Elaboration and validation of an ICNP® terminology subset for patients with acute myocardial infarction.

OBJECTIVE: To elaborate a terminological subset for the International Classification for Nursing Practice (ICNP®) for patients with acute myocardial infarction using the Activities of Living Model. METHOD: A methodological study which followed the guidelines of the International Nursing Council and was based on theoretical framework of the Activities of Living Model for its elaboration. Content validation was performed by 22 nursing specialists. RESULTS: Twenty-two (22) diagnoses and 22 nursing outcomes were elaborated. Of these, 17 nursing diagnosis statements and 17 nursing outcome statements presented Content Validity Index (CVI) ≥ 0.80. Of the 113 elaborated nursing interventions, 42 reached a CVI ≥ 0.80, and 51 interventions made up the terminological subset after the expert suggestions. CONCLUSION: The ICNP® was suitable for use with the Activities of Living Model, having compatible terms with those used in clinical nursing practice, and valid for construction of the terminological subset for patients with acute myocardial infarction and most likely to facilitate clinical nursing judgment.

Hospitalized school children: proposition of a data collection instrument in light of Horta's theory. / Escolares hospitalizados: proposta de um instrumento para coleta de dados à luz da teoria de Horta.

OBJETIVO: To build a data collection tool for hospitalized schoolchildren in light of the Theory of Basic Human Needs. METHOD: Methodological research developed in a a Teaching Hospital in João Pessoa, with the participation of eight teachers and assistant nurses, from July 2014 to March 2015. Statistical analysis was used to validate the empirical indicators. RESULTADOS: The indicators were identified from the instrument analysis validated for children, considering the International Nursing Minimum Data Set, which resulted in version 1 of the instrument with 301 indicators. The instrument validation resulted in 288 indicators, which were later revalidated and formatted once the instrument's final version was reached. CONCLUSION: The instrument has contributed to data collection in teaching hospitals and has guided the other phases of the nursing process, considering the specific needs of these children, collaborating with the nursing care, education and research.

Proposal of nursing care plan in people hospitalized with AIDS.

OBJECTIVE to elaborate and validate a proposal for a nursing care plan in people hospitalized with AIDS, in an infectious disease unit, using ICNP® version 2015. METHODS A cross-sectional study, followed by validation of content, performed with 20 nurses and 120 people, living with AIDS in an infectious disease unit of a hospital of infectious diseases in Northeast Brazil. The methodological trajectory was carried out in the following stages: elaboration of the diagnosis, nursing outcomes; Initial proposal of nursing interventions; Preparation of a care plan; And validation of the plan by field experts. RESULTS 42 diagnoses were elaborated and validated, 33 presented CVI > 0.80 (55.42%) among field experts. From this quantitative, 228 interventions were elaborated and 41 obtained a CVI > 0.80 (44.78%), considered validated. CONCLUSION The study allowed us to identify and validate nursing diagnoses, outcomes and interventions for the use in clinical practice, aiming to subsidize the process of care for people with AIDS.

Subset of nursing diagnoses for the elderly in Primary Health Care.

OBJECTIVE: To develop a subset of nursing diagnoses for the elderly followed in primary health care based on the bank of terms for clinical nursing practice with the elderly, in the International Classification for Nursing Practice (ICNP(r)) version 2013, and on the Model of Nursing Care. METHOD: Descriptive study developed in sequential steps of construction and validation of the bank of terms, elaboration of the nursing diagnoses based on the guidelines of the International Council of Nurses and the bank of terms, and categorization of diagnostics according to the Care Model. RESULTS: The total of 127 nursing diagnoses were elaborated from 359 validated terms, distributed according to the basic human needs. CONCLUSION: It is expected that these diagnoses will form the basis for the planning of nursing care and use of a unified language for documentation of clinical nursing practice with the elderly in primary care. OBJETIVO: Desenvolver um subconjunto de diagnósticos de enfermagem para idosos acompanhados na Atenção Primária à Saúde, com base no banco de termos para a prática clínica de enfermagem com idosos, na Classificação Internacional para a Prática de Enfermagem (CIPE(r)) Versão 2013 e no Modelo de Cuidados de Enfermagem. MÉTODOS: Pesquisa descritiva, desenvolvida em etapas sequenciadas de construção e validação do banco de termos, elaboração dos enunciados de diagnósticos de enfermagem, com base nas diretrizes do Conselho Internacional de Enfermeiros e no banco de termos, e categorização dos diagnósticos segundo o Modelo de Cuidados. RESULTADOS: A partir de 359 termos validados foram elaborados 127 enunciados de diagnósticos de enfermagem, distribuídos segundo as necessidades humanas fundamentais. CONCLUSÃO: Acredita-se que esses enunciados servirão de base para o planejamento dos cuidados de enfermagem e utilização de uma linguagem unificada para a documentação da prática clínica de enfermagem com idosos na atenção primária.

