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Previous issue date: 2017-12-06 / Tratar-se de um estudo transversal, com o objetivo de realizar o mapeamento cruzado dos t?tulos de diagn?sticos de enfermagem (DE) de pessoas vivendo com Aids formulados segundo a Classifica??o Internacional para a Pr?tica de Enfermagem (CIPE?) com os diagn?sticos da NANDA Internacional (NANDA-I), bem como classificar os t?tulos mapeados de acordo com a teoria das Necessidades Humanas B?sicas (NHB) de Horta com seguinte valida??o de conte?do do produto do mapeamento. Os t?tulos de diagn?sticos para pessoas vivendo com Aids da CIPE? e NANDA-I foram tabulados no programa Microsoft Excel (Office 2013) e elaboradas duas listas, em que os t?tulos de diagn?sticos de enfermagem foram comparados entre os sistemas de classifica??o, juntamente com suas, respectivas defini??es operacionais/conceito, em t?tulos constantes e n?o constantes. Em seguida, os t?tulos n?o constantes foram submetidos a an?lise utilizando os crit?rios advindos de Leal, sendo classificados como: similar, mais abrangente, mais restrito, n?o existe concord?ncia. Os produtos do mapeamento foram submetidos ? valida??o de conte?do. Para tanto, foi considerado o ?ndice de concord?ncia igual ou maior que 0,80 entre os especialistas. Selecionaram-se especialistas no sistema de classifica??o CIPE? no Centro CIPE, localizado em Jo?o Pessoa/PB; e no sistema de classifica??o NANDA-I utilizou-se a ferramenta de busca da Plataforma Lattes do portal do Conselho Nacional de Desenvolvimento Cient?fico e Tecnol?gico (CNPq). O projeto foi aprovado pelo Comit? de ?tica em Pesquisa da Universidade Federal do Rio Grande do Norte mediante o Parecer n? 1.963.581 e certificado de apresenta??o para aprecia??o ?tica n?47380915.2.0000.5537. Foram encontrados 135 diagn?sticos de enfermagem, destes 84 do sistema de classifica??o CIPE? e 51 da NANDA-I. Ap?s realizar-se o mapeamento cruzado 81% dos DE CIPE? n?o contantantes na NANDA-I, enquanto 19% foram constantes. Dos 81% n?o constantes, foram classificados em: 27% similar, 12% mais restrito, 7% mais abrangente, 1% n?o existe concord?ncia e 58% n?o foi encontrado DE NANDA-I correspondente. Os DE foram classificados segundo as NHB, encontrou-se, respectivamente, para as classifica??es CIPE? e NANDA-I: 74% e 80% nas necessidades psicobiol?gicas; 23% e 16% nas necessidades psicossociais; 3% e 4% na necessidade psicoespiritual. Diante do quantitativo de DE para pessoas vivendo com Aids segundo a CIPE?, superior aos da NANDA-I, percebeu-se uma maior liberdade para sua elabora??o, j? que se baseia na utiliza??o de termos para elabora??o de seus DE, al?m de tais termos estarem, predominantemente, associados a sinais e sintomas cl?nicos, o que permite uma aproxima??o maior dos diagn?sticos da pr?tica cl?nica. Quanto as NHB, houve o predom?nio de diagn?sticos voltados para as NHB psicobiol?gicas tanto utilizando a CIPE? quanto a NANDA-I. Tal fato est? relacionado a hegemonia ainda do modelo de sa?de biom?dico, voltado para o corpo, al?m de ser justificada, em parte, pela especificidade da clientela, em que diversas altera??es fisiol?gicas ocorrem com a patologia instalada. Verificou-se que o processo de racioc?nio cl?nico para a elabora??o dos t?tulos diagn?sticos de enfermagem utilizando ambas as classifica??es, levou a formula??o de DE com padr?es semelhantes quando somamos os contantes 16 com os n?o contantes, mas similares 18, resultanto em 41% dos DE. Tal fato demostrou que utilizando-se um racioc?nio cl?nico com acur?cia o enfermeiro pode fazer uso de ambas as classifica??es. O estudo torna-se importante por comparar a utiliza??o pr?tica das duas classifica??es de enfermagem mais utilizadas no mundo, auxiliando a tomada de decis?o dos enfermeiros embasada no conhecimento cient?fico em uma clientela t?o complexa e espec?fica, al?m de contribuir para o desenvolvimento da CIPE? e NANDA-I e, consequente, fortalecer o estado da arte da Enfermagem / This is a cross-sectional study with the objective of cross-mapping the titles of nursing diagnoses (ED) of people living with AIDS formulated according to the International Classification of Nursing Practice (CIPE?) with NANDA International diagnoses (NANDA-I), as well as to classify the mapped titles according to Horta's Basic Human Needs theory (NHB) with the following validation of the product content of the mapping. The CIPE? and NANDA-I diagnostics certificates for people living with AIDS were tabulated in the Microsoft Excel (Office 2013) program and two lists were drawn up, in which the nursing diagnosis titles were compared between the classification systems, along with their, respective operational definitions / concept, in constant and non-constant securities. Then, the non-constant securities were submitted to analysis using the criteria derived from Leal, being classified as: similar, more comprehensive, more restricted, there is no agreement. The mapping products were submitted to content validation. For this, the agreement index was equal to or greater than 0.80 among the specialists. Specialists in the CIPE? classification system were selected at the CIPE? Center, located in Jo?o Pessoa / PB; and in the NANDA-I classification system was used the search tool of the Lattes Platform of the portal of the National Council of Scientific and Technological Development (CNPq). The project was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte through Opinion No. 1,963,581 and presentation certificate for ethical assessment n?47380915.2.0000.5537. We found 135 nursing diagnoses, of these 84 of the CIPE? classification system and 51 of NANDA-I. After cross-mapping, 81% of CIPE? DE were non-accommodating in NANDA-I, while 19% were constant. Of the 81% that were not constant, they were classified in: 27% similar, 12% more restricted, 7% more comprehensive, 1% no agreement and 58% not found NANDA-I correspondent. Were DE classified according to NHB, they were, respectively, for the CIPE? and NANDA-I classifications: 74% and 80% Psychobiological needs; 23% and 16% Psychosocial needs; 3% and 4% Psychospiral needs. Given the amount of ED for people living with AIDS according to CIPE?, superior to those of NANDA-I, it was perceived a greater freedom for its elaboration, since it is based on the use of terms for elaboration of its DE, in addition to such terms are predominantly associated with clinical signs and symptoms, which allows a greater approximation of clinical practice diagnoses. As for NHBs, there was a predominance of diagnoses for psychobiological NHBs using both ICNP and NANDA-I. This fact is related to the hegemony still of the biomedical health model, directed to the body, besides being justified, in part, by the specificity of the clientele, in which several physiological changes occur with the installed pathology. It was verified that the clinical reasoning process for the elaboration of the nursing diagnostic titles using both classifications led to the formulation of ED with similar patterns when we added the 16 counters to the non-constant, but similar 19, resulting in 41% of the DE. This fact showed that using a clinical reasoning with accuracy, the nurse can make use of both classifications. The study is important because it compares the practical use of the two most used nursing classifications in the world, helping the decision-making of nurses based on scientific knowledge in such a complex and specific clientele, besides contributing to the development of ICNP and NANDA-I and, consequently, strengthen the state of the art of nursing.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/24865 |
| Date | 06 December 2017 |
| Creators | Rocha, Cintia Capistrano Teixeira |
| Contributors | 02508410454, Feij?o, Alexsandra Rodrigues, 70495742368, Bittencourt, Greicy Kelly Gouveia Dias, 03616929431, N?brega, Maria Miriam Lima da, 13212559420, Martins, Quenia Camille Soares, 00098147013, Silva, Richardson Augusto Rosendo da |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM ENFERMAGEM, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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