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Objective: to analyze the reliability of the items that compose the instrument for classifying newborns according to the degree of dependence on nursing care in a neonatal intensive care unit., Method: methodological study that analyzed the agreement and reliability of the instrument in a neonatal intensive care unit. Six care nurses and a research nurse assessed 35 newborns and completed the instrument, which was made up of 15 areas of care. The weighted Kappa coefficient and the Intraclass Correlation Coefficient were used for analysis., Results: the areas of: weight (92%), oxygenation (93%) and catheter control (95%) had almost perfect agreement and the area of reaction to stimuli (50%) had poor agreement. The areas of elimination and vital signs showed low reliability, due to the low variability of responses. The Intraclass Correlation Coefficient was 0.94., Conclusion: there are variations in the evaluations of some areas of care due to the imprecise description of items to which scores are assigned, however the instrument is reliable for categorizing the type of care (minimal, intermediate and intensive). Its use can contribute to measuring the quality and safety of newborn care.

Objective: To reflect on the contributions of representing nursing practice elements in the ISO 18.104:2023 standard., Method: This is a theoretical study with standard analysis. Categorical structures were described to represent nursing practice in terminological systems and contributions identified in the parts of the version were analyzed., Results: There is innovation in the inclusion of nurse sensitive outcomes, nursing action, nursing diagnosis explanation as an indicator of nursing service demand and complexity of care, representation of concepts through mental maps and suggestion of use of restriction models for nursing actions. It describes that the Nursing Process is constituted by nursing diagnosis, nursing action and nurse sensitive outcomes., Final Considerations: Indicating a nursing diagnosis as an indicator will bring benefits for knowledge production and decision-making. Although care outcomes are not exclusive responses to nursing action, the modifiable attributes of a nursing diagnosis generate knowledge about clinical practice, nursing action effectiveness and subjects of care' health state. There is coherence in understanding the Nursing Process concept evolution.

Objective: To develop a registration standard with diagnoses, outcomes and nursing interventions for an Emergency Care Unit., Method: This is applied research of technological development developed in three steps: elaboration of diagnoses/outcomes and interventions statements following the International Classification for Nursing Practice; assessment of diagnosis/outcome relevance; organization of diagnosis/outcome and interventions statements according to health needs described in TIPESC., Results: A total of 185 diagnoses were prepared, of which 124 (67%) were constant in the classification, and 61 had no correspondence. Of the 185 diagnoses, 143 (77%) were rated as relevant by 32 experienced emergency room nurses, and 495 nursing interventions were correlated to diagnoses/outcomes., Conclusion: It was possible to build a record standard for the Emergency Care Unit following standardized terminology, containing diagnostic statements/outcomes and relevant interventions for nursing practice assessed by nurses with practice in emergency.

Objective: To construct a nursing care protocol for children in post-hematopoietic stem cell transplantation., Method: Methodological research carried out from January to September 2019, in three steps: (a) integrative review (nursing care was identified); (b) theoretical structuring and organization of healthcare based on the Theory of Basic Human Needs and on the International Classification for Nursing Practice (supplementing the review data); and (c) development of a protocol in the three previously mentioned stages. Analysis of the understanding of the protocol's items/care was performed by three specialist nurses., Results: The care protocol consists of 40 nursing problems and is organized in accordance with the psychobiological, psychosocial, and psycho-spiritual needs of children undergoing transplantation, integrating practical and guidance care., Conclusion: The care protocol is an important technology for nursing care to transplanted children, aimed to prevent and manage transplantation complications.

Objectives: to reflect on the global understanding of the Nursing Process concept, with emphasis on the Brazilian context., Methods: a reflection article, aligned with the vision and expertise of researchers who are members of the Nursing Process Research Network., Results: the reflection is presented in two main topics: The evolution of Systematization of Nursing Care X Nursing Process concepts and its consonance with national and international practices, and Brazilian legislation; The Nursing Process concept realignment in Brazilian legislation in line with current care, teaching and research practices. Final Considerations: the reflections were oriented to the Nursing Process' conceptual, normative and legal issues, including elements of its historical evolution, and, with that, pointed to the need to modify the Brazilian regulation on the Nursing Process.

Objectives: to describe the use of the International Classification for Nursing Practice (ICNP®) in the construction of a nursing care protocol for children undergoing hematopoietic stem cell transplantation., Methods: experience report., Results: nursing problems were defined based on complications identified in a previous study; later, the ICNP® enabled the organization and systematization of childcare. The care protocol consists of 40 nursing problems, with their human needs affected, diagnoses and nursing interventions. The axes Focus, Judgment, Location, Action, Means, Time, and Client were used in the elaboration of diagnoses and interventions proposed in the protocol. Final Considerations: the use of the classification allowed the establishment of nursing interventions compatible with the needs of the child undergoing transplantation, providing support for the care protocol. It made it possible to encourage the use of classification in this context, contribute to patient safety and strengthen professional practice.

