Multidimensional model of successful aging and nursing terminologies: similarities for use in the clinical practice

Lucena, Amália de Fátima; Argenta, Carla; Luzia, Melissa de Freitas; Almeida, Miriam de Abreu; Barreto, Luciana Nabinger Menna; Swanson, Elizabeth

doi:10.1590/1983-1447.2020.20190148

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Original Article • Rev. Gaúcha Enferm. 41 (spe) • 2020 • https://doi.org/10.1590/1983-1447.2020.20190148 copy

Multidimensional model of successful aging and nursing terminologies: similarities for use in the clinical practice

Modelo multidimensional de envejecimiento exitoso y terminologías de enfermería: semejanzas para aplicación en la práctica clínica

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Aim:

To compare the domains of the Multidimensional Model of Successful Aging (MMSA) with the nursing terminologies, such as, NANDA International (NANDA-I), Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC), in order to find similarities among them.

Method:

Cross-mapping between MMSA and nursing terminologies in two stages: individual analysis and comparison between the MMSA and the nursing terminologies, based on the mapping process rules; consensus among researchers to validate the results.

Results:

All NOC and NIC domains were mapped with similarity in the MMSA domains, and 12 of the 13 NANDA-I domains showed similarity to the MMSA domains. In addition, similarity was identified between MMSA and most classes of the three classifications.

Conclusions:

The similarity between MMSA, NANDA-I, NIC and NOC supported the idea that the MMSA framework can be used in the nursing process to qualify the nursing practice in the elderly care.

Keywords:
Aging; Nursing process; Standardized nursing terminology

MMSA DOMAINS	NANDA-I DOMAINS *	CLASSES *
PHYSIOLOGICAL Physiological components, diseases, (e.g., congestive heart failure, hip fracture, osteoporosis, osteoarthritis and cancer) and functional impairments (e.g., difficulty in standing for long periods).	1. Health Promotion: The awareness of well-being or normality of function and strategies used to maintain control of and enhance that well- being or normality of function.	1- Health awareness 2- Health management
	2. Nutrition: The activities of taking in, assimilating, and using nutrients for the purposes of tissue maintenance, tissue repair, and the production of energy.	1- Ingestion 2- Digestion 3- Absorption 4- Metabolism 5- Hydration
	3. Elimination and Exchange: Secretion and excretion of waste products from the body.	1- Urinary function 2- Gastrointestinal function 3- Integumentary function 4- Respiratory function
	4. Activity/Rest: The production, conservation, expenditure, or balance of energy resources.	1-Sleep/Rest 2- Activity/Exercise 3- Energy balance 4- Cardiovascular/ Pulmonary responses 5- Self-care
	5. Perception/Cognition: The human processing system including attention, orientation, sensation, perception, cognition, and communication.	1- Attention 2- Orientation 3- Sensation/Perception 4- Cognition 5- Communication
	8. Sexuality: Sexual identity, sexual function, and reproduction.	2- Sexual function
	11. Safety/Protection: Freedom from danger, physical injury, or immune system damage; preservation from loss; and protection of safety and security.	1- Infection 2-Physical injury 3-Violence 4- Environmental Hazards 5- Defensive processes 6- Thermoregulation
	12. Comfort: Sense of mental, physical, or social well-being or ease.	1- Physical comfort
PSYCHOLOGICAL Psychological components (e.g., emotional vitality, coping, resilience, cognitive function).	2. Nutrition: The activities of taking in, assimilating, and using nutrients for the purposes of tissue maintenance, tissue repair, and the production of energy.	1- Ingestion
	4. Activity/Rest: The production, conservation, expenditure, or balance of energy resources.	1- Sleep/Rest
	5. Perception/Cognition: The human processing system including attention, orientation, sensation, perception, cognition, and communication.	4- Cognition 5- Communication
	6. Self-perception: Awareness about the self.	1-Self-concept 2-Self-esteem 3-Body image
	7. Role relationships: The positive and negative connections or associations between people or groups of people and the means by which those connections are demonstrated.	2-Family relationships 3-Role performance
	9. Coping/Stress tolerance: Contending with life events/life processes.	1-Post-trauma responses 2-Coping responses 3-Neurobehavioral stress
	10. Life principles: Principles underlying conduct, thought, and behavioral about acts, customs, or institutions viewed as being true or having intrinsic worth.	1-Values 2-Beliefs 3-Value/belief/action congruence
	11. Safety/Protection: Freedom from danger, physical injury, or immune system damage; preservation from loss; and protection of safety and security.	3- Violence
SOCIOLOGICAL Social Components (e.g., spirituality and adaptation through social support mechanisms).	1. Health Promotion: The awareness of well-being or normality of function and strategies used to maintain control of and enhance that well- being or normality of function.	1- Health awareness 2- Health management
	2. Nutrition: The activities of taking in, assimilating, and using nutrients for the purposes of tissue maintenance, tissue repair, and the production of energy.	1- Ingestion
	4. Activity/Rest: The production, conservation, expenditure, or balance of energy resources.	1- Sleep/Rest
	7. Role relationships: The positive and negative connections or associations between people or groups of people and the means by which those connections are demonstrated.	1-Caregiving roles 2-Family relationships 3-Role performance
	10. Life principles: Principles underlying conduct, thought, and behavioral about acts, customs, or institutions viewed as being true or having intrinsic worth.	1-Values 2-Beliefs
	12. Comfort: Sense of mental, physical, or social well-being or ease.	2- Environmental comfort 3- Social comfort

