ACENDIO Newsletter

volume 22 SUMMER 2010 www.acendio.net

ACENDIOAssociation for Common European Nursing Diagnosis, Interventions & Outcomes

INSIDE THIS ISSUE

1EDITORIAL2FROM THE PRESIDENT3AENTDE/NANDA-I CONFERENCE5NEWS FROM M GORDON6SHORT ARTICLES13READING RECOMMENDATIONS148TH EUROPEAN CONFERENCE OF ACENDIO

EDITORIAL BOARDCHAIR: CARME ESPINOSA

MEMBERS: FINTAN SHEERINMARIA MÜLLER

VOLUME 22 SUMMER 2010 www.ACENDIO.NET

Editorial

Carme Espinosa i Fresnedo

Chair Editorial Board Newsletter of ACENDIO.Nursing theory and practice. The relevance gap.

How did the discipline of nursing come to be in a position where significant parts of nursing theory and research are thought to be irrelevant to nursing practice?Nursing in our days has two faces. One face is very well known by the public in general. Clinical nurses are the center of the patients experience within the Health Care systems all over the world. But there is another face which has been largely invisible since the beginning of the profession. Nursing requires knowledge. In our days, contemporary nursing encompasses both the professional practice and the academic discipline of nursing. The goal of nursing research is to develop a body of knowledge that will support and advance nursing practice.At the beginning of contemporary nursing, in the times of Florence Nightingale, physician's role was to address the problems with the body that caused disease, while nurse's role was to address the environmental causes. That way, nurses role was defined outside of physicians domain. Theory and practice were divided at that time between knowledge taught in the classroom, by physicians and knowledge that was acquired in the hospitals within the process of caring for patients. At that time, the problem with theory was a translation problem, or how to translate medical knowledge into practice. No problem was identified at that time, and no literature was complaining that theory was irrelevant or useless.Nursing research began around the 1950's and 1960's. Research was focused mainly on educational and professional matters, effectiveness of nursing interventions or how to approach nursing problems were also themes for nursing research. There were also

treatises on nursing and some of the most well-known Models for Nursing described by Peplau, Orlando, Wiedenbach or Henderson, were developed at that time. These works tried to establish what was special, important or essential to nursing. No concerns on the relevance of nursing knowledge were identified.It was only at the late 1960's that the relevance gap between practice and theory in nursing appeared. Lucy Conant in two different essays mentioned that concern (Conant, 1967a, 1967b):“Research frequently is seen as being a desirable activity in itself, regardless of its purpose and nature. The result of this thinking is that nursing research is not necessarily evaluated in terms of its contribution to nursing practice. At the same time there are many problems in practice that are being ignored by nurse researchers because of their distance from the realities and complexities of nursing. The result is that there is a wide gap between the nurse researcher and the nurse practitioner, as neither sees the other as having a useful contribution to make to her own interest and concerns. If this separation should continue, it could lead ultimately to the deterioration of both n u r s i n g p r a c t i c e a n d n u r s i n g research.” (Conant, 1967b, p. 114)Researchers are said to be “ignoring” the needs, practice and professional nurses are said to think that nursing research and theory are useless.The gap between nursing research and theory and nursing practice went on and on and as was envisioned by Conant in the late 1960's. Now it is time to see how we nurses of the twenty first century are able to close the Gap.If you want to have some cues on how this gap can be closed or at least narrowed, don't miss Mark Risjord “Nursing Knowledge. Science, Practice, and Philosophy”. Published by Wiley-Blackwell. The above paragraphs have been extracted from the first chapters of that book.

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From the President

Kaija Saranto

President of ACENDIO

Professor, University of Eastern Finland, Kuopio Campus, Finland

In many countries transition from paper-based nursing documentation to electronic documentation is in an active process at the moment. The change causes at least two important decisions to be made. The first concerns the electronic platform – the structure how to document nursing care in electronic information systems. The second emphasizes the language – how to describe nursing content on electronic platforms. These decisions demand knowledge and experiences to be made successfully in each country. Most of all/obviously/certainly they need nurses cooperation.

In many countries the documentation model launched by the World Health Organization has been taken advantage of when recording caring process on paper sheets. Patient assessment, aims of the care, expected outcomes, interventions carried out and outcomes assessment are important phases which are also required to be documented based on legislation and regulation in various countries. The role of a professional language seems self-evident for experts inside the profession. In nursing documentation language has not been an issue in the paper-based recording system for professionals out-side the profession. However, it seems that the acceptance for nursing terminologies is not so obvious to be used in electronic records.

Suddenly there seems to be challenges to have interdisciplinary acceptation for the content and descriptions used in electronic nursing documentation.

Over the years nurses have shared information in paper-based multidisciplinary records where each profession has had sheets or forms for recording health information. Care plans and nurses daily notes about patients’ state of health have been taken for granted not only depending on what documentation structure has been used, but how traditionally has been agreed to record. These agreements have lead to a situation where nursing data is invisible and impossible to retrieve for reuse and further analysis.

Electronic systems require structures, codes and standards to be able to store data systematically i.e. to be able to produce data for meaningful use. This involves interoperability between various information systems used in health care for clinical, managerial, financial and educational purposes. Nurses representing the largest group of experts in hospitals and health centers need proper tools for recording. These tools must allow nurses to record patient care based on their own professional knowledge and to use language which supports delivery of nursing care.

ACENDIO as an organization is willing to offer a network for sharing information to help nurses in Europe to actively participate in developing electronic documentation systems for nursing care. The board is working to be able to enhance use of nursing standards more effectively and is willing to develop a means of disseminating information on standards across the European region. Further the board is focusing on educational needs in the field of nursing terminologies.

The next conference in Madeira will offer many possibilities to share and up-date our knowledge. You are all welcome to build up a special conference programme by sending your paper for review!







The International Congress of AENTDE/NANDA-I was held in Madrid from 12-14 May 2010. The title of the congress was “Towards a global future for nursing: developing language, sharing knowledge”. The event was organized jointly by AENTDE (The Spanish Association for Nomenclature, Taxonomy and Nursing Diagnoses) and NANDA-International. There was a large attendance and the scientific level of the presentations was outstanding. A total of 295 oral presentations and 413 poster presentations took place over the three days of congress outlining the use of nursing taxonomies (NANDA-I, NOC and NIC) in practice, research, management and teaching at an international level.

The opening ceremony was presided over by Maria Girbes Fontana (President of the Organization Committee), Dickon Weir-Hughes (President of NANDA-I), Rosa González Gutierrez-Solana (President of AENTDE), Maximo González Jurado (President of the General Council of Nursing in Spain) and Javier Fernández Lasquetty (Counsellor of Health of Madrid).

The opening keynote speakers were Jane Brokel (NANDA-I's President Elect) and Rosa González Gutierrez-Solana on the theme of “Developing language and sharing knowledge”. They outlined the necessity for a common language for nursing that could make nursing science visible in electronic documentation systems. They also emphasized the enormous job done by nurses in their daily work where they currently use nursing languages.

The next speaker, Maximo Gonzalez Jurado, made specific remarks on regulation and on the need to defining nurses’ competencies in order to identify excellence in nursing

practice. David Benton (General Director of ICN) sent his best wishes for the congress and his encouragement to the nearly-1000 nurses in Madrid through video-conference.

