CROSS MAPPING OF TITLES OF NURSING DIAGNOSES FORMULATED BY ICNP® VERSUS NANDA INTERNATIONAL DIAGNOSTICS FOR PEOPLE LIVING WITH AIDS
Nursing processes; Terminology; Nursing diagnosis; VIH; Acquired Immunodeficiency Syndrome.
This is a cross-sectional study with the objective of cross-mapping the titles of nursing diagnoses (ED) of people living with AIDS formulated according to the International Classification of Nursing Practice (CIPE®) with NANDA International diagnoses (NANDA-I), as well as to classify the mapped titles according to Wanda de Aguiar Horta's Basic Human Needs theory (NHB) with the following validation of the product content of the mapping. The CIPE® and NANDA-I diagnostics certificates for people living with AIDS were tabulated in the Microsoft Excel (Office 2013) program and two lists were drawn up, in which the nursing diagnosis titles were compared between the classification systems, along with their , respective operational definitions / concept, in constant and non-constant securities. Then, the non-constant securities were submitted to analysis using the criteria derived from Leal (2006), being classified as: similar, more comprehensive, more restricted, there is no agreement. The mapping products were submitted to content validation by consensus. For this, the agreement index was equal to or greater than 0.80 among the specialists. Specialists in the CIPE® classification system were selected at the CIPE Center, located in João Pessoa / PB; and in the NANDA-I classification system was used the search tool of the Lattes Platform of the portal of the National Council of Scientific and Technological Development (CNPq). The project was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte through Opinion No. 1,963,581 and presentation certificate for ethical assessment nº47380915.2.0000.5537. We found 135 nursing diagnoses, of these 84 of the CIPE® classification system and 51 of NANDA-I. After cross-mapping, 81% of CIPE® DE were non-accommodating in NANDA-I, while 19% were constant. Of the 81% that were not constant, they were classified according to Leal (2016) in: 23% similar, 12% more restricted, 6% more comprehensive, 1% no agreement and 58% not found NANDA-I correspondent. When classified according to the NHB, they were, respectively, for the CIPE® and NANDA-I classifications: Psychobiological 77% and 80%; Psychosocial 19% and 16%; Psychospiral 4% and 4%. Given the amount of ED for people living with AIDS according to CIPE®, superior to those of NANDA-I, it was perceived a greater freedom for its elaboration, since it is based on the use of terms for elaboration of its DE, in addition to such terms are predominantly associated with clinical signs and symptoms, which allows a greater approximation of clinical practice diagnoses. As for NHBs, there was a predominance of diagnoses for psychobiological NHBs using both ICNP and NANDA-I. This fact is related to the hegemony still of the biomedical health model, directed to the body, besides being justified, in part, by the specificity of the clientele, in which several physiological changes occur with the installed pathology. It was verified that the clinical reasoning process for the elaboration of the nursing diagnostic titles using both classifications led to the formulation of ED with similar patterns when we added the 16 counters to the non-constant, but similar 19, resulting in 42% of the DE . This fact showed that using a clinical reasoning with accuracy, the nurse can make use of both classifications. The study is important because it compares the practical use of the two most used nursing classifications in the world, helping the decision-making of nurses based on scientific knowledge in such a complex and specific clientele, besides contributing to the development of ICNP and NANDA-I and, consequently, strengthen Nursing as a science.