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PURPOSE: This study has two objectives: (1) to identify the indicators of the nursing outcome "Knowledge: Wound management (3209)" related to the evaluation of knowledge about the care of surgical wounds; (2) to translate and culturally adapt the nursing outcome "Knowledge: Wound management (3209)" into Brazilian Portuguese and Colombian Spanish. METHODS: This is a methodological study with two steps. Initially, a scoping review was conducted based on the methodology of the Joanna Briggs Institute. Subsequently, the translation and cultural adaptation of the outcome were performed by adapting Beaton's recommendations, which included the label, definition, indicators, and measurement scale. FINDINGS: The review identified 31 indicators to evaluate knowledge about surgical wound care. Of these, 16 are described in the original outcome, and 15 new indicators are proposed to be included in the classification. Following this, the label, definition, indicators, and outcome measurement scale were reviewed, translated, and adapted with appropriate terminology for the cultural contexts of Brazil and Colombia. CONCLUSION: The outcome "Knowledge: Wound management (3209)" for evaluating the knowledge of surgical wounds consists of 31 indicators, all supported by scientific literature. The translated and adapted versions into Brazilian Portuguese and Colombian Spanish were found to be equivalent to the original. It is inferred that the identified indicators and the translated versions of the outcome will provide nursing professionals with an accurate assessment of knowledge about surgical incision wound care in daily practice. IMPLICATIONS FOR NURSING PRACTICE: This study reviews the scientific literature on the outcome "Knowledge: Wound management (3209)," facilitating the comprehensive measurement of specific knowledge about the care of surgical wounds in practice, education, or research. Additionally, it makes available the translated and adapted versions of the outcome in Brazilian Portuguese and Colombian Spanish. PROPÓSITO: Este estudio tiene dos objetivos: (1) Identificar los indicadores del resultado de enfermería "Knowledge: Wound Management (3209)" relacionados a la evaluación del conocimiento sobre el cuidado de las heridas quirúrgica; (2) traducir y adaptar culturalmente el resultado de enfermería "Knowledge: Wound Management (3209)" al portugués de Brasil y al español de Colombia. MÉTODOS: Estudio metodológico de dos pasos. Inicialmente, fue realizada una revisión de alcance orientados en la metodología de la Joanna Briggs Institute. Posteriormente, se realizó la traducción y adaptación cultural del resultado adaptando las recomendaciones de Beaton e incluyó la etiqueta, definición, indicadores y escala de medición. HALLAZGOS: En la revisión fueron identificados 31 indicadores para evaluar el conocimiento sobre el cuidado de las heridas quirúrgicas. De los 31 indicadores, 16 son descritos en el resultado y 15 nuevos indicadores propuestos para ser incluidos en la clasificación. A continuación, la etiqueta, definición, indicadores y escala de medición del resultado fueron revisados, traducidas y adaptados con la terminología adecuada para los entornos culturales de Brasil y Colombia. CONCLUSIÓN: El resultado "Knowledge: Wound Management (3209)" para el cuidado de las heridas quirúrgicas está compuesto por 31 indicadores todos sustentados con la literatura científica. Las versiones traducidas y adaptadas al portugués de Brasil y al español de Colombia del resultado fueron equivalentes al original. Se infiere que los indicadores identificados y las versiones traducidas del resultado le proporcionaran al profesional de enfermería una evaluación precisa del conocimiento sobre el cuidado de las heridas quirúrgicas en la práctica diaria. IMPLICACIONES PARA LA PRÁCTICA DE ENFERMERÍA: Este estudio revisa la literatura científica del resultado "Knowledge: Wound Management (3209)" favoreciendo la medición integral del conocimiento específico sobre el cuidado de las heridas quirúrgicas en la práctica, educación o investigación. Además, pone a disposición la versión traducida y adaptada del resultado en portugués de Brasil y en español de Colombia.

