Translation and cross-cultural adaptation of the ABC taxonomy for medication adherence into Portuguese - Updating patients into people.

BACKGROUND: The Ascertaining Barriers to Compliance (ABC) taxonomy for describing medication adherence was created in 2012, aiming to standardize terms and definitions in research and practice. The taxonomy comprises seven terms and definitions. Originally developed in English, subsequently translated into French and German, is currently being translated to Portuguese, Spanish, Czech, Romanian and Italian, aiming to promote its global use and overcome cultural barriers. OBJECTIVES: To cross-culturally translate the ABC taxonomy into Portuguese for Portugal and Brazil. METHODS: A systematic literature search was conducted to identify published taxonomy terms and definitions in Portuguese, and to identify panelists in medication adherence. Initial mapping of terms and definitions retrieved was scrutinized by the research team to build an e-survey. The e-survey was piloted and then sent to panelists in both countries seeking consensus using a three-round Delphi method. Consensus was defined as ≥ 85% for round 1 and ≥ 75% for round 2. Terms with agreement <10% were dropped between rounds. In round 3, terms and definitions reaching agreement between 50 and 75% were classified as moderate consensus,>75-95% as consensus and >95% as strong consensus. RESULTS: A total of 778 studies were identified and 84 included, enabling the extraction of 154 terms and 32 definitions. In round 1, 164 panelists participated, 115 in round 2 and 99 in the round 3. Consensus was achieved in both countries for all seven terms and definitions, although with varying intensity of agreement. The term "Management of adherence" and the definition of "Discontinuation" obtained moderate consensus in both countries. CONCLUSIONS: A unified and unique ABC taxonomy in Portuguese was possible to develop for use in Portugal and in Brazil. Its use will harmonize and standardize the terms and definitions used in clinical practice and research.

DETERMINANTE SOCIAL EM SAÚDE E ÚLCERA DO PÉ DIABÉTICO: PROTOCOLO DE REVISÃO DE ESCOPO / SOCIAL DETERMINANT IN HEALTH AND DIABETIC FOOT ULCER: SCOPE REVIEW PROTOCOL / DETERMINANTE SOCIAL EN SALUD Y ÚLCERA DE PIE DIABÉTICO: PROTOCOLO DE REVISIÓN DEL ALCANCE

Objetivo: apresentar a sistematização de um protocolo de scoping review para mapear e descrever os determinantes sociais da saúde, propostos pela Organização Mundial da Saúde, presentes em adultos com úlcera do pé diabético. Método: Será utilizada uma estratégia de busca em três etapas. As bases de dados utilizadas são LILACS (Portal BVS), IBECS (Portal BVS), BDENF (Portal BVS), ColecionaSUS (Portal BVS). MEDLINE (PUBMED), Pubmed Central (PMC). Embase (Elsevier), Scopus (Elsevier), Web of Science (Clarivate Analytics), CINAHL (EBSCO). As fontes de estudos não publicados e literatura cinzenta a serem pesquisadas incluem o portal de literatura cinzenta Scielo (Science.gov) e o banco de dados colaborativo e multilíngue Epistemonikos (Epistemonikos). Portal de Periódicos Capes nas bases de dados: Embase (Elsevier), Scopus (Elsevier), Web of Science (Clarivate Analytics), Cumulative Index to Nursing and Allied Health Literature ­ Cinahl, Academic Search Premier - ASP, Academic Source, Open Dissertations e SocINDEX com Texto Completo (EBSCO). Portal da revista Scientific Electronic Library Online (Scielo), Science. As listas de referência de estudos elegíveis serão pesquisadas. O portal de periódicos Scielo (Science.gov) e o banco de dados colaborativo e multilíngue Epistemonikos serão pesquisados por literatura inédita. Será extraído os dados de acordo com as características do estudo e da publicação e classificará os determinantes de acordo com os conceitos da Organização Mundial da Saúde

Objective: to present the systematization of a scoping review protocol to map and describe the social determinants of health, proposed by the World Health Organization, present in adults with diabetic foot ulcers. Method: A three-step search strategy will be used. The databases used are LILACS (VHL Portal), IBECS (VHL Portal), BDENF (VHL Portal), ColecionaSUS (VHL Portal). MEDLINE (PUBMED), Pubmed Central (PMC). Embase (Elsevier), Scopus (Elsevier), Web of Science (Clarivate Analytics), CINAHL (EBSCO). Sources of unpublished studies and gray literature to be searched include the gray literature portal Scielo (Science.gov) and the multilingual collaborative database Epistemonikos (Epistemonikos). Portal de Periódicos Capes in the databases: Embase (Elsevier), Scopus (Elsevier), Web of Science (Clarivate Analytics), Cumulative Index to Nursing and Allied Health Literature ­Cinahl, Academic Search Premier -ASP, Academic Source, Open Dissertations and SocINDEX with Full Text (EBSCO). Portal of Scientific Electronic Library Online (Scielo), Science. Reference lists of eligible studies will be searched. The journal portal Scielo (Science.gov) and the collaborative multilingual database Epistemonikos will be searched for unpublished literature. Data will be extracted according to the characteristics of the study and publication and the determinants will be classified according to the concepts of the World Health Organizationt