Objective: To evaluate the clinical applicability of the terminological subset of the international classification for the nursing practice of palliative care for a dignified dying, in oncology., Method: Prospective study evaluating the clinical applicability of 33 nursing diagnoses/outcomes and 220 nursing interventions. It used case studies of 20 cancer patients undergoing palliation. The nursing process steps were operated by two nurses. Descriptive statistics was used to present, according to the theoretical model, the nursing diagnoses/outcomes and interventions identified in the patients. All statements identified in patients at some point during care were considered applicable in clinical practice., Results: Twenty-nine nursing diagnoses/outcomes and 197 nursing interventions from the subset were identified., Conclusion: In the context of palliative care in patients with cancer, the clinical applicability of 87.8% of the diagnoses/outcomes and 89.5% of the interventions that make up the palliative care terminological subset for dignified dying is affirmed.

Objectives: to report the construction of a process model to support the decision making of operating room nurses to control the risk for perioperative positioning injury., Methods: experience report on a process model that helps nurses with decision making regarding clients at risk for perioperative positioning injury. By following the steps, it was possible to identify intrinsic and extrinsic variables of the literature and of the workflows of teams involved in the positioning of the client for surgery. The Business Process Model and Notation, the Bizagi Modeler software and terms from the International Classification for Nursing Practice were used in the model., Results: the experience allowed the observation of the knowledge integration between different areas, which enabled the process modeling and its validation., Conclusions: process modeling is an innovative option for the development of support systems for clinical nursing decisions.

This study explores associated factors and perceptions of oral health among crack users recruited in open drug scenes in Brazil. A mixed methods approach was used. The quantitative component analysed findings from a large ( N  =   7381), population-based survey. The outcomes under analysis were 'self-perception of oral health' and 'self-reporting of problems affecting the mouth, teeth and gingiva (gums)'. The qualitative component comprised a focus group, with 12 individuals recruited from a drug treatment clinic. Lower self-perception of oral health problems vis-à-vis a higher prevalence of problems affecting the mouth, teeth, and gingiva were found in users who had a lower level of education, used substances daily, had worse self-perception of physical health, did not receive health care and regularly used alcohol and/or tobacco. The results show an association between substance use and decline in oral health, as well as the lack of health services focusing on such issues. Oral health services should be emphasised as a gateway to the health system. So far, the putative cross-referral between services and professionals working in oral health and other health professionals working in the field of drug dependence has not been observed.

Objective: to analyze the concept of domestic violence based on its use in health sciences, humanities, and exact sciences according to Rodgers' evolutionary model., Methods: this is a concept analysis based on Rodgers' evolutionary conceptual model. Ninety-six articles were included in Portuguese, English, Spanish, and French, which had a definition of domestic violence, having identified the antecedents, attributes and consequences and produced a model case., Results: twenty-two attributes, ten antecedents and eight consequences were identified., Final Considerations: from antecedents, attributes and consequences, it was possible to identify the connection between domestic violence and gender issues, especially patriarchal, being seen in a normalized way by society and causing consequences to the victims' physical and psychological health.

Objective: The study aimed to represent the content of nursing diagnosis and interventions in the openEHR standard., Methods: This is a developmental study with the models developed according to ISO 18104: 2014. The Ocean Archetype Editor tool from the openEHR Foundation was used., Results: Two archetypes were created; one to represent the nursing diagnosis concept and the other the nursing intervention concept. Existing archetypes available in the Clinical Knowledge Manager were reused in modeling., Conclusion: The representation of nursing diagnosis and interventions based on the openEHR standard contributes to representing nursing care phenomena and needs in health information systems., Competing Interests: None declared., (Thieme. All rights reserved.)

Objective: to describe the theoretical construction process of nursing process support documents in COVID-19 care scenarios., Methods: an experience report of the joint activity of the Brazilian Nursing Process Research Network (Rede de Pesquisa em Processo de Enfermagem) composed of Higher Education and Health Institution researchers in Brazil., Results: five instruments were organized collectively, involving the elements of nursing practice (nursing diagnoses, outcomes and interventions) in assistance for community; for patients (with suspected or mild, moderate, and critical COVID-19 and residents in Nursing Homes); for nursing workers' health support, also subsidizing registration and documentation during the COVID-19 pandemic., Final Considerations: valuing the phenomena manifested by families/communities, patients and health professionals is essential for early detection, intervention, and prevention of diseases.

