Specialized Nursing terminology for the care of people with chronic heart failure

Nascimento, Maria Naiane Rolim; Moreira, Antonia Elizangela Alves; Ramos, Natana de Morais; Gomes, Emiliana Bezerra; Félix, Nuno Damácio de Carvalho; Oliveira, Célida Juliana de

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RESEARCH • Esc. Anna. Nery 25 (2) • 2021 • https://doi.org/10.1590/2177-9465-EAN-2020-0306 copy

Specialized Nursing terminology for the care of people with chronic heart failure

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

To build specialized Nursing terminology for the care of people with chronic heart failure.

Method

Methodological study, carried out in two stages: identification of relevant concepts in scientific articles related to the elected health priority and cross-mapping of the concepts identified with the ICNP^® concepts.

Results

A total of 333 unique concepts useful for Nursing care related to the condition in question were extracted, soon submitted to the cross-mapping stage with the concepts of ICNP^® 2019-2020. 201 concepts were classified as constant and 132 as non-constant. In the analysis of similarity and comprehensiveness, 85% were classified as equal and 15% as similar. The non-constant concepts were characterized by 44% as more comprehensive, 11% more restricted and 45% without agreement. As for the classification of concepts in the seven ICNP^® Axes, it was characterized by the Focus Axis (50%), Judgment Axis (13%), Middle Axis (12%), Action Axis (10%), Location Axis (9%), Time Axis (4%) and Customer Axis (2%).

Conclusions and contributions to the practice

It was possible to build specialized Nursing terminology based on the ICNP^® for the care of people with chronic heart failure, in which 40% of the concepts that make up the terminology are not included in the 2019-2020 version of the classification, being subjected to insertion in a later version.

Keywords:
Nursing; Standardized Nursing Terminology; Classification; Cardiac Rehabilitation; Heart Failure

CONCEPT	F*	CONCEPT	F*	CONCEPT	F*	CONCEPT	F*
Family	473	Weight	124	Measure	73	Self-managing	43
Hospital	416	Home	121	Using	72	Congestion	43
Treatment	410	Role	121	Self-care	71	Difficulty	42
Quality	310	Change	120	Time	69	Spirituality	42
Educational	254	Medication-related	118	Examination	67	Continuity	41
Knowledge	251	Developing	117	Fatigue	67	Observing	40
Professional	229	Heart-related	113	Presence	65	Liquid	39
Control	222	Characteristic	107	Self-management	62	Thinking	39
Behavior	214	Management	101	Analysing	60	Event or Episode	38
Evaluating	212	Reduction	101	Member	60	Hope	36
Rate	202	Frequency	100	Area	57	Nutritional	36
Depression	175	Dyspnoea	98	Chronic	57	Spiritual	34
Increasing	173	Monitoring	96	Community	56	Demand	33
Symptom	172	Skill	93	Exercising	56	Intolerance	33
Accompanying	171	Attention	91	Restriction	54	Low	32
Style	171	Answer	89	Applying	50	Degree	32
Therapy	170	Cardiac output	88	Effective	50	Procedure	32
Status	165	Perception	87	Preoccupation	49	Respiratory	31
Risk	154	Individual	84	Communication	48	Satisfactory	31
Caregiver	149	Approach	82	Size	48	Sleep	30
Adherence	145	Environment	78	Pain	47	Therapeutic	30
Need	137	Oedema	77	Deviation	46
Anxiety	136	Diet	74	Deficit	45
Ability	124	Improved	74	Catheter	44

