ICNP<sup>®</sup> terminology subset for people with tuberculosis

a methodological research that followed the following steps: identification and validation of empirical indicators of altered needs relevant to people with tuberculosis based on literature; cross-mapping of the empirical indicators of altered needs identified with ICNP^® 2017 terms; construction of nursing diagnoses/outcomes and interventions; assessment of relevance of nursing diagnoses /outcomes and interventions and ICNP^® terminology subset structuring.

Results:

an ICNP^® terminology subset was developed to care for people with tuberculosis with 51 diagnoses/outcomes and 264 nursing interventions, assessed by nurses from Primary Health Care and structured according to Wanda Horta’s Theory of Basic Human Needs.

Final Considerations:

the subset is a technological instrument through which it is possible to identify the elements of nursing practice from the affected human needs.

Descriptors:
Nursing; Classification; Terminology; Nursing Process; Tuberculosis

Validated Terms		ICNP^® 2017 Focus Axis Term
1.	Distress (n=3)	Distress
2.	Acceptance of Diagnosis (n=1)	Acceptance
3.	Adherence (n=2)	Adherence
4.	Alcohol Abuse (n=3)	Alcohol Abuse
5.	Family Support (n=3)	Family Support
6.	Work and Friend Support (n=1)	Social Support
7.	Absence from Work/Loss of Job/ Unable to Work/Unproductive (n=7)	Employment Status
8.	Low Income, Risk of Being Without Income, Poverty (n=8)	Income
9.	Tiredness/Fatigue (n=4)	Fatigue
10.	Embarrassment/Shame (n=4)	Shame
11.	Consumption of Legal and Illicit Drugs (n=5)	Drug Abuse
12.	Belief (n=1)	Belief
13.	Depression (n=4)	Decreased Mood
14.	Psychosocial Discomfort (n=1)	Discomfort
15.	Difficulty in Performing Self-Care (n=1)	Self-care
16.	Difficulties in Performing Daily Activities (n=1)	Activity Intolerance
17.	Social Discrimination (n=17)	Discrimination
18.	Pain (n=4)	Pain
19.	Medication Side Effect (n=4)	Medication Side Effect
20.	Sputum (n=1)	Expectoration
21.	Hope of Healing, Feeling of Overcoming (n=4)	Hope
22.	Stigma (n=13)	Stigma
23.	Stress (n=2)	Stress
24.	Shortness of Breath (n=5)	Dyspnea
25.	Lack Of Knowledge Of Disease (n=5)	Knowledge Of Health
26.	Lack Of Knowledge Of Treatment Regime (n=1)	Knowledge Of Medicinal Regime
27.	Lack Of Intimate Relationships with Spouses or Partners (n=1)	Sexual Behavior
28.	Fever (n=6)	Fever
29.	Weakness (n=3)	Weakness
30.	Hemoptysis/Sputum with Blood (n=6)	Blood Expectoration
31.	Emotional instability (n=2)	Insecurity
32.	Social Isolation (n=15)	Social Isolation
33.	Physical Limitations (n=8)	Limitations
34.	Fear (n=6)	Fear
35.	Denial of Diagnosis (n=1)	Denial
36.	Loss of Social Dignity (n=1)	Impaired Dignity
37.	Loss of Social Legitimacy (n=1)	Patient Right
38.	Lack of Appetite (n=4)	Appetite
39.	Loss of Self-Confidence/Loss of Self- Esteem (n=8)	Low Self Esteem
40.	Weight Loss/Emaciation (n=12)	Impaired Weight
41.	Feeling of Powerlessness (n=4)	Powerlessness
42.	Loneliness (n=2)	Loneliness
43.	Night Sweats (n= 3)	Perspiration Process
44.	Smoking (n=1)	Tobacco Abuse
45.	Cough (n=12)	Cough
46.	Sadness (n=3)	Sadness