Background: Cross-mapping establishes equivalence between terms from different terminology systems, which is useful for interoperability, updated terminological versions, and reuse of terms. Due to the number of terms to be mapped, this work can be extensive, tedious, and thorough, and it is susceptible to errors; this can be minimized by automated processes, which use computational tools., Objective: The aim of this study was to compare the results of manual and automated term mapping processes., Methods: In this descriptive, quantitative study, we used the results of two mapping processes as an empirical basis: manual, which used 2638 terms of nurses' records from a university hospital in southern Brazil and the International Classification for Nursing Practice (ICNP); and automated, which used the same university hospital terms and the primitive terms of the ICNP through MappICNP, an algorithm based on rules of natural language processing. The two processes were compared via equality and exclusivity assessments of new terms of the automated process and of candidate terms., Results: The automated process mapped 569/2638 (21.56%) of the source bank's terms as identical, and the manual process mapped 650/2638 (24.63%) as identical. Regarding new terms, the automated process mapped 1031/2638 (39.08%) of the source bank's terms as new, while the manual process mapped 1251 (47.42%). In particular, manual mapping identified 101/2638 (3.82%) terms as identical and 429 (16.26%) as new, whereas the automated process identified 20 (0.75%) terms as identical and 209 (7.92%) as new. Of the 209 terms mapped as new by the automated process, it was possible to establish an equivalence with ICNP terms in 48 (23.0%) cases. An analysis of the candidate terms offered by the automated process to the 429 new terms mapped exclusively by the manual process resulted in 100 (23.3%) candidates that had a semantic relationship with the source term., Conclusions: The automated and manual processes map identical and new terms in similar ways and can be considered complementary. Direct identification of identical terms and the offering of candidate terms through the automated process facilitate and enhance the results of the mapping; confirmation of the precision of the automated mapping requires further analysis by researchers., Competing Interests: Conflicts of Interest: None declared., (©Fernanda Broering Gomes Torres, Denilsen Carvalho Gomes, Adriano Akira Ferreira Hino, Claudia Moro, Marcia Regina Cubas. Originally published in JMIR Nursing Informatics (https://nursing.jmir.org), 09.06.2020.)

Objective: Identify workflow factors in the operating room and their implications, which influence nurses' decision making., Method: Integrative review of the literature conducted through searches in the databases: Latin American and Caribbean Literature in Health Sciences; Nursing Database; Pubmed; Scopus and Cumulative Index to Nursing and Allied Health Literature. The results were organized into factors related to positive, negative and positive and negative implications., Results: The sample of 18 articles included examples of factors with positive implications, such as preoperative data collection, negative outcomes, such as lack of human, material and structural resources, and positive and negative outcomes, as preparation for certification., Conclusions: Factors that influence the decision-making process of nurses are associated to different conditions: client- related conditions and those conditions that go beyond the domain and organization of the surgical environment.

This theoretical and reflective study aimed to assess the contribution of the ISO/TR 12300:2016 document for the mapping of nursing terminology. The referred document and related articles were used as an empirical framework. The study analyzed the content of the document, highlighting cardinality and equivalence principles. The standard presents conceptual and operational basis for mapping, with cardinality and equivalence as the support for the categorization of cross-terminology mapping in the area of nursing. Cardinality verifies candidate target terms to represent the source term, while the equivalence degree scale checks semantic correspondence. Among the principles included in the ISO/TR 12300:2016, cardinality and equivalence contribute to the accurate representation of the results of the cross-terminology mapping process and its use should decrease inconsistencies.

This study describes MappICNP, an automatic method for mapping between Brazilian Portuguese clinical narratives in free text and International Classification for Nursing Practice (ICNP) concepts. It's composed of six natural language processing rules, related to terms comparison. A set of 2,638 terms extracted from hospitals nursing notes was mapped. MappICNP helps to map 1,607 terms, 113 less than a manual approach. The results demostrate its advantages in minimizing the time spent and reducing the scope of analysis through candidate terms of ICNP.

Objectives: to identify terms of the specialized nursing language for the care of ostomates from the literature of the area, and to map the identified terms with terms of the International Classification for Nursing Practice (ICNP®)., Method: descriptive study of quantitative approach guided by the guidelines for the elaboration of terminology subsets of the ICNP®. The terms were collected in 49 scientific articles, extracted using a computational tool, selected according to the relevance for the theme, and normalized and mapped with the ICNP®., Results: 20,668 terms were extracted. The standardization process resulted in 425 relevant terms (151 were constant in ICNP® and 274 were not contained in ICNP®), of which 154 were similar, 19 were more comprehensive, 50 were more restricted, and 51 were not in concordance., Conclusion: the use of standardized language can minimize the ambiguities and redundancies identified in the mapping. The existence of terms not in concordance with the ICNP® reinforces the need for constant updating of this classification.

