International Classification for Nursing Practice (ICNP

1 Summer Institute in Nursing Informatics (SINI) 2007 Part IVItem TypePoster/Presentation; Conference/CongressAuthorsWeaver, Charlotte A.; Krenzischeck, Dina A.; Coenen, Amy;Sengstack, Patricia, 1959-; McCasky, Teresa; Weber, Leslie;Skiba, Diane J.; Erdley, W. Scott; Murray, Peter J. (Peter John);Murphy, Judy; Friedman, Charles, ; McBride, Angela Barron;Park, Hyeoun-Ae; Reel, Stephanie; Wolf, Gail Date2007 KeywordsMedical protocols; Nursing informatics; Patient Care; Equipmentand Supplies; TechnologyDownload date26/04/2021 17:29:07 Item to International Classification for Nursing Practice (ICNP ) Amy Coenen , PhD, RN, FAAN Director, ICNP Programme International Council of Nurses Overview Why we need an ICNP What is ICNP?

2 How the ICNP Programme works International Council of Nurses (ICN) A FEDERATION OF NATIONAL NURSES ASSOCIATIONS Founded in 1899 Headquarters office in Geneva Membership of 129 nurses associations, each representing one country ICN's Mission To represent Nursing worldwide, advancing the profession and influencing health policy. ICNP Vision ICNP is an integral part of the global information infrastructure informing health care Practice and policy to improve patient care worldwide.

3 Motivating Forces to Advance Data and Terminology Standards Using computer-based information systems in clinical settings and Electronic Health Records (EHRs) Supporting evidence-based Practice Globalization System Integration & Data Sharing - Electronic Health Record (EHR) Health care ministries Consumers at: Home School Work Health care providers, NURSES Delivery settings , hospital, pharmacy Researchers EHR Aim for Interoperability Interoperability: The ability of two or more systems, or components, to exchange information and to use the information that has been exchanged (IEEE, 1990) Interoperability is central to the acquisition, storage, and use of information in the health and biomedical domain How Do We Achieve Interoperability?

4 Standards, Standards, Standards! Standards: around data Structures, processes, and outcomes Standards: around information Messaging Context Standards: around knowledge Representation and execution Patient Care Management Analytic Data Repositories Clinical Guidelines Knowledgebases Expert Systems Transactional Databases Knowledge Cycle (Slide adapted from Chute & Harris, 2006) Inform Research & Evaluation Execute Knowledge & Evaluate Effectiveness Data acquisition & storage Evidence Base to Develop Interoperability & Sharable Semantics USING Nursing DATA FROM Practice TO Practice ANALYSIS D ATA COLLECTION Practice INFORMATION & KNOWLEDGE Where do we start with Nursing data standards?

5 Foundational work in Nursing terminology development: Nursing MINIMUM DATA SET Nursing Classification SYSTEMS Examples - American Nurses Association Recognition Standardized Nomenclature for Medicine-Reference Terminology International Classification for Nursing Practice SNOMED-CT ICNP Nursing Management Minimum Data Set NMMDS Perioperative Nursing Data Set PNDS LOINC Omaha System OS Nursing Outcome Classification NOC Nursing Intervention Classification NIC North America Nursing Diagnosis Association- International NANDA- I Clinical Care

6 Classification CCC Logical Observations Identifiers, Names, Codes Nursing Terminology Challenges Nursing is huge. Nursing is varied. Nursing changes. Multiple Nursing terminologies Multiple Nursing Vocabularies? ICNP Version ICNP ICNP Version A Unified Nursing Language System Knowledge Deficit 10011042 Knowledge deficit Necesidad Educativa D ficit de la Connaissance Deficit di Conoscenza ErlernencNotwendigkeit Lack of Knowledge ICNP NANDA map to ICNP Imbalanced Nutrition.

7 More than body requirement (00001) Feeding Self-care Deficit (00102) Excess Food Intake (Overeating) (10000682) Lack of Ability to Feed Self (10000973) What is ICNP VERSION Unified Nursing Language System Compositional terminology that Allows new vocabulary development Accommodates existing vocabularies (cross-mapping) Identifies relationships among concepts and vocabularies (reference terminology) ICNP is used to Represent Nursing Diagnoses Nursing interventions Nursing Outcomes Domain Content MEDICINE Nursing PHYSICAL THERAPY ICNP Version - Multiple Purposes - Multiple Representations To identify similarities and differences between different representations in order to compare and combine data from different sources (OWL in Prot g ) To facilitate the development of local vocabularies that are derived from ICNP (7-Axis Model)

8 To fill a practical need in building electronic patient record systems using ICNP with all of the benefits of being part of a unified language system (Catalogues) ICNP Version , 7-Axis Model, and Catalogues Catalogues A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue

9 Item ICNP 7-Axis Model ICNP Version ICNP Version , 7-Axis Model, and Catalogues Catalogues A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue item A catalogue

10 Item ICNP 7-Axis Model ICNP Version ICNP Version Developed using advanced technologies and terminology tools. Explicit definitions can be understood by computers Greater detail (or granularity) Conforms with other standards and criteria: ISO standards ( ISO 18104:2003) HL7 registered NLM plans to add to UMLS Responsive as an International standard Focus Time Pain Acute ACUTE PAIN SUDDEN PAIN Perception - Pain --Sudden Pain Perception -Pain --Acute pain <owl:Class rdf:ID="ActualAcutePain"> <owl:equivalentClass> <owl:Class> <owl:intersectionOf rdf.