Current situation: Standardized terminology of the Omaha system brings new opportunities for nurses providing community care. Objectives: Four objectives have been defined for this study: to implement the Omaha system in the nursing documentation for the purpose of verification of nursing care in community practice - to characterize the problems of patients with gastrointestinal diseases as per the Problem Classification Scheme - to map the links between problems and interventions as per the Intervention Scheme - to evaluate the problem results using the Problem Rating Scale for Outcomes of the Omaha system. Methodology: The research method used was based on the study by Kathryn H. Bowles (2000) addressing problems of patients and nurse interventions. The quantitative research method was implemented by inquiry using nursing documentation with the Omaha system implemented. The data acquired was tested using the software tools SPSS 22.0 and MS Excel. Research set: It consisted of 103 patients with gastrointestinal diseases. The inquiry was carried out by contact persons - nurses of the gastroenterology department. Results: Patients with gastrointestinal diseases suffering from a wide range of problems corresponding to given character of diseases, which predominantly occur in the Physiological Domain and Health-Related Behavior Domain. In terms of mapping of links between problems and interventions, the results have proven a high usability of the objectives defined in the Intervention Scheme in community practice. The interventions were mostly determined in the categories Treatments and Procedures and Surveillance. Statistical differences have been confirmed in the documentation of interventions in individual categories for patient problems as well as for the selection of interventions in individual categories with respect to the type of given gastrointestinal disease. The study results have proven a significant improvement of knowledge, behaviour and status for individual problems, which is shown in comparison of final values with the initial values of problem results. The implementation of the selected interventions as per the Intervention Scheme resulted in a reduction or elimination of ? of problems. Conclusions: The results of the research inquiry clearly show that the Omaha system is an appropriate tool for documentation of all stages of the nursing process in the community care. Implementation of the functional documentation in community practice requires the Czech version of the Omaha system and electronic form of the documentation, which are absent at present.

Submitted by Morgana Silva (morgana_linhares@yahoo.com.br) on 2016-12-05T13:01:56Z No. of bitstreams: 1 arquivototal.pdf: 6205859 bytes, checksum: ae3e38b88098b5a658a63362a637bca0 (MD5) / Made available in DSpace on 2016-12-05T13:01:56Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 6205859 bytes, checksum: ae3e38b88098b5a658a63362a637bca0 (MD5) Previous issue date: 2010-03-01 / This research proposes a standardized organization for the permanent archive of the Judicial System in the state of Paraíba concerning to the First Jurisdiction. Our work has as justification the lack of standardization of the of the judicial system documental archive organization. This is an exploratory, descriptive and qualitative research which uses documental and bibliographic research techniques, participative observation, interviews, questionnaires, and a diagnosis of the archive. The context of the research is the judicial archives of the first jurisdiction of the judicial system of the state of Paraíba. The work is a case study taken place at the forum in the district of Santa Rita. The characterization of the archives and the identification of the record type existing in the district shows the inexistence of a pattern in the archive organization, and the importance of the judicial archive as a primary source of research, considering that the judicial archive is a place of memories of the institution and of the state of Paraíba society with a relevant social function. The research result generates an organization propose to the judicial archive from Paraíba based on a Record Classification Plan and on a Classification Scheme, to be applied in the referred archives, as well as some technical recommendations for the judicial archive to meet satisfactorily its users needs. / Esta pesquisa propõe uma organização padronizada para o acervo de caráter permanente dos arquivos do Poder Judiciário estadual paraibano, na esfera da Primeira Instância, justificada pela ausência de padronização na organização do acervo documental dos referidos arquivos. Tratando-se de uma pesquisa exploratória, descritiva e de cunho qualitativo. Utiliza-se das técnicas de pesquisa bibliográfica e documental, observação participante, entrevistas, questionários e realização de um diagnóstico do arquivo. O universo da pesquisa corresponde aos arquivos judiciários, da Justiça estadual paraibana de primeira instância. O trabalho utiliza-se de um estudo de caso realizado no arquivo do Fórum da comarca de Santa Rita. Partindo-se da caracterização dos arquivos e da identificação das tipologias documentais ali existentes constata a inexistência de um padrão de organização do acervo, assim como a importância do arquivo judiciário como fonte primária de pesquisas, verificando-se que o arquivo judiciário é um lugar de memória tanto da instituição como da sociedade paraibana, com uma relevante função social. O resultado da pesquisa gera uma proposta de organização para o acervo dos arquivos judiciários paraibanos, substanciada numa proposta de Plano de Classificação Documental e num Quadro de Arranjo, a ser aplicado nos referidos arquivos, assim como em algumas recomendações técnicas, para que o arquivo judiciário atenda satisfatoriamente seus usuários.

No description available.