Nursing Diagnoses for People Living With Hiv: Relationships Between Terminologies

Abstract

Objectives: to identify the relationships between nursing diagnoses for people living with HIV from the NANDA-International terminologies and International Classification for Nursing Practice (ICNP®) and to validate the equivalent meanings for diagnoses between language systems. Method: cross-sectional study, conducted in a reference hospital in northeastern Brazil, consisting of the following stages: 1) Identification of clinical findings through interviews and physical examinations with people living with HIV based on a validated script; 2) Structuring nursing diagnoses by means of Risner's clinical judgment; 3) Cross-mapping of nursing diagnosis statements with NANDA-I and ICNP® ; 4) Two rounds of Content validation using the Delphi technique with specialist nurses, for diagnoses with equivalent meanings between the systems. Data collection took place from August to November 2018. Results: in the preparation and identification of diagnoses, 135 nursing diagnoses were obtained, of which 62% (n=84) are included in the terminology of the ICNP® and 38% (n=51), from NANDA-International. For 81% (n=68) of the nursing diagnoses from the ICNP®, the absence of direct mapping in NANDA-international was identified, with 19% (n=16). The study showed that 47 diagnoses presented equivalent meanings. Conclusion: both systems enable the identification of nursing diagnoses accurately and have the ability to assist in the development of an individualized care plan for people living with HIV.

Seleção de Especialistas para o Desenvolvimento de Subconjuntos Terminológicos da CIPE: Uma Pesquisa Metodológica

“…Experts play pivotal roles in ensuring the consistency of validations, involving tasks such as assessing the degree of equivalence (11) in cross-mapping the term, confirming developed content (12) , defining concepts, and evaluating clinical practice data collection (13) . There is a variety of terms used to designate a professional with specific skills and knowledge in a particular thematic area, such as specialist (14) , judge (3) , expert (3) , and evaluator (15) . In this study, the term "specialist" was chosen to refer to professionals with specific knowledge and skills in a subject area acquired through practical and academic experiences over time.…”