The first morning ended with the “Master class on Clinical reasoning” given by Catrin Björvell, Margaret Lunney and Carme Espinosa Fresnedo, who presented the relationship between nursing diagnoses and clinical reasoning. The afternoon session began with a colloquium on “The Controversy of the Concept of Nursing Diagnosis”. Carme Espinosa Fresnedo chaired the session during which a number of very well known nurse leaders participated. These included Dorothy A. Jones (President of NANDA-I Foundation), Heather Herdman (Executive Director of NANDA-I), Mercedes Ugalde Apalategui (Founder of AENTDE), Marie Thérèse Celis (President of AFEDI), and Maria Müller Staub (Member of the board of NANDA-I). During the session, a link with the Boston College was made, enabling Marjorie Gordon to participate via video-conference. Her presence was emotionally celebrated by all the nurses participating in the Congress, and she enlightened the discussions with her views on nursing diagnosis and nursing practice. As a result of the colloquium, the six participants identified that the nursing profession is undergoing an important change of roles which will influence the concept of Nursing Diagnoses. The strategy for the development and refinement of the NANDA-I Taxonomy will involve a number of different fields. Taxonomy needs to be embedded in nursing concepts and, at an international level, a group of core diagnoses need to be identified, developed and refined using an interactive process between research and practice.







After the colloquium, the Diagnoses Development Committee met and presented new nursing diagnoses accepted by the committee to be included in the taxonomy.

The second day began with the panel “Integration of Nursing Languages for Clinical Use”. Three different experiences of the integration of nursing languages for clinical use were demonstrated: Carmen Alonso Villar presented the experience of the National Health Service of Spain in digitalization of clinical histories in order to facilitate transmission of information within the health service. Antonio Arribas Cachá presented a project to build a knowledge base that facilitates the use of nursing languages in all the steps of the nursing process, and Gail Keenan presented the project HANDS, and outlined the importance of research to assess their applicability of NANDA-I, NOC and NIC in clinical practice.

The congress also prepared a special session for students, conducted by Lynda Juall Carpenito Moyet. Together they reviewed the nursing process placing special emphasis on the assessment and the use of nursing care plans. Lynda made special remarks to the students to encourage the use of nursing diagnoses in their future professional lives.

In the afternoon, Dorothy Jones spoke on “Research in Nursing Languages”, outlining the necessity of discovering the knowledge that is embedded in practice for the development of Nursing Languages. She defined research as an interactive process with practice because practice nourishes research and research nourishes practice by improving nursing care quality.

The third day of the Congress commenced with the presence of representatives of the NOC and NIC projects. Sue Moorhead and Howard Butcher spoke about those classifications. Sue Moorhead noted, among other things, the importance of recording data to analyse and exploit, in order to be able to describe phenomena, share knowledge, make visible nursing care, and assess quality care and research. Howard Butcher particularly emphasised the

necessity of using critical thinking when employing nursing taxonomies and the importance of these taxonomies in order to conceptualise the nursing discipline. Both speakers made special mention of the need to develop nursing taxonomies within the context of informatics.

This last day a workshop was themed “Strategies to Teach Nursing Diagnoses and Collaborative Problems to Nursing Students and Clinical Nurses” and was conducted by Lynda Juall Carpenito Moyet. She outlined the importance of directors of nursing schools/colleges being committed to integrating the teaching of nursing languages in the curricula of the schools.

The first session in the afternoon was devoted to presentations on various electronic systems that are currently in use in Spain and Europe: OMI-AP (By Stacks); GACELA CARE (By OESIA); CERNER; HP-HCIS; JARA (By IBM); SAP,ISH*MED.

During the closing ceremony, the AENTDE Awards were made for the best oral and poster presentations, and Lynda Juall Carpenito Moyet was nominated as an Honorary Member of AENTDE.

Following the congress, the participants from 39 different Nationalities, who had been together in Madrid developing language and sharing knowledge, returned to their own Countries.

Carme Espinosa







CHESTNUT HILL, MA (12-8-09) – Boston College Connell School of Nursing Professor Emerita Marjory Gordon was named a "Living Legend" by the American Academy of Nursing at its annual meeting in Atlanta last month.

A faculty member in the Connell School for 23 years, Gordon is internationally renowned for her visionary development of the Eleven Functional Health Patterns (FHP), an assessment framework that has provided generations of nurses with a format for patient diagnosis. Her groundbreaking work in clinical reasoning and nursing language development has helped give nurses a voice in patient care outcomes and has led to the adoption of nursing language in the emerging area of electronic medical recordkeeping.

Gordon has published four books, including the Manual of Nursing Diagnosis, which is in its 12th edition and has been translated into some 10 languages. Her books can be found in more than 40 countries in every inhabited continent. She has lectured to nurses and educators on nursing diagnosis and FHP in Japan, France, Germany, the United Kingdom, Denmark, the Netherlands, Slovenia, Singapore, Australia, Brazil, and throughout Central America.

The American Academy of Nursing (AAN) serves the public and the nursing profession by advancing health policy and practice through the generation, synthesis and dissemination of nursing knowledge. Its 1500 members, called Fellows, are nursing's most accomplished leaders in education, management, practice and research.

Each year since 1994, the AAN has named select outstanding Fellows as "Living Legends," recognizing them for their extraordinary lifetime achievement.

"This is a tremendous honor," said Gordon, who has been a member of AAN since 1977. "I was so happy that my area of scholarship was being recognized."

Gordon was nominated for the honor by Kay Avant of the University of Texas and her CSON colleagues Professor Sr. Callista Roy and Professor Dorothy Jones.

Sr. Roy, herself an AAN Living Legend, first met Gordon in 1973. She offered this testimonial of Gordon at the awards ceremony: "She began this work [of creating a common nursing language] when computers were just starting. And, now this is the basis for the nursing component of the electronic medical

record. I think she's a role model for all us. She is constantly raising the standards and the clarity of nursing diagnosis so as to give nursing a voice and visibility in health care." She called Gordon a "prefect candidate" for the Living Legend award because her work "that started 40 years ago is even more relevant today. Nursing as a discipline is stronger in the U.S. and around the world because of her efforts."

In her letter of recommendation Jones called Gordon's work "timeless." Jones and Gordon were invited to Mexico many times in the 1980s when that country was beginning to implement the FHP assessment framework and nursing diagnosis in clinical practice and education. "At first, the challenges of this endeavor seemed overwhelming. But, with each visit to the school and community sites, faculty and clinical staff gradually began to integrate a nursing framework into their work. [Later that decade] Mexico officially inaugurated the first Mexican Nursing Diagnosis Association," wrote Jones. "Marge is a charismatic leader and a mentor."

Gordon earned bachelor of science and master of science degrees from Hunter College, City University of New York and a doctoral degree from Boston College. In 1982, she became the first president of NANDA, the North American Nursing Diagnosis Association.

Gordon is busy at work on her next book which is about clinical judgment. "It is critical that nurses are taught the thinking skills and cognitive reasoning that can help them translate their observations into clinical judgments. Knowledge in health care can change over the course of a few years, but cognitive abilities last for a lifetime."