DOMAINS MMSA	NIC DOMAINS*	CLASSES**
PHYSIOLOGICAL Physiological components, diseases, (e.g., congestive heart failure, hip fracture, osteoporosis, osteoarthritis and cancer) and functional impairments (e.g. difficulty in standing for long periods).	1. Physiological Basic: Care that supports physical functioning.	A-Activity and Exercise Management B-Elimination Management C-Immobility Management D-Nutrition Support E-Physical Comfort Promotion F-Self-Care Facilitation
	2. Physiological Complex: Care that supports homeostatic regulation.	G-Electrolyte and Acid-Base Management H-Drug Management I-Neurologic Management K-Respiratory Management L-Skin/Wound Management M-Thermoregulation N-Tissue Perfusion Management
	4. Safety: Care that supports protection against harm.	U-Crisis Management V-Risk Management
PSYCHOLOGICAL Psychological components (e.g., emotional vitality, coping, resilience, cognitive function).	3. Behavioral: Care that supports psychosocial functioning and facilitates life style changes.	O-Behavior Therapy P-Cognitive Therapy Q-Communication Enhancement R-Coping Assistance S-Patient Education T- Psychological Comfort Promotion
	4. Safety: Care that supports protection against harm.	U-Crisis Management V-Risk Management
SOCIOLOGICAL Social Components (e.g., spirituality and adaptation through social support mechanisms).	3. Behavioral: Care that supports psychosocial functioning and facilitates life style changes.	Q-Communication Enhancement R-Coping Assistance S-Patient Education
	5. Family: Care that supports the family.	X-Lifespan Care
	6. Health System: Care that supports effective use of the health care delivery system.	Y-Health System Mediation
	7. Community: Care that supports the health of the community.	C-Community Health Promotion D-Community Risk Management

MMSA DOMAINS	NOC DOMAINS	CLASSES
PHYSIOLOGICAL Physiological components, diseases, (e.g., congestive heart failure, hip fracture, osteoporosis, osteoarthritis and cancer) and functional impairments (e.g., difficulty in standing for long periods).	1 - Functional Health: Outcomes that describe the capacity for and performance of basic tasks of life.	A-Energy Maintenance B-Growth & Development C-Mobility D-Self-care
	2 - Physiologic Health: Outcomes that describe organic functioning.	E-Cardiopulmonary F-Elimination G-Fluids & Electrolytes H-Immune Response I-Metabolic Regulation J-Neurocognitive K-Digestion & Nutrition AA-Therapeutic Response L-Tissue Integrity Y-Sensory Function
	5 - Perceived Health: Outcomes that describe impressions of an individual’s health and health care.	U-Health & Life Quality V-Symptom Status
PSYCHOLOGICAL Psychological components (e.g., emotional vitality, coping, resilience, function, cognitive).	1 - Functional Health: Outcomes that describe the capacity for and performance of basic tasks of life.	B-Growth & Development
	2 - Physiologic Health: Outcomes that describe organic functioning.	J-Neurocognitive
	3 - Psychosocial Health: Outcomes that describe psychological and social functioning.	M-Psychological Well-Being N-Psychosocial Adaptation O-Self-Control
	4 - Health Knowledge & Behavior: Outcomes that describe attitudes, comprehension, and actions with respect to health and illness.	Q-Health Behavior S-Health Knowledge T-Risk Control & Safety
	5 - Perceived Health: Outcomes that describe impressions of an individual’s health and health care.	EE-Satisfaction with Care
	6 - Family Health: Outcomes that describe health status, behavior, or functioning of the family as a whole or of an individual as a family member.	X-Family Well-Being
SOCIOLOGICAL Social Components (e.g., spirituality and adaptation through social support mechanisms).	1 - Functional Health: Outcomes that describe the capacity for and performance of basic tasks of life.	B-Growth & Development
	3 - Psychosocial Health: Outcomes that describe psychological and social functioning.	N-Psychosocial Adaptation P-Social Interaction
	4 - Health Knowledge & Behavior: Outcomes that describe attitudes, comprehension, and actions with respect to health and illness.	Q-Health Behavior S-Health Knowledge T-Risk Control & Safety
	5 - Perceived Health: Outcomes that describe impressions of an individual’s health and health care.	EE-Satisfaction with Care
	6 - Family Health: Outcomes that describe health status, behavior, or functioning of the family as a whole or of an individual as a family member.	X-Family Well-Being
	7 - Community Health: Outcomes that describe the health, well-being, and functioning of a community or population.	BB-Community Well-Being CC-Community Health Protection

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[1] Corresponding author:
Amália de Fátima Lucena E-mail: afatimalucena@gmail.com