Nursing diagnoses for people hospitalized with heart failure: an integrative review

Oliveira, Ana Paula Dias de; Lima, Lucas Garcia; Santos, Vinicius Batista; Souza, Larissa Maiara da Silva Alves; Lopes, Juliana de Lima; Barros, Alba Lucia Bottura Leite de

doi:10.1590/0034-7167-2023-0471

Ana Paula Dias de Oliveira Corresponding author: Ana Paula Dias de Oliveira, E-mail: ana.paula24@unifesp.br

conception or design of the study/research

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil

https://orcid.org/0000-0001-5437-5017

Lucas Garcia Lima

analysis and/or interpretation of data

Sociedade Beneficente Israelita Hospital Albert Einstein. São Paulo, São Paulo, Brazil

https://orcid.org/0000-0001-9363-3023

Vinicius Batista Santos

conception or design of the study/research

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil

https://orcid.org/0000-0001-5130-5523

Larissa Maiara da Silva Alves Souza

final review with critical

intellectual participation in the manuscript

Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil

https://orcid.org/0000-0001-9347-0930

Juliana de Lima Lopes

conception or design of the study/research

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil

https://orcid.org/0000-0001-6915-6781

Alba Lucia Bottura Leite de Barros

conception or design of the study/research

analysis and/or interpretation of data

final review with critical

intellectual participation in the manuscript

Universidade Federal de São Paulo. São Paulo, São Paulo, Brazil

https://orcid.org/0000-0003-2691-3492

Corresponding author: Ana Paula Dias de Oliveira, E-mail: ana.paula24@unifesp.br

EDITOR IN CHIEF: Dulce Barbosa

ASSOCIATE EDITOR: Marcia Cubas

Database	Strategy used
PubMed	heart failure AND (“nursing diagnosis” OR “nursing diagnoses” OR nursing diagnosis [mh])
CINAHL	heart failure AND (“nursing diagnosis” OR “nursing diagnoses”)
LILACS	(“heart failure” OR “insuficiência cardíaca”) AND (“diagnóstico de enfermagem” OR “nursing diagnosis” OR “nursing diagnoses”)
SciELO	(heart failure OR insuficiência cardíaca) AND (diagnóstico de enfermagem OR nursing diagnosis OR nursing diagnoses)

