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Creating an ICNP subset: children with HIV/AIDS in developing countries
Lynn Choromanski1, Beverly J Collins, Colleen M Hart
1School of Nursing, International Classification of Nursing Practice Center for Nursing Minimum Data Set Knowledge Discovery, University of Minnesota, Minneapolis, Minnesota, USA. chor0019@umn.edu
Insights
This study mapped nursing terms for children with HIV/AIDS in developing countries to the International Classification of Nursing Practice. Over 80% of local terms partially or perfectly fit the classification, improving global nursing language consistency.
Area of Science:
- Nursing
- Global Health
- Infectious Diseases
Background:
- The International Classification of Nursing Practice (ICNP) provides a unified global language for nursing.
- Developing standardized nursing terminologies is crucial for consistent patient care.
- HIV/AIDS in children in developing countries is a significant global health priority.
Purpose of the Study:
- To identify and map nursing diagnoses/outcomes and intervention terms used for children with HIV/AIDS in developing countries to the ICNP.
- To assess the fit of local nursing terms within the ICNP framework.
- To contribute to the development of a condition-specific ICNP subset for pediatric HIV/AIDS care.
Main Methods:
- Identification of nursing diagnosis/outcome and intervention terms used by nurses for children with HIV/AIDS.
- Mapping of identified local terms to the International Classification of Nursing Practice (ICNP).
- Categorization of term matches as perfect fit, conceptual fit, partial fit, or unable to fit, following ICNP Catalogue Development Guidelines.
Main Results:
- A subset of 53 nursing diagnosis/outcome terms and 85 intervention terms was developed.
- Eighty-two percent of the identified local terms mapped at least partially to the ICNP.
- The study identified terms across various healthcare phases, including health promotion, maintenance, acute/chronic conditions, and end-of-life care.
Conclusions:
- Mapping local nursing terms to the ICNP facilitates a more consistent and unified global nursing language for pediatric HIV/AIDS care.
- The developed subset supports the application of ICNP in specific clinical contexts, enhancing nursing practice and research.
- Further development of condition-specific ICNP subsets can improve the standardization and quality of nursing interventions worldwide.
Abstract:
Since 1993, the International Classification of Nursing Practice has evolved as a unified language for global nursing diagnoses/outcomes and interventions. It contains 5148 terms. Population- or condition-specific subsets of terms facilitate easier and consistent use of the International Classification of Nursing Practice. One condition, care of children in developing countries with HIV/AIDS, is listed by the World Health Organization as a world health priority. In this study, the investigators identified nursing diagnoses/outcomes and intervention terms used by nurses for this population and mapped the terms to the International Classification of Nursing Practice. Terms represent healthcare at different phases along a continuum: health promotion, health maintenance, acute conditions, chronic conditions, and end-of-life care with the child as the focus surrounded by family, community, and culture. In the analysis, the investigators' process is compared with the one outlined in the Guidelines for International Classification of Nursing Practice Catalogue Development, and the match of each local and International Classification of Nursing Practice term is categorized as perfect fit, conceptual fit, partial fit, or unable to fit. A total of 53 nursing diagnosis/outcome terms and 85 intervention terms make up the subset. Eighty-two percent of local terms mapped at least partially to International Classification of Nursing Practice.
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