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Moving Beyond Nursing Standardized Language for Substance Use Problems.

Paulo Rosário Carvalho Seabra1, Olga Maria Martins de Sousa Valentim2, Filipa Alexandra Veludo Fernandes3

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This summary is machine-generated.

Nursing standardized language systems (SLS) show gaps in addressing substance-related problems. Improved clinical indicators are needed for accurate nursing diagnoses and care, particularly within systems like ICNP® and NANDA-I.

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Area of Science:

  • Nursing Informatics
  • Clinical Terminology
  • Substance Use Disorder Nursing

Background:

  • Nursing standardized language systems (SLS) are crucial for systematizing patient care.
  • Evaluating the comprehensiveness of SLS for substance-related problems is essential for evidence-based practice.
  • Existing systems include ICNP®, NANDA-I, NIC, NOC, and NNN.

Purpose of the Study:

  • To analyze the referential integrity of substance-related problems within major nursing standardized language systems.
  • To identify gaps and limitations in the representation of substance-related problems in nursing diagnoses, outcomes, and interventions.
  • To assess the clinical utility of current SLS for substance use disorder nursing care.

Main Methods:

  • Documentary analysis of ICNP®, NANDA-I, NIC, NOC, and NNN.
  • Evaluation of definitions, clinical indicators, related factors, interventions, and outcomes for substance-related problems.
  • Comparative assessment of the systems' coverage and clarity regarding substance abuse and related diagnoses.

Main Results:

  • ICNP® defines 'substance abuse' but lacks diagnostic indicators.
  • NANDA-I has no specific diagnosis for substance abuse but lists it as a risk factor in 36 diagnoses.
  • NIC and NOC include related interventions and outcomes, but NANDA-I omits the phenomenon, and ICNP® uses stigmatizing language.

Conclusions:

  • Significant gaps exist in the representation of substance-related problems across major nursing SLS.
  • The lack of clear clinical indicators hinders accurate nursing diagnosis and clinical reasoning.
  • Revisions are needed to improve the clarity, accuracy, and non-stigmatizing nature of SLS for substance use disorder care.