Terminologia especializada de enfermagem da CIPE para pessoas vivendo com HIV: mapeamento com a SNOMED

Abstract

INTRODUCTION: Infection by the Human Immunodeficiency Virus (HIV) represents a significant global public health issue, with ongoing efforts aimed at its control. In caring for people living with HIV (PLHIV), nurses follow the Nursing Process (NP). The assurance of high-quality records is supported by using Standardized Nursing Languages (SNLs), such as the International Classification for Nursing Practice (ICNP®), integrated with SNOMED International, a multilingual and widely used terminology. OBJECTIVE: To develop a specialized ICNP® terminology subset for people living with HIV. METHODOLOGY: This is a methodological study that followed the guidelines of the Brazilian method for the construction of ICNP® terminology subsets, divided into two stages: (1) identification of relevant terms for nursing practice with people living with HIV, and (2) cross-mapping between ICNP® (2019/2020) and SNOMED CT terms. Terms from the DeCS and MeSH vocabularies were used, and searches were carried out in databases such as LILACS, BDENF, SciELO, MEDLINE/PubMed, SCOPUS, and CINAHL. Term extraction was performed using the PORONTO software, and the resulting terms were mapped according to their degree of equivalence, being categorized as constant terms (degrees 1 and 2) and non-constant terms (degrees 3, 4, and 5). The principle of cardinality was also applied during the mapping. RESULTS: In the first stage, 487 publications were identified across 10 databases, of which 243 were selected for preliminary analysis and 87 were considered eligible. After full reading, 32 were included in the final sample. From the textual corpus, the PORONTO software extracted 19,850 terms, which were then normalized and standardized, resulting in 365 terms. Of these, 250 (68.49%) were found to be constant in ICNP®, distributed across equivalence degrees 1 and 2, and 115 (31.51%) were considered non-constant, classified in degrees 3, 4, and 5. Distribution according to ICNP®’s seven axes revealed 228 terms in the Focus Axis (62.5%) and 51 in the Action Axis (14%). A total of 295 terms (80.82%) were identified as constant in SNOMED CT. The mapping revealed a predominance of equivalence at degree 1 (1:*), with term occurrence frequency ranging from 1 to 1,074 times. CONCLUSION: A

specialized ICNP® terminology subset was developed for people living with HIV. The cross- mapping revealed that ICNP® encompasses a large number of the identified terms, distributed

as follows: pre-coordinated concepts – Diagnoses/Outcomes (DE/RE): 16 (6.4%) and Nursing Interventions (IE): 4 (1.6%) – and primitive concepts, classified according to the ICNP®’s seven-axis model – Focus: 153 (61.2%), Judgment: 9 (3.6%), Means: 14 (5.6%), Action: 39 (15.6%), Time: 7 (2.8%), Location: 4 (1.6%), and Client: 4 (1.6%). On the other hand, 115 terms (31.51%) were classified as non-constant, distributed across equivalence degrees 3, 4, and 5. Furthermore, SNOMED demonstrated broad correspondence, covering 295 (80%) of the identified terms.