The AAN Living Legend award is the most recent in a number of honors for Gordon. In 2008, Gordon received the Mentor's Award from NANDA-International. She also is a recipient of the Massachusetts Nurses Association Education Award; Japanese Society for Nursing Diagnosis' Distinguished Service Award, and the Massachusetts Association of Registered Nurses Living Legend Award, among other awards.

Retrieved from http://www.bc.edu/offices/pubaf/news/Gordon_LivingLegend2009_1203.htm

For more information, contact Kathleen Sullivan, Boston College, Office of News & Public Affairs, 617-552-8644, [email protected]

BOSTON COLLEGE PROFESSOR MARJORY GORDON NAMED “LIVING LEGEND” BY

AMERICAN ACADEMY OF NURSING

GORDON SERVED ON CONNELL SCHOOL OF NURSING FACULTY FOR 23 YEARS




http://www.bc.edu/offices/pubaf/news/Gordon_LivingLegend2009_1203.htm




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short articleThe use of a specific terminology / classification system

Kathryn Moelstad

The Norwegian Nurses Organisation has for many years’ made efforts to structure and contribute to standards that ultimately contribute to patient safety and quality of care. In Norway there is limited use of classification systems or terminologies in EPR systems. It has been a significant problem that terminology systems have warranted translations, but available classification systems do not cover all aspects of nursing. In addition there have been problems accommodating needs for individual adjustments to the individual patient. Consequently, free text is widely used, for all documentation, as part of templates and standard texts, or to complement classification systems. The following nursing classifications and terminologies are translated and available; NANDA (North American Nursing Diagnosis Association 2002), NIC (McCloskey 2005), NOC (Moorhead 2005), ICNP (ICN 2005), CCC (Saba, V. 2003). A major EPR hospital vendor has integrated NANDA and parts of NIC. One municipality has integrated CCC. When vendors implement terminologies in their EPR-systems, important decisions about nursing are in reality being made without a broad discussion within the nursing society. This may lead nursing leaders and educators to pay attention to the content of terminologies. Decisions about terminologies can be made by other stakeholders, and we may end up having to use a terminology that does not include vocabulary feasible for documenting nursing. A task force with 10 nurses was established in March 2008 to review and recommend terminologies. To move the work further, the mandate was to advice the NNO: What (or which) nursing terminology(ies) is most appropriate in the documentation of healthcare. Experts in many fields were recruited as task force members: researchers, leaders, health informatics experts, representing clinical practice, nursing colleges, hospitals, and community care. The task force was given one year to complete the work. The task force focused on the process of reviewing literature, taking a close look at the criteria described. Deciding which criteria were important, coming to a

consensus and a common understanding was a major achievement for all involved. In line with Norwegian debate, flexibility and usability are important factors, and the criterion embeds this. In addition, the patient perspective and influence is very strong, although this was not described in any of the reviewed international articles, we added this element to the criteria.In March 2009 the task force came to the conclusion that ICNP should be implemented in all electronic patient records. The investment in terminologies is long term. For the past year the Norwegian Nurses Org has been meeting with health department authorities, vendors and other stakeholders to promote nursing terminologies. Important next steps are to convince the national health authorities that terminologies are important, that ICNP is a good investment that will reap benefits in the future, and ensure that he vendors build ICNP into their systems. Version 2 of ICNP has recently been completed and will hopefully be a part of the browser on ICNP internet site, together with the English translation. At this point in time, several projects have started to implement ICNP although all the projects are in early stages. ICNP will be an important tool for documenting nursing and achieving knowledge about patient care.

BOLETÍN DEL INVERSOR NÚMERO 3 OTOÑO 2008VOLUME 22 SUMMER 2010 www.ACENDIO.NET






short articleThe Implementation of a National Nursing Documentation Model in FinlandElina Ora-Hyytiäinen PhD, RN, Principal Lecturer Laurea University of Applied Sciences

The national development project of nursing documentation in Finland was presented in the last Acendio issue (Tanttu 2010). The national model of nursing documentation and the Finnish Care Classification (FINCC) were developed during 2005-2009 with funding from the Ministry of Social Affairs and Health. Diffusion and implementation of the national model to every day practice requires new competence that nurses, nurse students, and nurse educators have to create themselves in a short time. All public health care organisations are joining the national patient record archive by the end of 2011.

Nursing education is confronting a challenge when about 80.000 nurses, 15.000 nurse students, and 2.500 nurse educators need competence in nursing informatics. In Finland the education of nurses is arranged at 23 universities of applied sciences (UAS) where students take a bachelors or a master’s degree. Bachelor in nursing is the basic level of competence. Master’s degree at UAS means professional studies in leading and developing nursing care on a practical level. Nursing Informatics Competence created in these studies should be at a generating level. After having a bachelors degree in nursing, nurses can apply to studies of nursing science at university level. At one of the scientific universities in Finland, the University of Eastern Finland, Kuopio Campus there is a programme of Nursing Informatics.

The universities of applied sciences (n = 19) started the project (eNNI) 2008 – 2011 with a view to create nursing informatics competence studies for nurses, nurse students and nurse educators in Finland. The Ministry of Education is financing the project. At the beginning of the project there were only few educators who had the required competence. Electronic documentation systems for the education were also only in a few UAS. The implementation of the national documentation model was understood as technical and an IT challenge. The transformation from theory to practice was considered a simple process and easy to take place. Yet all the evidence gathered from the pilots 2007-2010 indicated that the implementation is demanding and requires changes in the work process of nursing care.

With the intention to meet and solve these problems the model for the project was chosen to be Learning by Developing (LbD). LbD is developed in Laurea UAS (www.laurea.fi).

LbD combines learning into research and development actions. It is a model for mutual learning in development of nursing care documentation. The learners and developers in this process are nurses and nurse students side by side. They are examining the same phenomena from different perspectives, describing, evaluating and creating new knowledge and competence. They are also constructing together new methods to realize documentation in nursing practice in the specific context.

Nurse educators and nurse managers are facilitating the LbD process.

The goals of eNNI are following: 1. Dissemination of knowledge concerning the national model and usage of FINCC2. Development of the competence required, both individual and communal competence3. Promotion of the change required in working processes of nursing care4. Development of the competence needed in constant development of nursing action (www.enni.fi).

eNNI is coaching regional groups (n = 52) to plan and organise development projects of nursing documentation with LbD. Members of regional groups are nurses from social and health care organisations and their units (n = 117) and nurse educators (n = 72) from UAS’s. There are nurses (n = 2500), nurse students (n = 206), nurse managers (n = 117) and nurse educators (n = 72) developing practice of nursing and its documentation in these projects in social and health care organisations around Finland.

While they are developing nursing documentation, they also are learning together within the work communities; creating new knowledge and transforming it to competence to implement the changes into work processes (Ora-Hyytiäinen, Ikonen & Ahonen 2009). Creation of competence and implementation of the national model to nursing practice have been discovered as demanding but also motivating and inspiring. Unification of regional resources, higher education of nurses and working life to mutual development of nursing care has been experienced as empowering.