Study	Author, year and country	Design	Objective	LoE	Qualis	ND studied
S1⁽¹⁷⁾	Assis CC et al. (2007) Brazil	Quasi-experimental	Assess NO and NI for FA in people with HF.	2C	A4	FA
S2⁽¹⁸⁾	Martins QC et al. (2010) Brazil	Cross-sectional	Validate DCO DCs clinically and according to the model presented by Fehring.	2C	B4	DCO
S3⁽¹⁹⁾	Park H (2010) United States of America	Descriptive	Identify the main ND, NI, NO and links using standardized nursing terminologies for people with HF.	2C	A1	Deficient Knowledge, DCO, Risk for Injury and Ineffective Airway Clearance
S4⁽²⁰⁾	Pereira JM et al. (2011) Brazil	Cross-sectional	Identify the prevalence of ND and DC in people with cardiovascular conditions and describe the association with sociodemographic and clinical variables.	2C	B1	Anxiety, Acute Pain, DCO and Disturbed Sensory Perception
S5⁽²¹⁾	Aliti GB et al. (2011) Brazil	Cross-sectional	Identify the clinical manifestations exhibited in decompensated HF with the aim of identifying priority NDs.	2C	A3	DCO and EFV
S6⁽²²⁾	Silva RS et al. (2011) Brazil	Case study	Describe the application of the Nursing Process for a person with HF according to NANDA-I, NIC and NOC terminologies.	4	B1	EFV, DAT, Acute Pain and Impaired Gas Exchange
S7⁽²³⁾	Scherb CA et al. (2011) United States of America	Multicenter comparison	Classify and contrast the ten nursing NDs, NI, NO according to NANDA-I, NIC and NOC for people with HF.	2C	B4	DAT, DCO, Deficient Knowledge and Risk for Falls
S8⁽²⁴⁾	Martins QCS et al. (2011) Brazil	Cross-sectional	Clinically validate EFV DCs in people with decompensated HF.	2C	A2	EFV
S9⁽²⁵⁾	Martins QC et al. (2012) Brazil	Cross-sectional	Present the conceptual and operational definitions of DCO DCs in HF.	2C	B1	DCO
S10⁽²⁶⁾	Matos LN et al. (2012) Brazil	Cross-sectional	Identify the frequency and probability of DC predicting DCO for people with HF being analyzed for heart transplantation.	2C	A2	DCO
S11⁽²⁷⁾	Pereira JM et al. (2015) Brazil	Descriptive	Verify the accuracy of nurses in identifying FA, DAT and DCO.	4	A4	FA, DAT and DCO
S12⁽²⁸⁾	Park H et al. (2015) United States of America	Descriptive	Identify the main NDs with related factors and signs/symptoms using NANDA-I for people with HF.	2C	A1	Deficient Knowledge, DCO, Risk for Injury, Ineffective Airway Clearance, Risk for Infection, DAT, Acute Pain, Impaired Skin Integrity, and EFV
S13⁽²⁹⁾	Souza V et al. (2015) Brazil	Cross-sectional	Assess the clinical application of the operational definitions for the DAT, DCO and EFV DCs.	2C	A1	DAT, DCO and EFV
S14⁽³⁰⁾	Pereira JM et al. (2016) Brazil	Longitudinal	Identify FA, DAT and DCO in HF and examine the connection between DC and the existence of said ND.	2C	A2	FA, DAT and DCO
S15⁽³¹⁾	Galvão PC et al. (2016) Brazil	Cross-sectional	Identify the main NDs for people with decompensated HF.	2C	B1	DCO, DAT and Ineffective Breathing Pattern
S16⁽³²⁾	Gonçalves LW et al. (2016) Brazil	Case study	Identify the cardinal diagnoses, NO, and NI for a person with HF through OPT clinical reasoning.	4	B1	DCO and Risk for Bleeding
S17⁽³³⁾	Linhares JC et al. (2016) Brazil	Longitudinal and cohort	Verify the clinical application of NOC in people with decompensated HF and EFV.	2B	A3	EFV
S18⁽³⁴⁾	Silva Alves Souza LM et al. (2017) Brazil	Cross-sectional	Analyze the connection between the ND identified for people with HF and the hemodynamic profiles displayed in the assessment.	2C	A1	Risk for Infection, Bathing Self-Care Deficit, Risk for DCO, Risk for Falls and EFV
S19⁽³⁵⁾	Ernandes EM et al. (2019) Brazil	Cohort	Examine ND accuracy for people with a chance of clinical worsening during hospitalization for decompensated HF.	2B	A3	Ineffective Breathing Pattern, DCO, Ineffective Peripheral Tissue Perfusion, Risk for Ineffective Respiratory Function and EFV
S20⁽³⁶⁾	Nascimento MNR et al. (2019) Brazil	Document analysis retrospective	Analyze aspects of nursing care for people with HF in an institution specializing in cardiology.	2C	B1	Risk for Infection, Ineffective Breathing Pattern, Self-Care Deficit, DCO, Impaired Bed Mobility, Anxiety, Impaired Skin Integrity, Imbalanced Nutrition, Ineffective Airway Clearance and EFV
S21⁽³⁷⁾	Costa MB et al. (2019) Brazil	Cohort	Identify the most prevalent NANDA-I NDs and analyze the connection between NDs and other variables with death.	2C	B3	Anxiety, Sexual Dysfunction, DAT and FA
S22⁽³⁸⁾	Santos VB et al. (2020) Brazil	Cross-sectional	Identify the prevalence of FA in people with HF and analyze DC accuracy.	2C	A1	FA
S23⁽³⁹⁾	Trojahn MM et al. (2020) Brazil	Cohort	Examine the performance of B-type natriuretic peptide in the presence of EFV DC.	2B	A3	EFV
S24⁽⁴⁰⁾	Lemos DMP et al. (2020) Brazil	Quantitative quasi-experimental	Assess the success of a discharge program based on NANDA-I, NIC and NOC taxonomies.	2C	A4	Ineffective Health Self-Management
S25⁽⁴¹⁾	Vianna TA et al. (2021) Brazil	Integrative review	Examine the main EFV DCs for people with HF.	5	B2	EFV
S26⁽⁴²⁾	Padua BLR et al. (2022) Brazil	Exploratory and descriptive	Structure the terms recorded in medical records from to NANDA-I ND and NIC NI.	2C	A3	Risk for Infection, DCO and EFV
S27⁽⁴³⁾	Ferreira JF et al. (2022) Brazil	Integrative review	Depict the most common NDs for people with HF.	5	B3	DCO, DAT, Anxiety, FA and EFV

Nursing diagnosis	n	Domain
Decreased Cardiac Output	17	4. Activity/Rest
Excessive Liquid Volume	13	2. Nutrition
Activity Intolerance	9	4. Activity/Rest
Fatigue	6	4. Activity/Rest
Anxiety	4	9. Coping/Stress Tolerance
Risk for Infection	4	11. Safety/Protection
Deficient Knowledge	3	5. Perception/Cognition
Ineffective Airway Clearance	3	3. Elimination and Exchange
Acute Pain	3	12. Comfort
Ineffective Breathing Pattern	3	4. Activity/Rest
Risk for Injury	2	11. Safety/Protection
Imbalanced Nutrition: Less Than Body Requirements	2	2. Nutrition
Risk for Falls	2	11. Safety/Protection
Bathing Self-Care Deficit	2	4. Activity/Rest
Impaired Skin Integrity	2	11. Safety/Protection
Risk for Decreased Cardiac Output	1	4. Activity/Rest
Impaired Gas Exchange	1	3. Elimination and Exchange
Ineffective Health Self-Management	1	1. Health Promotion
Risk for Bleeding	1	11. Safety/Protection
Ineffective Peripheral Tissue Perfusion	1	4. Activity/Rest
Disturbed Sensory Perception	1	5. Perception/Cognition
Impaired Physical Mobility	1	4. Activity/Rest
Risk for Impaired Cardiovascular Function	1	4. Activity/Rest
Sexual Dysfunction	1	8. Sexuality

[1] Corresponding author: Ana Paula Dias de Oliveira, E-mail: ana.paula24@unifesp.br

Brasil

Brasil

Nursing diagnoses for people hospitalized with heart failure: an integrative review

Diagnósticos de enfermería para personas hospitalizadas con insuficiencia cardíaca: revisión integradora

ABSTRACT

Objectives:

Methods:

Results:

Final Considerations: