Methods: This is an exploratory-descriptive study, carried out in a pediatric inpatient unit of a school hospital in Brasilia, Brazil. Conducted between November 2017 and February 2018. The study adopted the guidelines for the construction of CIPE® terminological subsets developed at the Center for Research and Development of CIPE® of the Federal University of Paraíba, Brazil (Cubas, & Nóbrega, 2013). Developed in two stages, the first, a documentary, structured based on data collection from the Basic Attention Book number 33, prepared by the Brazilian Ministry of Health, for the practice of child health care (Brasil, 2012), and in the model of Seven Axes of CIPE® version 2017, for construction of the terminology bank CIPE® for the practice in the scope of the health of the child; and the second the validation of this terminological bank, developed with nurses specialists in the field of child health. For the nurses’ choice, the following inclusion criteria were established: working in the area of child health for at least one year, nursing graduation; exclusion criteria: nurses away from service for more than 6 months. Six nurses participated. Cross-mapping was done between the terms of CIPE® 2017 and the Manual Assistencial de Cuidado à Saúde da Criança. The terms included in the CIPE® for the elaboration of nursing diagnoses and results were highlighted, based on the standard for the elaboration of terminologies of Nursing ISO 18.104 (Marin, Peres, & Sasso, 2013). All affirmative statements have formed a list of DE/RE related to child nutrition. A questionnaire was constructed in Google forms containing the DE/RE and Likert scale values, in the “large selection box” model that contains lines with the nursing diagnoses and results and columns with values ranging from 1 to 4, being the concepts: 1 classified as “irrelevant”, 2 “little relevant”, 3 “relevant” and 4 “very relevant”. The questionnaire was submitted to the validation process, using as criterion the content validity index (IVC) (Cubas, & Nóbrega, 2013), which considers validated the affirmative that has IVC> 0.79. The items that obtain a mean score on the Likert scale between 3-4 are considered IVC> 0.79. Project approved by the Comitê de Ética em Pesquisa da Fundação de Ensino e Pesquisa em Ciências da Saúde do Distrito Federal, opinion no. 1,656,424 and CAAE: 57756216.3.0000.5553.
Results: The CIPE constant terms withdrawn from the protocol resulted in 402, being: focus (223); judgment (16); action (23); local (64); means (42); customer (17); time (17). The nursing diagnoses and results were elaborated from the nutritional aspects of the child, generating a list of 51 affirmative. Of this total, 11 (21.57%) showed constant in the nursing diagnoses/results of CIPE 2017 and 40 (78.43) non constant. The non-constant statements were analyzed for similarity and comprehensiveness, one by one, where a percentage of 19 similar statements (47.5%), 2 more comprehensive (5%), 10 more restricted (25%) and 9 without agreement (22,5). The affirmatives generated list of nursing diagnoses/results and submitted to the validation process, generating 30 diagnoses/nursing results were validated. The diagnoses that had higher scores on the applied scale were: malnutrition and vomiting (3,8); diarrhea, abdominal pain, normal food intake (3,6); food allergy, low food acceptance, low metabolism, constipation, dehydration, encopresis, presence of appetite (3,5). The affirmations excluded in the validation, received ICV <0.8, represent the total of 21 diagnoses/nursing results elaborated, corresponding to 42%. The diagnoses with higher failure rates were: normal child development (2.1); low swallowing, reliance on breastfeeding, fainting, moderate food acceptance, presence of bulimia, presence of food intake (2,5). In this study, 30 of the elaborated nursing diagnoses/results, which represent 58% of the total, received ICV> 0.79, and these were validated. Other studies, using a similar method, also received approval of the diagnostic statements/nursing results >50% (Lins, Santo, Fuly, & Garcia, 2013). Considering the different regions of Brazil, there are prevalences between deficiency and nutritional excesses. Due to the public served, it can be inferred that some affirmations may not have been validated considering the reality of the population served. The importance of this study is emphasized, since the nutrition of Brazilian children is recognized as a public health problem.
Conclusion:
The use of special nursing languages has great importance for the guarantee of clear communication and the systematization of a precise, organized and individualized care to each receiver of the nursing care. This study allowed the formation of a CIPE terminology subset for the child’s nutrition.