PSYCHOBIOLOGICAL NEEDS
Oxygenation - nursing diagnosis/outcomes
1.	Mild/Moderate/Severe Dyspnea
2.	Cough
Nursing interventions
1.	Referring to Physiotherapy Service
2.	Encouraging Breathing Or Coughing Technique
3.	Maintaining Airway Clearance
4.	Measuring Breathing Movements
5.	Assessing Eating Or Drinking Behaviour
6.	Assessing Respiratory Status
7.	Teaching Family About Monitoring Respiratory Status
8.	Teaching About Fluid Intake
9.	Teaching Breathing Technique
10	Teaching Mask Use in the First 15 Days ofTreatment
Nutrition - nursing diagnosis/outcomes
1.	Lack Of Appetite
2.	*Impaired Weight
Nursing interventions
1.	Monitoring Food Intake
2.	Monitoring Weight
3.	Assessing Appetite
4.	Assessing Food Intake
5.	Assessing Food Supply
6.	Teaching Family About Disease
7.	Teaching About Food Intake
8.	Teaching About Effective Weight
9.	Weighing Patient
Elimination - nursing diagnosis/outcomes
1.	*Expectoration
Nursing interventions
1.	Evaluating Presence Of Blood
2.	Collecting Sputum Samples
3.	Forwarding Sputum Sample to Laboratory
4.	Referring to Physiotherapist Service
5.	Stimulating Expectoration
6.	Managing Specimen
7.	Managing Specimen Control
8.	Assessing Sputum
9.	Teaching About Fluid Intake
Exercise and physical activity - nursing diagnosis/outcomes
1.	Fatigue
2.	Weakness
3.	Activity Intolerance
4.	*Disability
Nursing interventions
1.	Encouraging Rest
2.	Facilitating Ability To Communicate Needs
3.	Managing Fatigue
4.	Monitoring Medication Side Effect
5.	Assessing Fatigue
6.	Assessing Weakness
7.	Assessing Food Supply
8.	Assessing Activity Tolerance
9.	Teaching How To Increase Activity Tolerance
10.	Teaching About Disease
11.	Teaching About Food Intake
12.	Reinforcing Capabilities
Sexuality - nursing diagnosis/outcomes
1.	*Impaired Sexual Behaviour
Nursing interventions
1.	Facilitating Ability to Communicate Needs and Feelings
2.	Assessing Sexual Behaviour
3.	Teaching About Sexual Behaviour
4.	Teaching About Disease
5.	Diagnostic Test (for HIV)
6.	Contraceptive Use
Regulation - nursing diagnosis/outcomes
1.	Fever
2.	Decreased Mood
3.	*Impaired Night Perspiration Process
Nursing interventions
1.	Facilitating Access To Treatment
2.	Facilitating Family Ability To Participate In Care Plan
3.	Facilitating Ability To Communicate Needs And Feelings
4.	Decreased Mood Screening
5.	Managing Negative Behaviour
6.	Managing Fever
7.	Managing Decreased Mood
8.	Measuring Body Temperature
9.	Monitoring Body Temperature
10.	Assessing Emotional Support
11.	Assessing Decreased Mood
12.	Teaching Family About Disease
13.	Teaching How To Control Fever
14.	Teaching About Disease
15.	Teaching How To Measure Body Temperature
16.	Teaching How To Use Medication
17.	Prescribing Medication
18.	Promoting Social Support
19.	Promoting Emotional Support
Treatment - nursing diagnosis/outcomes
1.	Impaired Adherence to Medication Regime
2.	Impaired Adherence to Regime
3.	Medication Side Effect
4.	Non Adherence to Medication Regime
5.	Non Adherence to Regime
6.	Risk For Medication Side Effect
Nursing interventions
1.	Administering Medication
2.	Scheduling Follow Up Appointment
3.	Evaluating Adherence To Regime
4.	Evaluating Response To Medication
5.	Collaborating With Family On Medication Procurement
6.	Consulting Health Care Provider About Medication Side Effects
7.	Demonstrating Medication Administration
8.	Contracting For Adherence
9.	Follow Up Appointment
10.	Home Visit
11.	Facilitating Access To Treatment
12.	Facilitating Family Ability To Participate in Care Plan
13.	Facilitating Ability To Communicate Needs and Feelings
14.	Managing Medication Side Effect
15.	Monitoring Adherence To Medication
16.	Monitoring Medication Side Effect
17.	Assessing Adherence
18.	Assessing Adherence To Medication Regime
19.	Assessing Adherence to Regime
20.	Assessing Barriers to Adherence
21.	Assessing Medication Side Effect
22.	Teaching About Disease
23.	Teaching About Medication Side Effects
24.	Teaching About Medication
25.	Teaching About Treatment Regime
