[Diagnoses, outcomes and interventions for nursing care in ICU: a multicentre study for an ICNP Subset proposal]

The use of standardized terminology and a classification system is a way to make nursing documentation complete and accurate, with the aim of generating evidence. The International Classification for Nursing Practice (ICNP) is a combinatorial terminology used to describe nursing practice. The intensive care context, in constant evolution, has required the development of advanced skills by nurses in order to improve patients' outcomes.

The aim of this study is to propose an ICNP Subset by identifying ICNP diagnoses, outcomes and interventions that describe nursing care practice in an adult ICU setting.

The descriptive, retrospective and multicentre study was divided into the following phases: 1. review of nursing documentation; 2. cross mapping and identification of diagnoses, outcomes and interventions; 3. creation and organization of the catalogue; 4. validation with the Delphi method.

The Subset is made up of 106 diagnoses, 83 outcomes and 240 interventions. The most representative category for diagnoses was "Circulation" (28.3%, n=30), "Exposure" for interventions (31.6%, n=76) and again "Circulation" for outcomes (28.9%, n=24).

The proposal of an ICNP Subset for Intensive Care includes both general and very specific diagnoses, outcomes and interventions, reflecting the transversal nature and the high specialty of nursing care in the intensive care unit.