Aims: to identify the phenomena of nursing practice in the evaluation of the health of people living with AIDS; to elaborate nursing diagnoses, results and interventions based on the CIPE®, directed to the phenomena of the practice; and to validate CIPE® Nursing diagnoses, results and interventions, by specialist nurses. Method: a cross-sectional study developed in three stages in a hospital in the Northeast of Brazil: 1st: identification of nursing practice phenomena for people living with AIDS; 2nd: elaboration of nursing diagnoses, results and interventions; 3rd: validation and statistical analysis of the statements. Results: 146 phenomena of nursing practice for people living with AIDS were identified. When elaborating 96 diagnoses and results without synonymy and 210 diagnoses with degree of repetition, 35 were validated. Conclusion: from the phenomena of the practice it was possible to elaborate the nursing diagnoses, results and interventions of CIPE®.
Descriptors: Nursing Process; Terminology; Nursing Diagnosis; Nursing; Acquired Immunodeficiency Syndrome.
The Acquired Immunodeficiency Syndrome (AIDS) is a worldwide public health problem due to its high incidence. From 1980 to June 2017, 882,810 cases of AIDS were reported in Brazil(1). The elaboration of the nursing diagnosis becomes a vital step because it is considered the intellectual activity that nursing professionals develop in their daily life in order to judge the human responses that require nursing interventions and the quality of the results of their use, thus elaborating a clinical reasoning(2). The International Classification for Nursing Practice (CIPE®) consists of a standardized terminology of the nursing language and its structure of terms allows the collection, description and systematic documentation of nursing practice(3).
To identify the phenomena of nursing practice in the evaluation of the health of people living with AIDS; to elaborate the nursing diagnoses, results and interventions based on the CIPE® version 2013, directed to the phenomena of the practice; and to validate CIPE® diagnoses, results and nursing interventions by specialist nurses.
Methodological study developed in three stages: 1st – identification of the phenomena of nursing practice for people living with AIDS; 2nd – elaboration of nursing diagnoses, results and interventions; 3rd – validation and statistical analysis of the statements related to the diagnoses, results and interventions. The sample consisted of 120 people living with AIDS, hospitalized in a hospital located in the Northeast of Brazil and 26 experts. In the first stage a database was developed using Microsoft Excel (Office 2009), with the nursing phenomena, so that the statements of nursing diagnoses, results and interventions of CIPE® for people living with AIDS could be elaborated. In the second stage two spreadsheets were built in Microsoft Office Excel, containing the diagnostics/results and another spreadsheet for nursing interventions. In the 3rd step, the validation and statistical analysis of the statements were performed. Subsequently, after the extraction of the validated diagnoses, the proposals of interventions prepared by the researchers were sent to the specialists, adopting as reference the criteria related to the basic human needs considered as priority, from the focus of practice. Validation was carried out by selected experts in the Lattes Platform of the National Council for Scientific and Technological Development (Conselho Nacional de Desenvolvimento Científico e Tecnológico – CNPq). Data were analyzed through descriptive and inferential statistics. The concordance index (CI> 0.80), the concordance validation index (IVC> 0.80) and the binomial test (p <0.005) were used to analyze the degree of agreement among the specialist nurses. The research was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte with CAAE No. 47380915.2.0000.5537.
Were identified 146 phenomena of nursing practice for people living with AIDS and were elaborated 96 diagnoses and results without synonymy and 210 with degree of repetition. The statements were categorized according to the basic human needs, and 72 were related to the axis of psychobiological needs, and of these, 35 were validated. In the scope of psychosocial needs, 20 statements were elaborated and of the spiritual, only three, and of these, 11 are validated. In relation to the nursing interventions, 230 were elaborated; of these, 191 obtained validation by the specialists.
In what refers to the sociodemographic and economic characterization of people living with AIDS, the majority were male, aged between 35 and 45 years, with no partner, autonomous, white, Catholic, with incomplete elementary education, family income of a minimum wage and resident in the countryside region of Rio Grande do Norte. Regarding the clinical aspects, sexual contraction of HIV and addiction to alcohol and illicit drugs prevailed. After the analysis, the nursing diagnoses and results were categorized according to psychobiological, psychosocial and spiritual needs. It was noted that nursing care for people living with AIDS requires prior knowledge of the entire cyclic chain of disease, including the epidemiological agent and the determinant and conditioning factors of health, so that interventions can be promoted to interrupt the cycle of the disease and provide better quality of life. In this sense, nursing stands out for implementing new care technologies, such as the elaboration of nursing diagnoses, which is a scientific and critical activity of the basic human needs.
From the phenomena of the practice it was possible to elaborate the nursing diagnoses, results and interventions of CIPE®, since a systematic instrument in this area allows the improvement and clinical judgment.
Acknowledgements
This study was approved and funded by the National Council for Scientific and Technological Development (Conselho Nacional de Desenvolvimento Científico Tecnológico – CNPq) through the Universal Announcement (Case 402978/2016-1) – Diagnosis/results and nursing interventions of CIPE® for people living with AIDS.
Date of defense:
November 30, 2016.
Evaluators of defense:
Professor PhD Richardson Augusto Rosendo da Silva (President – UFRN), Professor PhD Maria Miriam Lima da Nóbrega (External member – UFPB), Professor PhD Nilba Lima de Sousa (Member – UFRN), Professor PhD Maria Alzete de Lima (Member – UFRN).
Reference:
SOUZA NETO, V. L. Diagnósticos, resultados e intervenções da CIPE® para pessoas vivendo com Aids. 2016. 127 f. Dissertation (Master in Nursing) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2016.
All authors participated in the phases of this publication in one or more of the following steps, in according to the recommendations of the International Committee of Medical Journal Editors (ICMJE, 2013): (a) substantial involvement in the planning or preparation of the manuscript or in the collection, analysis or interpretation of data; (b) preparation of the manuscript or conducting critical revision of intellectual content; (c) approval of the version submitted of this manuscript. All authors declare for the appropriate purposes that the responsibilities related to all aspects of the manuscript submitted to OBJN are yours. They ensure that issues related to the accuracy or integrity of any part of the article were properly investigated and resolved. Therefore, they exempt the OBJN of any participation whatsoever in any imbroglios concerning the content under consideration. All authors declare that they have no conflict of interest of financial or personal nature concerning this manuscript which may influence the writing and/or interpretation of the findings. This statement has been digitally signed by all authors as recommended by the ICMJE, whose model is available in http://www.objnursing.uff.br/normas/DUDE_eng_13-06-2013.pdf
Received: 08/31/2018 Revised: 09/20/2018 Approved: 09/20/2018