Outpatient Clinic for Health Education:
Contribution to Self-Management and Self-Care
for People With Heart Failure
Camila de Souza Carneiro, RN, MsN, Ana Paula Dias de Oliveira, RN, Juliana de Lima Lopes, RN, PhD,
Maria Márcia Bachion, RN, PhD, T. Heather Herdman, RN, PhD, Sue A. Moorhead, PhD, RN, FAAN, and
Alba Lúcia Bottura Leite de Barros, RN, PhD
Camila de Souza Carneiro, RN, MsN, is a Cardiology Nurse Specialist and Doctoral Student at Paulista Nursing School,
Federal University of São Paulo (EPE, UNIFESP), and a Nurse Supervisor at Hospital São Paulo (HSP), São Paulo, São Paulo,
Brazil, Ana Paula Dias de Oliveira, RN, is a Cardiology Nurse Specialist and Master’s Student at EPE, UNIFESP, and an
Emergency Care Nurse at Dante Pazzanese Cardiology Institution (IDPC), São Paulo, São Paulo, Brazil, Juliana de Lima
Lopes, RN, PhD, is a Cardiology Nurse Specialist and Assistant Professor at the EPE, UNIFESP, São Paulo, São Paulo, Brazil,
Maria Márcia Bachion, RN, PhD, is a Full Professor at the College of Nursing, Federal University of Goiás (UFG), Goiânia,
Goiàs, Brazil, T. Heather Herdman, RN, PhD, is a Researcher at the University of Wisconsin-Green Bay, Green Bay,
Wisconsin, USA, Sue A. Moorhead, PhD, RN, FAAN, is an Associate Professor at the College of Nursing, University of Iowa
(UIOWA), and the Director of the Center for Nursing Classification and Clinical Effectiveness and the Director of the PhD
Program at UIOWA, Iowa City, Iowa, USA, and Alba Lúcia Bottura Leite de Barros, RN, PhD, is a Full Professor at the EPE,
UNIFESP, São Paulo, São Paulo, Brazil.
Search terms:
Heart failure, patient cooperation,
self-care
Author contact:
albaluciabb@hotmail.com, with a
copy to the Editor:
journal@nanda.org
OBJECTIVE: To report the experience of an outpatient nursing education clinic
caring for people with chronic heart failure.
EXPERIENCE REPORT: In this service, qualified “listening,” recreational educa-
tional actions about the disease and its treatment are conducted, based on the
interventions from the Nursing Interventions Classification (NIC), as well as the
evaluation of self-care behaviors with the outcomes from the Nursing Outcomes
Classification (NOC). This article describes the practice of health education activi-
ties and the use of NANDA-I-NIC-NOC in a nursing clinic.
CONCLUSION: The outpatient clinic supports client learning about the treatment
of disease and stimulates self-control of health behaviors.
IMPLICATIONS FOR NURSING PRACTICE: This experience report will guide
nurses in the establishment of outpatient nursing education clinics for different
populations of patients with chronic health conditions.
OBJETIVO: Relatar a experiência de um ambulatório de educação em saúde para
pessoas com insuficiência cardíaca crônica.
RELATO DE EXPERIÊNCIA: Neste serviço são realizadas a “escuta” qualificada
e ações educativas sobre a doença e o tratamento, baseadas nas intervenções da
Classificação de Intervenções de Enfermagem (NIC), bem como a avaliação dos
comportamentos de autocuidado dos resultados da Classificação dos Resultados
de Enfermagem (NOC). Este artigo descreve a atividade de educação em saúde e
o uso da NANDA-I-NIC-NOC na prática clínica.
CONCLUSÃO: O ambulatório apoia o aprendizado do paciente sobre o
tratamento da doença e estimula o autocontrole de comportamentos de saúde.
IMPLICAÇÕES PARA A PRÁTICA: Este relato de experiência guiará os
enfermeiros no estabelecimento de um ambulatório de educação de enfermagem
para diferentes populações de pacientes com doenças crônicas.
The estimated prevalence of heart failure (HF) world-
wide is 23 million (McMurray, Petrie, Murdoch, & Davie,
1998). In Brazil, from March 2013 to March 2014, over
266,000 people were hospitalized for HF. In the same
period, expenses with hospital services due to the disease
were over RS$323 million (Datasus, 2014). These preva-
lence figures worldwide support the need for nurses to work
with patients with this clinical condition to improve their
© 2015 NANDA International, Inc.
International Journal of Nursing Knowledge Volume 27, No. 1, January 2016
49