The construction of a subset of ICNP® for patients with dementia: a Delphi consensus and a group interview study

Abstract

BackgroundThe International Classification for Nursing Practice (ICNP®) 2013 includes over 4000 concepts for global nursing diagnoses, outcomes and interventions and is a large and complex set of standardised nursing concepts and expressions. Nurses may use subsets from the ICNP as concepts and expressions for research, education and clinical practice. The objective of this study was to identify and validate concepts for an ICNP subset to guide observations and documentation of nursing care for patients with dementia.MethodThe process model for developing ICNP subsets was followed, according to the guidelines adopted by the International Council of Nursing (ICN). To identify relevant and useful concepts for the subset, a modified form of the Delphi method was used. Six nurses working in healthcare services in three municipalities in Norway with postgraduate education in geriatric psychiatry and dementia care participated in two Delphi sessions. The participants reviewed and scored the concepts included in the suggested subset and had an opportunity to rewrite them and offer alternatives. To validate the subset after the Delphi study, a group interview was conducted with six other nurses with postgraduate education in geriatric psychiatry and dementia care. The group interview was recorded and transcribed, and summative content analysis was used.ResultsSuitable concepts for an ICNP subset to guide observations and documentation of nursing care for patients with dementia were identified. In total, 301 concepts were identified, including 77 nursing diagnoses, 78 outcomes and 146 nursing interventions. An increased focus on concepts to describe basic psychosocial needs such as identity, comfort, connection, inclusion and engagement was recommended by nurses in the validation process.ConclusionsRelevant and pre-formulated nursing diagnoses, goals and interventions were identified, which can be used to develop care plans and facilitate accuracy in the documentation of individuals with dementia. The participants believed that it may be difficult to find formulations for all steps of the nursing process. In particular, nursing diagnoses and psychosocial needs are often inadequately documented. The participants highlighted the need for the subset to contain essential information about psychosocial needs and communication.

The development of a nursing subset of patient problems to support interoperability

“…Various studies have described methods for the development of terminological subsets [ 25 , 27 , 33 – 35 ]. Most of the studies referred to and used a process model (or aspects of one), meaning that a process from creation through to maintenance was described.…”

Subconjuntos terminológicos da Classificação Internacional para Prática de Enfermagem: uma revisão integrativa da literatura

“…The main language of these publications was Portuguese (34)(35)(36)(37)(38)(39)(40)(41)(42) (91.4%), followed by English (32)(33)43) (8.6%). From the 35 publications found, the highest number was published in the year 2014 (22)(23)(24)(25)(26)(27)(28)(29)(30) (25.71%), followed by the years 2013 (15)(16)(17)(18)(19)(20)(21) (20%) and 2016 (34)(35)(36)(37)(38)(39) (17.14%).…”

“…From the 35 publications found, the highest number was published in the year 2014 (22)(23)(24)(25)(26)(27)(28)(29)(30) (25.71%), followed by the years 2013 (15)(16)(17)(18)(19)(20)(21) (20%) and 2016 (34)(35)(36)(37)(38)(39) (17.14%). Most of the publications were academic master's dissertations (9)(10)(11)(12)(13)(14)16,23,(25)(26)29,35,38,(40)(41) (42.9%), followed by articles (17,(20)(21)(32)(33)(34)36,39,43) (25.7%), doctorate theses (22,24,(27)(28)…”

“…Clares JWB (23) ; 2014 UECE Older adults Theory of Fundamental Human Needs Furtado LG (24) ; 2014 UFPB Patients with diabetes mellitus in specialized care Theory of Basic Human Needs Oliveira JMM (25) ; 2014 UFPB Older adults Theory of Basic Human Needs Cavalheiro MA (26) ; 2014 PUC Paraná Nursing care in primary health care Theory of Basic Human Needs Albuquerque IM (27) ; 2014 USP Children -adolescents Theory of Practical Intervention of Collective Health Nursing Silva RS (28) ; 2014 UFBA Cancer patients The Dignity-Conserving Care Model Queiroz SMB (29) ; 2014 UECE Older adults Theory of Fundamental Human Needs Buchhorn SMM (30) ; 2014 USP Children -adolescents References of human development and essential needs of children Castro MCF (31) ; 2015 UFF Cancer patients Theory of Basic Human Needs Glowacka M, Kalinowska A (32) ; 2015 International Multiple sclerosis patients Not mentioned Laukvik LB, Molstad K, Fossum M (33) ; 2015 International Patients with dementia Not mentioned Castro MCF, Fuly PSC, Garcia TR, Santos MLSC (34) ; 2016…”

A quantitative analysis of translation strategies used in the translation of the International Classification for Nursing Practice into Polish

“…Several other articles discuss mapping country-specific nursing terminology systems onto ICNP, e.g. Hong and Ruknuddin (2012), Matney et al (2008); Kuo and Yen (2006), Laukvik et al (2015) but they usually concern a subset of the Classification, and the analyses are conducted from the perspective of healthcare disciplines and healthcare needs rather than that of translation studies or linguistics; in short, they explore the healthcare dimension of the Classification, not its linguistic one.…”