Reflection on the limits and potentialities of a Brazilian method for the development of terminological subsets of ICNP®,(International Classification for Nursing Practice) based on the correlation between this method and international methods. This issue has been debated by the International Council of Nurses (ICN). Although the council propose a guideline for elaboration, they encourage and reinforce the use of various perspectives and processes in the development of subsets. Brazilian Nursing needs to propose a method and deepen reflections on the use of terminological subsets of ICNP® in the reality of the country. The development of subsets in Brazil is considered incipient and the proposed method needs to be used and deepened in order to spread the use of terminology through the application of subsets.

The scope of the article is to present the reflections of professionals from the Mais Médicos Program (More Doctors Program) on the significance of the specialization course in Family Health in terms of professional practice and learning the most important concepts. This is an empirically based qualitative study on the statements recorded in the "Critical reflection on their personal learning process" of the final work of the specialization course at the Federal University of Pelotas. For textual analysis, 101 reports were randomly selected from a total of 1,011 reports completed in seven states of the North, Northeast and South of Brazil from June to December 2015. The initial barriers were overcome with tutor support and team integration, with emphasis on teaching tools for the improvement of clinical practice and strategic organization of work and greater understanding of the public health system. Fostering the learning of the Portuguese language and the exchange of experience in the forums were considered valuable positive aspects. Despite the difficulty in Internet access in some municipalities it reaffirmed the central role of ongoing education and the viability of the problem-solving methodology, even from a distance.

Objective: To analyze the use of nursing terminology as an instrument of the nursing work process in Collective Health., Method: Exploratory case study. For data collection was conducted a group interview with 24 nurses working in health units of a municipality in south central Paraná, Brazil. Data were analyzed in the light of interdependence between the structural, particular and singular dimensions contained in the Theory of Nursing Praxis Intervention in Collective Health., Results: The situations interfering with improper use were the lack of knowledge about the origin and purpose of terminology, lack of training, and non-mandatory use., Conclusion: Although the nursing terminology is used as an instrument in the nursing work process in collective health, it requires training to be recognized as a classification system. At the same time, institutional policies should be employed to ensure the effective use of these instruments., Objetivo: Analisar a utilização de terminologia de enfermagem como instrumento do processo de trabalho do enfermeiro em Saúde Coletiva., Método: Estudo de caso exploratório. Para coleta de dados foi realizada entrevista em grupo com 24 enfermeiros que atuam nas unidades de saúde de um município no centro-sul do Paraná, Brasil. Os dados foram analisados à luz da interdependência entre as dimensões estrutural, particular e singular contidas na Teoria da Intervenção Práxica de Enfermagem em Saúde Coletiva., Resultados: As situações que interferiram na utilização inadequada foram o desconhecimento sobre origem e finalidade da terminologia, a falta de treinamento e a não obrigatoriedade de uso., Conclusão: A terminologia de enfermagem, apesar de utilizada como instrumento no processo de trabalho de enfermeiros em Saúde Coletiva, necessita de capacitação para ser reconhecida como sistema classificatório. Ao mesmo tempo, políticas institucionais devem ser empregadas no intuito de garantir a efetiva utilização destes instrumentos.

Objective Describe the terms used in written records of patients' progress by nurses. Methods Descriptive research with a quantitative method that used a software to extract terms related to 148,200 nursing documentations of patient's progress, from 2010 to 2012, in a university hospital in Curitiba - Paraná. The terms were normalized, if appropriate, in spelling, gender, number and tense; then corpus of 2.638 terms was classified for analysis. Results There were problems related to the identification of the records; the use of trade names for designating artifacts used in the nursing practice; unconventional acronyms and abbreviations; and colloquial terms. Records of terms contained in standardized language of nursing diagnoses were found. Conclusion The language used by nurses is heterogeneous. There is a tendency to use terms of specialized language, even when there is no formal terminology standardization in the institution.

The present study aims to validate 15 terms and definitions for submission to the International Classification for Nursing Practice ICNP ® . The terms were extracted from 148,299 narratives of the evolution of nursing care, free texts from Electronic Health Records, in a Brazilian university hospital. These terms were mapped with ICNP ® 2013 for identifying differences, similarities and nonexistent terms. Definitions were made for the 15 most frequent nonexistent terms. Five Brazilian experts evaluated the settings through the Content Validity Index (CVI). Validation by 68 clinical practice experts is in progress. 2,638 different terms have been identified. After mapping and analysis, 15 terms were selected. Despite the importance of experts' assessment, the terminology is used by nurses in their daily practice. The classification of concepts is essential for the development of standards for Electronic Health Records.

