Pontifícia Universidade Católica do Paraná, Escola Politécnica, Programa de Pós-Graduação em Tecnologia em Saúde, Curitiba, PR , Brazil.
Universidade do Estado da Bahia, Senhor do Bonfim, BA, Brazil.
Rev Esc Enferm USP. 2024 Apr 5;58:e20230358. doi: 10.1590/1980-220X-REEUSP-2023-0358en. eCollection 2024.
To reflect on the contributions of representing nursing practice elements in the ISO 18.104:2023 standard.
This is a theoretical study with standard analysis. Categorical structures were described to represent nursing practice in terminological systems and contributions identified in the parts of the version were analyzed.
There is innovation in the inclusion of nurse sensitive outcomes, nursing action, nursing diagnosis explanation as an indicator of nursing service demand and complexity of care, representation of concepts through mental maps and suggestion of use of restriction models for nursing actions. It describes that the Nursing Process is constituted by nursing diagnosis, nursing action and nurse sensitive outcomes.
Indicating a nursing diagnosis as an indicator will bring benefits for knowledge production and decision-making. Although care outcomes are not exclusive responses to nursing action, the modifiable attributes of a nursing diagnosis generate knowledge about clinical practice, nursing action effectiveness and subjects of care' health state. There is coherence in understanding the Nursing Process concept evolution.
反思在 ISO 18.104:2023 标准中体现护理实践要素的贡献。
这是一项带有标准分析的理论研究。对类别结构进行了描述,以在术语系统中表示护理实践,并分析了该版本各部分的贡献。
在纳入护士敏感结局、护理行动、护理诊断解释作为护理服务需求和护理复杂性的指标、通过心理地图表示概念以及建议使用限制模型来表示护理行动方面具有创新性。它描述了护理过程由护理诊断、护理行动和护士敏感结局组成。
将护理诊断作为指标表明将为知识生产和决策带来益处。尽管护理结局并非护理行动的唯一反应,但护理诊断的可修改属性可产生有关临床实践、护理行动效果和护理对象健康状况的知识。对护理过程概念演变的理解具有一致性。