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El lenguaje científico, en el ámbito de la anatomía y ciencias de la salud, se sustenta en una terminología que ha estado abierta a discusiones y modificaciones. En Terminologia Anatomica, el término 'Lengua' proviene del latín Lingua. Sin embargo, también existen términos que derivan del lexema griego glossa y glotta, que también significa lengua. Lo que establece hiperonimia y sinonimia entre estructuras anatómicas relacionadas con este órgano músculo-sensorial. El objetivo fue analizar la presencia de los lexemas 'glossa' - 'glotta' en Terminologia Anatomica y revisar las definiciones de términos que incluyan estos lexemas utilizando el Diccionario Manual Griego-Español VOX y Vocabulario Básico de Griego con anotaciones morfológicas y etimológicas. Para la etimología en español se utilizaron el Diccionario panhispánico de términos médicos y Diccionario médico-biológico, histórico y etimológico. También se determinó la primera vez que se ocuparon en español, utilizando Corpus Diacrónico del Español. Los lexemas estudiados aparecen citados 15 veces en Terminologia Anatomica. Estos se definen como 'lengua, boca; habla, don de la palabra; expresión, manifestación, palabras; habla, lengua, lenguaje, idioma'. También se encuentran algunos términos derivados como Ductus thyroglossalis, epiglottis, glottis, ligamentum thyroepiglotticum y Vallecula epiglottica. Por lo que estos lexemas se consideran sinónimos. El lexema glossa se utilizó por primera vez en el ámbito médico el año 1870. Los lexemas glossa y glotta son frecuentes en Terminologia Anatomica, generando preguntas sobre el uso del doble sigma en griego jónico y doble tau en griego ático clásico. Aunque son sinónimos, su abundancia destaca la importancia del dominio del lenguaje anatómico para la comunicación efectiva y la comprensión precisa entre estudiantes, profesionales e investigadores.

SUMMARY: The scientific language in the field of anatomy and health sciences relies on a terminology that has been open to discussions and modifications. In Terminologia Anatomica, the term lengua comes from the Latin Lingua. However, there are also terms derived from the Greek lexemes glossa and glotta, both meaning 'tongue.' This establishes hyperonymy and synonymy among anatomical structures related to this sensory-muscular organ. The objective was to analyze the presence of the lexemes glossa - glotta in Terminologia Anatomica and review the definitions of terms containing these lexemes using the Diccionario Manual Griego-Español VOX and the Vocabulario Básico de Griego con anotaciones morfológicas y etimológicas. For Spanish etymology, the Diccionario panhispánico de términos médicos and the Diccio- nario Médico-Biológico, Histórico y Etimológico were used. The first use in Spanish was determined using the Corpus Diacrónico del Español. The studied lexemes were cited 15 times in Terminologia Anatomica, defined as 'tongue, mouth; speech, gift of speech; expression, manifestation, words; speech, tongue, language, idioma.' Some derived terms are also found, such as Ductus thyroglossalis, Epiglottis, Glottis, Ligamentum thyroepiglotticum, and Vallecula epiglottica. Therefore, these lexemes are considered synonymous. The lexeme glossa was first used in the medical field in 1870. The lexemes glossa and glotta are frequent in Terminologia Anatomica, raising questions about the use of double sigma in Ionic Greek and double tau in classical Attic Greek. Although synonymous, their abundance emphasizes the importance of mastering anatomical language for effective communication and precise understanding among students, professionals, and researchers.

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OBJECTIVE: Apply Graph Theory to analyze and map knowledge about nursing diagnoses and interventions, based on records of consultations carried out by nurses, in women's health, in primary health care. METHODS: Secondary data from a cross-sectional study were used. Records of nursing consultations carried out during the month of October 2016, in 21 health units, in a Brazilian municipality were analyzed. Network analysis was carried out using Graphs from 61 nursing consultations. RESULTS: 175 diagnoses were recorded, an average of three per consultation; and 380 interventions, an average of six per consultation. In the analysis, four diagnostic and four intervention network groupings were identified. CONCLUSIONS: The mapping allowed reflection on phenomena of interest to Nursing and fostering critical thinking in decision making. The findings are useful for teaching and training nurses, as well as strengthening the use of standardized language systems.

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OBJECTIVE: To analyze the accuracy of the defining characteristics of four respiratory nursing diagnoses (ND) in patients with COVID-19 and on oxygen therapy. METHODS: This is a cross-sectional study conducted in four Brazilian public hospitals in two regions of the country. A total of 474 patients with COVID-19 receiving oxygen therapy were assessed. Latent-adjusted class analysis with random effects was used to establish the sensitivity (Se) and specificity (Sp) of the defining characteristics evaluated for each ND. RESULTS: Among the ND that constituted the study (impaired spontaneous ventilatory, impaired gas exchange, ineffective airway clearance, and dysfunctional ventilatory weaning response), the following defining characteristics had the highest simultaneous Se and Sp (>0.8): decrease in tidal volume, confusion, irritability, dyspnea, decreased breath sounds, orthopnea, impaired ability to cooperate and respond to coaching, and decrease in the level of consciousness. CONCLUSIONS: Recognizing the clinical signs that predict respiratory ND in patients affected by COVID-19 can contribute to the nurse's accurate diagnostic inference and designate the appropriate nursing interventions to achieve the desired results and avoid complications.