Objective: To develop a proposal for a nursing panel of indicators based on the guiding principles of Balanced Scorecard., Method: A single case study that ranked 200 medical records of patients, management reports and protocols, which are capable of generating indicators., Results: We identified 163 variables that resulted in 72 indicators; of these, 32 nursing-related: two financial indicators (patient's average revenue per day and patient's revenue per day by product used); two client indicators (overall satisfaction rate of patient with nursing care and adherence rate to the patient satisfaction survey); 23 process indicators, and five learning and growth indicators (average total hours of training, total of approved nursing professionals in the internal selection process, absenteeism rate, turnover rate and index of performance evaluation)., Conclusion: Although there is a limit related to the amount of data generated, the methodology of Balanced Scorecard has proved to be flexible and adaptable to incorporate nursing services. It was possible to identify indicators with adherence to more than one area. Internal processes was the area with the higher number of indicators.

Objective: To report the nurse's experience of inclusion in interdisciplinary clinical study about technological innovation, involving people with spinal cord injury., Method: Descriptive experience report. The empirical support was based on notes about perspectives and practice of clinical research, with a multi-professional nursing, physical education, physiotherapy and engineering staff., Result: The qualification includes the elaboration of the document for the Ethics Committee, familiarization among the members of staff and with the studied topic, and also an immersion into English. The nurse's knowledge gave support to the uptake of participants and time adequacy for data collection, preparation and assistance of the participants during the intervention and after collection. Nursing theories and processes have contributed to reveal risky diagnoses and the plan of care. It was the nurse's role to monitor the risk of overlapping methodological strictness to the human aspect. The skills for the clinical research must be the object of learning, including students in multidisciplinary researches., Conclusion: To qualify the nurse for clinical research and to potentialize its caregiver essence, some changes are needed in the educational system, professional behavior, attitude and educational assistance.

Objective: Identification of terminology relating to nursing practices aimed at children and adolescents at risk of domestic violence., Methods: bibliographic descriptive research which selected 40 articles from the Virtual Health Library on domestic violence against children and adolescents, its manifestations, causes, and consequences, in association with nursing procedures for its confrontation and prevention, and which also identified terminology via computer tools., Results: 17,365 terms that, after standardization and uniformity procedures, resulted in a listing of 915 terms., Conclusion: The terminology selected focused on the individual biopsychic nexus and the historic manifestation of this phenomenon was partially identified in terms that appear less frequently in these articles, thereby explaining the contradiction between the formal identification logic of such terminology and the dialectic logic that recognizes the historic reasons for, and dynamicity of, such phenomena.

Objective: to align the International Classification for Nursing Practice (ICNP®) Version 2.0 ontology and a proposed INCP® Brazilian Ontology., Method: document-based, exploratory and descriptive study, the empirical basis of which was provided by the ICNP® 2.0 Ontology and the INCP® Brazilian Ontology. The ontology alignment was performed using a computer tool with algorithms to identify correspondences between concepts, which were organized and analyzed according to their presence or absence, their names, and their sibling, parent, and child classes., Results: there were 2,682 concepts present in the ICNP® 2.0 Ontology that were missing in the Brazilian Ontology; 717 concepts present in the Brazilian Ontology were missing in the ICNP® 2.0 Ontology; and there were 215 pairs of matching concepts., Conclusion: it is believed that the correspondences identified in this study might contribute to the interoperability between the representations of nursing practice elements in ICNP®, thus allowing the standardization of nursing records based on this classification system.

The aim of the present study was to develop titles of Nursing Diagnoses and Outcomes (ND/NO) through the relationship between the terms of the Focus axis, limited to the Circulatory System Process, and the terms of other ICNP® axes and to integrate these terms into an ontology. Titles were developed linking 17 terms of the focus axis, which were evaluated by expert nurses in five Brazilian cities. Titles whose use concordance was above 0.80 were included in the ontology. In total, 89 titles for ND/NO were supported in the literature, and 19 were not supported; 37 were assessed as eligible for use in healthcare practice and were included in the ontology. The construction of ND/NO titles based on the ICNP® and using a formal representation of knowledge is a task that requires deepening concepts used for nursing and adequate classification revisions. The elaborated titles will facilitate the composition of diagnostics that are more consistent with practice.

Objectives: We aimed to investigate the prevalence of Hepatitis C in adult users of the Public Health Services of São José dos Pinhais - Paraná., Methods: We performed an epidemiological survey with a probabilistic sample of 5,017 volunteers who answered a questionnaire and were submitted to an anti-HCV quick test. Data were organized using Epi-info 3.5.1. The association between the presence of the disease and the factors of interest in the study were evaluated by the Chi-square test. We used a Logistic Regression Adjusted Model for risk factor analysis and the Wald test for decision making on the importance of the risk factors., Results: The absolute frequency of positive anti-HCV was 13, with a prevalence of 0.30%, (IC = 0.12% - 0.40%). A higher probability of the disease was reported in males (p = 0.008) and in single, separated and widowed subjects (p = 0.045); in subjects with prior HCV symptoms (p < 0.001) and a previous blood transfusion (p < 0.001); and with the presence of a tattoo (p = 0.033). Drug abuse, blood transfusion and age > 40 years increased the risk for disease, regardless of sex, age and marital status., Conclusion: We found a low prevalence of Hepatitis C, albeit expected for Southern Brazil. Our results did not differ from other studies as to contamination risks. The study may contribute to highlight the importance of Hepatitis C, the need to implement strategies to cope with it, and stimulate better understanding of Hepatitis C.

