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- Representação do conhecimento em enfermagem do trabalho na ontologia de enfermagemPublication . Bastos, Fernanda; Morais, Ernesto; Joana Campos, Maria; Oliveira, Manuel Fernando; Machado, Natália; Pereira, Filipe Miguel SoaresIntroduction: By analyzing the national parameterization of the Nursing Practice Support System, it was found that occupational health nursing has no representation in the current information systems in use, being urgent to structure the existing knowledge in this area. Objectives: Having as client the person in the work context, the intention was to formally represent the knowledge currently available in three classes of nursing information items that represent the critical elements of the decision-making process: i) data resulting from the assessment of the client, ii) diagnoses and iii) interventions. Methodology: This work originates from a global project developed by the Centre for Information Systems Research and Development of Porto Nursing School (CIDESI-ESEP), in collaboration with the Ordem dos Enfermeiros, which was consolidated in the construction of a Nursing Ontology (NursingOntos). For its conception, a qualitative study of inferential nature was carried out, with content analysis of the national parameterization and literature review. For content validation, a focus group was used. Results: Sixty-four items of information were identified, organized by domains, referring to work activity, occupational exposure and health-seeking behaviors: twenty-one data items, with about fifty specifications; ten nursing diagnoses; and thirty-three interventions. The care conception is centered on aspects that are part of the adaptive process of the client in a work environment, namely the awareness as a property, and knowledge and meaning as facilitating or inhibiting conditions of his transition. Conclusions: The Nursing Ontology is a fundamental resource in the backend of the development of nursing information systems, supporting the description of care and the decision-making process. Having as client the person in the work context, it was verified the centrality in the identification of data characterizing the physical intensity and exposure to risk factors of the work activity, and in the adaptive process related to areas that will influence the choice of behaviors that promote his health.
- Representação do conhecimento em enfermagem do trabalho: dados relevantes face à saúde individual do trabalhador sob influência do ambiente laboralPublication . Bastos, Fernanda; Morais, Ernesto; Joana Campos, Maria; Brito, Alice; Cardoso, Alexandrina; Sousa, P.Introduction: Occupational health presents itself as a whole area to ensure healthy work environments and a better quality of life for workers. In the information systems in use, it was found that this area was missing, and a representation of existing knowledge in occupational nursing is urgent, particularly concerning the data that allow the characterization of health needs in a work environment. Objectives: Formally represent the available knowledge related to data relating to the assessment of the client under the influence of the work environment, which represent the first element of the planning and description of the nursing care process, thus constituting a fundamental resource for the design of clinical decision support systems. Methodology: This work derives from a global project developed by the Center for Research and Development of Information Systems at the Porto School of Nursing, in collaboration with the Ordem dos Enfermeiros, which consolidated itself in the construction of a Nursing Ontology. A qualitative study of inferential nature was carried out for its conception, with content analysis to national parameterization and literature review. For content validation, a focus group was used. Results: Nineteen assessment data were identified, most of which could generate sensitive indicators for nursing care, organized into three domains: i) data related to the characterization of the work activity, its context and physical intensity; ii) data related to occupational exposure potentially leading to changes in bodily and psychological processes; and iii) data that characterize aspects related to health-seeking behaviours related to the adaptive process (transition) of the client in the work context, such as knowledge and awareness. Conclusions: The identification of data is decisive for the diagnostic process, with centrality in the characterization of the data centred on physical intensity and exposure to risk factors in the work activity and the adaptive process related to areas that will influence the choice of health-promoting behaviours.