Objetivo: presentar la sistematización de un protocolo de revisión de alcance para mapear y describir los determinantes sociales de la salud, propuesto por la Organización Mundial de la Salud, presentes en adultos con úlceras del pie diabético. Las bases de datos utilizadas son LILACS (Portal BVS), IBECS (Portal BVS), BDENF (Portal BVS), ColecionaSUS (Portal BVS). MEDLINE (PUBMED), Pubmed Central (PMC). Embase (Elsevier), Scopus (Elsevier), Web of Science (Clarivate Analytics), CINAHL (EBSCO). Las fuentes de estudios no publicados y literatura gris que se buscarán incluyen el portal de literatura gris Scielo (Science.gov) y la base de datos colaborativa multilingüe Epistemonikos (Epistemonikos). Portal de Periódicos Capes en las bases de datos: Embase (Elsevier), Scopus (Elsevier), Web of Science (Clarivate Analytics), Cumulative Index to Nursing and Allied Health Literature ­Cinahl, Academic Search Premier -ASP, Academic Source, Open Dissertations y SocINDEX con texto completo (EBSCO). Portal de Biblioteca Científica Electrónica en Línea (Scielo), Ciencia. Se buscarán las listas de referencias de los estudios elegibles. Se buscará literatura no publicada en el portal de revistas Scielo (Science.gov) y en la base de datos multilingüe colaborativa Epistemonikos. Los datos se extraerán según las características del estudio y publicación y los determinantes se clasificarán según los conceptos de la Organización Mundial de la Salud

The plight of loneliness in Parkinson's disease: New opportunities.

The human phenomenon of loneliness has been increasing in prominence across societies, with precipitous increase since COVID-19, and individuals with Parkinson's disease are not unscathed. Loneliness is of clinical relevance as it is cross-sectionally related to, and longitudinally precedes, mortality and other health risks, including worse motor, cognitive, and behavioral-psychological functioning. Relatively few studies have evaluated loneliness, or associated social experiences, in the context of Parkinson's, but the existing data is provocative. The authors advocate for clinicians' awareness and researchers' investigational focus.

Brazilian practice guidelines for stroke rehabilitation: Part II.

The Brazilian Practice Guidelines for Stroke Rehabilitation - Part II, developed by the Scientific Department of Neurological Rehabilitation of the Brazilian Academy of Neurology (Academia Brasileira de Neurologia, in Portuguese), focuses on specific rehabilitation techniques to aid recovery from impairment and disability after stroke. As in Part I, Part II is also based on recently available evidence from randomized controlled trials, systematic reviews, meta-analyses, and other guidelines. Part II covers disorders of communication, dysphagia, postural control and balance, ataxias, spasticity, upper limb rehabilitation, gait, cognition, unilateral spatial neglect, sensory impairments, home rehabilitation, medication adherence, palliative care, cerebrovascular events related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the future of stroke rehabilitation, and stroke websites to support patients and caregivers. Our goal is to provide health professionals with more recent knowledge and recommendations for better rehabilitation care after stroke.

As Diretrizes Brasileiras de Reabilitação do Acidente Vascular Cerebral (AVC) - Parte II, desenvolvida pelo Departamento Científico de Reabilitação Neurológica da Academia Brasileira de Neurologia é voltada para intervenções específicas de técnicas de reabilitação de déficits neurológicos e incapacidades. Seguindo o mesmo modelo da Parte I, a Parte II também se baseia em estudos randomizados, revisões sistemáticas, metanálises e outras diretrizes sobre o mesmo tema. A segunda parte aborda os distúrbios da comunicação, disfagia, controle postural e equilíbrio, ataxias, espasticidade, reabilitação do membro superior, marcha, cognição, negligência espacial unilateral, déficits sensoriais, reabilitação domiciliar, aderência ao uso de medicamentos, cuidados paliativos, o futuro da reabilitação no AVC, e websites de orientação sobre AVC para pacientes e cuidadores. Nosso objetivo é fornecer aos profissionais envolvidos na reabilitação conhecimento atualizado e recomendações para um melhor cuidado no pós-AVC.

Implementation of an innovative model of community nursing for older adults based on Buurtzorg principles: a scoping review protocol.

OBJECTIVE: The objective of this review is to map the international evidence on the implementation of the Buurtzorg model of community nursing practice for the care of older adults. We will describe where and how it has been used, and the challenges and facilitators of implementing this model of care. INTRODUCTION: The challenges of aging have mobilized health systems around the world to replace the current facility- and disease-centered care model with integrated patient-centered care models. The Buurtzorg model provides autonomy to nurses, who, in turn, empower patients in need-based and self-reliant care. INCLUSION CRITERIA: We will consider both published and unpublished studies and reports exploring the process of implementing the Buurtzorg community nursing model for the care of older adults (65 years and older) internationally, in all settings. Concepts of interest will include where the model has been used, how the model has been implemented, and what challenges and facilitators were reported. METHODS: We will implement a three-step search strategy to locate both published and unpublished primary studies, theses, dissertations, book chapters, and text and opinion reports using the following databases: MEDLINE, LILACS, Cochrane CENTRAL, CINAHL, Web of Science, Google Scholar, Embase, Scopus, ProQuest Dissertations and Theses Global, and the official Buurtzorg website. We will present the search strategy in a PRISMA flow diagram. Data will be extracted using Excel spreadsheets and then analyzed narratively. Extracted data will be quantitatively pooled in tables using descriptive statistics to synthesize the characteristics of the reports and sample, followed by a qualitative summary of how the Buurtzorg model has been used, and the challenges and facilitators of implementing this care model.

