Subconjunto terminológico CIPE® para pessoas com doença renal crônica em tratamento hemodialítico ancorado na teoria das transições

Abstract

People with Chronic Kidney Disease and who are undergoing renal replacement treatment, live daily with the challenges imposed by the disease and treatment. Knowing these challenges and understanding that the nurse is a fundamental part in the care of these patients, the present study has the general objective of developing an ICNP® Terminological Subset for people with chronic kidney disease, covering diagnoses/results and nursing interventions, based on the Theory of Transitions. And as specific objectives: Identify nursing interventions for a set of nursing diagnoses for people with chronic kidney disease; Validate nursing interventions based on the set of nursing diagnoses for people with chronic kidney disease; Structure the ICNP® Terminological Subset for people with chronic kidney disease based on the Theory of Transitions. This is a non-experimental, methodological study that is part of a larger project that included the structuring of the Terminological Subset. Nursing interventions that met the nursing diagnoses/outcomes and their respective operational definitions were identified. Subsequently, these interventions were organized in an online form for validation by experts, which took place in two moments, using a Linkert-type scale. The agreement between the experts was assessed using the Content Validation Index (CVI), and those with CVI ≥ 0.80 were considered relevant and relevant. Of these, 125 statements were sent for validation, 104 were validated at the first moment, five were eliminated because they did not meet the established CVI and 16 were sent for a new evaluation moment. In the second moment, of the 16 nursing interventions sent, 10 were validated and six were eliminated because they did not reach the established CVI. The total number of validated nursing interventions (114) were organized together with the Nursing Diagnoses/Outcomes (23), according to the Theory of Transitions, in an ICNP® Terminological Subset for people with Chronic Kidney Disease. This can help the nurse, together with her team, in the operationalization of the Nursing Process, using clinical and therapeutic judgment, provide care to the person with CKD in an organized way, meeting their real needs and providing means and tools for the health-disease transition is experienced in a positive way.