Richardson Augusto Rosendo da Silva, Juliana Otaciana da Silva, Sílvia Maria de Sá Basílio Lins, Harlon França de Menezes, Ana Beatriz Pereira da Silva, José Leonildo Fernandes de Queiroz, Rafaella Viesti Machado, Jéssica Fernanda Galon
tlooto Summary
The study clinically validated a subset of 23 nursing diagnoses/outcomes and 169 interventions, demonstrating their applicability in care, confirming the clinical validity of the subset and the consistency of the model for discriminating different profiles of patients undergoing hemodialysis.
Abstract
ABSTRACT Objective: To clinically validate the nursing diagnoses/outcomes and interventions statements of the CIPE® Subset for individuals with chronic kidney disease undergoing hemodialysis. Method: Clinical validation study, with individuals aged 18 years or older, with chronic kidney disease, undergoing dialysis for at least three months. The research took place in three stages: Application of the Nursing Process to clinical practice, encompassing five essential steps - Nursing assessment, diagnosis, planning, implementation, and progress notes; Structuring of case studies; and Identification of the prevalence of ND/NO and NI listed from the case studies. Data were analyzed using latent class analysis. Results: The findings revealed three distinct latent classes: low (Class 1), medium (Class 2), and high (Class 3) risk. The indicators showed high sensitivity (72.0% to 91.0%) and specificity (83.0% to 92.0%) values, confirming the clinical validity of the subset and the consistency of the model for discriminating different profiles of patients undergoing hemodialysis. Conclusion: The study clinically validated a subset of 23 nursing diagnoses/outcomes and 169 interventions, demonstrating their applicability in care.
Citation format
SILVA, Richardson Augusto Rosendo da, et al. Clinical validation of ICNP® terminological subset for people with chronic kidney disease undergoing hemodialysis. Revista da Escola de Enfermagem da USP, 2026, 60: e20250364.