Brazilian Academy of Neurology practice guidelines for stroke rehabilitation: part I.

The Guidelines for Stroke Rehabilitation are the result of a joint effort by the Scientific Department of Neurological Rehabilitation of the Brazilian Academy of Neurology aiming to guide professionals involved in the rehabilitation process to reduce functional disability and increase individual autonomy. Members of the group participated in web discussion forums with predefined themes, followed by videoconference meetings in which issues were discussed, leading to a consensus. These guidelines, divided into two parts, focus on the implications of recent clinical trials, systematic reviews, and meta-analyses in stroke rehabilitation literature. The main objective was to guide physicians, physiotherapists, speech therapists, occupational therapists, nurses, nutritionists, and other professionals involved in post-stroke care. Recommendations and levels of evidence were adapted according to the currently available literature. Part I discusses topics on rehabilitation in the acute phase, as well as prevention and management of frequent conditions and comorbidities after stroke.

Brazilian practice guidelines for stroke rehabilitation: part II / Diretrizes brasileiras para reabilitação no acidente vascular cerebral: parte II

Abstract The Brazilian Practice Guidelines for Stroke Rehabilitation - Part II, developed by the Scientific Department of Neurological Rehabilitation of the Brazilian Academy of Neurology (Academia Brasileira de Neurologia, in Portuguese), focuses on specific rehabilitation techniques to aid recovery from impairment and disability after stroke. As in Part I, Part II is also based on recently available evidence from randomized controlled trials, systematic reviews, meta-analyses, and other guidelines. Part II covers disorders of communication, dysphagia, postural control and balance, ataxias, spasticity, upper limb rehabilitation, gait, cognition, unilateral spatial neglect, sensory impairments, home rehabilitation, medication adherence, palliative care, cerebrovascular events related to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the future of stroke rehabilitation, and stroke websites to support patients and caregivers. Our goal is to provide health professionals with more recent knowledge and recommendations for better rehabilitation care after stroke.

Resumo As Diretrizes Brasileiras de Reabilitação do Acidente Vascular Cerebral (AVC) - Parte II, desenvolvida pelo Departamento Científico de Reabilitação Neurológica da Academia Brasileira de Neurologia é voltada para intervenções específicas de técnicas de reabilitação de déficits neurológicos e incapacidades. Seguindo o mesmo modelo da Parte I, a Parte II também se baseia em estudos randomizados, revisões sistemáticas, metanálises e outras diretrizes sobre o mesmo tema. A segunda parte aborda os distúrbios da comunicação, disfagia, controle postural e equilíbrio, ataxias, espasticidade, reabilitação do membro superior, marcha, cognição, negligência espacial unilateral, déficits sensoriais, reabilitação domiciliar, aderênciaao usode medicamentos, cuidados paliativos,ofuturodareabilitação no AVC, e websites de orientação sobre AVC para pacientes e cuidadores. Nosso objetivo é fornecer aos profissionais envolvidos na reabilitação conhecimento atualizado e recomendações para um melhor cuidado no pós-AVC.

Brazilian Academy of Neurology practice guidelines for stroke rehabilitation: part I / Diretrizes da Academia Brasileira de Neurologia para reabilitação do acidente vascular cerebral: parte I

ABSTRACT The Guidelines for Stroke Rehabilitation are the result of a joint effort by the Scientific Department of Neurological Rehabilitation of the Brazilian Academy of Neurology aiming to guide professionals involved in the rehabilitation process to reduce functional disability and increase individual autonomy. Members of the group participated in web discussion forums with predefined themes, followed by videoconference meetings in which issues were discussed, leading to a consensus. These guidelines, divided into two parts, focus on the implications of recent clinical trials, systematic reviews, and meta-analyses in stroke rehabilitation literature. The main objective was to guide physicians, physiotherapists, speech therapists, occupational therapists, nurses, nutritionists, and other professionals involved in post-stroke care. Recommendations and levels of evidence were adapted according to the currently available literature. Part I discusses topics on rehabilitation in the acute phase, as well as prevention and management of frequent conditions and comorbidities after stroke.

RESUMO As Diretrizes Brasileiras para Reabilitação do AVC são fruto de um esforço conjunto do Departamento Científico de Reabilitação Neurológica da Academia Brasileira de Neurologia com o objetivo de orientar os profissionais envolvidos no processo de reabilitação para a redução da incapacidade funcional e aumento da autonomia dos indivíduos. Membros do grupo acima participaram de fóruns de discussão na web com pré-temas, seguidos de reuniões por videoconferência em que as controvérsias foram discutidas, levando a um consenso. Essas diretrizes, divididas em duas partes, focam as implicações de recentes ensaios clínicos, revisões sistemáticas e metanálises sobre reabilitação do AVC. O objetivo principal é servir de orientação a médicos, fisioterapeutas, fonoaudiólogos, terapeutas ocupacionais, enfermeiros, nutricionistas e demais profissionais envolvidos no cuidado pós-AVC. As recomendações e níveis de evidência foram adaptados de acordo com a literatura disponível atualmente. Aqui é apresentada a Parte I sobre tópicos de reabilitação na fase aguda, prevenção e tratamento de doenças e comorbidades frequentes após o AVC.

