Standardized nursing terminology for adult emergency services: mapping and validity

TL;DR

This study maps and validates standardized nursing terminology for adult emergency care to improve nursing process accuracy and efficiency.

Contribution

The study provides validated nursing terminology linkages for emergency care, enhancing standardization and process efficiency.

Findings

29 terminology linkages were validated, including diagnoses, outcomes, and interventions.

Average agreement across six Functional Health Standards was 0.87.

Validated linkages improve standardization and efficiency in emergency nursing processes.

Abstract

to map and validate standardized nursing terminology linkages applied to adult clinical-surgical hospital emergency care.

this methodological study was conducted in an adult clinical-surgical hospital emergency care unit in Goiânia, Goiás, from July 2022 to January 2023. The study was divided into three stages: collection of signs and symptoms from patient records; cross-mapping by researchers and nurses working in emergency care; and content validity by experts.

twenty-nine terminology linkages were validated, including 16 problem-focused nursing diagnoses, 12 risk diagnoses, and one syndrome diagnosis, as well as 26 nursing outcomes, 96 interventions, and 281 activities. The average agreement was 0.87 across the six Functional Health Standards.

the validated linkages promote the standardization of nursing diagnoses, outcomes, and interventions, increasing the accuracy and efficiency of the nursing process in emergency rooms.

mapear e validar ligações de terminologia padronizada de enfermagem aplicadas à emergência hospitalar adulto clínico-cirúrgica.

estudo metodológico realizado em unidade de emergência hospitalar adulto clínico-cirúrgica em Goiânia, Goiás, de julho de 2022 a janeiro de 2023. O estudo foi dividido em três etapas: coleta de sinais e sintomas em prontuários de pacientes; mapeamento cruzado por pesquisadoras e enfermeiros atuantes em emergência; e validação de conteúdo por especialistas.

foram validadas 29 ligações de terminologia, incluindo 16 diagnósticos de enfermagem com foco no problema, 12 diagnósticos de risco e um diagnóstico de síndrome, além de 26 resultados de enfermagem, 96 intervenções e 281 atividades. A média de concordância foi 0,87 entre os seis Padrões Funcionais de Saúde.

as ligações validadas promovem a padronização dos diagnósticos, resultados e intervenções de enfermagem, aumentando a precisão e eficiência do processo de enfermagem nas emergências.