Mapping of terms attributed to nursing phenomena in the written data of the nursing staff components

Abstract

This work aimed to identify the terms used by components of the nursing staff of the of the school hospital, in written patient clinical records, to designate phenomena of nursing; and to compare the terms identified with those included in the Classification of Nursing Phenomena of the ICNP© - Beta version. As the population of study, it was considered all clinical records of the patients admitted in this service during the period of August/2001 to January/2002; 167 clinical records that contained written data of components of the nursing staff constituted the sample. In the process, it was identification of 586 nursing phenomena. After the cross-mapping phase, it was identified 340 terms already included in the Classification of Nursing Phenomena of the ICNP© - Beta version; and 246 new possible terms to be included in the future. KEYWORDS: Phenomenon of nursing, Registers of nursing, Nursing staff.