The final aim of eNNI is to develop the curriculum of nurse education concerning nationally accepted studies of nursing informatics leading to basic competence. I want to thank all participants for active work in the project and its results.

References

www.laurea.fi

www.enni.fi

Ora-Hyytiäinen, E. Ikonen, H. Ahonen, O. 2009. Developing Competences and Use of the Finnish Model of Documentation of Nursing Care – R & D Project eNNI. In: Saranto, K. et al (Ed.)Connecting Health and Humans. NI Congress 2009, Proceedings. Amsterdam: IOS Press. 327 – 331.

Tanttu, K. 2010. From free text to a standardized nursing language. the national development project of nursing documentation in Finland. Acendio Newsletter volume 21 at www.acendio.net




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short article‘Hoidokki’ a nursing controlled vocabulary - now available in electronic format

Ulla-Mari Kinnunen, MSc, RNa, Kristiina Junttila, PhD, RNb, Eila Pekkala, LicSc, RNc, Kaija Saranto, PhD, RNa and Marianne Tallberg, PhD, RNc

aUniversity of Eastern Finland, Kuopio Campus, Finlandb Hospital District Helsinki and Uusimaa, FinlandcHoidokki project, Finland

The importance of having research evidence available is depending on tools to find meaningful research outcomes. Keywords are among the most important “keys” to literature search.

The purpose of the controlled vocabulary, in Finnish "Hoidokki", is to support the nursing specialists’ information retrieval and the librarians’ indexing, especially indexing Finnish nursing knowledge to promote evidence-based practice. The aim is to find articles and other relevant literature easily and accurately. Hoidokki thesaurus is now available in electronic format (www.hoidokki.fi), with an electronic search form. To find nursing research, an electronic thesaurus is a flexible service when composing search strategies to seek scientific publications from databases.

The development project launched by the Finnish Nursing Education Society, started in 1999, has achieved its major goal. The nursing thesaurus in Finnish, more precisely in Finnish, Swedish and English, is ready to be used electronically. Why these three languages? Finland is a bilingual country: Finnish and Swedish are official languages and as English is the most common language both in research and databases, “a three-lingual” vocabulary was needed for information retrieval in nursing.

The expert group named by the Finnish Nursing Education Society, began the development project by choosing terms concerning nursing practice, education, administration and research from the Medical Subject Headings thesaurus (MeSH) created by the National Library of Medicine. Terms were classified in ten themes according to MeSH Main Headings. Themes were named by the knowledge base of nursing science:

1. Health

2. Philosophical Principles of Nursing

3. Nursing Procedures

4. Nursing Sensitive Outcomes

5. Nursing Practice

6. Nursing Education

7. Nursing Management

8. Nursing Research

9. Health Informatics

10. Actors

The first version of the Hoidokki thesaurus was published on the homepage of the Finnish Nursing Education Society in 2005. Now, in May 2010 the new version of Hoidokki includes 2717 terms, 846 in Finnish, 1093 in Swedish and 778 in English.

Hoidokki web-site contains of an instruction for indexing, an alphabetical part, and two thematic parts of thesaurus type (one in Finnish and one in Finnish together with Swedish and English translations). The relationships between the terms are identified in the vocabulary. The relationships can be either semantic (related and preferred terms) or hierarchic (broader and narrower terms).

See figure next page: Hoidokki web-site

The new user interface of the vocabulary makes it possible to open each theme separately and allows one to see the next level terms with both their related and their narrower terms and even the whole term hierarchy alphabetically. By opening the alphabetical part each term belonging to that letter is available with related and preferred terms as well as its synonyms.

Terms can be searched either in Finnish, Swedish or English. The search-option shows all languages and relations concerning the term as well as the result and the location of the term in the term hierarchy. In searching, the *-option can be used for replacing various forms of a keyword e.g. *wound* gives all possible terms containing the word wound. Further drug* gives all keywords beginning with the word drug.

In the future the establishing and information retrieval of the Hoidokki keywords will be supported by education targeting various users. The expert group of Hoidokki will follow the international and national language trends and user-feedback when maintaining and developing the Finnish controlled nursing vocabulary.

The expert group welcomes all nursing representatives and researchers to take part in developing the Hoidokki thesaurus. There is a feedback form for users on the web-site.

Please, send new proposals of terms or perhaps new definitions of terms already accepted through the feedback form. Let’s develop the controlled vocabulary further together!




http://www.hoidokki.fi

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short article (2)

‘Hoidokki’ a nursing controlled vocabulary - now available in electronic formatUlla-Mari Kinnunen, MSc, RNa, Kristiina Junttila, PhD, RNb, Eila Pekkala, LicSc, RNc, Kaija Saranto, PhD, RNa and

Marianne Tallberg, PhD, RNc

aUniversity of Eastern Finland, Kuopio Campus, Finlandb Hospital District Helsinki and Uusimaa, Finland

cHoidokki project, Finland







short articleDRG and Electronic Nursing Documentation: Risks and Chances

Maria Müller-Staub, PhD, RN

Pflege PBS

Selzach, Switzerland

[email protected]

www.pflege-pbs.ch

Wolter Paans, MSc, RN

Hanze University Groningen, The Netherlands

A conference entitled: ‘DRG and Electronic Nursing Documentation: Risks and Chances’, held in Basel on 25th January 2010 was organized by Maria Müller-Staub, Pflege PBS. The focus of the conference was: ‘How can the implementation of DRGs benefit from the Electronic Nursing Documentation?’ Representing nursing diagnoses in the Electronic Health Record (EHR) along with medical diagnoses in DRGs provides chances, as nursing diagnoses are not redundant to DRG’s (Welton, 2005; Fischer, 2002).

The combination of International Nursing Classifications such as NANDA-I, Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC) along with DRGs allows a fuller picture of patients overall treatment needs. Nursing Classifications foster the visibility of the range of nursing practice, including nurses’ contribution to health promotion and prevention of illness (Keenan et al. 2008). Nursing diagnoses offer, when combined with DRGs, further possibilities to explore the nature of overall treatment costs including nursing care.

Classifications such as the NANDA-I Diagnoses, Nursing Interventions Classification (NIC) and Nursing Outcomes Classification (NOC) help nurses to plan and consistently document care (Bulechek, Butcher, & Dochterman, 2008; Keenan, Tschannen, & Wesley, 2008; Moorhead, Johnson, Maas, & Swanson, 2008). The combination of nursing diagnoses along with DRGs allows a full description of patients’ overall treatment needs. Matthias Odenbreit (Solothurner Hospitals SoH) presented nursing diagnoses and related DRGs based on two years of experience with an electronic nursing documentation system named WiCareDoc. Implementation of NANDA-I diagnoses, related interventions and nursing outcomes has demonstrated efficiency in exchanging patient information on an inter-institutional level and connections between DRGs and nursing diagnoses were presented along with data for measuring quality of care across hospitals (Odenbreit, 2010). These results are in line with a study by Welton & Halloran (2005). By adding nursing diagnoses to DRGs, the explanatory power (R2) and model discrimination (c

