[Cross mapping of nursing diagnoses in infant health using the international classification of nursing practice]. / Mapeamento cruzado de diagnósticos de enfermagem em puericultura
utilizando a Classificação Internacional de Práticas de Enfermagem.

This was a descriptive, retrospective study, with a quantitative method, with the aim of analyzing the nursing diagnoses contained in the records of children of 0 to 36 months of age who attended infant health nursing consults. A documentary analysis and the cross-mapping technique were used. One hundred eighty-eight different nursing diagnoses were encountered, of which 33 (58.9%) corresponded to diagnoses contained in the Nomenclature of Nursing Diagnoses and Interventions and 23 (41.1%) were derived from ICNP® Version 1.0. Of the 56 nursing diagnoses, 43 (76.8%) were considered to be deviations from normalcy. It was concluded that the infant health nursing consults enabled the identification of situations of normalcy and abnormality, with an emphasis on the diagnoses of deviations from normalcy. Standardized language favors nursing documentation, contributing to the care of the patient and facilitating communication between nurses and other health professionals.

Cross Mapping Of Nursing diagnoses In Infant Health Using the International Classification of Nursing Practice / Mapeo Cruzado De Diagnósticos De Enfermería En Puericultura Utilizando La Clasificación Internacional De Las Prácticas De Enfermería / Mapeamento cruzado de diagnósticos de enfermagem em puericultura utilizando a Classificação Internacional de Práticas de Enfermagem

This was a descriptive, retrospective study, with a quantitative method, with the aim of analyzing the nursing diagnoses contained in the records of children of 0 to 36 months of age who attended infant health nursing consults. A documentary analysis and the cross-mapping technique were used. One hundred eighty-eight different nursing diagnoses were encountered, of which 33 (58.9%) corresponded to diagnoses contained in the Nomenclature of Nursing Diagnoses and Interventions and 23 (41.1%) were derived from ICNP® Version 1.0. Of the 56 nursing diagnoses, 43 (76.8%) were considered to be deviations from normalcy. It was concluded that the infant health nursing consults enabled the identification of situations of normalcy and abnormality, with an emphasis on the diagnoses of deviations from normalcy. Standardized language favors nursing documentation, contributing to the care of the patient and facilitating communication between nurses and other health professionals.
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Estudio descriptivo y retrospectivo de abordaje cuantitativo, cuyo objetivo fue analizar los diagnósticos de enfermería (DE) formulados en los registros de niños de 0 a 36 meses de edad atendidos en la consulta de enfermería en Puericultura. Se utilizó el análisis documental y la técnica de mapeo cruzado, encontrándose 188 diferentes diagnósticos de enfermería, de los cuales 33 (58,6%) correspondían a diagnósticos contenidos en la Nomenclatura de Diagnósticos e Intervenciones en Enfermería adoptada en la red básica de Curitiba, y 23 (41,1%) eran provenientes de la CIPE® Versión 1.0. De los 56 DE, se encontraron 43 (76,8%) diagnósticos de desviación de la normalidad. Se concluyó que las consultas de enfermería infantil permiten identificar situaciones de normalidad y anormalidad, destacándose los diagnósticos de desviación de la normalidad y que la estandarización del lenguaje de enfermería favorece la documentación de enfermería, contribuyendo con el cuidado del paciente y facilitando la comunicación entre los enfermeros y otros profesionales de la salud.


Estudo descritivo e retrospectivo, com abordagem quantitativa, que objetivou analisar os diagnósticos de enfermagem constantes de prontuários de crianças de 0 a 36 meses de idade atendidas em consulta de enfermagem em puericultura. Utilizou-se a análise documental e a técnica de mapeamento cruzado. Foram encontrados 188 diferentes diagnósticos de enfermagem, dos quais 33 (58,9%) correspondiam a diagnósticos contidos na Nomenclatura de Diagnósticos e Intervenções de Enfermagem e 23 (41,1%) eram provenientes da CIPE® Versão 1.0. Dos 56 diagnósticos de enfermagem, 43 (76,8%) foram considerados de desvio de normalidade. Conclui-se que as consultas de enfermagem à criança permitem identificar situações de normalidade e anormalidade, com destaque para os diagnósticos de desvio de normalidade. A padronização da linguagem favorece a documentação de enfermagem, contribuindo para o cuidado ao paciente e facilitando a comunicação entre os enfermeiros e outros profissionais de saúde.
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Classifying general and specialist children's nursing competencies.

BACKGROUND: Whilst there is evidence in the literature to support the continuation of a children's nursing qualification, the distinction between generalist and specialist nursing is insufficiently comprehensive to distinguish children's nursing from other branches of nursing. AIM: To develop a definition of children's nursing and specialist children's nursing in terms of competencies as the basis for differentiating them from other forms of nursing. DESIGN: A multi-method comparative design incorporating a case study approach was used. This included a nominal group technique, focus groups, Delphi survey and semi-structured interviews. Two arms of data collection were undertaken concurrently (during 1998-2000) with children's nurses (n = 146) and specialist children's nurses (children's cancer nurses, n = 37) from a number of centres in the United Kingdom (UK). FINDINGS: The holistic competencies developed from the data exposed characteristics of knowledge, skills, abilities, values and qualities displayed in the context of professional work for both groups of nurses. A classification of competencies was developed inductively from the data by two independent researchers through the labelling, defining and ordering of competencies. The resulting hierarchy of competencies and sub-competencies illustrates relationships between children's nurses and specialist children's nurses and provides a detailed definition of children's nursing and specialist children's nursing. CONCLUSION: There is a significant common element in these two areas of nursing practice, and generalist preparation in children's nursing is the foundation of specialist children's nursing practice. Generalist knowledge and skills are expanded in specialist practice and there is also evidence of specialist practice that is beyond the scope of general nursing practice.