Specialized nursing terminology for the care of people with COVID-19

Methodological study, carried out based on the identification of concepts related to the care of the person with the infection, present in the official guidelines of the Brazilian Ministry of Health; the concepts were validated by three specialist nurses; and a cross-mapping of the extracted concepts was done with CIPE® 2019 primitive concepts.

Results:

Out of 436 unique concepts, being 399 of these validated; of these, 70.9% were in the Classification and referred to the nursing care of people with COVID-19. In the Axis, the concepts related to Focus, Action, and Environment stood out. As for the non-validated concepts, 78.4% were not included in the 2019 version of CIPE®.

Conclusion:

We were able to structure a specialized CIPE® terminology, with the potential to generate nursing care indicators for people with COVID-19.

Descriptors:
Nursing; Standardized Nursing Terminology; Coronavirus Infections; Nursing Care; Nursing Methodology Research

AXIS	n^* * n: absolute number.	CONSTANT CONCEPTS
Focus	n = 141	Abandonment (10041692), Abstinence (Distancing or Withdrawal of Something) (10035422), Acceptance (10000329), Access (10000340), Screening Monitoring (10037173), Adaptation (10001741), Adherence (10030298), Agitation (10025705), Water (10020957), Allergy (10041119), Self-feeding (10017730), Breastfeeding (10003645), Sample (or Specimen) (10018531), Anguish (10006118), Anxiety (10002429), Air (10002061), Arrhythmia (10002536), Aspiration (10002656), Autonomy (10003054), Capacity (10000034), Sensory Capacity (10024035), Shock (10018050), Septic Shock (10017898), Cognition (10004485), Coma (10004629), Complication (10025459), Behavior (10003217), Resting Behavior ( 10017129), Communication (10004705), Hemodynamic Condition (10051564), Neurological Condition (10013141), Respiratory Condition (10016962), Confusion (10004947), Congestion (10004952), Knowledge (10011042), Consciousness (10004975), Consciousness, Impaired (10012634), Contamination (10025369), Control (10005135), Seizure (10046505), Cardiac Output (10003887), Discomfort (10023835), Dehydration (10041876), Diabetes (10005876), Diarrhea (10005933), Dyspnea (10006461), Willingness (or Readiness) (10016414), Pain (10013950), Arthritic Pain (10047104), Muscle Pain (10012316), Edema (10041951), Medication Effect (10006333), Elimination (10006720), Coping (10005208), Sputum (10018717), Stress (10018888), Physical Examination (10032243), Physical Exercise (10007315), Expectation (10023679), Contagion Exposure (10044009), Contamination Exposure (10025324), Fatigue (10007717), Fever (10007916), Weakness (10024897), Heart Rate (10008833), Respiratory Rate (10016904), Hand Hygiene (10041190), Self-Hygiene (10017769), Hypertension (10009394), Hyperthermia (10009409), Hypotension (10009534), Hypothermia (10009547), Hypoxia (10009608), Body Image (10003405), Disability (or Limitation) (10005980), Infection (10010104), Fluid Intake (10006276), Integrity (10010416), Activity Intolerance (10000408), Injury (10010284), Management (Self Control), (10046837), Fear (10007738), Metabolism (10012005), Microorganism (10012014), Death (10005560), Movement (10012274), Nausea (10012453), Necessity (10012495), Necrosis (10012482), Obesity (10013457), Obstruction (10013555), Organism (10013783), Orientation (10013810), Hygiene Standard (10009292), Paper (10017321), Sensory Perception (10024042), Weight (10021034), Weight, Impaired (10013016), Worry (10015466), Pressure (10015608), Blood Pressure (10003335), Procedure (10034409), Impaired Immune System Process (10041093), Pathological Process (10014121), Recovery (10016507), Regimen (10016609), Resistance (10006875), Panting (10033334), Result (10017186), Laboratory Result (10011074), Respiratory Rhythm (10016915), Routine (10017384), Bleeding (10003303), Blood (10003319), Blood Oxygen Saturation (10030845), Secretion (10017635), Sign (10018130), Discomfort Sign (10037282), Vital Sign (10020829), Symptom (10019368), Cardiovascular System (10003936), Respiratory System (10016970), Suffering (10025588), Solitude (10011417), Solution (10018499), Sleep (10041399), Susceptibility (10019296), Suspicious (10019310), Tachycardia (10019415), Temperature (10019556), Temperature (Temperature) Body (10003507), Thermoregulation (10019644), Diagnostic Test (10031138), Cough (10005249), Ulcer (10020237), Pressure Ulcer (Injury) (10015612), Urine (10020478), Ventilation (10020704), Postural Vertigo (Dizziness) (10006160), Surveillance (10002144), Vomiting (10020864)
Judgment	n = 14	High (10009007), Abnormal (10013269), Delayed (or Slow) (10022089), Low (10011438), Continuous (10005086), Dependency (10026671), Diagnosis and Result, Positive (10016479), Degree (10005663), Severity (10025849), Light (10025854), Moderate (10025865), Small (10018315), Presence (10046624), Risk (10015007)
Action	n = 57	Follow (10042609), Advise (10005254), Relieve (10002171), Change (10002185), Analyze (10002298), Apply (10002464), Aspirate (10002641), Increase (10009961), Hear (10003012), Auxiliary (10002850), Evaluate (10007066), Collaborate (10004542), Collect (10004574), Place (or Put) (10016201), Confirm (or Check) (10020727), Contain (or Limit) (10017155), Discard (10006063), Develop (10005848), Disinfect (10006044), Decrease (10005600), Raise (10006691), Stage (10018738), Stimulate (10018842), Avoid (10003077), Examine (10007256), Explain (10007370), Facilitate (10007499), Sanitize (or Caring for Hygiene) (10009285), Identify (10009631), Implement (10009840), Induce (10010039), Inform (10010162), Insert (10010324), Interrupt (10010526), Isolate (10010906), Wash (10020935), Clean (10004444), Manipulate (10011710), Mediate (10011845), Measure (or Check) (10011813), Monitor (10012154), Notify (10001917), Observe (10013474), Offer (10013636), Guide (10019502), Prioritize (10015736), Protect (10015864), Provide (Supply) (10015935), Reinforce (10016650), Register (10016498), Report (10016771), Remove (10016763), Trace (or Track) (10019967), Transfuse (10051670), Vaccinate (10020552), Measure (or Check) (10011813), Watch (or Investigate) (10019283)
Medium	n = 28	Aerosol (or Spray) (10001940), Analgesic (10002279), Antibiotic (10002383), Cannula (10003856), Catheter (10004087), Surgery (10019212), Clinical Management (10004463), Peritoneal Dialysis (10014393), Respiratory Device (10016958), Drugs (10006314), Inter-professional Team (10039400), Hemotherapy (10003361), Mask (10011752), Medication (10011866), Oxygen Therapy (10013921), Pulse Oximeter (10032551), Plan (10014630), Protocol (10015926), Restrict (or Contain) (10017172), Soap (10018358), Emergency Service (10031206), Nutritional Supplement (10037016), Technique (10019525), Therapy (10019628), Inhalation Therapy (or Nebulization) (10010213), Respiratory Therapy (10037085), Tube (10020216), Vaccine (10020568)
Location	n = 29	Abdomen (10000023), Forearm (10008164), Arm (10002504), Head (10008688), Heart (10008822), Body (10003388), Face (10007481), Hospital (10009114), Lower (10011440), Intestine (10010557), Lip (10011377), Tongue (10019824), Workplace (10021145), Hand (10008661), Mucous Membrane (10012288), Muscle (10012290), Nose (10013314), Eyes (10007452), Foot (10008155), Skin (10018239), Lung (10011486), Kidney (10022439), Upper (10020325), Thorax (10019692), Trachea (10019922), Tracheostomy (10019933), Intensive Care Unit (10010444), Nasal Pathway (10012430), Ocular Way (10013615)
Time Period	n = 07	Admission (10001843), Acute (10001739), Chronic (10004395), Exam (10007241), Frequency (10008234), Visit (10020817), Home Visit (10009082)
Client	n = 07	Community (10004733), Caregiver (10003958), Family (10007554), Group (10008544), Individual (10010018), Family Member (10007596), Patient (10014132)

