DOI: 10.3390/ijerph23081048 ISSN: 1660-4601

Clinical Applicability of a Terminology Subset for Monitoring Child Development from Zero Months to Age Three: An Observational Study

Mariane Mota Dhein, Soraia Matilde Marques Buchhorn, Maria de La Ó Ramallo Veríssimo, Francine Dutra Mattei, Sabrina do Rocio Kopietz Cremonez, Marcia Regina Cubas

Child development monitoring by nurses enables the identification of alterations and early interventions. This study analyzed the clinical applicability of a terminology subset for monitoring the development of children aged zero to three years during nursing consultations. This is a cross-sectional, observational study that analyzed the applicability of a terminology subset. Three stages of the clinical applicability analysis method for terminology subsets were followed: development of the data collection instrument; systematic observation of 46 consultations in two Brazilian municipalities; and data organization and analysis. Nursing diagnoses, outcomes, and interventions observed at least once during a consultation were considered applicable. Of the analyzed subset, 64.7% of the diagnoses/outcomes and 21.3% of the interventions were observed during consultations and are applicable to clinical practice. Notably, the diagnosis “Child development, effective” was identified in 93% of the consultations. The data suggest the applicability of the subset in specific Brazilian primary healthcare contexts, predominantly with healthy children.

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