OBJETIVO: Analisar a acurácia das características definidoras de quatro Diagnósticos de Enfermagem (DE) respiratórios em pacientes com COVID­19 e em uso de oxigenoterapia. MÉTODOS: Estudo transversal, realizado em quatro hospitais públicos brasileiros de duas regiões do país. Foram avaliados 474 pacientes diagnosticados com COVID­19 e em uso de oxigenoterapia. A análise de classe latente ajustada com efeitos randômicos foi utilizada para estabelecer a sensibilidade (Se) e especificidade (Sp) das características definidoras avaliadas para cada DE. RESULTADOS: As características definidoras volume corrente diminuído, confusão, irritabilidade, dispneia, sons respiratórios diminuídos, ortopneia, capacidade prejudicada para cooperar e responder orientações, e nível de consciência diminuído foram as que obtiveram maior sensibilidade e especificidade simultaneamente (> 0.8) dentre os diagnósticos de enfermagem compuseram o estudo: Ventilação espontânea prejudicada, Resposta disfuncional ao desmame, Desobstrução ineficaz das vias aéreas e Troca de gases prejudicada. CONCLUSÕES: Conhecer os sinais clínicos preditores dos diagnósticos de enfermagem respiratórios em pacientes acometidos por COVID­19 pode contribuir para a inferência diagnóstica acurada do enfermeiro e designar as intervenções de enfermagem apropriadas para atingir os resultados desejados e evitar complicações.

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Terminologia Anatomica (TA) is a unique collection of technical terms that allow communication in anatomy and medicine around the world. Considering this, we reviewed articles published by Latin American authors on Terminologia Anatomica and synthesized the main results found in this article. This study is a systematic review about Terminologia Anatomica that focuses on non-English-speaking countries in Latin America. The database used was Scopus via Elsevier. 207, and candidate articles were identified after applying the search strategy and with no restriction of year of publication. After the exclusion of articles whose authorship was not Latin American, 68 articles were filtered based on their titles and abstracts without the exclusion of any of them. These articles were fully evaluated resulting in 66 articles that met all the inclusion criteria of this review. We collected the following data: title of the article, year of publication, journal of publication, keywords of the study, country of origin, and aim of the article. Among the analyzed articles, 22 proposed changes to terms present in Terminologia Anatomica, 15 of them proposed the inclusion of terms for Terminologia Anatomica, and several articles sought to explain the existence of the existing terms. It is necessary to analyze the terms that are and their origins in the Latin America languages to evaluate their coherence and anatomical correspondence. A standard descriptor for Terminologia Anatomica was not obtained and it is a limitation since eventual articles may not have been obtained. As the study evaluates only articles that were published in journals indexed in Scopus, some articles published in non-indexed journals were not included.

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PURPOSE: To evaluate the content validity evidence of the nursing outcome "sexual functioning" from the Nursing Outcomes Classification (NOC). METHODS: A multi-method study, including a methodological study analyzing the content validity evidence of the NOC outcome and sexual functioning, and a quantitative, descriptive, cross-sectional study. In the first phase, a literature review was conducted to map and identify clinical indicators associated with sexual functioning to construct the conceptual (CD) and operational definitions (ODs) of each outcome indicator. In the second phase, experts assessed the CD and OD for clarity, theoretical relevance, and theoretical pertinence. The critical validity ratio (CVR) was calculated for each indicator. In the third phase, a pilot test of sexual functioning measurement was conducted with 33 patients hospitalized for coronary artery disease. Internal consistency was calculated through Cronbach's alpha. RESULTS: The CD and OD were constructed based on 120 articles and analyzed by 13 experts; four rounds were required to achieve the critical CVR in each phase. In the pilot test, the nursing outcome achieved a Cronbach's alpha of 0.95, and the mean assessment time was 26 min. Indicators with the highest mean scores were related to knowledge of personal needs and capabilities and comfort with one's own body. CONCLUSION: The CD and OD developed for the NOC outcome, sexual functioning, had adequate evidence of content validity. The outcome content has high internal consistency. Further studies on the validity of the nursing outcome should be conducted to increase its validity. IMPLICATIONS FOR PRACTICE: The nursing outcome, sexual functioning, can be a tool used by nurses to evaluate the effect of nursing education and interventions on sexual functioning in the adult population.

