VALIDATION OF THE INTERNATIONAL CLASSIFICATION FOR NURSING PRACTICE (CIPE®) TERMINOLOGICAL SUBSET IN NEONATES WITH PERIPHERALLY INSERTION CENTRAL VENOUS CATHETER IN THE LIGHT OF THE BETTY NEUMAN THEORY.
Standardized Terminology in Nursing; Nursing Diagnosis; Validation
Study; Neonatal Intensive Care; Central Venous Catheterization.
to determine the accuracy measures of the clinical indicators of the
Nursing Diagnosis of the International Classification of Nursing Practice (ICNP®),
Adverse Location of the Peripherally Inserted Central Venous Catheter in a neonatal
unit. Method: this is a diagnostic accuracy study carried out with 124 babies admitted
to a Neonatal Intensive Care Unit (NICU) in Northeast Brazil. Data collection was
carried out through clinical examination and application of a specific institutional
instrument for monitoring the use of peripherally inserted central venous catheter
containing questions related to sociodemographic and clinical data, clinical indicators
and conditions associated with the adverse location of the catheter. The analysis of
the clinical indicators of the respective Nursing Diagnosis (ND) was carried out using
accuracy measures. Results: among the study participants, 62.96% were male and
with low birth weight (29.62%). The prevalence of Adverse Location of the invasive
device was 63.70%. The clinical indicators difficulty in catheter progression and lack
of blood return presented high specificity values. The catheter insertion site,
prematurity and the occurrence of adverse events presented higher values for
sensitivity. Conclusion: accurate diagnostic inference makes it possible to identify
inadequate positioning of the catheter tip and, consequently, prevents the occurrence
of complications related to the location of the device in NICU patients.