The CIPESC® is a tool that informs the work of nurses in Public Health and assists in prioritizing their care in practice, management and research. It is also a powerful pedagogical instrument for the qualification of nurses within the Brazilian healthcare system. In the teaching of infectious diseases, using the CIPESC® assists in analyzing the interventions by encouraging clinical and epidemiological thinking regarding the health-illness process. With the purpose in mind of developing resources for teaching undergraduate nursing students and encouraging reflection regarding the process of nursing work, this article presents an experimental application of CIPESC®, using meningococcal meningitis as an example.

Objective: To analyze the information about breast self examination available on the Internet., Methods: A descriptive documental study was performed via a search on the Google® and Yahoo® websites using the phrase "breast self examination" in Portuguese, and the first 50 results from each site were analyzed using the criteria of the American Medical Association and Health on the Net., Results: 68 sites were selected and analyzed. Most of the sites were in the commercial domain, six were governmental sites and five were Portuguese sites. More than half had restrictions regarding criteria of authority and authorship; 61% did not have contact details and 52.94% considered breast self exam as part of a set of measures; 26.47% had correct and complete evidence-based content; 33.82% had context references. Government WebPages of health or professional institutions had restrictions regarding content or presentation., Conclusions: The information about breast self exam is heterogeneous. Only a small number of websites were concerned about quality criteria, both in terms of construction and content. The bulk of the information available is not evidence-based and there is potentially dangerous information for the patient. It is necessary to improve the quality of websites dealing with breast self exam.

The debate is based on the contextualization of the goals presented by the National Primary Health Care Plan (Plano Nacional de Atenção Básica), which despite having improved the quality and attempted to solve inequities and vulnerabilities, still has contradictions to overcome. The plan discusses that nursing, in this setting, is included as a member of the family health team and in the coordination of community health agents. The analysis of the challenges to be overcome was divided into three blocks: undergraduate teaching, the working process, and continuous training. The first block presents a panorama of undergraduates studies in Brazil and how the primary health care issues are addressed in the curricula and understood by faculty and students; the second examines the views that primary health care nurses have about their working process and the guidelines of the Brazilian National Health System; finally, the third block points to the challenges related to the different knowledge and practices that must be developed in nursing, in this specific area of practice.

The International Classification for Nursing Practice (ICNP) is a classification system that aims at an universal standardized language for nursing. This article aims to discuss the results of studies addressing ICNP. This is a review of the literature in the database of the Virtual Health Library, by the term "ICNP" with coverage until 2009. 124 articles were found; 65 were analyzed and their contents were grouped in nine categories: general approaches; applicability in practice; assessment ratings; experiments with computational resources; development and inclusion of terms; approach to classification systems; use to anchor the building of nursing statements; translations; and others. It was found that few studies present projects or evaluate the practical applications of ICNP. The majority discusses conceptual issues or compare ICNP with other classification systems. Several studies conclude about the appropriateness and relevance of ICNP, despite pointing a need for improvement.

The ICNP® model of seven axes resulted in the transfer of terms between the axes, conceptual modifications, inclusion and exclusion of terms. This descriptive, bibliographic study, mapped out the terms of the axes "Time", "Location", "Means" and "Client" among Beta-2, 1.0 and 1.1 versions of the ICNP® and CIPESC®. The mapping located the terms of these axes in the different versions of the ICNP® and CIPESC®. It was performed to classify the semantic equivalence of terms and concepts. The result shows that some changes have the objective of reducing ambiguities and redundancies; others do not allow the verification of the criterion for exclusion, inclusion and migration of terms. It is imperative to establish concepts of consensus by the group responsible for building the terminology in order to minimize the misuse or improper use of terms. It is necessary to revise the list of actions in the vocabulary inventory of CIPESC®.

The objectives of this article are to identify the adverse events following vaccination, the focus if nursing practice, using the Post-Vaccination Adverse Events Information System database, and discuss on the nurses' practice on the surveillance for those events. Secondary data were those regarding the vaccines applied in the Brazilian public health system, in the period from 1999 to 2008, totaling 65,442 registers, 59,899 of which were confirmed and 1,403 were associated with another vaccine. The 16 nursing practice events totaled 21,727 registers. Although they account for 35.4% of the registers, the data do not reflect the reality, because their reliability depends on the knowledge network that comprises diagnosis, notification and inclusion in the system. Discussions were made on interventions for the most prevalent events: fever and local events. Most interventions established in the adverse events manual was in agreement with the literature, though there were differences in the content between conducts for the same event due to different vaccines.