Axis	Concepts included in ICNP^® 2019-2020
Judgment (n=22)	Accentuated, High (10009007), Increased, Low (10011438), Tiredness, Dependence (10026671), Decreased, Effective, Effective (10014956), Excessive, Expanded, Extent (10007423), Degree (10005663), Limited, Improved (10026692), Moderate (10025865), Normal (10013295), Small (10018315), Impaired (10012938), Presence (10046624), Risk (10015007), Size (10018218)
Focus (n=110)	Abandonment (10041692), Acceptance (10000329), Adaptation (10001741), Adherence (10022210), Achievement (10000364), Allergy (10041119), Distress (10006118), Anxiety (10006118), Appetite (10002455), Learning (10011246), Aspiration (10002656), Attention (10002924), Attitude (10002930), Self control (10017690), Self care (10017661), Autonomy (10003054), Bath, Walking (10020886), Ability (10000034), Characteristic (10004170), Shock (10018050), Cognition (10004485), Complication (10025459), Behavior (10003217), Communication (10004705), Status (10018793), Comfort (10004655), Confusion (10004947), Congestion (10004952), Knowledge (10011042), Continuity (10005064), Control (10005135), Belief (10003229), Guilt (10008603), Culture (10005458), Cardiac output (10003887), Demand, Dementia (10031091), Discomfort (10023066), Disuse (10006139), Dyspnoea (10006461), Readiness (10016414), Pain (10013950), Oedema (10041951), Elimination (10006720), Coping (10005208), Emotional, Balance (10003110), Hope (10009095), Stress (10018888), Exhaustion (10007327), Exercising (10007315), Expectoration (10007362), Fatigue (10007717), Faith, Weakness (10024897), Ability, Haemorrhaging (10008954), Mood (10036241), Powerlessness (10015394), Disability (10005980), Infection (10010104), Integrity (10010416), Injury (10010284), Management, Meditation (10011897), Fear (10007738), Mobility, Movement (10012274), Nausea (10012453), Need (10012495), Necrosis (10012482), Obese (10013457), Organism (10013783), Orthopnoea (10013823), Role (10017321), Thinking (10019663), Perception (10014270), Perfusion, Weight (10021034), Pleasure (10014682), Preference (10040572), Preoccupation (10015466), Pressure (10015608), Blood Pressure (10003335), Procedure (10034409), Fall (10007512), Recovery (10016507), Regimen (10016609), Response, Rhythm (10017210), Routine (10017384), Noise (10013230), Bleeding (10003303), Blood (10003319), Secretory Substance (10017635), Symptom (10019368), Suffering (10019055), Loneliness (10011417), Sleep (10041399), Supply (10019119), Tachycardia (10019415), Rate (10016390), Cough (10005249), Sadness (10017418), Gas Exchange (10008309), Ventilation (10020704), Bonding (10003548), Alertness (10002144), Vomiting (10020864)
Middle (n=9)	Analgesia, Physical activity, Bed (10003168), Catheter (10004087), Education in health, Hydration, Meal (10011809), Solution (10018499), Therapy (10019628)
Location (n=16)	Abdominal, Artery (10002562), Hospital, Lower (10011440), Mid (10012022), Mucous, Muscular, Nasal, Oral, Skin (10018239), Peripheral (10014386), Neck (10012476), Lung (10011486), Upper (10020325)), Thorax (10019692), Vascular
Action (n=28)	Accompanying (10042609), Counselling (10005254), Administering (10001773), Acquiringing, Scheduling (10017528), Adjusting (10001760), Alleviating (10002171), Analysing (10002298), Applying (10002464), Supporting (10019142), Increasing (10009961), Evaluating (10007066), Catheterising (10004094), Developing (10005848), Determining (10005824), Elevating (10006691), Encouraging (10006823), Providing (10015935), Immobilizing (10009762), Modifying, Monitoring (10012154), Observing (10013474), Obtaining (10013572), Preparing (10015478), Preventing (10015620), Reducing, Regularing (10016613), Measuring (10011813)
Time (n=11)	Acute (10001739), Continuous (10005086), Chronic (10004395), Examination (10007241), Event Or Episode (10007239), Frequency (10008234), Onset (10013689), Morning (10012226), Night (10013207), nocturnal, Week (1002101010)
Client (n=5)	Adult (10001889), Community (10004733), Caregiver (10003958), Family (10007554), Individual (10010018)

Axis	Concepts not included in ICNP^®
Judgment (n=23)	Adventitious, Anthropometric, Handshake, Absent, Caloric, Conflicting, Depressive, Decompensated, Diastolic, Spiritual, Pharmacological, Glycemic, Inadequate, Inefficient, Negative, Positive, Paroxysmal, Disturbed, Psychological, Psychosocial, Systolic, Satisfactory, Calm
Focus (n=57)	Approach, Acuity, Angina, Activity, Self-management, Self-managing, Fluid balance, Cardiac pulse, Circumference, Cholesterol, Commitment, Conduct, Co-living, Crackling, Deficit, Ambulation, Depression, Diet, Difficulty, Dimension, Vein distension, Disturbance, Filling, Spirituality, Style, Stimulus, Risk factor, Smoke, Habit, Hygiene, Inappetence, Body Mass Index, Ingestion, Isolation, Intolerance, Irritation, Mind, Murmur, Nutrition, Offer, Standard, Peace, Pulse, Quality, Religion, Religious, Restriction, Retention, Respect, Sensation, Sensitivity, Feeling, Smoking, Content, Urgency, Dizziness, Volume
Middle (n=30)	Self-medication, Self-report, Biopsychosocial, Decubitus, Diuresis, Educational, Excretion, Glucose, Water, Liquid, Medicinal, Motor, Operative, Oxygen, Oximetry, Health promotion, Reflection, Relaxation, Rest, Sensory, Sexual, Social, Clothes, Insurance, Measure, Prayer, Residue, Snoring, Therapeutic, Way
Location (n=13)	Environment, Area, Cardiac, Body, Home, End, Church, Jugular, Limb, Quadrant, Respiratory, Tissue, Urinary
Action (n=4)	Empowering, Measuring, Changing, Using
Time (n=3)	Daily, Time, Routine
Client (n=2)	Partner, Spouse

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[1] Corresponding author:Maria Naiane Rolim Nascimento.naianerolim@hotmail.com.