26.	Prioritising Treatment Regime
27.	Promoting Adherence to Medication
28.	Promoting Adherence to Regime
29.	Reinforcing Adherence
30.	Reporting Status To Interprofessional Team
Body care - nursing diagnosis/outcomes
1.	Self Care Deficit
Nursing interventions
1.	Encouraging Self Care
2.	Facilitating Family Ability To Participate in Care Plan
3.	Assessing Self Care
4.	Assessing Ability To Perform Caretaking
5.	Assessing Hygiene Pattern
6.	Teaching Family About Hygiene Pattern
7.	Teaching About Self Care
8.	Teaching About Hygiene
9.	Promoting Self Care
Physical safety - nursing diagnosis/outcomes
1.	Alcohol Abuse
2.	Drug Abuse
3.	Tobacco or Smoking Abuse
Nursing interventions
1.	Counselling About Drug Abuse
2.	Counselling About Smoking
3.	Counselling About Alcohol Use
4.	Administering Medication
5.	Evaluating Smoking (Fagestrom Test)
6.	Referring To Self Help Service
7.	Referring To Health Service (Centro de Atenção Psicossocial Álcool e Drogas - CAPS AD)
8.	Referring To Support Group Therapy
9.	Home Visit
10.	Facilitating Access To Treatment
11.	Facilitating Family Ability To Participate in Care Plan
12.	Facilitating Ability To Communicate Needs And Feelings
13.	Facilitating Alcohol Abuse Recovery
14.	Facilitating Drug Abuse Recovery
15.	Alcohol Abuse Screening
16.	Drug Abuse Screening
17.	Smoking Screening
18.	Managing Withdrawal Symptom
19.	Monitoring Withdrawal
20.	Assessing Withdrawal
21.	Assessing Alcohol Abuse
22.	Assessing Drug Abuse
23.	Assessing Readiness For Smoking Cessation
24.	Assessing Smoking
25.	Teaching About Smoking Cessation
26.	Teaching About Alcohol Abuse
27.	Teaching About Drug Abuse
28.	Teaching About Withdrawal Symptom Control
29.	Teaching About Self Help Service
30.	Teaching About Smoking
31.	Reporting Status To Interprofessional Team
32.	Smoking Cessation Therapy
Perception - nursing diagnosis/outcomes
1.	*Chest Pain
Nursing interventions
1.	Knowledge Of Patient Controlled Analgesia
2.	Evaluating Response to Pain Control
3.	Managing Pain
4.	Assessing Pain
5.	Teaching About Disease
6.	Teaching About Pain
7.	Teaching About Managing Pain
8.	Prescribing Medication
PSYCHOSOCIAL NEEDS
Gregarious - nursing diagnosis/outcomes
1.	*Discrimination
2.	Stigma
3.	Social Isolation
4.	Risk For Social Isolation
5.	Risk For Loneliness
6.	*Loneliness
Nursing interventions
1.	Counselling About Fears
2.	Supporting Psychological Status
3.	Supporting Family
4.	Supporting Family Coping Process
5.	Referring To Community Service
6.	Referring To Support Group Therapy
7.	Encouraging Positive Affirmations
8.	Facilitating Access To Treatment
9.	Facilitating Family Ability To Participate in Care Plans
10.	Facilitating Ability To Communicate Needs and Feelings
11.	Identifying Altered Perceptions
12.	Assessing Readiness For Disclosure Of Health Status
13.	Assessing Health And Social Care Needs
14.	Teaching Community About Disease
15.	Teaching About Diversional Therapy
16.	Promoting Family Support
17.	Promoting Social Support
18.	Promoting Diversional Therapy
Love - nursing diagnosis/outcomes
1.	Lack Of Family Support
2.	Lack Of Social Support
Nursing interventions
1.	Supporting Family
2.	Collaborating With Family
3.	Coordinating Family Conference
4.	Demonstrating Medication Administration
5.	Referring To Community Service
6.	Referring To Family Therapy
7.	Home Visit
8.	Facilitating Family Ability To Participate in Care Plan
9.	Facilitating Ability To Communicate Needs and Feelings
10.	Monitoring For Impaired Family Coping
11.	Assessing Social Support
12.	Assessing Family Knowledge Of Disease
13.	Assessing Health And Social Care Need
14.	Assessing Family Process
15.	Teaching Family About Disease
16.	Teaching About Family Process
17.	Teaching About Diversional Therapy
18.	Promoting Family Support
19.	Promoting Social Support
20.	Promoting Effective Family Communication
21.	Promoting Diversional Therapy
22.	Promoting Social Support
Acceptance - nursing diagnosis/outcomes
1.	Acceptance Of Health Status
2.	Denial
Nursing interventions