statistic) improved by 30%. Nursing diagnoses provided significant explanations for the outcome variables LOS, ICU LOS, total costs, probably of death and discharge to a nursing home (P ≤. 0001) (Welton & Halloran, 2005). The most prevalent nursing diagnoses, the performed nursing interventions and achieved patient outcomes were evaluated in the SoH documentation system (Odenbreit, 2010). Nevertheless, what goes into the system must be relevant and precise, since electronic nursing documentations need to be reliable. Individual nurses – not the electronic system – are accountable for deriving and documenting accurate nursing diagnoses, related interventions and nursing-sensitive patient outcomes. Electronic nursing documentation facilitates nurses in critically evaluating the care plans based on a structured and legibly documented nursing assessment linked with nursing diagnoses (Odenbreit, 2010). Resources to reduce the lack of precision of diagnostic reports, as for instance computer generated standardized nursing care plans, may support nurses in their administrative work (Smith-Higuchi, Dulberg, & Duff, 1999). The development and implementation of electronic documentation resources and pre-formulated templates have demonstrated positive influences on the frequency of diagnoses documentation (Smith Higuchi et al. 1999, Gunningberg et al. 2009). Kurashima et al. (2008) found that time needed to obtain diagnosis was, using a computer aid, significantly shorter. Classification structures, e.g. the NANDA-I classification (Thoroddsen & Ehnfors, 2007) are helpful in combination with applicable electronic resources leading to more accurate diagnoses documentation (Smith Higuchi et al. 1999).

A recent experimental study was presented by Paans (2010). The study was performed at the Hanze University Groningen (NL) and included 241 nurses. This experiment pointed out that nurses’ diagnostic reasoning skills - such as inferential and analytical skills and the use of resources like a pre-structured form in the PES-structure (Problem label, Etiology/related factors, Signs/Symptoms/defining characteristics) - had a significant positive effect on accuracy in nursing diagnosis documentation. Pre-structured PES-formats, implemented in computer systems for daily use, are additional properties to acquire correct nursing information. The results will be published in the near future. The collection of accurate nation wide nursing data can present a macroeconomic focus on health expenses. A base rate (standard) mean price for specific DRG related nursing care or Nursing Related Groups can be used to explain nursing care needs and costs (Fischer, 2002;

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short articleThe Electronic use of NANDA, NOC and NIC classifications and implications for Nursing Practice

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DRG and Electronic Nursing Documentation: Risks and ChancesWelton, Zone-Smith, & Fischer, 2006). A base rate (standard) mean price for specific DRGs related nursing diagnoses can be added for explanation of hospital based care. Under the new prospective DRG payment system, these costs also become important for hospital managers, as these costs are not compensated for by the revenues received (Wernitz et al. 2005). Hospitals might profit from DRGs, since it could be a catalyst for investing in efficiency in care. Given that hospital boards are willing to re-invest saved capital into nursing care quality, patients are likely to benefit. Implementation of NANDA-I nursing diagnoses combined with theory-based interventions and nursing sensitive patient outcomes resulted in significant improvements in patient’s symptoms, knowledge state, coping strategies, self-care abilities, and improvements in patients’ functional status (Müller Staub, 2007; 2009). The implementation of NANDA-I nursing diagnoses allowed nurses to describe patient problems more specifically and comprehensively, when compared with nursing problems formulated in freestyle (Maas, Johnson, & Moorhead, 1996; Moers & Schiemann, 2000; Müller-Staub et al., 2006). Further studies to evaluate of the implementation of DRG’s and connections between DRG’s and nursing diagnoses are planned.

Alexandra Bernhart-Just1 (Diplom-Pflegewirtin (FH-Pflegewissenschaft)), Kathrin Hillewerth2 (Pflegeexpertin HöFa II),Christina Holzer-Pruss3 (Master of Nursing Science), Monika Paprotny4 (Pflegeexpertin HöFa II),Heidi Zimmermann Heinrich5 (Pflegeexpertin HöFa II)1 Zentrum für Entwicklung und Forschung Pflege (ZEFP), UniversitätsSpital Zürich2 Pflegeentwicklung, Spital Zollikerberg, Zürich3 Entwicklung und Forschung in der Pflege, Psychiatrische Universitätsklinik PUK, Zürich4 Bildung, Beratung und Entwicklung, Spital Männedorf5 Pflegeentwicklung und Qualität, Klinik Adelheid, Unterägeri

Abstract

The data model developed on behalf of the Nursing Service Commission of the Canton of Zurich (Pflegedienstkommission des Kantons Zürich) is based on the NANDA nursing diagnoses, the Nursing Outcome Classification, and the Nursing Intervention Classification (NNN Classifications). It also includes integrated functions for cost-centered accounting, service recording, and the Swiss Nursing Minimum Data Set. The data model uses the NNN classifications to map a possible form of the nursing process in the electronic patient health record, where the nurse can choose nursing diagnoses, outcomes, and interventions relevant to the patient situation. The nurses' choice is guided both by the different classifications and their linkages, and the use of specific text components pre-defined for each classification and accessible through the respective linkages. This article describes the developed data model and illustrates its clinical application in a specific patient situation. Preparatory work required for the implementation of NNN classifications in practical nursing such as content filtering and the creation of linkages between the NNN classifications are described. Against the background of documentation of the nursing process based on the DAPEP1 data model, possible changes and requirements are deduced.The article provides a contribution to the discussion of a change in documentation of the nursing process by implementing nursing classifications in electronic patient records.







short articleNews from Iceland

Asta Thoroddsen

Several changes and developments have taken place in recent years in Iceland in relation to electronic health record (EHR) initiatives. Most of these changes have taken place at Landspitali University Hospital in Reykjavik, Iceland. The hospital is a midsize hospital which provides services in all major medical specialties and serves as the country´s only university hospital and referral center. Nurses play a big part in the EHR work that has taken place in the hospital but development of the EHR is a never ending story.

For the past three years Landspitali has been working within a roadmap which comprises several functions that will benefit patients and the work performed by nurses. Examples of these functions are security measures to ensure privacy protection of patient data and logging functions, a new patient administrative system, i n t e g r a t i o n o f c l i n i c a l i n f o r m a t i o n s y s t e m s , interdisciplinary recording of vitals signs, fluids in and out, invasive devices (e.g., tubes, drains), results from bedside measurements and scales, nursing assessment and discharge planning. Implementation of these functions in the EHR system, the SAGA system, were finished in May 2010. Implementation of a medication management system, Theriak Therapy Management, was completed in all wards in the hospital in 2009. Further work is going on where documentation of nursing care plays a key role.

The development of the documentation of nursing care is in progress but the main functional requirements were initially described as the following: (1) nurses should be able to document all data relevant to the planning of nursing care according to the nursing process; (2) all patient data should be available in one place, be reusable and accessible to all health care professionals involved in the care of the patient; (3) overview of patients‘ status and treatment should be easy and complete; and (4) patient data should be accessible for retrieval and analysis for the purpose of quality improvement and administration. This

module within the SAGA system has turned out to be one of the most complicated and time consuming in programming. Implementation of the documentation part is scheduled in 2011.

