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ICNP Applications in Nursing Informatics 3rd TelenurseID Dissimination Meeting in CEE Countries Prague October 2000 ICNP History,Current State and Perspectives Randi Annikki Mortensen Telenurse Coordinator, ICNP Consultant - PowerPoint PPT Presentation
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Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
ICNP Applications in Nursing Informatics3rd TelenurseID Dissimination Meeting in CEE Countries
Prague October 2000
ICNP History,Current State
and Perspectives
Randi Annikki MortensenTelenurse Coordinator, ICNP Consultant
Director of The Danish Institute for Health and Nursing Research
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Content:1. Introduction2. Design of ICNP:
A Unifying Framework anda Design for Expressive Power
2.1 Nursing Phenomena2.2 Nursing Actions2.3 Nursing Outcomes3. ICNP: A Tool for Practice and Research 4. Conclusion
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Content:1. Introduction2. Design of ICNP:
A Unifying Framework anda Design for Expressive Power
2.1 Nursing Phenomena2.2 Nursing Actions2.3 Nursing Outcomes3. ICNP: A Tool for Practice and Research 4. Conclusion
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Ward ID V % O % R % Total %
Nursing Diagnoses:1 11111 Physiological Functions 4 1 40 452 11112111 Acute Pain 5 23 4 323 1111211 Pain 3 3 14 204 1111182 Urinary Elimination 7 4 6 175 111113111 Fever 1 2 13 166 1111111211 Expectoration 10 0 1 116 111221213 Self Care: Hygiene 0 9 2 117 111212111 Lack of Knowledge 0 5 5 107 111116 Hydration 5 1 4 108 11112114 Consciousness 8 1 0 98 111119 Integument 0 1 8 99 111112 Circulation 5 2 1 810 111111 Respiration 7 0 0 710 111111115 Mobility ( Lower Extr.) 0 6 1 710 11111222 Low Blood Pressure 6 1 0 710 1111215 Nausea 0 1 6 7
Total 61 100 60 100 105 100 226 100
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Ward ID V % O % R % Total %
Nursing phenomenon:
1 11111 Physiological Functions 4 7 1 2 40 38 45 20
2 11112111 Acute Pain 5 8 23 38 4 4 32 14
6 1111111211 Expectoration 10 16 0 0 1 1 11 5
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Top 17 Nursing Interventions
0
500
1000
1500
2000
2500
3000
3500
1
nursing interventions
nu
mb
er
measuring pulse
describing faeces
measuring temperature
describing drip bag I
informing patient about diet
others
measuring blood pressure
wound care
describing drip bag II
washing patient
describing urine
describing hydration
consult physiotherapist
mobilizing patient
informing patient about diet
documenting wasteproducts
putting on tubes
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Column 1 Column 2 Column 3 Column 4 Column 5 Column 6 Column 7 Column 8 Column 9 Column 101st day 2nd day 3rd day 4th day 5th day 6th day 7th day 8th day 9th day 10th day
3 2 1 1 2 2 2 #NUM! #NUM! #NUM!3 1.5 1 1 #NUM! #NUM! #NUM! #NUM! #NUM! #NUM!
3.5 3 3 2 2 2 #NUM! #NUM! #NUM! #NUM!
Degree of Acute Pain in Each of the Three Wards V,O and R
0
1
2
3
4
5
1 2 3 4 5 6 7 8 9 10
Days of Admission
Degre
e o
f Seve
rity
Series1
Series2
Series3
VO!R
V:Intensiv afd.O:Routeop.kirur.afd.R:Onkol.afd.
