title: [Nursing diagnoses in patients classified as priority level I and II according to the Manchester protocol].
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.
authors.affiliation: Universidade Federal de São João Del Rei, Brasil, DivinópolisMG, Enfermeira. Doutoranda, Universidade Federal de São João Del Rei , Divinópolis , MG , Brasil .cristianecsouza@ufsj.edu.br.
authors.forename: Cristiane Chaves
authors.initials: CC
authors.lastname: de Souza
authors.affiliation: Universidade Federal de São João Del Rei, Brasil, DivinópolisMG, Enfermeira. Doutoranda, Universidade Federal de São João Del Rei , Divinópolis , MG , Brasil .lucianadamata@usp.br.
authors.forename: Luciana Regina Ferreira
authors.initials: LR
authors.lastname: da Mata
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Brasil, Ribeirão PretoSP, Professora Titular, Escola de Enfermagem de Ribeirão Preto , Universidade de São Paulo , Ribeirão Preto , SP , Brasil .ecdcava@usp.br.
authors.forename: Emília Campos
authors.initials: EC
authors.lastname: de Carvalho
authors.affiliation: Escola de Enfermagem, Universidade Federal de Minas Gerais, Brasil, Belo HorizonteMG, Professora Titular, Escola de Enfermagem , Universidade Federal de Minas Gerais , Belo Horizonte , MG , Brasil .tchianca@enf.ufmg.br.
authors.forename: Tânia Couto Machado
authors.initials: TC
authors.lastname: Chianca
mesh_terms: D002985:Clinical Protocols; D006801:Humans; D009733:Nursing Diagnosis; D012189:Retrospective Studies; D012720:Severity of Illness Index; D014218:Triage / Q000145:classification*