For years, nurses in Iceland have been educated to use the NNN nursing terminologies, namely NANDA-I nursing diagnoses, NIC (Nursing Interventions Classification) and NOC (Nursing Outcomes Classification). In 2009 the Icelandic Nurses Association made the decision to use ICNP (International Classification for Nursing Practice) as the primary nursing terminology to document nursing diagnoses, interventions and outcomes. This decision was supported by the Directorate of Health in Iceland. Work is now in progress by Icelandic authorities to get the necessary permission from ICN for translation of ICNP to Icelandic and its use on a national level. Many projects and work are ahead of Icelandic nurses regarding implementation of ICNP in clinical practice and in the EHR.







Reading Recommendations

By Carme Espinosa

Nursing Knowledge. Science, Practice, and Philosophy

By Mark Risjord

Wiley-Blackwell

ISBN-13: 978-1-4051-8434-2

This book is about Nursing Knowledge and Nursing practice. It talks about Nursing research and how this research contributes to the constant development of Nursing knowledge. But the book is also about Nursing practice, and how this practice informs research in order to help Nursing science development.

After guiding the reader through Nursing history, and the development of both theory and practice, The author centers the problem of the gap between practice and theory in Nursing. Step by step, the reader will come to see a new picture for the development of Nursing Science in which, problems of practice should guide nursing research; practice and theory are dynamically related; research must provide the knowledge base necessary for nurse interventions, training, patient education, etc. and nursing theory is strengthened with other disciplines.

Mark Risjord, The author is Associate professor in Philosophy at Emory University, and has a faculty apointment in the Nell Hodgson Woodruff School of Nursing. His main areas have been in the philosophy of social science and the philosophy of medicine. He has been teaching philosophy of science and theory development in the PhD program in the Nell Hodgson School of Nursing at Emory University since 1999. He has been awarded two competitive teaching prizes: The

Emory Williams Distiguished Teaching Award (2004) and the Excellence in Teaching Award (1997).

He is presently serving as the Masse-Martin/NEH Distinguished Teaching Chair (2006-2010).

A high recommended reading for those of you immersed in the development of your PhD Thesis or post Doctoral studies.







E-HEALTH AND NURSINGO p p o r t u n i t i e s f o r b e t t e r nursing care“eHealth” is defined by the European Commission as “The interaction between patients and health-service providers, institution-to-institution transmission of data, or peer-to peer communication between patients and/or health professionals. Examples include health information networks, e lectronic heal th records, telemedicine services, wearable and portable systems which communicate, health portals, and many other ICT based tools assisting disease prevention, diagnosis, treatment, health monitoring and lifestyle management.”

The 8th European Conference of ACENDIO is looking for the state-of-art of worldwide e-health initiatives in nursing, describing the best practice available and looking for the evidence how these can contribute to five major goals: patient safety, quality of care, efficiency of care nursing service provision, patient empowerment and continuity of care.

Conference Subthemes1. Best Practices of introducing e-Health technologies in nursing such as Electronic Medical Records (EMR)/Computer-Based Patient Records (CPR), Electronic Health Records (EHR), Electronic Appointment Booking, Computerized Physician Order

Entry (CPOE), Personal Health Record (PHR), Patient Portals, Telemedicine, Business In te l l i gence (BI ) , Rad io Frequency Identification (RFID), Barcoding2. Studies describing impact and evidence of these new technologies on Patient Safety (evidence based healthcare, reduced risk of patient harm), Quality of Care (patient satisfaction, effectiveness), Efficiency of care nursing service provision (equal access, reduced waiting times, better utilization of resources), Patient empowerment (patient-centricity, influence and direct involvement in the patient’s own care), Continuity of Care (coordination of activities and information sharing among caregivers)All times ACENDIO classics such as documenting nursing care, use of nursing diagnoses, interventions and outcomes, nursing terminologies and languages, nursing minimum data sets within e-Health.

Following Key-note speakers have already confirmedLinda Aiken, director of the Center for Health Outcomes and Policy Research, University of Pennsylvania, USA.

Amy Coenen, Director, International Classification for Nursing Practice (ICNP) Programme, International Council of Nurses, Geneva, Switzerland

Heimar de Fatima Marin, professor at University of São Paulo, Brazil;

Abel Paiva, Porto College of Nursing, Portugal

8th European Conference of

ACENDIO 25 - 26 March

2011

E-HEALTH AND NURSINGOpportunities

for better nursing care

Congress Centre CS Madeira

Funchal, Madeira Islands, Portugal

http://www.csmadeiraatlan

ticresort.com/en

VOLUME 22 SUMMER 2010



http://www.csmadeiraatlanticresort.com/en







CONVITE PARA APRESENTAÇÃO DE RESUMOS

8ª Conferência Europeia da ACENDIO

26 Março 2011

E-Saúde e Enfermagem

Oportunidade para melhores cuidados de enfermagem

Centro de Congressos do Hotel CS Madeira

Funchal, Madeira, Portugal


"e-Saúde" é definida pela Comissão Europeia como "A interacção entre pacientes e prestadores dos serviços de saúde, a transmissão interinstitucional de dados, a comunicação entre pares ou entre pacientes e / ou profissionais. Exemplos incluem redes de informação de saúde, registos de saúde electrónicos, serviços de telemedicina / telesaúde e sistemas portáteis e “wearable” que se comunicam, portais de saúde, e muitas outras ferramentas baseadas nas TIC que ajudam na prevenção da doença, diagnóstico, tratamento, vigilância da saúde e gestão dos estilos de vida ".

Tema da Conferência

A 8ª Conferência Europeia da ACENDIO irá explorar, a nível mundial, o "estado-da-arte" das iniciativas da e-saúde na enfermagem, descrever as melhores práticas e procurar evidências de como essas iniciativas podem contribuir para cinco grandes objectivos: a segurança do paciente; a qualidade dos cuidados; a eficiência do serviço de prestação de cuidados de enfermagem; a capacitação do utente; e a continuidade dos cuidados.

Subtemas da Conferência

1." Melhores práticas relativas à introdução de tecnologias e-Saúde na Enfermagem, tais como: registos clínicos electrónicos (RME) / processos clínicos informatizados (CPR), registos de saúde electrónicos (RSE), agendamento electrónico; prescrição electrónica (CPOE); registo pessoal de saúde (PHR), portais de utentes; telesaúde; business intelligence (BI), identificação por radiofrequência (RFID) e códigos de barras.

2." Impacto e evidência destas novas tecnologias em relação à: segurança do utente (cuidados de saúde baseados na evidência, minimização do risco de dano no utente); qualidade de cuidados (satisfação do utente, eficácia/efectividade); eficiência da prestação do serviço de Enfermagem (igualdade de acesso, redução dos tempos de espera, optimização dos recursos); capacitação do utente (centralidade do utente, influência e envolvimento directo no autocuidado); continuidade dos cuidados (coordenação de actividades e partilha de informação entre cuidadores).

3." Temas regulares da ACENDIO tais como: documentação dos cuidados de enfermagem, utilização de diagnósticos, intervenções e resultados de enfermagem; terminologias e linguagens de enfermagem; conjuntos de dados mínimos de enfermagem (NMDS) em e-Saúde.







A língua oficial da conferência é o Inglês. Haverá .tradução simultânea para Português em todas as sessões plenárias na sala de conferências principal. Os resumos deverão ser submetidos em Inglês.