This descriptive and exploratory study aimed to describe nursing diagnoses and interventions under the International Nursing Practice Classification in Collective Health--CIPESC®--in Women's Health Care, sub-theme Pre-Natal and Puerperium, correlating them to nurses' competences at Curitiba's Mother Program. Data used were diagnoses and interventions during nursing consultation from April to July/ 2005. Basic Statistics was used for data treatment. Proper Breastfeeding was the most frequent diagnosis and most interventions are related to strengthening the user to face the health-disease process (68.9%). In spite of nurses' practice during puerperium, such a competence is not part of the Program Protocol. In conclusion, minor adjustments are necessary in the analyzed diagnoses and the Protocol should be reviewed to entail nurses' competences that are developed in their practice in health services according to CIPESC' s registers.

Documental descriptive research, presents the mapping of the terms from the "Action" Axis among the versions: Beta-2, 1.0 and 1.1 of the ICNP® and the verbs of CIPESC®. Results are: 22% of terms from Version 1.0 are new; 12.61% are identical, with different concept; 51% are not in CIPESC®; 65% of terms from CIPESC® are not in ICNP®, in relation to them, 15% represent actions related to link building or empowerment. The results require validation by experts. This paper discusses the complexity of the Portuguese language and the need to establish consensus among concepts. The lack of verbs from CIPESC® is considered a gap to be filled, which may reflect the use of ICNP® by nurses in public health.

This paper presents the results of geoprocessing data from a Family Health Unit in Curitiba-PR. A research dealt with both descriptive and operational aspects, using the Geographical Information System (GIS). It gathered available information from the Health Unit, identified which data is relevant for public health assessments, organized it in a database targeted for geoprocessing, and finally generated thematic maps. The paper focuses on cases of high-risk pregnancies and high-risk newborns. The thematic maps show the geographical distribution of the incidence and concentration of such cases, as well as correlations between them. Finally, the paper shows that georeferenced maps of public health issues support a better focused planning and management of health services offered to the local population.

This paper presents the ISO 18.104:2003 as an integrative model of nursing terminology. It describes the standard, studies and experiences with its use and discusses possibilities to develop knowledge in the field. The standard has been shown to be effective in developing reference terminologies, and as a standard method for interoperability and reuse. Studies have internal limitations such as language and notations unknown to nursing. Correspondence of the model with classifications used in health services and practice is incipient, which hinders its applicability and development due to the lack of examples to be analyzed and discussed.

It is an unquestionable fact, the importance, relevance and necessity of implementing the Nursing Care Systematization in the different environments of professional practice. Considering it as a principle, emerged the motivation for the development of an information system to support the Nursing Care Systematization, based on Nursing Process steps and Human Needs, using the diagnoses language, nursing interventions and outcomes for professional practice documentation. This paper describes the methodological steps and results of the information system development - requirements elicitation, modeling, object-relational mapping, implementation and system validation.

Objective: To identify, with the assistance of computational techniques, rules concerning the conditions of the physical environment for the classification of risk micro-areas., Methods: Exploratory research carried out in Curitiba, Southern Brazil, in 2007. It was divided into three phases: the identification of attributes to classify a micro-area; the construction of a database; and the process of discovering knowledge in a database through the use of data mining. The set of attributes included the conditions of infrastructure; hydrography; soil; recreation area; community characteristics; and existence of vectors. The database was constructed with data obtained in interviews by community health workers using questionnaires with closed-ended questions, developed with the essential attributes selected by specialists., Results: There were 49 attributes identified, 41 of which were essential and eight irrelevant. There were 68 rules obtained in the data mining, which were analyzed through the perspectives of performance and quality and divided into two sets: the inconsistent rules and the rules that confirm the knowledge of experts. The comparison between the groups showed that the rules that confirm the knowledge, despite having lower computational performance, were considered more interesting., Conclusions: The data mining provided a set of useful and understandable rules capable of characterizing risk areas based on the characteristics of the physical environment. The use of the proposed rules allows a faster and less subjective area classification, maintaining a standard between the health teams and overcoming the influence of individual perception by each team member.