Item Response Theory Analysis of the MDS-UPDRS Motor Examination: Tremor vs. Nontremor Items.

BACKGROUND: In PD, tremor severity behaves differently from other core motor features. However, the most commonly used assessment of overall motor severity, total MDS-UPDRS Motor Examination (Part 3) score, does not account for this distinction. OBJECTIVES: To investigate the Motor Examination (Part 3) using Item Response Theory approaches focusing on sample-independent strategies that assess how well items measure latent models of PD motor severity. METHODS: Data from 6,298 PD patients were analyzed with graded response model Item Response Theory approaches involving two analyses all 33 Part 3 items versus the 10 tremor items and 23 bradykinesia, rigidity, gait, and posture items considered separately. The strength of relationship between items and the latent measure of parkinsonian motor severity (discrimination parameter) and calculated thresholds (location parameters) were assessed using the mirt program implemented in R (R Foundation for Statistical Computing, Vienna, Austria). RESULTS: Analyzing all Part 3 items together, nontremor items demonstrated good discrimination parameters (mean = 1.83 ± 0.37) and range of thresholds (-1.73 to +4.42), but tremor items had poor discrimination (mean = 0.52 ± 0.76) and thresholds (-0.69 to 14.29). Segregating nontremor from tremor items in two independent analyses provided markedly improved discrimination and location parameters for both. CONCLUSIONS: MDS-UPDRS Part 3 tremor and nontremor items have very different relations to the construct of PD severity. Strongly improved clinimetric properties for Part 3 are obtained when tremor and nontremor items are considered separately. We suggest that evaluating PD motor severity, as an operationalized summary measure, is best attained through separate analyses with tremor and nontremor motor scores. © 2020 International Parkinson and Movement Disorder Society.

Diagnósticos de enfermagem na assistência ambulatorial ao paciente com ferida: mapeamento cruzado / Nursing diagnoses in ambulatory care for wound patients: cross-mapping / Diagnósticos de enfermería en la asistencia ambulatoria al paciente con herida: mapeo cruzado

Objetivo: realizar o mapeamento cruzado dos termos identificados nos prontuários de pacientes com feridas de acordo com a Classificação de Diagnósticos de Enfermagem da NANDA Internacional (I) Método: pesquisa observacional retrospectiva, de mapeamento cruzado. Amostra composta por 81 prontuários e 405 evoluções de enfermagem de pacientes acompanhados em um ambulatório especializado no tratamento de feridas. Pesquisa desenvolvida em 2013, em duas etapas: mapeamento dos termos descritivos de diagnósticos de enfermagem para o cruzamento com a NANDA-I e, análise de concordância entre especialistas. Resultados: foram mapeados 309 termos descritivos correspondentes a 19 diagnósticos da NANDA-I (3,7±0,2), presentes em sete domínios da terminologia. Os mais frequentes foram Integridade da pele prejudicada (20,4%) e Risco de integridade da pele prejudicada (16,1%). Conclusão: o mapeamento cruzado permitiu identificar os principais diagnósticos de enfermagem em pacientes com feridas, indicando a possibilidade de elaboração de um protocolo clínico, que contribuirá para uma prática avançada em enfermagem.

Objective: cross-mapping of terms identified in wound patient medical records, by NANDA International (I) Classification nursing diagnosis. Method: this retrospective observational study, using cross-mapping in a sample of 81 records and 405 nursing progress reports on patients treated at a specialized wound clinic, was conducted in 2013 in two steps: descriptive terms in nursing diagnoses were mapped to the intersection with NANDA-I and related expert agreement was analyzed. Results: 309 descriptive terms corresponding to 19 NANDA-I diagnoses (3.7  0.2), in seven areas of terminology, were mapped. The most common were Impaired skin integrity (20.4%) and Risk of impaired skin integrity (16.1%). Conclusion: cross-mapping identified the main nursing diagnoses in wound patients, indicating that it is possible to draft a clinical protocol to contribute to advanced nursing practice.

Objetivo: realizar mapeo cruzado de términos identificados en los registros de pacientes con heridas, según la clasificación de Diagnósticos de Enfermería de la NANDA Internacional (I). Método: investigación observacional retrospectiva, utilizando mapeo cruzado. Muestra compuesta de 81 registros y 405 evoluciones de enfermería de pacientes tratados en un centro ambulatorio especializado en el tratamiento de heridas. Investigación realizada en 2013 en dos etapas: el mapeo de los términos descriptivos de diagnósticos de enfermería para cruzarlos con la NANDA-I y el análisis de la conformidad entre expertos. Resultados: fueron mapeados 309 términos descriptivos correspondientes a 19 diagnósticos de la NANDA-I (3,7±0,2), presentes en siete dominios de la terminología. Los más frecuentes fueron Integridad de la piel deteriorada (20,4%) y Riesgo de integridad de la piel deteriorada (16,1%). Conclusión: el mapeo cruzado permitió identificar los principales diagnósticos de enfermería en pacientes con heridas, lo que indica la posibilidad de elaborar un protocolo clínico que contribuirá para una práctica avanzada de enfermería

Nursing interventions for rehabilitation in Parkinson's disease: cross mapping of terms.