AXIS	n^* * n: absolute number.	NON CONSTANT CONCEPTS
Focus	n = 53	Blood sample, Secretion sample, Anorexia, Asymptomatic, Atrophy, Venous catheter, Headache, Cyanosis, Understanding, Direct contact, Home contact, Runny nose, Decision, Acid-Base Imbalance, Dissemination, Health Education, Effort, Rattle, Stridor, Adverse Event, Blood Flow, Lung Function, Arterial Gasometry, Blood Glucose, Hemodynamics, Hemoptysis, Nasal Hygiene, Oral Hygiene, Hypoxemia, Immunity, Inappetence, Incontinence, Infrastructure, Mobility, Level of Consciousness, Nutrition, Death, Nasal Obstruction, Respiratory Pattern, Precaution of Contact, Prevention, Pulse, Therapeutic Regime, Rest, Wheezing, Emotional Suffering, Mental Suffering, Transmission, Community Transmission, Vertical Transmission, Thromboembolism, Mechanical Ventilation, Viruses
Judgment	n = 10	Active, Critical, Deficit, Difficulty, High, Unstable, Insufficient, Minor, Prophylactic, Reduced
Action	n = 16	Approach, Welcome, Adopt, Present, Classify, Stratify, Encourage, Indicate, Intervene, Modify, Enable, Prevent, Accomplish, Recommend, Recognize, Request
Medium	n = 24	Drug administration, Alcohol, Antiretroviral, Barrier, Coagulation, Contact, Equipment, Scale, Radiographic examination, Serological examination, Cold, Respiratory droplet, Blood culture, Hemogram, History, Isolation, Home isolation, Surgical mask, Fabric mask, Disinfectant solution, Saline Solution, Transport, Treatment, Screening
Location	n = 08	Mouth, Domicile, Endotracheal, Gastrointestinal, Bed, Nasopharynx, Oropharynx, Orotracheal
Time Period	n = 01	Quarantine
Client	n = 04	Client, Pregnant Woman, Population, Visitor

CIPE® 2019	n^* * n: absolute number.	NON VALIDATED CONCEPTS
Constant	n = 08	Characteristic (10004170), Fetus (10007900), Gloves (10007900), Material (10011775), Meditation (10011897), Medium (10012022), Situation (10018202), Rate (10016390)
Not Constant	n = 29	Absenteeism, Anemia, Angina, Antiviral, Refresh, Disposable apron, Communicable Disease, Space, Inspiratory Rattle, Experience, Hyperinflation, Impermeable, Acquired Immunity, Interval, Intubate, Contact Isolation, Respiratory Isolation, Procedure Glove, Protective Mask, Facial Mask, Goggles, Community Paper, Sensory, Hypotonic Solution, Serology, Afternoon, Environmental Therapy, Invasive Ventilation, Manual Ventilation

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E-mail: reben@abennacional.org.br

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[1] Corresponding author: Diego Dias de Araújo E-mail: diego.araujo@unimontes.br