Submissão de resumos

Convidamos-vos a submeter resumos para a conferência de acordo com as seguintes directrizes:

1." Os resumos devem ser submetidos electronicamente até às 17 Horas Locais (UTC) do dia 18 de Agosto de 2010, através do site da ACENDIO (www.acendio.net).

2." Os resumos devem ser apresentados em Inglês e as seguintes directrizes de formatação devem ser observadas: o" Tipo de letra: Arial, Times New Roman ou equivalente, tamanho 11 pontos, com espaçamento simples entre linhas;

o" O título da apresentação deve ser escrito em MAIÚSCULAS; o" A forma preferida de apresentação deve ser indicada, por exemplo, apresentação oral, apresentação em poster, workshop ou seminário; o" O nome do (s) autor (es), deverá ser precedido das iniciais e inseridos por baixo do título da apresentação. Professional titles, degrees, etc. should not be included; Títulos profissionais, diplomas, etc. não devem ser incluídos; o" O nome do apresentador principal deve ser sublinhado; o" O endereço postal da residência, e-mail e nº de telefone / fax do apresentador principal deve ser incluído;o" O nome da Instituição do (s) apresentador (s), endereço postal, e-mail, telefone / fax, nome pode ser incluído (apenas um endereço para contacto deve ser referido). 3." O conteúdo da apresentação deve incluir:

o" Um sumário e palavras-chave do seu conteúdo, em Inglês (não mais de 50 palavras); o" O resumo, não deve exceder 500 palavras. o" O objecto específico do estudo ou projecto deve ser explicitado, incluindo os métodos e resultados. Tabelas, diagramas e notas de rodapé devem ser, se possível, evitadas. o" As submissões podem reportar pesquisas originais, desenvolvimento de projecto / avaliação, aplicações práticas ou tomadas de posição, devendo sempre se relacionar com o tema / subtema da conferência. o" Todas as submissões serão notificadas após o recebimento. 4." A comissão científica irá avaliar todos os resumos e recomendar ao Board da ACENDIO a forma de apresentação - poster /

apresentação oral, workshop ou seminário. Os autores serão informados por e-mail, antes do dia 10 de Outubro de 2010 acerca do resultado da sua candidatura. Os autores, cujos resumos tenham sido seleccionados para apresentação, serão também notificados da data, hora, modo e local de apresentação. A submissão de um resumo implica a inscrição para a conferência e a aceitação da decisão final a respeito da modalidade e local de apresentação, pelo Board da ACENDIO. Nenhuma correspondência adicional sobre este assunto será recebida. Os autores com apresentações aceites são obrigados a inscreverem-se antes do dia 24 de Dezembro de 2010, com benefício de desconto para inscrições feitas mais cedo.

5. Se um resumo for aceite para apresentação oral, o(s) autor (s) serão obrigados a enviar uma versão completa da apresentação do trabalho, com referência adequada da literatura, até 15 de Novembro de 2010, para inclusão nos proceedings da conferência. O artigo completo não deve exceder 6 páginas (tamanho A4, espaço 1,5, incluindo tabelas, diagramas, notas de rodapé, conforme adequado e referências bibliográficas).

6. Cronograma: • Prazo para o envio de resumos ! ! ! ! ! 18 de Agosto de 2010 • Notificação da aceitação ! ! ! ! ! ! 10 de Outubro de 2010 • Submissão dos art.ºs para os proceedings da Confª. ! ! 15 Novembro de 2010 • Inscrições para a Conferência ! ! ! ! ! Até 24 de Dezembro de 2010

Mais informações sobre o programa da conferência e informações de carácter prático estarão disponíveis no site da ACENDIO: www.acendio.net.









INVITACIÓN PARA LA PRESENTACIÓN DE RESUMENES

8ª Conferencia Europea de ACENDIO25 - 26 Marzo 2011

E- SALUD Y ENFERMERÍA

Oportunidades para mejorar los cuidados enfermeros

Centro de Congresos del Hotel CS Madeira

Funchal, Madeira, Portugal


"e-Salud" es definida por la Comisión Europea como "La interacción entre pacientes y prestadores de los servicios de salud, la transmisión interinstitucional de datos, la comunicación entre pares o entre pacientes y/o profesionales. Algunos ejemplos incluyen, las redes de información de la salud, los dossieres electrónicos de salud, servicios de tele-medicina, sistemas portátiles que comunican entre si, portales de salud y muchas otras tecnologías basadas en las TIC que colaboran en la prevención de la enfermedad, el diagnóstico, el tratamiento, la monitorización de salud y la gestión de los estilos de vida”.

Tema de la Conferencia

La 8ª Conferencia de ACENDIO pretende explorar el estado de la cuestión en referencia a las iniciativas de enfermería de e-salud, describir las mejores prácticas y buscar evidencias sobre como esas iniciativas pueden contribuir a cinco objetivos principales: Seguridad para el paciente; Calidad de los cuidados; Eficacia en la provisión de servicios de cuidados enfermeros; empoderamiento del paciente; y continuidad de los cuidados.

Subtemas de la Conferencia

1. Mejores prácticas en relación a la introducción de las tecnologías de e-salud en enfermería como: Dossieres médicos electrónicos (DME)/ Dossieres Electrónicos Informatizados (DEI); Dossieres Electrónicos de Salud (DES); Cita Electrónica; Prescripción Médica Electrónica (PME); Dossier Personal de Salud (DPS); Portales para pacientes; Tele-Medicina; Bussiness Intelligence (BI); Identificación por Radiofrecuencia (RFID); Códigos de Barras.

2. Impacto y evidencia de esas nuevas tecnologías en relación a: Seguridad del paciente (Cuidados de salud basados en la evidencia, reducción de la posibilidad de dañar al paciente); Calidad del cuidado (satisfacción del paciente, eficacia); Eficacia en la provisión de cuidados enfermeros (equidad en el acceso, reducción de tiempos de espera, mejora de la utilización de los recursos); Empoderamiento de los pacientes (centralidad del paciente, influencia e implicación directa de los pacientes en su cuidado); Continuidad de los cuidados (Coordinación de actividades, compartir información entre los responsables del cuidado).







3. Temas habituales en ACENDIO como: Documentación de los cuidados enfermeros, uso de los diagnósticos enfermeros;, intervenciones y resultados; terminologías y lenguajes enfermeros; Conjunto Mínimo de Bases de Datos Enfermeros (CMBDE) en el e-salud.

El idioma oficial del congreso es el Inglés. Habrá traducción simultánea al Portugués en todas las sesiones plenarias en la sala principal. Los resúmenes deben ser enviados en Inglés.

Envio de resúmenes

Te invitamos a enviar resúmenes para la conferencia siguiendo las siguientes instrucciones:

1. Los resúmenes se deben enviar, de forma electrónica, antes del 18 de Agosto a las 18,00h a través de la Web de ACENDIO (www.acendio.net).

