ICNP® terminological subset for people with diabetic foot ulcer in primary health care.
Halene Cristina Dias de Armada E Silva, Sonia Acioli, Patricia Dos Santos Claro Fuly and 5 others
PMID 38018616WHAT IT FOUND
A new nursing terminology subset for diabetic foot ulcers in primary care was developed and validated by 21 expert nurses.
It provides standardized diagnoses and interventions, such as checking for blisters and teaching nail care, to guide assessment and patient education.
Key findings
01The subset includes 81 nursing diagnosis/outcome statements and 583 nursing intervention statements, all validated by experts with a content validity index of at least 0.80.
02Interventions are categorized into Orem's self-care systems, with the support-education system accounting for 51% of the statements, emphasizing health education.
03Specific validated interventions include investigating blisters at every appointment, teaching patients to cut nails straight, and guiding patients to check skin for signs of cyanosis or redness.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The terms were derived from literature and documents focused specifically on diabetic foot ulcers, which may not capture the complexity of care for people with other diabetes complications. Content validity was assessed by a small sample of 21 expert nurses from a single programmatic area in Rio de Janeiro, which may limit generalizability to other contexts. The study reports the development and validation of the terminology subset but does not evaluate its impact on patient outcomes or clinical practice in a trial setting.
Declared interests
The authors declare no conflicts of interest. The study was approved by the Research Ethics Committee of the Universidade do Estado do Rio de Janeiro.
The easy way to misread this
This paper describes the development of a nursing terminology tool, not a clinical trial of an intervention. Do not interpret the validated statements as evidence that these specific interventions improve patient outcomes; they are expert-rated as relevant for nursing practice.