Abstract
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. 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. 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. 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.
Highlights
Recent epidemiological data express a reduction in the sex ratio among the population affected by HIV/AIDS, characterizing the process of feminization of the epidemic, associated with the progression of the number of elderly people affected by the infection, where the reduction in the sex ratio is even more expressive, with evidence shown in the last epidemiological bulletin published that, in 2019, the age group with the lowest ratio was that of 50 years or more, with a ratio (M:F) of 1.7(1).The lack of specificity in public health policies, added to the vulnerability of elderly women to HIV infection, show the relevance of planning nursing care in an up-to-dated, systematized, and targeted manner
Aiming to develop a set of nursing diagnoses/outcomes (NDs/NOs) and interventions (NIs) for specialized care for elderly women with vulnerabilities to HIV/AIDS, a proposal was developed for a terminological subset of the ICNP® based on the Self-care Nursing Theory (SCNT) by Dorothea Orem[2] and in Ayres’ conceptual framework of vulnerability[3], whose objective is to support the planning of care based on identifiable determinants and to favor the systematic record of nursing care for this specific clientele[4], as recommended by the International Council of Nurses (IEC) regarding the development of classification systems[5]
Nursing Systems Theory (NST), a theoretical subsidy used to categorize nursing interventions in the aforementioned subset, consists of help and support methods developed by nurses and classified as a wholly compensatory system (WC), where self-care actions shall be developed by nurses; partially compensatory system (PC), where the nurse and the patient are responsible for carrying out self-care; and support-education system (SE), which refers to the execution of therapeutic selfcare activities by the individual and/or caregiver, after receiving educational instructions from the nurse to do so[2]
Summary
The lack of specificity in public health policies, added to the vulnerability of elderly women to HIV infection, show the relevance of planning nursing care in an up-to-dated, systematized, and targeted manner. Aiming to develop a set of nursing diagnoses/outcomes (NDs/NOs) and interventions (NIs) for specialized care for elderly women with vulnerabilities to HIV/AIDS, a proposal was developed for a terminological subset of the ICNP® based on the Self-care Nursing Theory (SCNT) by Dorothea Orem[2] and in Ayres’ conceptual framework of vulnerability[3], whose objective is to support the planning of care based on identifiable determinants and to favor the systematic record of nursing care for this specific clientele[4], as recommended by the International Council of Nurses (IEC) regarding the development of classification systems[5]. NST, a theoretical subsidy used to categorize nursing interventions in the aforementioned subset, consists of help and support methods developed by nurses and classified as a wholly compensatory system (WC), where self-care actions shall be developed by nurses; partially compensatory system (PC), where the nurse and the patient are responsible for carrying out self-care; and support-education system (SE), which refers to the execution of therapeutic selfcare activities by the individual and/or caregiver, after receiving educational instructions from the nurse to do so[2]
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