https://doi.org/10.4081/scenario.2023.560

Identification of NANDA-I and ICNP nursing diagnoses specific to intensive care: a scoping review

Vol. 40 No. 2 (2023)
Published: 19 July 2023
Nursing diagnoses, standardized nursing terminology, intensive care units, NANDA-International, ICNP
Abstract Views: 1836
PDF (Italiano): 612
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Authors

Mirko Masciullo
Infermiere, Centro di Rianimazione Cardiovascolare A.O. San Camillo Forlanini di Roma, Italy.
Antonello Pucci
Infermiere, Centro di Rianimazione Cardiovascolare A.O. San Camillo Forlanini di Roma, Italy.
Flavio Marti
Direttore Didattico, Corso di Laurea Magistrale in Scienze Infermieristiche e Ostetriche, Sapienza Università di Roma, A.O. San Camillo Forlanini di Roma, Italy.
Roberto Latina
Ricercatore MED 45, Scienze Infermieristiche Università degli studi di Palermo, Dipartimento PROMISE “G. D’Alessandro”, Italy.
Claudia Torretta
Posizione Organizzativa, Dipartimento Cardio Toraco Vascolare A.O. San Camillo Forlanini di Roma, Italy.
Lucia Mitello
Direttore, Dipartimento delle Professioni Sanitarie, A.O. San Camillo Forlanini di Roma, Italy.
Anna Rita Marucci
Posizione Organizzativa, Dipartimento Emergenza Accettazione e delle Chirurgie Specialistiche A.O. San Camillo Forlanini di Roma, Italy.

Introduction: In the last few years, the need has emerged to use standardized terminologies to describe the nursing process and nursing activity. These languages are based on scientific evidence, guaranteeing continuity of care for the patient and greater visibility for the profession. In this study, the Nursing Diagnoses are identified, according to NANDA-I (North American Nursing Diagnosis Association International) and ICNP (Classificazione Internazionale per la Pratica Infermieristica) taxonomy, most used in the specific context of Intensive Care for adults.

Materials and Methods: A Scoping Review of the scientific literature was performed between March and November 2022. Primary studies published between 2012 and 2022, from three different databases, were included, excluding samples of patients with COVID-19 or aggregated data from different care settings.

Results: Nine articles were selected that answered the question regarding the NANDA-I taxonomy, while no articles were included for the ICNP language. In the 9 articles, a total sample of 817 patients was analyzed, coming from Brazil, Italy, and Turkey. In this study, 44 NANDA-I diagnoses were included, among which the most used: "(00004) Risk of infection", "(00047) Risk of compromised skin integrity", and "(00030) Compromised gas exchanges". The frequency data of the most common diagnoses in the analyzed care context are summarized in the article.

Discussion: Nurses pay great attention to prevention, often formulating risk diagnoses in addition to the real ones. However, there was a trend to consider physiological needs more, leaving out the patient's emotional, spiritual, and relational sphere.

Conclusions: The study answered the research question for NANDA-I diagnoses, but it did not bring any results, highlighting a gray area for ICNP diagnoses. Future studies will be needed to create specific NANDA-I Nursing Diagnosis subsets for Intensive Care for adults, in order to optimize the use of standardized languages in this healthcare context.

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How to Cite

Masciullo, M., Pucci, A., Marti, F., Latina, R., Torretta, C., Mitello, L., & Marucci, A. R. (2023). Identification of NANDA-I and ICNP nursing diagnoses specific to intensive care: a scoping review. Scenario® - Il Nursing Nella Sopravvivenza, 40(2). https://doi.org/10.4081/scenario.2023.560
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