[Construction and validation of nursing diagnoses for individuals with diabetes in specialized care]. / Construção e validação de diagnósticos de enfermagem para pessoas com diabetes na atenção especializada.

OBJECTIVE: To construct statements of nursing diagnoses related to nursing practice for individuals with diabetes in Specialized Care, on the basis of the Database of Nursing Practice Terms related to diabetes, in the International Classification for Nursing Practice (ICNP(®)) and in the Theory of Basic Human Needs and to validate them with specialist nurses in the area. METHOD: Methodological research, structured into sequential stages of construction, cross-mapping, validation and categorization of nursing diagnoses. RESULTS: A list was indicated of 115 statements of diagnostic, including positive, negative and improvement statements; 59 nursing diagnoses present in and 56 nursing diagnoses absent from the ICNP(®) Version 2011. 66 diagnoses with CVI ≥ 0.50 were validated, being categorized on the basis of human needs. CONCLUSION: It was observed that the use of the ICNP(®) 2011 favored the specifications of the concepts of professional practice in care with individuals with diabetes.

[Burden in family caregivers of the elderly: prevalence and association with characteristics of the elderly and the caregivers]. / Sobrecarga de cuidadores familiares de idosos: prevalência e associação com características do idoso e do cuidador.

A cross-sectional, epidemiological study aimed to estimate the prevalence of burden among family caregivers of impaired elderly residents in the city of João Pessoa, and to identify associations between the mean burden and social and demographic characteristics of the elderly and the caregivers. A total number of 240 elderly residents in a previously drawn census tract participated in this research. The sample was composed of 52 elderly and their caregivers. For data collection, a questionnaire was applied with questions on social and demographic characteristics of elderly and caregivers, and the Burden Interview Scale was used. Results showed a high prevalence of burden among caregivers (84.6%), in which a statistically significant association was found with the following characteristics: retired elderly, elderly as head of family, spousal caregivers, and caregivers with less education. The findings of this study may contribute to the development of activities focused on formal and emotional support for the caregivers.

Mapping of nursing interventions for elderly women with vulnerability related to HIV/AIDS.

OBJECTIVE: To map the nursing interventions of the Terminology Subset for elderly women with HIV/AIDS-related vulnerabilities in the International Classification for Nursing Practice 2019/2020, according to the guidelines of the ABNT Standard ISO/TR 12.300/2016. METHOD: This is a descriptive exploratory study of terminological mapping, in which interventions underwent the technique of validation by consensus and human mapping. Interventions reaching 100% agreement regarding practical usefulness and classification in the Theory of Nursing Systems were validated. Finally, human mapping was performed with a single purpose and oriented from source concepts to target concepts. RESULTS: A total of 218 interventions were validated. Following mapping, the numbers were updated due to the cardinality relationship, resulting in 221 interventions, 170 of which are not, and 51 are included in the International Classification for Nursing Practice 2019/2020. CONCLUSION: Mapping of the Terminological Subset of the International Classification for Nursing Practice 2019/2020 culminated in the review and update of the proposed terminology, and confirmed the usefulness of the classification system through pre-coordinated concepts.

Construction and validation of nursing diagnoses for people with diabetic foot ulcers.

