies, admitted to the adult emergency service of the University Hospital of Federal University of Santa Catarina. Method: research with quantitative approach, prospective descriptive type, intentional longitudinal sample, not probabilistic, intentional, fulfilled with data from medical records of 41 patients with chronic ulcers of various etiologies, admitted to the adult emergency service of a university hospital in southern Brazil in the period between September and December 2013. At first, nine nurses previously trained to work with the diagnoses of Impaired Skin Integrity and Impaired Tissue Integrity participated as collaborators, evaluating and recording the Nursing Diagnoses related to skin integrity in the historical andevolutions of patients admitted to the emergency unit. In a second moment, the researcher, through the Nursing Diagnosis Accuracy Scale (NDAS) ? Version 2 (MATOS; CRUZ, 2009), verified the accuracy of the diagnoses listed by the nurses, the presence of cues, relevance, specificity, coherence and maintenance of the diagnostics. The results related to the profile of patients showed that most are male sex and elderly; unaware of their condition of health and disease, presented low level of education, have the family as the primary support network and looked for the vascular medical specialty for the treatment of ulcers, and have associated diseases, such as Diabetes Mellitus and Systemic Arterial Hypertension. The verification of diagnostic accuracy evidenced 156 (100%) diagnoses of Impaired Skin Integrity. However, the nurses identified 138 diagnoses of Impaired Skin Integrity, totalizing 88.46%. Nurses also identified 18 (11.54%) diagnoses for Impaired Tissue Integrity. A large number of diagnoses associated with arterial ulcer, followed by venous and pressure ulcers was found. It was observed that there was a high degree of statistical trend with high accuracy for the Nursing Diagnosis Impaired Skin Integrity with the defining characteristic destruction of skin layers (78.26%) and a low degree of accuracy for Impaired Tissue Integrity (50%) and defining characteristic destroyed tissue (63.64%). Discussion: the findings of this study are consistent with the literature on the nursing diagnosis with regard to high accuracy for Impaired Skin Integrity and low for Impaired Tissue Integrity. It was observed in the study the difficulty of nurses on identifying nursing diagnoses interfering in the definition of diagnostic accuracy. The identification of an accurate diagnosis depends on the skill and professional experience of the nurse, as well as identifying defining characteristics and specific factors related to each clinical condition of patients. Also the emergency environment may influence the identification of the most relevant human problems, in respect of ulcers of diverse etiology, as professionals who work in this area are more responsive to acute problems because they put a person at risk of dying. Conclusion: the knowledge of the degree and categories of accuracy of Impaired Skin Integrity and Impaired Tissue Integrity Nursing Diagnosis, as well as the profile of patients with chronic ulcers of diverse etiology admitted in adult emergency service, can contribute positively to the planning of nursing assistance, resulting in more effective interventions. The study allowed an approximation of nurses with the diagnostic step, confirming the need for a systematic care for patients with chronic ulcers of diverse etiology in the emergency service
Anshen Ruth Nanda. —The family: its fonction and destiny
No full textSutter Jean. Anshen Ruth Nanda. —The family: its fonction and destiny. In: Population, 4ᵉ année, n°4, 1949. p. 778
- …
