Congruence of terms between lists of problems and the ICNP®– Alpha Version

Abstract

The International Classification for Nursing Practice (ICNP)--Alpha Version, is the first rendition of the International Council of Nurses (ICN) efforts to develop a standardized international nursing language system. This system has three principal components: nursing phenomena; nursing actions; and nursing outcomes. This article describes a study of agreements between terms used by nurses of the intensive care unit at the Hospital of the University of Sao Paulo, to designate patients' nursing problems and the terms proposed by the ICNP--Alpha Version. The records of 59 interned patients, admitted to the intensive therapy unit, were analysed for nursing problems. Of 336 problem categories listed by the nurses, 153 (45.5%) corresponded to the ICNP terms. The 183 categories of problems that did not correspond to the ICNP terms were categorized by the authors as the following: medical diagnoses (37.2%); signs (28.4%); interventions (26.2%); and historical data (8.2%). These results show that there may be no agreement between the concept of nursing phenomena for the ICNP and of nursing problems for the nurses whose records were analysed. Considering that medical diagnoses, intervention and historical data could not be accepted as nursing phenomena for the ICNP, the agreement is potentially higher than 45.5%.

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“…2001; Hyun & Park 2002). Researchers are also evaluating its use across nursing contexts and with different cultural groups (Coler 2001; Cruz et al. 2000; Rognoni et al.…”

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“…Cruz et al. (2000) attempted to develop a standardized international nursing language system by studying agreement between terms used by nurses of an intensive care unit in Sao Paulo, Brazil, and the terms proposed by the ICNP ® ‐Alpha Version.…”

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“…Standartizuotos tarptautinės slaugos kalbos sukūri-mą ypač sunkina kalbų skirtumai (2). Bet kuri praktikoje diegiama slaugos klasifikacija turi atitikti organizacinius standartus ir jau esamus informacijos bei terminologijos pradmenis.…”