OBJECTIVE: To construct and validate nursing diagnoses statements of the International Classification for Nursing Practice (ICNP®) for the person with diabetic foot ulcer being followed up in primary health care. METHOD: This is a methodological study structured in four stages: identification of terms; cross-mapping of identified terms with ICNP terms®, version 2019/2020; construction of nursing diagnoses statements and organization with Orem's Theory of Self-care; and content validation by expert nurses working in primary care, with those with Content Validity Index (CVI) ≥ 0.80 being considered valid. RESULTS: Eighty-one diagnostic statements were constructed, five of which were positive, 67 negative, and nine risky. Of these, 58 were included in ICNP® and 23 were not, 51% of which were categorized as self-care requirements related to health changes. CONCLUSION: ICNP® subsidized the construction of a technical product, which can be consulted and used by nurses and will allow the strengthening of the standardization of a specific language in the context of care for people with diabetic foot ulcers in primary health care.

Nursing diagnoses of newborns in rooming-in care using ICNP®.

OBJECTIVES: to create nursing diagnosis definitions for newborns in rooming-in care, using the International Classification for Nursing Practice (ICNP). METHODS: methodological study following the steps for the identification and validation of relevant terms to care for clients; cross-mapping of the terms identified with the terms of the ICNP® 2019; elaboration and validation of the nursing diagnostic definitions of ICNP® and later classification according with the Basic Human Needs described by Wanda Horta. RESULTS: from the terms extracted, 168 were validated through specialist consensus, subsidizing the elaboration of 27 diagnosis definitions. CONCLUSIONS: the most common diagnoses for the clients studied were: "Effective Feeding Behaviour", "Effective Urination", "Normal Respiration Rhythm", "Effective Swallowing", "Effective Peripheral Intravenous Access", and "Effective Parent Child Attachment". It was confirmed that the records of psychobiological needs are mainly made by nurses, which were responsible for 23 of the diagnoses in this study.

Nursing theories developed to meet children's needs: a scoping review.

OBJECTIVE: To map the nursing theories developed to meet children's needs. METHOD: The JBI methodology and the PRISMA guided this scoping review. The search took place between October and November 2021, based on the PCC mnemonic: P (Population) - a child aged 0 to 9 years; C (Concept) - nursing theories; C (Context) - nursing. RESULTS: We identified 2,242 publications and selected 21 manuscripts consisting of nursing theories to meet children's feeding needs, child pain, a child with asthma, diabetes, obesity, epilepsy, Congenital Zika Syndrome, autism spectrum disorder; theory for care in Intensive Care Units; health promotion to premature babies; procedures in Intensive Care Units; theory for nursing diagnosis ineffective breathing pattern in children with congenital heart disease; sleep associated with child development; parent-child interaction; nurse-child relationship; and child's consultation. CONCLUSION: The nursing theories mapped have the potential to outline the course of nursing care to children's needs highlighted in the studies that made up the sample.

Analysis of the concept of cardiovascular risk: contributions to nursing practice.

OBJECTIVES: to analyze the concept of cardiovascular risk to support nursing practice. METHODS: this is an analysis to define the concept of cardiovascular risk, through the use of eight steps of Walker's and Avant's framework, using a literature review in indexed scientific journals. RESULTS: cardiovascular risk is defined in a broad and original way as a context of health and nursing care that makes it possible to identify modifiable (cardiometabolic, behavioral, psychosocial, cultural and occupational) and non-modifiable (biological) risk factors for cardiovascular diseases that act as early and interrelated markers, of multiple and heterogeneous etiology, predisposing to cardiovascular vulnerability. CONCLUSIONS: with the analysis and definition of the concept of cardiovascular risk, we realized that it will be possible to base nursing practice, with implications in clinical practice for identifying and reducing risk factors for cardiovascular diseases, with nursing relevance in the care of these subjects.

ICNP® terminology subset for the care of people with heart failure.

OBJECTIVE: to develop an ICNP® terminology subset for the care of people with heart failure. METHODS: this is a methodological study, which used the theoretical framework of the Mid-Range Nursing Theory for Cardiovascular Rehabilitation, with the steps: Construction of nursing diagnoses/outcomes and interventions statements and Cross-mapping of statements constructed. RESULTS: forty-two diagnosis/outcome statements and 179 nursing intervention statements were constructed, organized based on five theory concepts, with a higher prevalence of statements related to "Rehabilitative care", "Psychosocial support for patients and families" and "Supervised cardiovascular rehabilitation program". FINAL CONSIDERATIONS: it was possible to build nursing diagnosis/outcome and intervention statements for developing a terminology subset for the care of people with heart failure, based on the chosen theory.

