Diagnósticos de Enfermagem Cipe® com doença renal crônica ancorados na teoria das transições

Abstract

Chronic kidney failure and the dependence on hemodialysis for life maintenance cause significant changes in the lifestyle of patients. These alterations indicate a transition process of health/disease and require from health professionals the development of caring strategies which fulfil the specific needs of those patients. Thus, it is necessary the development of tools to subsidize the caring practice of nurses. CIPE® is a complex tool which represents nursing domain and figures as an information technology that subsidize clinical thought for decision making and for reporting caring practice. Objective: to develop CIPE® nursing diagnoses for patients with chronic kidney disease based on the Theory of Transitions. Methods: Methodological study, of the descriptive type, carried out in four stages: 1) term extraction; 2) crossed mapping; 3) Elaboration of nursing diagnosis with operational definitions. 4) validation by consensus. Development and organization of Nursing Diagnoses were based on the Theory of Transitions. Diagnoses were categorized as the used theoretical model, according to Personal Dimension in its subthemes: meaning, attitudes and cultural beliefs, socioeconomic level, preparation and knowledge; and to Social and Collective Dimensions. Results: 1.001 terms were extracted. After standardization process and validation by consensus, 211 terms were left. Through crossed mapping, we identified 77 terms which are reported in CIPE 2019® and 134 terms that are not reported in CIPE® 2019. From these latter, 41 were classified as similar, 2 as more extensive, 16 more restrict and 75 without concordance. In this stage, it was possible to make a data base of nursing language. From this data base, we developed 71 nursing diagnoses and their respective operational definitions based on CIPE® and on ISO 18.104, which were submitted to a new crossed mapping using pre-standardized terms of CIPE®, which were submitted to a process of validation by consensus, resulting in 26 validated nursing diagnoses. Conclusion: the study identified and validated a database of terms of nursing language related to the process of transition health/disease of chronical kidney patients, and developed Nursing Diagnoses based on the Theory of Transitions, which provided a better understanding of clinical conditions of chronical kidney patients in different moments of the transition, besides allowing nurses to report the nursing process. From this, it is possible to identify and understand caring planning and the use of educational process by nurses