ICNP® terminological subset for preventing falls in the elderly in primary care.

Revista da Escola de Enfermagem da U S P Pub Date : 2024-02-02 eCollection Date: 2024-01-01 DOI:10.1590/1980-220X-REEUSP-2022-0483en
Paulo Henrique Fernandes Dos Santos, Marina Morato Stival, Luciano Ramos de Lima, Cris Renata Grou Volpe, Silvana Schwerz Funghetto
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Abstract

Objective: Build and validate a terminological subset of ICNP® for the prevention of falls in the elderly in the context of primary health care, in light of the Self-Care Deficit Theory.

Method: Methodological study developed in accordance with ICN recommendations and the Brazilian method for constructing terminological subsets, in two stages: 1) construction of ICNP® statements of nursing diagnoses, outcomes, and interventions; 2) content validation of statements by specialist nurses.

Results: A total of 182 diagnoses/outcomes and 321 nursing interventions were constructed, which were subjected to content validation by 28 experts, being validated with a Content Validity Index ≥ 0.80. After validation, the statements were organized according to self-care requirements and the majority of diagnoses/outcomes (51.6%) and interventions (52.7%) were classified under health deviation requirements.

Conclusion: It was possible to construct and validate a terminological subset of ICNP® with a predominance of statements related to health deviation requirements, standing out for being the first terminological subset for the prevention of falls in the elderly in the context of primary care.

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在初级保健中预防老年人跌倒的 ICNP® 术语子集。
目标:根据自我护理缺陷理论,建立并验证 ICNP® 的术语子集,用于初级保健中预防老年人跌倒:根据自理能力不足理论,建立并验证 ICNP® 术语子集,用于在初级医疗保健中预防老年人跌倒:方法:根据 ICN 建议和巴西构建术语子集的方法,分两个阶段进行研究:1)构建 ICNP® 护理诊断、结果和干预声明;2)由专科护士对声明进行内容验证:结果:共构建了 182 项诊断/结果和 321 项护理干预措施,并由 28 位专家进行了内容验证,验证后的内容有效性指数≥ 0.80。验证后,根据自我护理要求对语句进行了整理,大多数诊断/结果(51.6%)和干预措施(52.7%)被归类为健康偏差要求:结论:可以构建并验证 ICNP® 的术语子集,其中与健康偏差要求相关的语句占绝大多数,是首个在初级保健背景下预防老年人跌倒的术语子集。
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