OBJECTIVE: to perform a cross-term mapping of nursing language in the patient record with the Nursing Interventions Classification system, in rehabilitation patients with Parkinson's disease. METHOD: a documentary research study to perform cross mapping. A probabilistic, simple random sample composed of 67 records of patients with Parkinson's disease who participated in a rehabilitation program, between March of 2009 and April of 2013. The research was conducted in three stages, in which the nursing terms were mapped to natural language and crossed with the Nursing Interventions Classification. RESULTS: a total of 1,077 standard interventions that, after crossing with the taxonomy and refinement performed by the experts, resulted in 32 interventions equivalent to the Nursing Interventions Classification (NIC) system. The NICs, "Education: The process of the disease.", "Contract with the patient", and "Facilitation of Learning" were present in 100% of the records. For these interventions, 40 activities were described, representing 13 activities by intervention. CONCLUSION: the cross mapping allowed for the identification of corresponding terms with the nursing interventions used every day in rehabilitation nursing, and compared them to the Nursing Interventions Classification.

Nursing interventions for rehabilitation in Parkinson's disease: cross mapping of terms / Intervenções de Enfermagem para a reabilitação na doença de Parkinson: mapeamento cruzado de termos / Intervenciones de Enfermería para la rehabilitación en la enfermedad de Parkinson: mapeo cruzado de términos

ABSTRACT Objective: to perform a cross-term mapping of nursing language in the patient record with the Nursing Interventions Classification system, in rehabilitation patients with Parkinson's disease. Method: a documentary research study to perform cross mapping. A probabilistic, simple random sample composed of 67 records of patients with Parkinson's disease who participated in a rehabilitation program, between March of 2009 and April of 2013. The research was conducted in three stages, in which the nursing terms were mapped to natural language and crossed with the Nursing Interventions Classification. Results: a total of 1,077 standard interventions that, after crossing with the taxonomy and refinement performed by the experts, resulted in 32 interventions equivalent to the Nursing Interventions Classification (NIC) system. The NICs, "Education: The process of the disease.", "Contract with the patient", and "Facilitation of Learning" were present in 100% of the records. For these interventions, 40 activities were described, representing 13 activities by intervention. Conclusion: the cross mapping allowed for the identification of corresponding terms with the nursing interventions used every day in rehabilitation nursing, and compared them to the Nursing Interventions Classification.

RESUMO Objetivo: realizar o mapeamento cruzado de termos da linguagem de Enfermagem, com o sistema de Classificação das Intervenções de Enfermagem, em prontuários de pacientes com doença de Parkinson em reabilitação. Metodologia: estudo de pesquisa documental, para realização de mapeamento cruzado. Amostra probabilística, do tipo aleatória simples, composta por 67 prontuários de pacientes com doença de Parkinson que participaram de programa de reabilitação, entre março de 2009 e abril de 2013. Pesquisa realizada em três etapas onde foram mapeados os termos de Enfermagem em linguagem livre e cruzados com o sistema de Classificação das Intervenções de Enfermagem. Resultados: foram identificadas 1.077 intervenções normalizadas que, após o cruzamento com a taxonomia e o refinamento feito pelos especialistas, resultaram em 32 intervenções equivalentes ao sistema de Classificação das Intervenções de Enfermagem. "Ensino: Processo da doença", "Contrato com o Paciente" e "Facilitação da Aprendizagem" estiveram presentes em 100% dos prontuários. Para essas, foram descritas 40 atividades, representando 13 atividades por intervenção prescrita. Conclusão: o mapeamento cruzado permitiu levantar os termos correspondentes às Intervenções de Enfermagem utilizados no cotidiano dos enfermeiros de reabilitação e compará-los ao sistema de Classificação das Intervenções de Enfermagem.

RESUMEN Objetivo: realizar el mapeo cruzado de términos del lenguaje de Enfermería con el Sistema de Clasificación de las Intervenciones de Enfermería en historias clínicas de pacientes con enfermedad de Parkinson en rehabilitación. Método: estudio de investigación documental para realización de mapeo cruzado. Muestra probabilística de tipo aleatoria simple, compuesta por 67 historias clínicas de pacientes con enfermedad de Parkinson que participaron del programa de rehabilitación entre marzo de 2009 y abril de 2013. Investigación realizada en tres etapas donde fueron mapeados los términos de Enfermería en lenguaje libre y cruzados con el sistemas de Clasificación de Intervenciones de Enfermería. Resultados: se identificaron 1077 intervenciones normalizadas que, después del cruzamiento con la taxonomía y el refinamiento hecho por los especialistas, resultaron en 32 intervenciones equivalentes al sistema de Clasificación de Intervenciones de Enfermería. "Enseñanza: Proceso de la enfermedad", "Contrato con el paciente" y "Facilitación del aprendizaje" estuvieron presentes en 100% de las historias clínicas. Para éstas, se describieron 40 actividades, representando 13 actividades por cada intervención prescripta. Conclusión: el mapeo cruzado permitió encontrar los términos correspondientes a las Intervenciones en Enfermería utilizados en el día a día de los enfermeros de rehabilitación y compararlos con el sistema de Clasificación de Intervenciones de Enfermería.