PURPOSE: Desenvolver e avaliar as evidências de validade de conteúdo das definições conceituais e operacionais dos indicadores do resultado de Enfermagem "Funcionamento Sexual" da Classificação dos Resultados de Enfermagem (NOC). METHODS: Estudo metodológico dividido em três fases. Na primeira fase foi realizada uma revisão de literatura para mapear e identificar os indicadores clínicos associados ao funcionamento sexual para a construção das definições conceituais (DC) e operacionais (DO) de cada indicador do resultado de enfermagem em estudo. Na segunda fase foi realizada a análise das evidências de validade de conteúdo das DC e DO dos indicadores por meio da avaliação pelos especialistas. Na terceira fase foi realizada um pré­teste do resultado de enfermagem em 33 pacientes hospitalizados por doença arterial coronariana. RESULTS: Foram selecionados 120 artigos que serviram de base para a construção das definições conceituais e operacionais analisadas por 13 especialistas, necessário quatro rodadas para alcançar o coeficiente de validade de conteúdo crítico estabelecido para o número de juízes respondentes. pré­testeo resultado de enfermagem estudado um alfa de Cronbach de 0,95 e o tempo médio de aplicação foi de 26 minutos. Os indicadores com maiores médias estavam relacionados ao conhecimento das necessidades e capacidade pessoais e conforto com o próprio corpo. CONCLUSION: As DC e DO dos indicadores do resultado "Funcionamento Sexual" da NOC desenvolvidas apresentaram adequadas evidências de validade de conteúdo. O pré­teste o apresentou elevado nível de consistência interna. Outros estudos de evidências de validade do resultado estudado devem ser realizados visando o aumento no nível de validade do resultado. IMPLICATION FOR PRACTICE: O resultado estudado pode ser uma ferramenta utilizada pelo enfermeiro para avaliação do funcionamento sexual na população adulta visando a individualização das orientações e intervenções de enfermagem.

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Male genitalia morphology in Myrmeleontidae has traditionally been insufficiently studied, although it has received increased attention for its diagnostic value in recent times. A neutral terminology has generally been applied in standard taxonomic practice, yet knowledge of an equivalent and stable terminology across taxa based on comparative morphology has been missing. Herein a detailed comparative morphology study with examples from most tribes within Myrmeleontidae, including owlflies (Ascalaphinae), attempts to relate external and internal genital structures based on a proposed groundplan for Neuroptera and Myrmeleontidae. We contend that a groundplan based on 10 abdominal segments, plus vestigial structures from an 11th segment, coherently depicts structural components across myrmeleontid taxa. A gonarcus, an element of Neuropterida amply referred in Neuroptera, is supported to represent the pair of abdominal appendages of segment X medially fused, with gonocoxite and gonostylus components. In most myrmeleontid taxa, basal (gonocoxites) and distal (gonostyli) components separate, with gonostyli positioned posteriorly with respect to gonocoxites, still united with translucent, lightly sclerotized tissue, forming a more or less conical structure, a proposed synapomorphy for the family. Ninth gonostyli are generally reduced (pulvini) and have migrated close to the base of gonarcus (10th gonocoxites). A pelta, also a potential synapomorphy for Myrmeleontidae, derives from paired setose surfaces of the 10th gonostyli, medially positioned (still evident in Bubopsis). Three structural types of gonarcus are diagnosed for illustrative purposes, as they may represent convergent constructs.

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PURPOSE: This study aims to conduct a thorough analysis of the concept of insufficient health literacy (IHL) in older adults and to refine a nursing diagnosis proposal while considering the specific characteristics of this demographic. METHODS: A comprehensive concept analysis was undertaken using Walker & Avant's method as a framework. FINDINGS: A systematic search across seventeen databases yielded 29 relevant studies for inclusion. Through analysis, we identified 15 antecedents, 3 attributes, and 7 consequents associated with IHL in older adults. CONCLUSIONS: The concept analysis brought clarity to the understanding of IHL within older adults, facilitating the refinement of a diagnosis proposal. This process was instrumental in establishing a diagnostic structure that accounts for the unique needs and challenges faced by older adults. IMPLICATIONS FOR NURSING PRACTICE: The structured diagnosis derived from the concept analysis provides a solid theoretical foundation for nurses specializing in Gerontology. By tailoring care interventions to address the specific requirements of older adults, this framework enhances the quality of nursing practice and contributes to improved patient outcomes in geriatric care settings.

