[Nursing diagnoses in patients classified as priority level I and II according to the Manchester protocol]

Rev Esc Enferm USP. 2013 Dec;47(6):1318-24. doi: 10.1590/S0080-623420130000600010.
[Article in Portuguese]

Abstract

The aim of this study was to identify possible nursing diagnoses in patients classified as priority level I and II according to the Manchester protocol. This descriptive retrospective study evaluated 40 medical charts classified as priority level I and II. To identify nursing diagnoses, two experts analyzed signs and symptoms registered in medical charts at the time of risk classification. For priority level I patients, the most frequent nursing diagnoses were acute pain (65.0%), respiratory insufficiency (45.0%), and impaired gas exchange (40.0%). For the priority level II patients, the most frequent nursing diagnoses were acute pain (80.0%), nausea (10.0%), and risk for electrolyte imbalance (10.0%). This study suggests that the use of the Manchester protocol enabled identification of defining characteristics and risk factors and supports the elaboration of nursing diagnoses in risk classification.

Publication types

  • English Abstract

MeSH terms

  • Clinical Protocols
  • Humans
  • Nursing Diagnosis*
  • Retrospective Studies
  • Severity of Illness Index
  • Triage / classification*