Terminological relationships between nursing diagnoses for children with kidney diseases

Area of Science:

• Pediatric Nephrology
• Nursing Classification Systems
• Clinical Informatics

Background:

• Standardized nursing diagnoses are crucial for effective patient care and research.
• Existing nursing classification systems, such as NANDA International (NANDA-I) and the International Classification for Nursing Practice (ICNP®), aim to standardize nursing language.
• Understanding the relationships between these systems is essential for global nursing practice and data interoperability.

Purpose of the Study:

• To identify and map the relationships between nursing diagnoses for children with kidney diseases.
• To compare nursing diagnoses formulated using the International Classification for Nursing Practice (ICNP®) with those from NANDA International (NANDA-I).

Main Methods:

• A methodological study involving clinical data collection from 90 children with kidney diseases.
• Nursing diagnoses were elaborated using Gordon's clinical judgment.
• Cross-mapping of diagnostic statements between NANDA-I and ICNP® was performed.
• Content validation was conducted using a two-round Delphi technique with specialist nurses.

Main Results:

• A total of 151 nursing diagnoses were identified.
• ICNP® terminology was used in 66.3% (n=100) of diagnoses, while NANDA-I was used in 33.7% (n=51).
• Equivalence of meaning was found in 55 nursing diagnoses between the two classification systems.

Conclusions:

• Successful cross-mapping of nursing diagnoses was achieved for pediatric kidney disease patients.
• The study utilized clinical reasoning and validation by specialist nurses.
• This work supports the integration and comparison of nursing diagnoses across different classification systems.