Subconjunto terminológico da CIPE para pacientes com doença de Parkinson em reabilitação / CIPE terminology subset for patients with Parkinson's disease in rehabilitation

A doença de Parkinson é uma enfermidade neurodegenerativa, multissistêmica, incurável e com manifestações caracterizadas por sintomas motores e não motores. O cuidado especializado de enfermagem agrega qualidade e integralidade à assistência multidisciplinar. Objetivo: Construir um subconjunto terminológico da Classificação Internacional para Prática da Enfermagem CIPE® para pacientes com doença de Parkinson em reabilitação. Método: Estudo documental com mapeamento cruzado, onde foram analisados 352 prontuários de pacientes com doença de Parkinson submetidos à reabilitação em um centro especializado, no período de maio de 2009 a março de 2014. Desenvolveram-se quatro etapas metodológicas: 1- extração das características demográficas dos pacientes e das evidências empíricas de Diagnósticos/Resultados e de Intervenções de enfermagem; 2- normalização dos termos; 3- mapeamento cruzado das evidências empíricas com a CIPE®; 4- validação dos termos junto aos enfermeiros juízes. Resultados: O perfil dos pacientes caracterizou-se por 61,9% do gênero masculino, com idade entre 59 a 78 anos (67,0%), 77,0% cursava com tempo de evolução da doença entre 1 a 9 anos, 37,8% estava no estágio 2 da Escala de H&Y e a maioria possuía a forma Mista da doença (58,0%). No que se refere aos diagnósticos/resultados de enfermagem, emergiram 3.825 conceitos primitivos que resultaram em 155 conceitos pré-coordenados de acordo com a CIPE® (10,9±0,1). Destes, 113 estavam diretamente relacionados à doença de Parkinson, 65,5% foram considerados síndromes e 98,2% do total foram validados pelos juízes. Os sintomas não motores foram representados por 59,3% prevalecendo o diagnóstico/resultado síndrome "Processo do Sistema Urinário Prejudicado" (100,0%). Os sintomas motores foram representados por 15,9%, onde o diagnóstico/resultado síndrome "Hipoatividade" foi o mais prevalente (100,0%). Os diagnósticos/resultados relacionados aos princípios da reabilitação representaram 24,8% e a síndrome "Capacidade para Executar Autocuidado Positiva" representou o conjunto de diagnósticos mais prevalentes (57,1%). Em se tratando das Intervenções de Enfermagem, emergiram 3.695 conceitos primitivos que, após o cruzamento com a CIPE®, resultaram em 66 intervenções pré-coordenadas (11,2±1,7). Destas, 56 estavam relacionadas à doença de Parkinson e aos princípios da reabilitação e 91,0% foram validadas pelos juízes. As intervenções mais mapeadas foram: "Entrar em acordo para Adesão" (100%), "Orientar sobre Ingestão de Líquidos ao Paciente" (67,0%), "Orientar como lidar com a Medicação" (55,1%). Conclusões: Sugere-se a inclusão na CIPE® dos termos "Urgência miccional", "Noctúria", "Manobra de Valsalva", Manobra de Credé" e "Diário Miccional", além da revisão do termo "Hipoatividade". A criação do subconjunto terminológico subsidiará a elaboração de protocolos clínicos no contexto da reabilitação de pacientes com doença de Parkinson, e sobretudo, viabilizará a implantação da linguagem de especialidade do enfermeiro

Parkinson's disease is a neurodegenerative disorder, multisystemic, uncurable and manifestations characterized by motor and non-motor symptoms. Specialized nursing care adds quality and integrality for the multidisciplinary care. Objective: To build a terminological subset of the International Classification for Nursing Practice ICNP® for patients with Parkinson's disease in rehabilitation. Method: Documentary study with cross mapping, which analyzed 352 medical records of patients with Parkinson's disease who underwent rehabilitation program in a specialized centre, from May 2009 to March 2014. Four methodological steps were developed: 1- data collection of the demographic characteristics of patients and empirical evidence of diagnosis/outcome and nursing interventions; 2- standardization of terms; 3- cross-mapping of empirical evidence to ICNP®; 4- validation of terms with nurses judges. Results: The profile of the patients was characterized by 61,9% men, aged between 59 and 78 years (67.0%), and 77.7% had the disease for 1 and 9 years, 37.8% in stage 2 of Hohen & Yahr scale and 58.0% had the mixed form of Parkinson's disease. 3.825 primitive concepts regarding nursing diagnosis/outcome emerged which resulted in 155 pre-coordinated concepts according to ICNP® (10.9±0.1). Among these, 113 were directly related to Parkinson's disease, 65.5% were considered syndromes and 98.2% of the total were validated by the judges. The non-motor symptoms were represented by 59.3% prevailing the diagnosis/outcome syndrome of "Impaired Urinary System Process" (100.0%). Motor symptoms were represented by 15.9%, where the diagnosis/outcome syndrome of "Hypoactivity" was the most prevalent (100.0%). Diagnostics/outcome related to the principles of rehabilitation accounted for 24.8% and the syndrome "Positive Ability To Perform Self Care" represented the set of most prevalent diagnosis (57.1%). In the case of the Nursing Interventions, 3.695 primitive concepts emerged from the records that after the cross-mappinp with ICNP® resulted in 66 pre-coordinated interventions (11.2±1.7). Among these, 56 were related to Parkinson's disease and the principles of rehabilitation and 91.0% were validated by the judges. The interventions were: "Contracting For Adherence" (100%), "Advise Patient for Fluid Intake" (67.0%), "Teaching About Medication Handling" (55.1%). Conclusions: We suggest the inclusion in ICNP® of the terms "Urinary urgency", "Nocturia", "Valsalva Maneuver", "Credé's Maneuver" and "Voiding Diary" in addition to the revision of the term "Hypoactivity". The creation of terminology subset subsidizes the development of clinical protocols in the context of rehabilitation of patients with Parkinson's disease, and above all, enables the implementation of a nursing specialty language