Degree o f Acute Pain in Each o f the Three Wards V,O and R
0
1
2
3
4
5
1 2 3 4 5 6 7 8 9 10
Days of Admis s ion
Deg
ree o
f S
ev
erit
y
Sé rie 1
Sé rie 2
Sé rie 3
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
NursingToday
ICNP
NEWS
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Content:1. Introduction2. Design of ICNP:
A Unifying Framework anda Design for Expressive Power
2.1 Nursing Phenomena2.2 Nursing Actions2.3 Nursing Outcomes3. ICNP: A Tool for Practice and Research 4. Conclusion
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
The Construction of ICNP. As a Unifying Framework and a Design for
Expressive Power
Design:
Architecture
Dom
ain
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
ICNP as a Unifying Framework i.e
a Reference Terminology
ICNP
NandaHHCC NOC NIC
Data:Use of Existing Classification Systems
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
ICNP as a UnifyingFramework +Design for ExpressivePower
Use all ICNP Conceptsand combine NewICNP
Concepts
Data for Clinical Nursing Practice: Use of existing
Classifications Systems or create own Catalogs
ICNP
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
HYPOTHESIS:HYPOTHESIS:Context ofDiscovery
Identificationthroughanalysis:
"Conceptdissection"
Context ofJustification
Validationthroughsynthesis:
"Concept- sutures"
ICNPICNP
??
Data:Existing Classification Systems
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
ICNP
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Folk-Guitar
ClassicalGuitar
Guitar
Grandpiano
Uprightpiano
Piano
Kettledrum
Basedrum
Drum
Musicalinstrument
Classifications are Concept Pyramids
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
1. nursing phenomena2. nursing actions
3. nursing outcomes
The 3 Classifications of ICNP:
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Starters
Top term: CourseClasses:
Main Dish
Dessert
Menu
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Starters Shrimps
Top term: CourseClasses:
Main Dish Lamb
Dessert Ice-cream
Menu of the dayNo choice of combinations
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Starters Shrimps, Ham,Salad
Top term: CourseClasses:
Main Dish Lamb,Steak, Fish
Dessert Ice-cream, cake, fruit
A La Carte MenuFree choice of combinations
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Focus
Judgement
Bearer
Top term: nursing phenomenonClasses:
FrequencyDuration
Topograhhy
Location
Likelihood
ICNP: Nursing Phenomena
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Focus Coping
Judgement Enhanced
Bearer Family
Top term: nursing phenomenonClasses:
FrequencyDuration
Topograhhy
Location
Likelihood Chance for
ICNP: Nursing Phenomena
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes:Action Types
Target
Top term: Nursing ActionClasses:
Mean
TimeTopographyLocationRouteBearer
Beta ICNP: Nursing Actions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes:Action Types Reducing
Target Anxiety
Top term: Nursing ActionClasses:
Mean Guided Imagery Technique
TimeTopographyLocationRouteBearer Individual
Beta ICNP: Nursing Actions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
ICNP on the Net: www.telenurse.net
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
ICNP on the Net: www.telenurse.net
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Content:1. Introduction2. Design of ICNP:
A Unifying Framework anda Design for Expressive Power
2.1 Nursing Phenomena2.2 Nursing Actions2.3 Nursing Outcomes3. ICNP: A Tool for Practice and Research 4. Conclusion
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Design of ICNP betaArchitecture and Domain
IC
NP
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
1. Nursing Phenomenon:2. Nursing Actions
3. Nursing Outcomes
The 3 Classifications of ICNP:
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Classification of Nursing Phenomena
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Focus Focus
Judgement
Bearer
Top term: nursing phenomenonClasses:
FrequencyDuration
Topograhhy
Location
Likelihood
ICNP: Nursing Phenomena
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Focus Focus
Judgement
Bearer
Top term: nursing phenomenonClasses:
FrequencyDuration
Topograhhy
Location
Likelihood
ICNP: Nursing Phenomena
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Atoms
Is this anursing
phenomenon?
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Molecules
Is this anursing
phenomenon?
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Organs
Is this a nursing
phenomenon?
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Functions
Is this anursing
phenomenon?
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
BrainFunctions
Is this anursing
phenomenon?
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
PersonsActions andReasons for Actions
Is this anursing
phenomenon?
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Self ReliantActions
Is this anursing
phenomenon?
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
InterdependentActions
Is this anursing
phenomenon?
