Specialized nursing terminology for the care of PrEP users in light of Callista Roy's theory.
Nursing care; Disease prevention; Sexual health; HIV; Pre-exposure prophylaxis.
The prevention of the Human Immunodeficiency Virus (HIV) in contemporary times goes
beyond the exclusively biomedical dimension, being situated in a context marked by social,
subjective, and behavioral vulnerabilities, in which Nursing assumes a strategic role in
promoting comprehensive care. In this scenario, HIV Pre-Exposure Prophylaxis (PrEP)
stands out as a relevant combined prevention technology, requiring professionals to develop
clinical, educational, and relational competencies aimed at the needs of vulnerable
populations. This study aims to analyze the lexicon of terms related to nursing care directed
at PrEP users, based on scientific literature. It is a qualitative research, developed through
a scoping review, structured in five stages: scoping review; cross-mapping of terms with
ICNP®; construction of diagnostic/outcome statements and nursing interventions; content
validation by experts; and structuring of the ICNP® terminological subset for PrEP users.
The textual corpus was analyzed using the IRaMuTeQ software, through Descending
Hierarchical Classification and similarity analysis, ensuring statistical-lexical rigor in the
investigation. The results reveal that nursing care in the context of PrEP is organized into
four main dimensions: PrEP implementation, decision-making, perception of vulnerability,
and professional care. It is observed that the implementation of this technology depends not
only on its availability but also on the organization of health services, professional
qualification, and strengthening of user access. Decision-making involves processes of
autonomy, risk recognition, and negotiation of preventive behaviors, while the perception of
vulnerability encompasses social, emotional, and cultural aspects that shape individuals’
experiences with HIV. The centrality of professional nursing care is highlighted as a
structuring element of adherence, welcoming, and continuity of care, with therapeutic
bonding, qualified listening, and health education being fundamental to reducing stigma and
strengthening preventive practices. The interpretation of findings in light of Callista Roy’s
Adaptation Theory shows that PrEP care involves adaptive responses in the physiological,
self-concept, role performance, and interdependence modes, demonstrating that HIV
prevention transcends the clinical dimension and incorporates subjective and relational
aspects of care. It is concluded that nursing care directed at PrEP users has a
multidimensional nature and constitutes an important care technology in HIV prevention,
contributing to the systematization of assistance, standardization of professional language,
and qualification of clinical practices. Furthermore, it reinforces the need to integrate
educational actions, welcoming, qualified listening, and continuous follow-up, focusing on
reducing vulnerabilities and promoting health, in alignment with the Sustainable
Development Goals (SDGs): SDG 3 - Good Health and Well-Being, SDG 5 - Gender
Equality, and SDG 10 - Reduced Inequalities.