Thursday, July 12, 2007
Nursing diagnoses in child health care in Curitiba, Brazil: overview of CIPESC® bases
|Learning Objective #1: To discuss model of nursing care to implement public policy in child health.|
|Learning Objective #2: To discuss International Classification of Nursing Practice in Collective Health applied to child nursing care.|
Curitiba City, capital of Parana State has been distinguished because of
the health policy to face the child needs and improve it epidemiologic profile.
Municipality health system has been built by integration of health care units
in a network focusing the child health-illness process. This integrated program
deal with both actions: heath promotion and diseases prevention. Since 2005,
CIPESC¨ has been adopted as a computerized operational system in the network of
all municipality health units in the nursing consultation to child care.
CIPESC¨ is International Classification of Nursing Practice in Collective
Health, proposed by Brazilian Nursing Association in the end of 90`, as a
Brazilian adaptation of ICNP built by International Council of Nurses. CIPESC¨
system allows collect all the nursing phenomena and the correspondent diagnosis
and interventions, reported by nursing consultation in collective health. This
study aims to describe diagnoses and interventions reported by nurses in theirs
consultations' activities in the Child Health Care programs, during August to
October of 2005. The methodology was descriptive according Egry's
Collective Health Nursing Praxical Intervention
Theory. The data were collected in the health municipality secretariat
database. The results showed that the majority part of the diagnoses referred
to potential to stronger health-illness processes related to growth,
development, vaccination and nutrition. In other hand, the most part of
interventions has been referred to educational aspect of the nursing actions.
In conclusion, CIPESC¨ as a system is a powerful tool to make possible a
scientific treatment of nursing consultation in collective health, and in same
time it allows to execute public health policy to child population by improving
its epidemiologic profile and reducing the mortality and morbidity rates.