Terms of the nursing language identified in registers of an UIT neonatal

Abstract

The evaluation of the nursing records was always an essential part of the professional development; however, it is not still possible to describe the content of the practice, because the language used in the care didn't become sufficiently univocal. In that perspective it is noticed the relevance of the identification of a specific language used by the male nurses, for the registration of your activities. This study aimed to identify the terms used by the components of the nursing team, in the nursing records of the Unit of Intensive Therapy Neonatal (UITN) of a hospital school; and to cross map the identified terms with the constants in the seven axes of CIPE® Version 1. In the collection of data it was used the retrospective method. After the extraction and normalization of terms, it was found 161 terms constants in the seven axes of CIPE® 1, and 603 not constants. Analyzing the 166 constants, observed 45 in the axis Focus, 8 in the axis Judgment, 23 in the axis Means, 39 in the axis Action, 12 in the axis Time, 30 in the axis Location, and 4 in the axis Client, which were analyzed to verify their relevance for UITN. According to the results, it can be concluded that the objectives of this research were reached and that the methodological paths were appropriate. This study is considered of great importance to the knowledge of the vocabulary used in UITN, contributing for the construction of a specific nomenclature for this unit.