Mapping Nursing language terms of Parkinson's disease

Abstract

Objective: Implementing cross-mapping of Nursing language terms with the terminology of NANDA International, contained in records of patients with Parkinson's disease in rehabilitation. Method: Descriptive study of cross mapping, carried out in three steps. A simple random sample of 67 files of patients who participated in the rehabilitation in the period between March 2009 and April 2013. Results: We identified 454 terms of Nursing language that resulted in 54 diagnoses after cross-mapping, present in 11 of the 13 taxonomy domains. The most mapped diagnosis was "Impaired urinary elimination" (59.7%), followed by "Urgent urinary incontinence" (55.2%), "Willingness to self-control improved health" (50.7%), "Constipation" (47.8%) and "Compromised physical mobility" (29.9%). Seven described terms were not mapped due to a corresponding defining characteristic being absent. Conclusion: It was possible to determine the profile of patients, as well as the complexity of nursing care in the rehabilitation of patients with Parkinson's disease.

Nursing diagnoses of functional capacity in Parkinson's disease: a cross-mapping study

“…As theoretical and methodological framework, we used the concepts and principles of cross mapping. This was chosen to linguistically and semantically compare the not-standardized terminology with the chosen classification system (8)(9)(10) .…”

“…From the part describing that "patient has a history of falling from his own height", we extracted the term "history of falls". Tosin These data were stored in a spreadsheet through Microsoft Excel for Mac Version 15.11.2 software and subject to spelling correction, adequacy of verbal tenses, uniformity of gender and number, exclusion of repetitions, identification of synonyms of casual expressions that do not designate particular concepts (8)(9) .…”

“…In the next step, we proceeded to cross--mapping the terms identified in the previous step with the nursing diagnoses of NANDA-I taxonomy. To this end, the following rules of cross mapping were used: mapping the context of the terms and the meaning of words (and not just the words) (8)(9) .…”

“…Thus, the use of NANDA-I taxonomy in the nursing process provides conditions for improving nursing care in rehabilitation for patients with Parkinson's disease, as these allow the communication and comparison of nursing data across different contexts, countries and languages. Moreover, we observe that there is a scarcity of studies related to the issue in this very specific population (8)(9) .…”

Use of Computational Tools as Support to the Cross-Mapping Method Between Clinical Terminologies

“…Studies that performed the cross-mapping manually between terms and nursing diagnosis contained in patient records and NANDA I 12,38 included rules such as: guarantee the meaning of the terms, check the context and the meaning and not only the words; compare the terms to the statements of diagnosis and the focus of attention; compare terms to defining characteristics and related risk factors; identify and describe the possible concepts nursing diagnosis; and to map the nursing diagnosis in NANDA I domains and classes.…”