Guideline for incorporating the Delphi method in the evaluation of nursing theories.

OBJECTIVE: to describe a guideline for the use of the Delphi method to evaluate nursing theories, from the perspective of internal validation. METHOD: a methodological study, targeted at the development of a guideline for the use of the Delphi method in the evaluation of nursing theories. RESULTS: the Delphi method, principles of collective wisdom and levels of proficiency are used in the production of a guideline for organizing, searching, selecting and coordinating the activities of theoretical evaluators in teams. It distinguishes three phases for the theoretical evaluation process: Preparatory Phase (PP); Intermediate Phase (IP) and Theory Evaluation (TE) phase, incorporating Delphi-type selection procedures; search, selection and classification of judges/evaluators for the theory; definition of criteria for carrying out rounds and maintenance or removal of units of the theory evaluated. CONCLUSION: the developed guideline was able to adapt the elements of the Delphi method as a favorable strategy for the internal validation of nursing theories.

Term database for nursing practice in the context of coronavirus (COVID-19) infections.

OBJECTIVE: to build a term database relevant to nursing practice in the context of COVID-19 infections. METHODS: this is a methodological, documentary study, carried out from March to June 2020 at ICNP®/ Universidade Federal da Paraíba center, considered a reference for research and dissemination of ICNP® in Brazil. The findings were collected in databases and analyzed using the PorOnto tool, the consensus technique and the mapping of terms with ICNP®, version 2019/2020. RESULTS: 1,134 relevant terms were identified in literature. When submitted to the mapping technique with the terms of ICNP® Seven Axis Model, it resulted in 531 constant terms and 603 nonconstant terms in this classification. FINAL CONSIDERATIONS: It is proven that nursing practice terms, even in a specific context, are present in the literature and are representative in ICNP®, which will enable the future development of a terminological subset in the context of coronavirus infections.

Clinical validation of nursing diagnosis Fragile Elderly Syndrome.

OBJECTIVE: to clinically validate the nursing diagnosis of NANDA-I Frail Elderly Syndrome in hospitalized elderly. METHOD: a methodological study, guided by the STROBE instrument, composed of 40 elderly people admitted to a teaching hospital in Paraíba, Brazil. The last phase of Hoskins' Nursing Diagnostic Validation Model: clinical validation was adopted. Data collection took place from August to December 2018. The data were analyzed using univariate descriptive statistics. It was approved by the hospital's ethics and research committee. RESULTS: nine defining characteristics were validated; seven risk factors; six populations at risk and two associated conditions. CONCLUSION: the validation of the nursing diagnosis of the Frail Elderly Syndrome in our socio-cultural context was considered appropriate, being an important step for critical thinking that underlies the decision-making of nurses in the care of the frail elderly, as well as professional practice.

Paths taken by Brazilian Nursing for the development of terminological subsets.

OBJECTIVE: to discuss the paths taken by Brazilian Nursing in the development of terminological subsets of the International Classification for Nursing Practice. METHOD: documentary research, carried out in master's dissertations and doctoral theses, which developed terminological subsets, available at the Bank of Doctoral Theses and Master's Dissertations of the Under-graduation Personnel Improvement Coordination. The variables were analyzed were institution, year; academic level, type of health service, methodological approach, clientele, theoretical reference, validation of terms, cross mapping, modeling of new concepts, validation of statements, method used for elaboration, term collection, finalization and dissemination. RESULTS: 124 doctoral theses and master's dissertations were found, 91 were excluded and 33 were included, 23 (69.70%) of which were master's dissertations, with the highest production in 2014 (n=10; 30.30%), with emphasis on the Northeast (36.36%); the 'Primary Care' scenario, with six studies (18.18%); and the predominant clientele was cancer patients. As for the methodological characteristics, in 96% of the studies, the quantitative approach was used; in 2%, a qualitative approach; and 2% associated the quantitative and qualitative approaches. As for the type of study, 60% were methodological and 24% descriptive-exploratory, with the Horta model being the most used (36%). CONCLUSION: the paths are successful, yet still permeated by weaknesses in the validations and potentialities to standardize the language.

