Nursing Process Classification Systems

The Nursing Process Classification Systems can be exemplified by the NANDA International (NANDA-I) or Diagnosa Keperawatan, Nursing Intervention Classification (NIC) and Nursing Outcomes Classification (NOC) taxonomies. NANDA-I has extensive clinical scope in addressing the elements essential to professional practice, consisting of nursing diagnoses, arranged in 13 domains, 47 classes, and 217 nursing diagnoses (ND). Of this total, we highlight the Security / Protection Domain whose definition is to be free of danger, physical injury or damage to the immune system; loss conservation and safety and hazard-free protection have six classes and 42 DE.

Nursing Process Classification Systems
Nursing Process Classification Systems

In the literature, some of these ND can be correlated to adverse events (AEs), considered as any preventable incident associated with the care offered during hospitalization, characterized by the granting of harm to the patient.

In this context, when considering the relevance of AE in Brazil, the Ministry of Health (MS) enforced Ordinance 529/2013 that deals with the National Patient Safety Program (PNSP) (2) , which seeks to implement the management of the risk and patient safety centers in all health facilities, prioritizing the following areas: infections, surgical and anesthesiology procedures; prescription, transcription, dispensation and administration of medications, blood and blood products; patient identification; communication in the environment of services; prevention of falls and pressure ulcers; patient transfer between care points (2) .

By relating PNSP content to NANDA-I taxonomy (1), regarding Security / Protection Domain, we highlight DE Risk of infection, Risk of falls, Risk of damaged skin integrity, Risk of trauma. and Risk of vascular trauma, when considered with high prevalence in a previous study.

In clinical practice, nurses can infer such ND in order to verify the risks and complications to which hospitalized patients are commonly exposed, in addition to managing these AE and preparing individual interventions oriented to their prevention.

Interventions based on scientific evidence are inherent to the Nursing Process as they assist nurses in the decision-making process. Evidence-based nursing, in turn, is characterized by a thorough and rigorous evaluation of relevant studies on a pre-established nursing problem, the synthesis of expressive data and the obtaining of information on new interventions, treatments and prevention means, he considers. also the professional\’s expertise and the patient\’s will.

However, there is a lack of studies of context analysis and diagnostic validation, which limits the findings of strong evidence to support the diagnostic practice in nursing.

Thus, this study is justified by the recommendations established by the MOH through the PNSP, revealing the need for studies and research related to patient safety, in order to strengthen the scientific evidence to direct the best care practice and promote the effectiveness of patient management. risk and adverse events.

Therefore, this study aims to synthesize the evidence available in the literature regarding the risk factors of Nursing Security / Protection Domain diagnoses and correlated adverse events in hospitalized patients.