Diagnósticos de enfermagem sobre capacidade funcional na doença de Parkinson: mapeamento cruzado / Nursing diagnoses of functional capacity of patients with Parkinson's disease: a cross-mapping study / Diagnósticos de enfermería sobre capacidad funcional en la enfermedad de Parkinson: mapeo cruzado

OBJETIVO: realizar o mapeamento cruzado dos diagnósticos de enfermagem não padronizados com o sistema de classificação NANDA Internacional, presentes nos domínios "Atividade/Repouso" e "Segurança/proteção" e relacionados à capacidade funcional de pacientes com doença de Parkinson de um programa de reabilitação. MÉTODO: estudo descritivo com pesquisa documental para realização do mapeamento cruzado. Amostra aleatória simples de 67 prontuários e 335 registros de enfermagem, no período de março/2009 a abril/2013. RESULTADOS: Dos 93 termos da linguagem de enfermagem, emergiram do mapeamento cruzado 15 diagnósticos padronizados com NANDA Internacional. Os mais mapeados foram "Mobilidade física prejudicada" (22%) e "Risco de quedas" (11%). Para "Mobilidade Física prejudicada", foram mapeadas sete características definidoras. Dois termos da linguagem de enfermagem não foram passíveis de mapeamento com a taxonomia. CONCLUSÃO: O mapeamento cruzado permitiu identificar os diagnósticos padronizados com NANDA Internacional. Isso possibilita a universalização e a consolidação do papel do enfermeiro reabilitador na doença de Parkinson.

AIM: to carry out a cross mapping of the nursing diagnoses not standardized with the NANDA International classification system, present in the domains "Activity/rest" and "Safety/protection" and related to the functional capacity of patients with Parkinson's disease in a rehabilitation program. METHOD: a descriptive study with documentary research for the development of a cross-mapping. Simple random sample of 67 medical records and 335 nursing registers, from March 2009 to April 2013. RESULTS: 15 NANDA International standardized diagnostics emerged from the cross mapping of the 93 terms of the nursing language. The most mapped terms were "Impaired physical mobility" (22%) and "Risk of falling" (11%). For "Impaired physical mobility" seven defining characteristics were mapped. Two terms of nursing language could not be mapped through the taxonomy. CONCLUSION: The cross mapping identified the standardized diagnoses related to the NANDA International. This enables the universalization and the consolidation of the role of nurses in Parkinson's disease rehabilitation.

OBJETIVO: realizar el mapeo cruzado de los diagnósticos de enfermería no estandarizados con el sistema de clasificación NANDA Internacional, presente en los dominios "Actividad/Reposo" y "Seguridad/protección" y relacionados a la capacidad funcional de pacientes con enfermedad de Parkinson de un programa de rehabilitación. MÉTODO: estudio descriptivo con investigación documental para realización del mapeo cruzado. Muestra aleatoria simple de 67 archivos y 335 registros de enfermería en el período de marzo/2009 a abril/2013. RESULTADOS: De los 93 términos del lenguaje de enfermería, surgieron del mapeo cruzado 15 diagnósticos estandarizados con NANDA Internacional. Los más mapeados fueron "Movilidad física perjudicada" (22%) y "Riesgo de caídas" (11%). Para "Movilidad Física perjudicada", fueron mapeadas siete características definidoras. Dos términos del lenguaje de enfermería no fueron susceptibles de mapeo con la taxonomía. CONCLUSIÓN: El mapeo cruzado permitió identificar los diagnósticos estandarizados con NANDA Internacional. Eso posibilita la universalización y la consolidación del papel del enfermero rehabilitador en la enfermedad de Parkinson.

[Mapping Nursing language terms of Parkinson's disease]. / Mapeamento dos termos da linguagem de enfermagem na doença de Parkinson.

OBJECTIVE: Implementing cross-mapping of Nursing language terms with the terminology of NANDA International, contained in records of patients with Parkinson's disease in rehabilitation. METHOD: Descriptive study of cross mapping, carried out in three steps. A simple random sample of 67 files of patients who participated in the rehabilitation in the period between March 2009 and April 2013. RESULTS: We identified 454 terms of Nursing language that resulted in 54 diagnoses after cross-mapping, present in 11 of the 13 taxonomy domains. The most mapped diagnosis was "Impaired urinary elimination" (59.7%), followed by "Urgent urinary incontinence" (55.2%), "Willingness to self-control improved health" (50.7%), "Constipation" (47.8%) and "Compromised physical mobility" (29.9%). Seven described terms were not mapped due to a corresponding defining characteristic being absent. CONCLUSION: It was possible to determine the profile of patients, as well as the complexity of nursing care in the rehabilitation of patients with Parkinson's disease.