Validation of Bakas Caregiving Outcome Scale for brazilian portuguese.

OBJECTIVE: to analyze the psychometric properties of the adapted version of Bakas Caregiving Outcome Scale for Brazilian Portuguese. METHOD: this is a cross-sectional methodological study conducted with 151 informal caregivers of people with cerebral vascular accident sequelae enrolled in Family Health Units. To assess reliability, Cronbach's alpha was used. Construct validity was verified through exploratory factor analysis, confirmatory factor analysis and correlation with measures of instruments that evaluate correlated constructs. RESULTS: Cronbach's alpha for the total BCOS score was 0.89. Factor and exploratory analysis generated a one-factor structure, which was confirmed by confirmatory factor analysis. Construct validity was supported by the high positive correlations with Negative Affect (r = 0.51) and Negative Experience (r = 0.47) of the Well-being Scale and the Depression Anxiety and Stress Scale -21 (r = 0.53) and negative correlations with Positive Affect (r =-0.47) and Positive Experience (r = -0.17) of the Well-being scale. CONCLUSION: Bakas Caregiving Outcome Scale shows evidence of satisfactory reliability and validity in family caregivers of cerebral vascular accident survivors.

Validation of interventions for risk of impaired skin integrity in adult and aged patients.

OBJECTIVES: to validate nursing interventions for the diagnosis Risk for Impaired Skin Integrity in adult and aged hospitalized patients. METHODS: descriptive, quantitative study, using the content validity of interventions done by 14 specialist nurses. RESULTS: the specialist nurses had worked in the area for more than five years. Four (28.5%) used NANDA-I and CIPE®, three (21.4%) used NANDA-I, NIC and CIPE®, three (21.4%) used NANDA-I, NIC, NOC and CIPE® and four (28.5%) were currently working only with CIPE®. The validation analyzed 32 NIC interventions, of which 11 were priority and 21 were suggested. Of the priority interventions, five belonged to the Physiological/Complex domain, five to the Physiological/Basic domain and one to the Safety Domain. FINAL CONSIDERATIONS: nursing interventions are essential for planning and support good practices in teaching, research and care.

Research in nursing and modification of the knowledge tree in CNPq: contribution to science.

OBJECTIVE: to identify funding demands in the light of CNPq's knowledge subareas, as well as data on researchers and research groups, their distribution in the regions and their approximation with health research priorities of the Ministry of Health and the new knowledge tree framework of the area. METHOD: a descriptive study developed with data from 2009 to 2014 about researchers, funding and research areas provided by the Diretoria de Ciências Agrárias Biológicas e Saúde (Department of Agriculture, Biology and Health Sciences). RESULTS: there is a concentration of researchers and research groups in the Southeast region. The research priorities in the health field most frequently addressed were: Noncommunicable Diseases, Child and Adolescent Health, Women's Health and Communicable diseases. The grants could be classified in the current framework of knowledge areas. FINAL CONSIDERATIONS: this analysis enabled visualizing subarea demands and relevance of changing the nomenclature of the classification of knowledge framework in order to represent the scientific production generated in the nursing area.

Burden on caregivers of patients with sequelae of cerebrovascular accident.

OBJECTIVES: to evaluate the burden and its relationship with the sociodemographic characteristics of caregivers of people with sequelae of stroke. METHODS: a cross-sectional, exploratory, and quantitative study was conducted with 151 caregivers of people with sequelae of stroke, through home interviews between September and December 2017. RESULTS: there was a general mean of low burden. The items that indicated the worst changes were: "My time for social activities with friends," "My time for family activities," "My ability to cope with stress," and "My physical functioning." There was an association of burden with the female sex and with caregivers who have been assisting for longer. CONCLUSIONS: the results allow us to reflect on the need to create a policy aimed at family caregivers to reduce the impact of care delivery.