Términos de lenguaje especializado de enfermería en la atención al recién nacido con catéter venoso central

Prado, Nanete Caroline da Costa; Menezes, Harlon França de; Sousa, Paulino Artur Ferreira; Lopes, Donatila Cristina Lima; Santos, Fernanda Rafaela dos; Santos, Rebecca Stefany da Costa; Almino, Romanniny Hévillyn Silva Costa; Silva, Richardson Augusto Rosendo da

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 75 (6) • 2022 • https://doi.org/10.1590/0034-7167-2021-0572 copiar

Términos de lenguaje especializado de enfermería en la atención al recién nacido con catéter venoso central

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

Construir y validar terminología especializada de enfermería para el cuidado a neonatos con catéter central de inserción periférica (PICC), basado en el Modelo de Sistemas de Betty Neuman. Métodos: Estudio metodológico, realizado en una maternidad pública, instrumentalizado por las etapas: extracción de términos de prontuarios de neonatos en uso de PICC; normalización; mapeo cruzado con la versión 2019/2020 de la CIPE^®; organización en los Siete Ejes; y validez de contenido con enfermeros usándose índice de validez de contenido y coeficiente kappa.

Resultados:

Extraídos 1.718 términos, siendo normalizados 372 términos pertinentes, estando 265 constantes y 107 no constantes. Fueron validados 335 términos, siendo 246 constantes y 89 no constantes, cuales alcanzaron un índice de concordancia y kappa ≥ 0,80.

Conclusión:

Identificados términos relevantes, que propician la asistencia a neonatos en uso de catéter venoso central; así se contribuirá con un subconjunto terminológico para la información en la práctica de enfermería.

Descriptores
Enfermería; Terminología Normalizada de Enfermería; Cateterismo Periférico; Recién Nacido; Salud del Niño

Axis	n^* * n - absolute number.	Constant terms and CIPE codes^®
Focus	(n = 83)	Access (10000340); Intravenous (or Intravenous) Access (10010780); Adaptation (10001741), Agitation (10002035); Allergy (10041119); Apnea (10035012); Family Support (10023680), Social Support (10024074), Arrhythmia (10002536); Attention (10002924), Psychomotor Activity (10016008); Bradycardia (10003613); Cry (10005415); Comfort (10004655); Complication (10025459); Complication Associated with Health Care (10041277); Length (10011312); Communication (10004705); Condition (10018793); Cardiovascular Condition (10033946); Tissue Perfusion Condition (10019750); Nutritional Condition (10013419); Control (10005135), Pain Control (10005157); Growth (10008563); Caring (or Taking Care) (10004002); Discomfort (10023835); Human Development (10009200), Electrolyte Imbalance (10031186); Liquid Imbalance (10031309); Dehydration (10041876); Dyspnea (10006461); Pain (10013950); Edema (10041951); Peripheral Edema (10027476); Liquid Balance (or Water Balance) (10034114); Stress (10018888), Heart Rate (10008833); Respiratory Rate (10016904); Hematoma (10008931); Hydration, Adequate (10042342); Hyperglycemia (10027521), Hypoglycemia (10027513); Hypothermia (10009547); Disability (or Limitation) (10005980), Infection (10010104); Food Intake (10006517); Skin integrity (10018241); Tissue Integrity (10003530); Drug Interaction, Adverse (10042716); Hand Hygiene (10041190); Hypothermia (10009547); Integrity (10010416); Injury (10010284), Need (10012495); Need for Care (10030878); Obstruction (10013555); Weight (10021034), Blood Pressure (10003335); Procedure (10034409); Immune System Process, Impaired (10041093); Vascular Process (10020620); Scheme (10016609); Parenteral Nutrition Regimen (10032215); Medication Regimen (10011884); Response to Thermoregulation (10017062); Response to Treatment (10017070); Laboratory Result (10011074); Routine (10017384); Bleeding (10003303); Health (10008711); Service (10017908); Vital Sign (10020829); Symptom (10019368); Cardiovascular System (10003936); Body System (10003480); Sleep (10041399); Infection Susceptibility (10019306); Tachycardia (10019415); Rate (10016390); Body Temperature (10003507); Thermoregulation (10019644); Link (10003548).
Judgment	(n = 18)	High (10009007); Late (or Slow) (10022089); Low (10011438); Dependency (10026671); Effective (10014956); Large (10011116); Light (10025854); Enhanced (10026692); Moderate (10025865); Negative (10010981); Small (10018315); Positive (10010981); Potential for Risk (10017252); Impaired (10012938), Real (10000420) Risk (10015007), Severe (10025877); Simple (10024061).
Client	(n = 8)	Community (10004733); Child (10004266); Family (10007554); Group (10008544); Individual (10010018); Family Member (10007596); Patient (10014132); Newborn (10013187).
Action	(n = 77)	Action (10000386); Follow (10042609); Administer (10001773); Adjust (10001760); Relieve (10002171); Change (10002185); Analyze (10002298); Apply (10002464); Arrange (10002527); Answer (10002911); Attend through intervention (10034612); Attenuate (10016716); Increase (10009961); Auscultate (10003012); Auxiliary (10002850); Evaluate (10007066); Cover (10005296); Put or put (10016201); Compress (10004877); Check (10004189); Confirm (or Verify) (10020727); Count (10005265); Contain (or Limit) (10017155); Describe (10005797); Determine (10005824); Determine Intervention (10034620); Decrease (10005600); Document (10006173); Establish (10024813); Sterilize (10018826); Stimulate (10018842); Avoid (10003077); Examine (10007256); Execute (10014291); Run Surveillance (10019277); Rubbing (10017397); Guarantee (or Assure) (10006950); Manage (10011625); Sanitize (or Take Care of Hygiene) (10009285); Identify (10009631); Implement (10009840); Start (10010221); Inspect (10010348); Install (10010353); Clear (10004444); Manipulate (10011710); Keep (10011504); Maintain Intravenous (or Intravenous) Access (10036577); Measure (or verify) (10011813); Monitor (10012154); Notify (10001917); Observe (10013474); Get(10013572); Get Data (10002673); Arrange (10013806); Palpate (10013997); Position (10014757); Prepare (10015478); Prescribe (10015510); Prevent (10015620); Prevent Contamination (10005055); Promote (10015801); Protect (10015864); Provide (10015935); Puncture (10016152); Reinforce (10016650); Register (10016498); Remove (10016763); Require (or Require) (10016873); Restore (10017140); Restrict (or Contain) (10017172); Supervise (10019093); Suspend Usage (10036651); Treat (10019525); Swap(10004162); Watch (or Investigate) (10019283).
Middle	(n = 23)	Central Venous Access (Central Line) (10004115); Needle (10012509); Food (10008089); Analgesic (10002279); Antibiotic (10002383); Venous Cannula (10020677); Catheter (10004087); Compresses/Gauges (10008378); Security Device (10017425); Invasive Device (10034244); Vascular Access Device (10034484); Cover Device (10005306); Infusion Device (10033352); Device for Monitoring (10012177); Nurse (o) (10013333); Interprofessional Team (10039400); Incubator (10009988); Material (10011775); Medication (10011866); Patient Record (10014178); Protocol (10015926); Aseptic Technique (10002639); Intravenous (or Intravenous) Therapy (10010808).
Location	(n = 20)	Abdomen (10000023); Forearm (10008164); Cardiovascular System Component (10003943); Body System Component (10003498); Immune System Component (10025073); Heart (10008822); Body (10003388); Invasive Device Location (10010854); Neck (10012476); Position (10014788); Lung (10011486); Skin (10018239); Axillary Region (10003096); Body Region (10003451); Umbilical Region (10020259); Intensive Care Unit (10010444); Blood Vessel (10003374); Vein (10020665); Intravenous (or Intravenous) Route (10010798); Parenteral Route (10014047).
Time	(n = 17)	Admission (10001843); High (10006000); Continuous (10005086); Duration (10006379); Event or Episode (10007239); Exam (10007241); Frequency (10008234), Hospitalization (10009122); Gestational Age (10037063); Start (10013689); Intermittent (10010485); Morning (10012226), Evening (10013207); Present (10015581), Week (10021010); Status (10018202); Afternoon (10001955).

