Contributions of representing the elements of nursing practice in the ISO 18.104:2023 standard: a theoretical study

Marcia Regina Cubas, Rudval Souza da Silva, Cândida Caniçali Primo, Marcos Antônio Gomes Brandão, Nuno Damácio de Carvalho Félix, Rodrigo Jensen
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Abstract

ABSTRACT Objective: To reflect on the contributions of representing nursing practice elements in the ISO 18.104:2023 standard. Method: This is a theoretical study with standard analysis. Categorical structures were described to represent nursing practice in terminological systems and contributions identified in the parts of the version were analyzed. Results: There is innovation in the inclusion of nurse sensitive outcomes, nursing action, nursing diagnosis explanation as an indicator of nursing service demand and complexity of care, representation of concepts through mental maps and suggestion of use of restriction models for nursing actions. It describes that the Nursing Process is constituted by nursing diagnosis, nursing action and nurse sensitive outcomes. Final considerations: Indicating a nursing diagnosis as an indicator will bring benefits for knowledge production and decision-making. Although care outcomes are not exclusive responses to nursing action, the modifiable attributes of a nursing diagnosis generate knowledge about clinical practice, nursing action effectiveness and subjects of care’ health state. There is coherence in understanding the Nursing Process concept evolution.
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在 ISO 18.104:2023 标准中体现护理实践要素的贡献:一项理论研究
摘要 目的:思考在 ISO 18.104:2023 标准中体现护理实践要素的贡献。方法:这是一项带有标准分析的理论研究。对术语系统中表示护理实践的分类结构进行了描述,并对版本各部分中确定的贡献进行了分析。结果:创新之处在于纳入了护士敏感的结果、护理行动、护理诊断解释作为护理服务需求和护理复杂性的指标、通过思维导图表示概念以及建议在护理行动中使用限制模型。它描述了护理过程由护理诊断、护理行动和护士敏感结果构成。最后的考虑:将护理诊断作为一项指标将为知识的产生和决策带来益处。虽然护理结果并不是护理行动的唯一反应,但护理诊断的可修改属性会产生有关临床实践、护理行动效果和护理对象健康状况的知识。对护理流程概念演变的理解具有连贯性。
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