Terminologia padronizada de enfermagem para o cuidado de pessoas com sequelas por COVID-19
The objective was to build a specialized terminology for the care of people with sequelae by COVID-19, based on the Seven Axis Model of the International Classification for Nursing Practice (ICNP®) and the Roy Adaptation Model. Methodological study developed between 2020 and 2021, operationalized by...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/46861 |
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| Resumo: | The objective was to build a specialized terminology for the care of people with sequelae by
COVID-19, based on the Seven Axis Model of the International Classification for Nursing
Practice (ICNP®) and the Roy Adaptation Model. Methodological study developed between
2020 and 2021, operationalized by the following steps: 1) Identification and extraction of
relevant terms contained in the literature related to people with sequelae by Covid-19; 2)
Standardization and standardization; 3) Cross-mapping of the terms identified with the terms
of the ICNP®, version 2019/2020; 4) Classification of the terms found according to the Roy
Adaptation Model; and, 5) Validation of the content of the terms through a focus group with
specialist nurses. The last stage took place through two meetings lasting around two hours each
and composed of eight specialist nurses, members of a research group at a Federal University,
who developed research on the ICNP®. The Content Validity Index was used, validating those
with a value ≥0.80. The present study was approved by the Research Ethics Committee, under
Opinion No. 4,099,646, in accordance with Resolution 466/12, of the National Health Council.
if a total of 2,146 publications, among which 45 studies were available in full and met the pre-
established criteria. Such documents went through the creation of the corpus, where the
information was extracted and grouped in a document in the Word for Windows® program,
containing 308 pages. After the analysis process, they were submitted to the PorOnto program,
extracting a total of 30,659 terms. The extracted terms were organized in an Excel for
Windows® spreadsheet and subjected to a normalization, standardization and mapping process,
resulting in 538 useful terms. In the cross-mapping, each list of terms was separately submitted
to a cross-referencing process with the terms contained in the ICNP® through the Access for
Windows® Version 2016 tool, resulting in constant and non-constant terms in the Seven Axis
Model of the ICNP®. Thus, 345 terms were classified as constant and 166 as non-constant, a
total of 511 terms validated by the experts. Regarding the constant and non-constant terms in
the ICNP®, it was identified that the most frequent were from the “Focus” Axis, mainly terms
related to cardiovascular, neural and psychological sequelae. The analysis based on Roy's
Theory presents the physiological/neurological function, physiological/protection and self-
concept axes as the most frequent. The study achieved the proposed objective, as it enabled the
structuring of a specialized terminology for people with sequelae by COVID-19. The
significance of non-constant terms is highlighted, which can be suggested for inclusion in the
International Council of Nurses and subsequent updating of the ICNP®. It is believed that the
results of this study may contribute to the operationalization of the systematization of nursing
care, in addition to contributing to the comprehensiveness of health care for people with
sequelae by COVID-19 and the real demands of these subjects, which will subsidize the steps
subsequent to the construction of a Terminological Subset for information and communication
to Nursing practice. |
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