1.	Administering Medication
2.	Referring To Support Group Therapy
3.	Establishing Trust
4.	Home Visit
5.	Facilitating Ability To Communicate Needs and Feelings
6.	Assessing Acceptance Of Health Status
7.	Assessing Attitude Toward Health Status
8.	Assessing Readiness For Disclosure Of Health Status
9.	Assessing Denial
10.	Teaching Family About Health Seeking Behaviour
11.	Teaching About Health Seeking Behaviour
12.	Teaching About Disease
13.	Promoting Acceptance Of Health Status
14.	Promoting Family Support
15.	Promoting Health Seeking Behaviour
16.	Reporting Status To Interprofessional Team
Learning - nursing diagnosis/outcomes
1.	Lack Of Knowledge Of Disease (Tuberculosis)
2.	Lack Of Knowledge Of Medication Regime
3.	Lack Of Knowledge Of Treatment Regime
Nursing interventions
1.	Demonstrating Medication Administration
2.	Home Visit
3.	Assessing Knowledge Of Medication Regime
4.	Assessing Knowledge Of Treatment Regime
5.	Assessing Attitude Toward Medication Management
6.	Assessing Knowledge Of Disease
7.	Assessing Family Knowledge Of Disease
8.	Teaching Community About Disease
9.	Teaching Family About Disease
10.	Teaching Family About Treatment Regime
11.	Teaching About Disease
12.	Teaching About Medication
13.	Teaching About Treatment Regime
Self-esteem and safety - nursing diagnosis/outcomes
1.	*Distress
2.	Low Self Esteem
3.	*Impaired Patient Right
4.	*Compromised Dignity
5.	Hope
6.	*Stress
7.	*Insecurity
8.	Fear
9.	Employment Problem
10.	Inadequate Income
11.	Sadness
12.	Shame
Nursing interventions
1.	Acceptance Of Health Status
2.	Counselling about Hopes
3.	Counselling About Fears
4.	Demonstrating Relaxation Technique
5.	Referring To Social Worker
6.	Referring To Health Service (Psychologist)
7.	Referring To Social Worker Service
8.	Referring To Group Therapy
9.	Referring To Support Group Therapy
10.	Encouraging Positive Affirmations
11.	Establishing Trust
12.	Explaining Patient Right (Market Basket and Transport Voucher)
13.	Facilitating Ability To Communicate Needs and Feelings
14.	Decreased Mood Screening
15.	Managing Impaired Coping Process
16.	Identifying Barrier To Communication
17.	Identifying Altered Perceptions
18.	Maintaining Dignity And Privacy
19.	Observing Altered Perception
20.	Assessing Attitude Toward Disease
21.	Assessing Attitude Toward Treatment Regime
22.	Assessing Self Esteem
23.	Assessing Ability To Manage Stress
24.	Assessing Fear
25.	Assessing Stress Level
26.	Assessing Sadness
27.	Teaching About Health Seeking Behaviour
28.	Teaching About Stress Control
29.	Teaching About Diversional Therapy
30.	Teaching Relaxation Technique
31.	Promoting Emotional Support
32.	Promoting Self Esteem
33.	Promoting Health Seeking Behaviour
34.	Promoting Positive Psychological Status
35.	Promoting Hope
36.	Promoting Positive Relationships
37.	Promoting Diversional Therapy
38.	Protecting Patient Right
39.	Promoting Emotional Support
40.	Diversional Therapy
41.	Use Relaxation Technique
Self-fulfillment - nursing diagnosis/outcomes
1.	Powerlessness
Nursing interventions
1.	Referring To Support Group Thaerapy
2.	Encouraging Positive Affirmations
3.	Facilitating Ability To Communicate Needs and Feelings
4.	Assessing Attitude Toward Health Status
5.	Teaching About Health Seeking Behaviour
6.	Promoting Family Support
7.	Promoting Health Seeking Behaviour
PSYCHOSPIRITUAL NEEDS
Religious - nursing diagnosis/outcomes
1.	*Impaired Belief
Nursing interventions
1.	Supporting Beliefs
2.	Assessing Beliefs
3.	Facilitating Ability To Communicate Needs and Feelings

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[1] Corresponding author: Ludimila Paiva Zamprogno Silva E-mail: ludimilazamprogno@hotmail.com

Brasil

Brasil

ICNP® terminology subset for people with tuberculosis

Subconjunto de terminología CIPE® para la persona con tuberculosis

ABSTRACT

Objectives:

Methods:

Results:

Final Considerations:

ICNP^® terminology subset for people with tuberculosis

Subconjunto de terminología CIPE^® para la persona con tuberculosis