Mapping Nursing language terms of Parkinson's disease / Mapeo De Los Términos Del Lenguaje De Enfermería En La Enfermedad De Parkinson / Mapeamento dos termos da linguagem de enfermagem na doença de Parkinson

OBJECTIVE Implementing cross-mapping of Nursing language terms with the terminology of NANDA International, contained in records of patients with Parkinson's disease in rehabilitation. METHOD Descriptive study of cross mapping, carried out in three steps. A simple random sample of 67 files of patients who participated in the rehabilitation in the period between March 2009 and April 2013. RESULTS We identified 454 terms of Nursing language that resulted in 54 diagnoses after cross-mapping, present in 11 of the 13 taxonomy domains. The most mapped diagnosis was "Impaired urinary elimination" (59.7%), followed by "Urgent urinary incontinence" (55.2%), "Willingness to self-control improved health" (50.7%), "Constipation" (47.8%) and "Compromised physical mobility" (29.9%). Seven described terms were not mapped due to a corresponding defining characteristic being absent. CONCLUSION It was possible to determine the profile of patients, as well as the complexity of nursing care in the rehabilitation of patients with Parkinson's disease. .

OBJETIVO Realizar el mapeo cruzado de los términos del lenguaje de Enfermería, con la terminología de NANDA Internacional, contenidos en fichas clínicas de pacientes con enfermedad de Parkinson en rehabilitación. MÉTODO Estudio descriptivo, de mapeo cruzado, llevado a cabo en tres etapas. Muestra aleatoria simple constituida de 67 fichas clínicas de pacientes que participaron de la rehabilitación en el período entre marzo de 2009 y abril de 2013. RESULTADOS Fueron identificados 454 términos del lenguaje de Enfermería que, tras el mapeo cruzado, culminaron en 54 diagnósticos, presentes en 11 de los 13 dominios de la taxonomía. El diagnóstico más mapeado fue "Eliminación urinaria perjudicada" (59,7%), seguido de "Incontinencia urinaria de urgencia" (55,2%), "Disposición para autocontrol de la salud mejorada" (50,7%), "Estreñimiento" (47,8%) y "Movilidad física perjudicada" (29,9%). Siete términos descritos no fueron mapeados en virtud de la no existencia de característica definidora correspondiente. CONCLUSIÓN Fue posible determinar el perfil de los pacientes, así como la complejidad del cuidado de enfermería en la rehabilitación de pacientes con enfermedad de Parkinson. .

OBJETIVO Realizar o mapeamento cruzado dos termos da linguagem de Enfermagem, com a terminologia da NANDA Internacional, contidos em prontuários de pacientes com doença de Parkinson em reabilitação. MÉTODO Estudo descritivo, de mapeamento cruzado, executado em três etapas. Amostra aleatória simples constituída de 67 prontuários de pacientes que participaram da reabilitação no período entre março de 2009 e abril de 2013. RESULTADOS Foram identificados 454 termos da linguagem de Enfermagem que, após o mapeamento cruzado, culminaram em 54 diagnósticos, presentes em 11 dos 13 domínios da taxonomia. O diagnóstico mais mapeado foi "Eliminação urinária prejudicada" (59,7%), seguido por "Incontinência urinária de urgência" (55,2%), "Disposição para autocontrole da saúde melhorada" (50,7%), "Constipação" (47,8%) e "Mobilidade física prejudicada" (29,9%). Sete termos descritos não foram mapeados devido à inexistência de característica definidora correspondente. CONCLUSÃO Foi possível determinar o perfil dos pacientes, assim como a complexidade do cuidado de enfermagem na reabilitação de pacientes com doença de Parkinson. .

Diagnósticos de Enfermagem sobre alterações urinárias na doença de Parkinson / Nursing diagnoses for urinary disorders in patients with Parkinson's disease

Analisar os Diagnósticos de Enfermagem mapeados e contidos na classe “Função Urinária” do domínio Eliminação e Troca da taxonomia proposta pela NANDA- Internacional, em portadores de doença de Parkinson em programa de reabilitação. Métodos: Estudo descritivo de mapeamento cruzado cuja a fonte primária de dados foram 67 prontuários eletrônicos com registro de cinco ou mais evoluções de enfermagem. A coleta eletrônica de dados foi realizada em três etapas: levantamento dos termos, mapeamento e validação. Resultados: Foi observada a abrangência da taxonomia na identificação das alterações urinárias. Foram mapeados sete diagnósticos de enfermagem. A “Eliminação urinária prejudicada” foi o mais frequente (60%) e, na maioria dos casos, esteve associada a outros diagnósticos específicos, como as incontinências urinárias por urgência (55%), reflexa (25%), por esforço (12%), por transbordamento (10%) e funcional (6%). Conclusão: A análise sobre os diagnósticos de enfermagem mapeados indicam a complexidade das alterações urinárias em pacientes com doença de Parkinson...

To analyze the mapped nursing diagnoses included in the Urinary Function class, Elimination and Exchange domain of the NANDA International taxonomy, for Parkinson's disease patients from a rehabilitation program. Methods: A descriptive, cross mapping study whose primary source of data was 67 electronic medical records with five or more nursing assessments recorded. Electronic data collection was performed in three steps: identification of terms, mapping and validation. Results: The scope of the taxonomy was observed for identifying urinary changes. Seven nursing diagnoses were mapped. Impaired urinary elimination was the most common (60%) and, in most cases, was associated with other specific diagnoses, such as urge (55%), reflex (25%) stress (12%), overflow (10%) and functional urinary incontinence (6%). Conclusion: The analysis of the mapped nursing diagnoses indicates the complexity of urinary disturbances in patients with Parkinson's disease...