Terms of specialized nursing language for people with pressure injury

to validate the terms of the specialized nursing language used in care for hospitalized patients with Pressure Injury, identified in nurses’ records, mapping them with the terms of the International Classification for Nursing Practice (ICNP^® 2017).

Methods:

methodological study, carried out at a School Hospital in 2018. It was performed: extraction of terms of medical records; normalization; cross-mapping between extracted terms and those in ICNP^®; distribution in the seven axes; theoretical definition and validation of terms.

Results:

27,756 terms were extracted. The normalization resulted in 370 relevant terms, being: 225 listed and 145 not listed in the ICNP^®, being 60 similar, 13 more comprehensive, 38 more restricted and 34 without agreement, all of which are validated.

Conclusion:

this study identified and validated terms used by nurses to assist people with Pressure Injury. These may contribute to the unification of professional nursing language in care for these clients.

Descriptors:
Nursing; Nursing Process; Standardized Terminology in Nursing; Classification; Pressure Ulcer

Noun	N	Adjective	N	Verb	N
Injury	772	Partial	448	To change	280
Care	753	Complex	302	To promote	158
Patient	631	Normal	347	To take care	131
Dressing	602	Small	318	To perform	81
Coverage	585	Transparent	267	To apply	73
Tissue	440	Irregular	155	To moisture	73
Skin	423	Regular	113	To evaluate	72
Epithelialization	238	Satisfactory	94	To observe	67
Pain	97	Mild	27	To remove	57
Inflammation	94	Partial	20	To monitor	53
Healing	38	Slow	08	To recover	2

Term identified	Corresponding term of the ICNP^®	Analysis of the term identified
To perform	To carry out	Similar
To help	To help	Similar
To admit	Admission	Similar
Odor	Fetid odor	More comprehensive
Image	Body image	More comprehensive
Disease	Disease Incidence	More comprehensive
Air mattress	Feather mattress	More restricted
Shoulder Joint	Articulation	More restricted
Dehydrated skin	Skin	More restricted

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] Corresponding Author: Richardson Augusto Rosendo da Silva E-mail: rirosendo@yahoo.com.br

Focus (56 terms)	Abscess; Aversion; Aseptic; Self-rejection; Aspect; Attrition area; Abnormality; Apathy; Asthenia; Smell; Caution; Circulation; Shear; Tissue healing; Dislocation; Disease; Bedsore; Emotional state; General state; Staging; Epithelization; Choice; Effort; Eupneia; Exudate; Friction; Flaccid; Fragility; Groan; Inspection; Image; Immobility; Ischemia; Change; Note; Oxygenation; Odor; Thin skin; Dehydrated skin; Non-intact skin; Protrusion; Protection; Healing process; Pustules; Complaint; Retraction; Signs of inflammation; Patient safety; Granulation tissue; Devitalized tissue; Macerated tissue; Necrotic tissue; Turgor; Moisture; Vesicle; Vulnerability.
Judgment (11 terms)	Calm; Characteristic; Stable; Hydrated; Unstable; Irregular; Same level; Reduced; Resected; Satisfactory; Transparent.
Action (27 terms)	To help; To admit; To schedule; To continue; To take care; To debride; To degerm; To wander; To estimate; To evolve; To hydrate; To indicate; To modify; To provide; To perform; To receive; To prescribe; To recognize; To recede; To renew; To follow; To add; To request; To use; To moist; To check; To make it viable.
Location (17 terms)	Armpit; Shoulder joint; Iliac crest; Elbow; Epidermis; Intergluteal; Lateral malleolus; Medial malleolus; Lower members; Upper limbs; Calf; Scapular region; Sacral; Subclavian; Trochanteric; Granulation Tissue; Necrosed Tissue.
Means (25 terms)	Dressing; Anti-inflammatory; Calcium alginate; Moisturizing cream; Collagenase; Air mattress; Degerming solution; Debridement; Intravenous; Enteral; Plaster; Team of dressings; Crape band; Polyurethane film; Hypoallergenic adhesive tape; Gastrostomy; Gazes; Hydrocolloid; Massage; Micropore; Sunflower oil; Research of multidrug resistant microorganism; Saline; Swab; Clean technique.
Time (6 terms)	Weekend; Hour; Schedule; Morning; Nocturnal; Evening.
Client (3 terms)	Friend; Husband; Son.