Thursday, July 12, 2007
This presentation is part of : Child and Adolescent Healthcare Issues
Nursing diagnoses in child health care in Curitiba, Brazil: overview of CIPESC® bases
Emiko Yoshikawa Egry, PhD, MNSc, RN, FAAN, Nursing Collective Health Department of School of Nursing, São Paulo University, São Paulo, Brazil, Maira Rosa Apostolico, RN, Nursing Collective Health Department School of Nursing, São Paulo University, São Paulo, Brazil, Denise Meira Altino, RN, Nursing Collective Health Department of School of Nursing, University of São Paulo, São Paulo, Brazil, and Marcia Cubas, RN, MPH, PhD, Nursing Department, Catholic University of Paraná, Curitiba, Brazil.
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.