Axis	n^* * n - absolute number.	Constant terms and CIPE codes^®
Focus	(n = 35)	Infectious Agent; Anemia; Bradypnea; Headboard; Comorbidity; Bat Counting; Leukocyte Count; Platelet Count; Caution; Oxygen Desaturation; Organic Dysfunction; Coagulation Disorder; Diuresis [Absent, Spontaneous, Present, Reduced]; Dosage of Electrolytes; Ecchymosis; General Status [Good, Compromised, Severe, Fair]; Sepsis Stage; Clinical Evolution; Risk factor; Phlebitis; Infectious Focus; blood glucose; hyperemia; Infiltration; Prevention; Mean Blood Pressure; Pulse [Full, Filiform, Thin, Impalpable]; Replacement; Peripheral Oxygen Saturation; sepsis; Signs of Organic Dysfunction; Signs of Tissue Hypoperfusion; Tachypnea; Pulse Pressure Variation; Infusion Flow.
Judgment	(n = 4)	Abundant; Absent; Inaudible; Prematurity.
Client	(n = 4)	Serious Patient; Newborn Patient; neonate; Premature Newborn.
Action	(n = 22)	Approach; To adopt; Reach; Absorb; Suit; Purchase; To help; set; Appear; administer; To understand; Compromise; structure; To focus; flush; Immunize; Clean; provide; Accomplish; reference; Non-Elective Removal; Require; Check.
Middle	(n = 19)	Antiseptic; Biochemistry; Infusion bomb; Peripherally Inserted Central Venous Catheter (PICC); Diet; Vasoactive Drug; Electrocardiogram; Pain Scale; Agitation Scale; Multiprofessional Team; radiography; Laboratory Examination; Microbiological Examination of Culture [Catheter Tip, Blood]; Arterial blood gas analysis; Guideline; Contact Isolation; Medicine; Result of Cultures; Venoclysis.
Location	(n = 1)	Laboratory.
Time	(n = 2)	Early Detection; Time.

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E-mail: reben@abennacional.org.br

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[1] Corresponding author: Nanete Caroline da Costa Prado E-mail: caroline_k16@hotmail.com