Catálogo CIPE® para pacientes adultos em processo deneurorreabilitação

Abstract

Introduction: Neurorehabilitation is identified as an important component in the healthdisease process of people with disabilities, an increasingly complex and diversified condition.The Nursing Process is a methodological tool that should be used to direct the care providedto this population and to use it, it is recommended to use a unified terminology, capable of enabling nurses to code, store and retrieve information in a format which may be useful and applicable in patient care. Objective: to construct a Catalog of concepts of the InternationalClassification for Nursing Practice (CIPE®) in adult neuro-rehabilitation. Method: It is a methodological study developed in four stages: composition of the statements of diagnoses/results and nursing interventions; construction of operational definitions for statements ofnursing diagnoses / results; validation of contents of statements and operational definitions of nursing diagnoses / results and statements of nursing interventions with specialist nurses in the area; organization of the Catalog according to Roy's Adaptation Model. Results: A totalof 1490 statements were constructed, being 394 nursing diagnoses / results and 1096 nursing interventions. 266 nursing diagnoses / results and 540 interventions were validated. The statements were allocated in the Roy Adaptation Model modes, with 20 diagnoses / results and the nursing interventions in paper performance mode, 10 diagnoses / results and their nursing interventions in the interdependence mode; 52 in the self-concept mode, and 184 in the physiological mode. Conclusions: a CIPE® Catalog for Adults in the process of neurorehabilitation was developed in light of Roy's theoretical model of adaptation. Diagnoses / outcomes and nursing interventions were proposed and validated and should enhance the nurses' clinical reasoning. This was judged as reflecting the demands that the population may present during the neuro-rehabilitation process and its use will support thesystematic documentation of clinical nursing care, using CIPE® as a reference terminology. CIPE® has been considered a versatile classification because it adapts to the many realities and singularities of nursing practice. In this sense, it is believed that this Catalog can be used by rehabilitation nurses in their practice, standardizing the language used and contributing to the clinical decision-making process.