OBJETIVO: Este estudo tem como objetivo realizar uma análise detalhada do conceito de Letramento em saúde insuficiente na população idosa e refinar uma proposta de diagnóstico de enfermagem, levando em consideração as características específicas desse público. MÉTODOS: Foi realizada uma análise conceitual abrangente utilizando o método de Walker & Avant. RESULTADOS: Uma busca sistemática em dezessete bases de dados resultou em 29 estudos relevantes para inclusão. Através da análise, identificamos quinze antecedentes, três atributos e sete consequentes associados ao Letramento em saúde insuficiente na população idosa. CONCLUSÕES: A análise conceitual trouxe clareza à compreensão do Letramento em saúde insuficiente na população idosa, facilitando o refinamento de uma proposta de diagnóstico. Esse processo foi fundamental para estabelecer uma estrutura diagnóstica que considera as necessidades e desafios únicos enfrentados pelos idosos. IMPLICAÇÕES PARA A PRÁTICA DE ENFERMAGEM: O diagnóstico estruturado derivado da análise conceitual fornece uma base teórica sólida para enfermeiros especializados em Gerontologia. Ao adaptar intervenções de cuidados para atender aos requisitos específicos dos idosos, esse framework melhora a qualidade da prática de enfermagem e contribui para resultados de pacientes aprimorados em ambientes de cuidados geriátricos.

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The inconsistency in terminology for Cortical Visual Impairment or Cerebral Visual Impairment presents challenges: (1) different levels of changes in visual pathway and other cerebral areas do not allow discrimination; (2) different visual and oculomotor aspects are not adequately considered. We open a debate to consider a more appropriate diagnosis.

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Objetivo: identificar os principais diagnósticos e intervenções de enfermagem em crianças em pós-operatório imediato de queiloplastia. Métodos: estudo documental e retrospectivo, desenvolvido entre março e agosto de 2020, em um hospital público, de nível terciário, referência no tratamento de pacientes com anomalias craniofaciais e síndromes relacionadas. Utilizou-se o Referencial Teórico das Necessidades Humanas Básicas. Referente ao Processo de Enfermagem, foram considerados dados do histórico de enfermagem e, a partir deles, os diagnósticos e as intervenções, por meio das taxonomias da NANDA Internacional e da Nursing Intervention Classification, respectivamente. Utilizou-se a análise estatística descritiva. Resultados: a amostra constou de 78 prontuários. Predominaram as necessidades psicobiológicas: oxigenação, hidratação, nutrição, eliminação, integridade cutâneo-mucosa e física, percepção dolorosa e ambiental. Foram identificados 11 diagnósticos de enfermagem, sendo seis com foco no problema e cinco de risco. Elencaram-se ainda, 14 intervenções de enfermagem. Conclusão: a utilização dos Sistemas de Linguagens Padronizadas norteou a identificação dos diagnósticos e intervenções de enfermagem, subsidiando o raciocínio clínico para a construção e organização do cuidado. (AU)

Objective: to identify the main nursing diagnoses and interventions in children in the immediate postoperative period of cheiloplasty. Methods: documentary and retrospective study, carried out between March and August 2020, in a public, tertiary-level hospital, a reference in the treatment of patients with craniofacial anomalies and related syndromes. The Theoretical Framework of Basic Human Needs was used. Regarding the Nursing Process, data from the nursing history were considered and, based on them, diagnoses and interventions, through the taxonomies of NANDA International and the Nursing Intervention Classification, respectively. Descriptive statistical analysis was used. Results: the sample consisted of 78 medical records. Psychobiological needs predominated: oxygenation, hydration, nutrition, elimination, cutaneous-mucous and physical integrity, pain and environmental perception. Eleven nursing diagnoses were identified, six focused on the problem and five on risk. 14 nursing interventions were also listed. Conclusion: the use of Standard Language Systems guided the identification of nursing diagnoses and interventions, supporting clinical reasoning for the construction and organization of care. (AU)

Objetivo: identificar los principales diagnósticos e intervenciones de enfermería en niños en el postoperatorio inmediato de queiloplastia. Métodos: estudio documental y retrospectivo, realizado entre marzo y agosto de 2020, en un hospital público de tercer nivel, referencia en el tratamiento de pacientes con anomalías craneofaciales y síndromes relacionados. Se utilizó el Marco Teórico de las Necesidades Humanas Básicas. En cuanto al Proceso de Enfermería, se consideraron datos de la historia de enfermería y, a partir de ellos, diagnósticos e intervenciones, a través de las taxonomías de la NANDA Internacional y la Nursing Intervention Classification, respectivamente. Se utilizó análisis estadístico descriptivo. Resultados: la muestra estuvo constituida por 78 historias clínicas. Predominaron las necesidades psicobiológicas: oxigenación, hidratación, nutrición, eliminación, cutáneo-mucosa e integridad física, dolor y percepción ambiental. Fueron identificados once diagnósticos de enfermería, seis enfocados al problema y cinco al riesgo. También se listaron 14 intervenciones de enfermería. Conclusión: el uso de los Sistemas de Lenguaje Estándar orientó la identificación de diagnósticos e intervenciones de enfermería, apoyando el razonamiento clínico para la construcción y organización del cuidado. (AU)

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