Objective: To describe the scientific production of the International Classification for Nursing Practice throughout dissertations and theses published by nurses in Brazil from 1996 to 2016. Method: A bibliometric, descriptive, quantitative documentary study, carried out from October/2015 to July/2016 on the sites of the Center of Studies and Research in Nursing (CEPEn), at the thesis and dissertation banks of the Coordination of Improvement of Higher Education Personnel and of the Plataforma Sucupira (Sucupira Platform). Results: There were 108 productions, 30 theses and 78 dissertations. In 2014, there was the largest number of publications (19). The Graduate Program in Nursing of the Universidade Federal da Paraíba had the highest number of productions (23). Regarding the theme, the use in clinical practice was highlighted (69), followed by the elaboration of terminology subsets (17). Conclusion: The Brazilian scientific production setting on ICNP® is expressive, evidencing this system as a tool that allows the provision of systematic care.

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.

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.

The traumas represent a great problem of public health, being the traffic accident the most frequent type of trauma and its victims considered high risk patients due to the immediate unknowing of the happened lesions. In spite of time limitations in the service to the trauma victim patient, a care of better quality can be rendered through the systematized attendance, once, it allows to discover relevant data, to judge situations, to make decisions and to manage the care discriminating the priorities and reactions, in a minimum of time and with a maximum of efficiency. This case study was accomplished during the service to an accident, that happened on a public road, with the objective of describer the nursing attendance to a trauma victim, taking as base the Model of Adaptation of Callista Roy, especially the physiologic way of the adaptation, and the International Classification for the Nursing Practice  ICNP © Version Beta 2. After the data collecting, an individual process of judgment on the trauma victim's answers and on the stimulus that were provoking those answers took place. Starting from the collected data, it was possible to build the nursing diagnosis considering the components in the physiologic way of adaptation; to establish the nursing goals and the nursing interventions.

The traumas represent a great problem of public health, being the traffic accident the most frequent type of trauma and its victims considered high risk patients due to the immediate unknowing of the happened lesions. In spite of time limitations in the service to the trauma victim patient, a care of better quality can be rendered through the systematized attendance, once, it allows to discover relevant data, to judge situations, to make decisions and to manage the care discriminating the priorities and reactions, in a minimum of time and with a maximum of efficiency. This case study was accomplished during the service to an accident, that happened on a public road, with the objective of describer the nursing attendance to a trauma victim, taking as base the Model of Adaptation of Callista Roy, especially the physiologic way of the adaptation, and the International Classification for the Nursing Practice - ICNP© Version Beta 2. After the data collecting, an individual process of judgment on the trauma victim's answers and on the stimulus that were provoking those answers took place. Starting from the collected data, it was possible to build the nursing diagnosis considering the components in the physiologic way of adaptation; to establish the nursing goals and the nursing interventions. Descriptors: nursing process; classification; accidents; nursing theory; nursing diagnosis.RESUMOOs traumas representam um grande problema de saúde pública, sendo o acidente de trânsito o tipo de trauma mais freqüente e suas vítimas consideradas pacientes de alto risco devido ao desconhecimento imediato das lesões ocorridas. Apesar das limitações de tempo no atendimento ao paciente vítima de trauma, pode-se prestar um cuidado de melhor qualidade mediante uma assistência sistematizada, uma vez que, ela permite descobrir dados relevantes, julgar situações, tomar decisões e administrar o cuidado discriminando as prioridades e reações, em um mínimo de tempo e com um máximo de eficiência. Este estudo de caso foi realizado durante o atendimento de um acidente, que se deu em via pública, com o objetivo de descrever a assistência de enfermagem prestada a paciente vítima de trauma, utilizando o Modelo de Adaptação de Callista Roy e o sistema de Classificação Internacional para a Prática de Enfermagem - CIPE® Versão Beta 2. Após a coleta de dados, realizou-se um processo individual de julgamento sobre as respostas da vítima de trauma e sobre os estímulos que estavam provocando essas respostas. A partir dos dados coletados, foi possível construir os diagnósticos de enfermagem levando-se em consideração os componentes do modo fisiológico de adaptação; estabelecer as metas e as intervenções de enfermagem. Descritores: processo de enfermagem; classificação; acidentes; teoria de enfermagem; diagnóstico de enfermagem.RESUMENLos traumas representan un gran problema de la salud pública, siendo el accidente de transporte el tipo más frecuente de trauma y sus víctimas consideradas pacientes de elevado riesgo, debido al desconocimiento inmediato de las lesiones sufridas. A pesar de las limitaciones de tiempo en la atención al paciente víctima del trauma, se puede prestar un cuidado de mejor calidad a través de la atención sistematizada, una vez que, permite descubrir datos relevantes, juzgar la situación, tomar decisiones y administrar el cuidado discriminando las prioridades y las reacciones en un mínimo de tiempo y con un máximo de eficiencia. Este estudio de caso fue realizado durante la atención de un accidentado, que sucedió en una vía pública, con el objetivo de describir la atención de enfermería a una víctima del trauma, tomando como base el modelo de Adaptación de Callista Roy, especialmente el modo fisiológico de adaptación, y la Clasificación Internacional para la Práctica de Enfermería - CIPE® Versión Beta 2. Después de la recolección de datos, se procedió a un proceso individual de evaluación de las respuestas de la víctima del trauma y de los estímulos que estaban provocando esas respuestas. A partir de los datos recogidos fue posible construir los diagnósticos de enfermería con base en los componentes del modo fisiológico de la adaptación, establecer las metas y las intervenciones de enfermería. Descriptores: proceso de enfermería; clasificación; accidentes; teoría de enfermería; diagnóstico de enfermería.

No abstract

Estudo descritivo desenvolvido com os objetivos: identificar os termos empregados pelos componentes da equipe de enfermagem, nos registros de enfermagem em prontuários de pacientes, para denominar as ações de enfermagem; compará-las aos termos constantes na Classificação de Ações de Enfermagem da CIPE. Utilizou-se o método retrospectivo para a coleta de registros de enfermagem em prontuários de pacientes e o processo de mapeamento cruzado para a análise dos dados contidos nesses registros. O estudo foi desenvolvido na clínica médica de um hospital-escola. A amostra foi constituída de 60 prontuários, a partir dos quais foram realizadas transcrições de termos que possibilitaram a identificação de 327 ações de enfermagem, das quais 170 eram termos constantes e 157 termos não constantes na CIPE. UNITERMOS: Linguagem/classificação; Enfermagem; Registro de enfermagem.A descriptive study carried out with the objectives of identifying the terms used by the components of a nursing team in nursing records registered in the patients' reports to denominate nursing actions, and comparing them to the terms specified in the CIPE Nursing Classification Actions. The retrospective method for the collection of nursing records registered in the patients' reports was used as well as the process of crossed identification to analyze data from these records. The study was carried out in a medical office of a hospital-school. The sample was composed of 60 reports, which based the transcription of terms that made the identification of 327 nursing actions possible, of which 170 were terms found in the CIPE Classification and 157 were not.

Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição 4.0 Internacional (CC BY 4.0).O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.