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Clinical validation of the terminological subset for people with chronic kidney disease undergoing conservative treatment

Validación clínica del subconjunto terminológico para personas con enfermedad renal crónica en tratamiento conservador

ABSTRACT

Objective:

To clinically validate a terminological subset of the International Classification for Nursing Practice (ICNP®) to care for people with chronic kidney disease undergoing conservative treatment.

Method:

Prospective study of clinical validation assessment of 117 nursing diagnoses/outcomes statements and 199 nursing intervention statements. It was operationalized through the following steps: implementation of the Nursing Process in an outpatient clinic in Southeast Brazil; preparation of case studies; analysis of agreement between specialist nurses. The Kappa. Kruskal-Wallis coefficient of agreement and intraclass correlation coefficient (ICC) were used.

Results:

The sample consisted of 50 people with chronic kidney disease. Diagnoses/outcomes and interventions were evaluated with almost perfect/perfect agreement and excellent ICC. The Kruskal-Wallis test showed that there was no significant difference between the assessments. The study allowed the clinical validation of a subset with 110 nursing diagnoses/outcomes and 195 nursing interventions.

Conclusion:

Care for people with chronic kidney disease undergoing conservative treatment based on the proposed subset has become applicable to clinical practice.

DESCRIPTORS
Conservative Treatment; Clinical Nursing Research; Validation Study; Renal Insufficiency; Chronic; Standardized Nursing Terminology

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br