2. Los resúmenes deben enviarse en Inglés y siguiendo las siguienetes instrucciones: • Fuente: Arial, Times New Roman o equivalente, tamaño 11, espaciado simple; • Título de la presentación en MAYÚSCULAS; • La forma de presentación preferida debe ser sugerida, por ejemplo, presentación oral, poster, taller o seminario;• El nombre(s) del autor(es), precedido por iniciales, debe ser especificado debajo del título; No se incluirán títulos

profesionales, grados académicos, etc.; • El nombre del autor principal debe estar subrayado; • Debe incluirse la dirección postal personal, el correo electrónico y un número de teléfono/fax del autor principal;• Debe incluirse el nombre de la institución, dirección postal, correo electrónico, y número de teléfono/fax del (los)

autores. Solo se debe proporcionar una dirección de contacto. 3. El contenido del resumen debe incluir:

• Un resumen y palabras clave del contenido del resumen en Inglés (no más de 50 palabras); • El resumen no excederá las 500 palabras. • Se debe formular el objetivo específico del estudio o proyecto, incluyendo métodos y resultados. Se deben evitar, si

es posible, las tablas, diagramas y notas a pie de página;• Los resúmenes deben referirse a estudios de investigación originales, desarrollo de proyectos/evaluaciones,

aplicaciones prácticas o posicionamientos, pero deben referirse en cualquier caso al tema/subtemas de la conferencia;

o Se notificará la recepción de todos los resúmenes.4. El comité Cicentífico estudiará todos los resúmenes y recomendará aquellos que deben ser aceptados tanto en formato

oral como de poster, talleres o seminarios a la Junta Directiva de ACENDIO. Se notificará la decisión a los autores antes del 10 de Octubre,la decisión del Comité. Aquellos autores a los que se haya aceptado la presentación, también se les notificará la hora, fecha, modo y lugar de presentación . La presentación de un resumen conlleva la inscripción a la conferencia y la aceptación de la decisión final de la junta de ACENDIO con respecto al método y lugar de presentación. No se realizará ningún otro tipo de correspondencia sibre este asunto. Los autores de presentaciones aceptadas deberán realizar su inscripción a la conferencia antes del 24 de Diciembre de 2010, a la totalidad de la conferencia y con precio de inscripción reducido.

5. Si un resumen es aceptado para presentación oral, el autor (es) deberá enviar el texto completo de la presentación, con las referencias bibliográficas necesarias, antes del 15 de Noviembre de 2010 para que la presentación sea incluida en la publicación de la conferencia. El texto completo no excederá las 6 páginas (tamaño A4, espaciado 1,5, incluyendo tablas, diagramas, notas a pie de página y referencias bibliográficas).

6. Cronograma: • Fecha límite de envío de resúmenes: 18 de Agosto de 2010 • Notificación de aceptación: 10 de Octubre de 2010.• Fecha límite de envío de texto completo para inclusión en publicación: 15 de Noviembre de 2010 • Inscripción a la Conferencia: Antes del 24 de Diciembre de 2010

Más información sobre el programa de la conferencia e información práctica en la Web de ACENDIO: ww.acendio.net







CALL FOR ABSTRACTS

8th European Conference of ACENDIO 25 - 26 March 2011

E-HEALTH AND NURSINGOpportunities for better nursing care

Congress Centre CS Madeira Funchal, Madeira Islands, Portugal


“eHealth” is defined by the European Commission as “The interaction between patients and health-service providers, institution-to-institution transmission of data, or peer-to peer communication between patients and/or health professionals. Examples include health information networks, electronic health records, telemedicine services, wearable and portable systems which communicate, health portals, and many other ICT based tools assisting disease prevention, diagnosis, treatment, health monitoring and lifestyle management.”

The 8th European Conference of ACENDIO conference is looking for the state-of-art of worldwide e-health initiatives in nursing, describing the best practice available and looking for the evidence how these can contribute to five major goals: patient safety, quality of care, efficiency of care nursing service provision, patient empowerment and continuity of care.

Conference subthemes:1. Best Practices of introducing e-Health technologies in nursing such as Electronic Medical Records (EMR)/Computer-Based Patient Records (CPR), Electronic Health Records (EHR), Electronic Appointment Booking, Computerized Physician Order Entry (CPOE), Personal Health Record (PHR), Patient Portals, Telemedicine, Business Intelligence (BI), Radio Frequency Identification (RFID), Barcoding2. Studies describing impact and evidence of these new technologies on Patient Safety (evidence based healthcare, reduced risk of patient harm), Quality of Care (patient satisfaction, effectiveness), Efficiency of care nursing service provision (equal access, reduced waiting times, better utilization of resources), Patient empowerment (patient-centricity, influence and direct involvement in the patient’s own care), Continuity of Care (coordination of activities and information sharing among caregivers)3. All times ACENDIO classics such as documenting nursing care, use of nursing diagnoses, interventions and outcomes, nursing terminologies and languages, nursing minimum data sets within e-Health.

The official language of the conference is English. Simultaneous translation in Portugese will be provided for all plenary sessions in the main hall. Abstracts must be submitted in English.

Submission of abstracts







The official language of the main conference is English. Simultaneous translation in Portuguese will be provided for all plenary sessions. For the main conference we invite you to submit abstracts according the following instructions / information:

1.! Upload your abstract before August 18, 2010 in an electronic way, through the ACENDIO-website (www.acendio.net).

2.! Abstracts can be submitted in English. The following format should be used:! Font Arial, Times New Roman or equivalent, size 11 point and one line spacing

! Type the title of presentation in CAPITAL LETTERS! Indicate the preferred form of presentation: oral presentation / poster presentation / workshop or seminar! Type name(s) of author(s) preceded by initials: omit titles, degrees, etc..! Underline the name of the main presenter

! Type private post-mail address, e-mail address, and phone-fax number of main presenter! Type name of institution, post-mail address, e-mail address, and phone-fax number where the main presenter

is working (only one contact address)3.! The abstract should content:

! A summary and keywords of the abstract content in English of not more than 50 words, and ! The main abstract, which should not exceed more than 500 words

! State specific object of study or project, methods and results, avoid if possible tables, diagrams and footnotes! Submissions may report original research, project development / evaluation, practice applications or

position papers, but should always relate to the theme or subthemes of the conference, and all submissions will be acknowledged on receipt

4.! The scientific committee will recommend abstracts for acceptance either as oral or poster presentation, workshop or seminar to the board of ACENDIO. Authors will be notified by October 10, 2010 of time, date and method and allocation of presentation. Submission of an abstract implies registration for the conference, and acceptance of the final decision about method and allocation of presentation by the board of ACENDIO, and for that no further correspondence will be entered into. You are also required to register before December 24, 2010 at the full registration early bird fee.

5.! If the abstract is accepted for an oral presentation you will be required to send in a full version of the paper presentation with adequate reference to the literature by 15 November 2010 for printing in the proceedings of the conference. The full paper should not exceed 6 pages, A4 size, 1,5 line spacing, including possible tables, diagrams, footnotes, and literature references.6. Schedule :! Submission deadline! ! ! ! ! ! August 18, 2010 ! Notification of acceptance !! ! ! ! October 10, 2010 ! Submission full paper for conference proceedings! ! 15 November 2010 ! Registration for conference! ! ! ! before 24 December 2010

More information on conference programme and practical information on the ACENDIO-website: www.acendio.net








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