Abstract
To develop and validate Nursing Diagnoses statements of the International Classification for Nursing Practice (ICNP®) aimed at the care of people with chronic kidney conditions undergoing conservative treatment. This is a methodological research structured in sequenced construction stages, cross-mapping, content validation by the Delphi Technique by specialist nurses, and categorization of Nursing Diagnoses. Forty-two specialist nurses participated in the first round and 34 in the second. A total of 179 Nursing Diagnoses statements were prepared, categorized according to Roy's adaptation model, of which 160 were validated for content, with Content Validity Index ≥ 0.80. The Diagnoses developed and validated show the modes of adaptation to health of people with chronic kidney conditions undergoing conservative treatment, influenced by biological, psychological, social, and cultural needs, with the Physiological Mode being the most prevalent.
Highlights
Chronic Kidney Disease (CKD) is recognized as a worldwide public health problem[1,2] which, to be confronted, requires the organization of assistance, as well as the effectiveness of treatment[3].Conservative treatment, which seeks to reduce CKD rate of progression, requires adaptations[4]
It was held between January and May 2020, divided into six steps: 1) Integrative literature review, with identification of terms related to care of chronic kidney conditions patients on conservative treatment; 2) Elaboration of specialized terminology and Mapping of terms identified with the terms of ICNP®, version 2019, and identification of adaptive problems; 3) Elaboration of the Nursing Diagnoses statements; 4) Construction of conceptual and operational definitions; 5) Categorization of Diagnoses according to the Roy Model; and 6) Content validation
The mapping of the 957 terms identified in the literature and the terms of the ICNP® resulted in 499 constant terms and 458 non-constant terms
Summary
Chronic Kidney Disease (CKD) is recognized as a worldwide public health problem[1,2] which, to be confronted, requires the organization of assistance, as well as the effectiveness of treatment[3].Conservative treatment, which seeks to reduce CKD rate of progression, requires adaptations[4]. According to the Model, the behaviors resulting from the coping processes can be observed in four adaptive modes (physiological-physical, self-concept-group identity, role performance and interdependence) and the nurse is responsible for encouraging adaptation and improving the interaction of the systems with the environment, promoting health through the Nursing Process (NP)(7). In this respect, the relevance of using standardized language systems in the NP stands out, since they allow interdisciplinary communication, facilitate the assessment of the quality of care, promote patient safety, and provide the development of Nursing as a science[8]
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