The implementation of the electronic health record in the basic networks of Curitiba enabled an advance in the implementation of the nursing consultation and the ICNPCH, whose modeling uses the ICNP axes structure and the ICNPCH list of action. The objective of this study was to evaluate the nursing consultation from the productivity and assistance coverage perspective. The studied population was obtained from a secondary database of nursing consultations from April to June of 2005. The analysis was performed using the Datawarehouse and OLAP tool. The productivity per professional was found to be 2.5 consultations per day. Professionals use 16% of their daily work time with this activity and up to 27% of their potential per month. The ICNPCH was used in 21% of the consultations. There is a 0.08 consultation coverage per inhabitant for 6% of the population. The nursing consultation makes it possible to characterize the nurses' role in health care and a new professional position capable of affecting the construction of public politics.

This paper presents a reflection on the ICNP and CIPESC construed as a technological innovation capable of sustaining the nursing knowledge. They may be considered as product and process innovations that, inserted on complex realities, must estimate values and local cultures. The CIPESC strengthens the presence of phenomena from the nursing practice in the SUS and to survive with autonomy and sharing information, it should be combined with institutional information systems and the ICNP, thus it will establish cultural values strong enough to be available and to interact with systems of language of the profession as well as with systems in use in the SUS context. Our challenge is to overcome the use of a classification system as a mere instrument of work and view it as a technological innovation able to produce changes that will give the opportunity for nursing work.

Due to structural changes of classifications: ICNP beta-2, version 1.0 and CIPESC, this descriptive study aims to identify similarities and differences by building a map between the terms of the focus of practice. The ICNP 1.0 on the beta-2 shows: 41% are new terms, 33% identical, 4% with expanded concepts, 12% modified; 8% different and 2% there are concepts only in beta-2. The ICNP 1.0 in relation to CIPESC presents: 79% are new; 8% identical; 1% extended; 5% modified; 4% different and 3% without concept. There were difficulties from the process of Brazilian translating and publishing of ICNP 1.0 and the absence of some concepts in terms of CIPESC. This work will trigger the validation process for non equivalent terms.

Postpartum appointments are essential in women health care. This study aimed at identifying the social health needs of women during postpartum. A survey was conducted with 50 puerperal women of the Curitiba Mother Program receiving care at basic health units of a health district of the city of Curitiba, Paraná, southern Brazil. An instrument with objective questions was applied in February and March, 2007, to collect the data. Descriptive statistics was used to analyze the data. The most frequently mentioned set of needs was "to be someone with the right to be different", whereas the least mentioned was "link with health professional and team". The latter appears as a positive aspect of the nurse's (and health team) work, whereas the first shows the need to build practices to strengthen the autonomy and the self-reliance of women in health care.

The project International Classification of the Nursing Practices in Collective Health-CIPESC was the Brazilian contribution for the incorporation of the notion of collectiveness in the International Classification of Nursing Practice-ICNP. This article aims at analyzing the bibliographical production concerning nursing classifications available in the virtual library in health database since 1990. This is a bibliographical survey of nursing practice classification systems and is part of a larger research that intends to identify the collective face of the CIPESC instrument in the municipal health network of the city of Curitiba, in the State of Parana. The result shows that the majority of the texts are based on the clinical-individual model, and those that emphasize the social-epidemiologic model are still a minority. In addition, most studies focused on the collective were disseminated through the publications of the Brazilian Nursing Association, which has the hegemony in the diffusion of the knowledge about the collective face of classification systems.

This study aims to present the basis to build a re-reading tool of the Health-Disease Process which relies on dialogical relation among social categories and the functional variables found in the a consultation instrument. The tool is an analytical model for decision support that intends the development of data warehousing. Data from the electronic records of nursing consultation were related to the categories: need, social class, gender, race and generation, unveil the social aspects of the health--disease process and assign degrees of vulnerability to homogeneous social groups. Four degrees of vulnerability can be observed that are qualified by eleven markers. The tool lead to the reflection that inequalities are reproduced as time goes by and transforms groups in targets from the social immobility. Although there are some gaps for the visualization of the social categories, the tool enables to visualize the collective face of families and social groups.

The existence of a specific language for the profession is essential, and the International Nursing Practice Classification in Collective Health (CIPESC, in the Portuguese-language acronym) has as one of its goals the classification of the work of nurses in collective health. In Brazil, the Brazilian Nursing Association (ABEn, in the Portuguese-language acronym), responsible for the classification, found in the Municipal Secretary of Health of Curitiba, in the State of Parand, an ally for its effective implantation. The purpose of this article was to validate the nomenclature of the 52 diagnoses of prenatal Nursing CIPESC base--in Curitiba. It is an exploratory-descriptive study developed with assisting nurses and experts in the area of gynecology obstetrics and terminology. The results were presented through the Consonance Index through absolute frequency. All the definitions were validated, but they need to be adjusted to the daily language. The nurses show difficulty in interpret nursing intervention in the promotion of well-being, and it is urgent to discuss the concept of health promotion and the health-illness process in collective health.