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Clinical validation of ICNP® Terminological Subset for people with chronic kidney disease undergoing hemodialysis

Richardson Augusto Rosendo da Silva1, Juliana Otaciana da Silva2, Silvia Maria de Sá Basílio Lins2

  • 1Universidade Federal do Rio Grande do Norte, Programa de Pós-graduação em Enfermagem, Natal, RN, Brazil.

Revista Da Escola De Enfermagem Da U S P
|January 27, 2026
PubMed

Insights

This study validated nursing diagnoses/outcomes and interventions for chronic kidney disease patients on hemodialysis. The findings confirm the clinical applicability of the CIPE® Subset in patient care.

Area of Science:

  • Nursing
  • Nephrology
  • Clinical Informatics

Background:

  • Chronic kidney disease (CKD) management requires precise nursing care.
  • Hemodialysis patients present unique challenges requiring specialized nursing interventions.
  • The CIPE® Subset offers a standardized framework for nursing practice.

Purpose of the Study:

  • To clinically validate the nursing diagnoses/outcomes (ND/NO) and interventions (NI) within the CIPE® Subset.
  • To assess the applicability of the CIPE® Subset for individuals undergoing hemodialysis.
  • To confirm the reliability and consistency of the CIPE® Subset in clinical practice.

Main Methods:

  • A clinical validation study was conducted with adult CKD patients on hemodialysis for at least three months.
  • The study involved applying the nursing process, structuring case studies, and identifying ND/NO and NI prevalence.
  • Latent class analysis was used to analyze the data.

Main Results:

  • Three distinct patient risk profiles were identified: low, medium, and high.
  • The indicators demonstrated high sensitivity (72.0%-91.0%) and specificity (83.0%-92.0%).
  • These results confirm the clinical validity and discriminative power of the CIPE® Subset.

Conclusions:

  • A subset of 23 nursing diagnoses/outcomes and 169 interventions was clinically validated.
  • The validated subset is applicable for providing care to hemodialysis patients.
  • The study supports the use of the CIPE® Subset for standardized nursing care in CKD patients.
Abstract

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