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Group
Is this anursing
phenomenon?
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Nature
Is this a nursing
phenomenon?
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Group Interdependent Actions
Self Reliant Actions Functions Organs
Molecules Atoms
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Classification of Nursing Phenomena
Function Person
Individual Group
Hum an Being
Nature M an M ade
Environment
NursingPhenomena
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Focus of Nursing PracticeFocus of Nursing Practice
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Function Person
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Function PersonNeeds Self CareV.Henderson D.Orem
Physical and the Humanities and theBiological Sciences: Social Sciences:Functional Health Human ReactionsConditions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Function Persone.g. Nutrition Self Care:Feeding
Urinary Incontinence Self Care:Toiletting Lactation BreastfeedingSpeech Communication
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Sensations of the Body Reasons for ActionsPhysical Humanitieand Biological Sciences: and Social Sciences:Functional Human ReactionsHealth Conditions
Explaining Understanding
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Sensations of the Body Reasons for ActionsPain SufferingIching CopingHunger ObsessionNausea PreoccupationVision PowerlessnessHearing Illusion
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Reasons for Actions Actions (internal) (external)
Person
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Self Reliant InterdependentActions Actions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Individual Group
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Nursing Judgement:
Group Interdependent Actions
Self Reliant Actions Functions Organs
Molecules Atoms
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
A Nursing Diagnosis is a Nursing Phenomenon judged
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Focus of Nursing: •Sensations•Sleep•Mobility•Respiration•Perspiration•Constipation•Peripheral Oedema•Consciousness
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Nursing Judgement: •Sensation:Altered•Sleep:Disturbed•Mobility:Reduced•Breathing:Insufficient•Perspiration:Increased•Constipation:Yes•Peripheral Oedema:Yes•Consciousness:Reduced
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Focus Focus Body Nutrition
JudgementJudgement Excess
Bearer
Top term: nursing phenomenonClasses:
FrequencyDuration
Topography
Location
Likelihood
Beta ICNP: nursing phenomenon
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Reasons for Actions
• Guilt•Loneliness•Coping• Hope
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Reasons for Actions
•Guilt Yes•Loneliness Decreased •Coping Impaired• Hope Enhanced
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Focus Focus Coping
JudgementJudgement Reduced
Bearer
Top term: nursing phenomenonClasses:
FrequencyDuration
Topography
Location
Likelihood
Beta ICNP: nursing phenomenon
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Focus of Nursing:
•Self Esteem.•Self Care.•Self Control: Impulse•Tobacco Use.
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Nursing Judgement:
•Self Esteem: High•Self Care: Not Deficient•Self Control: Impulse: Demonstrated•Tobacco Use: No
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Beta ICNP: nursing phenomenon
AxesFocus Focus Self Care
JudgementJudgement Adequate
Bearer
Top term: nursing phenomenonClasses:
FrequencyDuration
Topography
Location
Likelihood
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Focus of Nursing: •Socialising•Relating•Communication•Violence Directed at Others
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Nursing Judgement: •Socialising: No Difficulty•Relating:Adequate•Violence Directed at Others: No•Communication: Achieved
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Beta ICNP: nursing phenomenon
AxesFocus Focus Communication
JudgementJudgement Increased
Bearer
Top term: nursing phenomenonClasses:
FrequencyDuration
Topography
Location
Likelihood
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Nursing Judgement: •Family:
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Beta ICNP: nursing phenomenon
AxesFocus Focus Family Planning
JudgementJudgement Adequate
Bearer
Top term: nursing phenomenonClasses:
FrequencyDuration
Topography
Location
Likelihood
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Nursing Judgement: •Nature:
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Beta ICNP: nursing phenomenon
AxesFocus Focus Water
JudgementJudgement Polluted
Bearer
Top term: nursing phenomenonClasses:
FrequencyDuration
Topography
Location
Likelihood
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Focus Focus JudgementJudgement
Bearer
Top term: nursing phenomenonClasses:
FrequencyDuration
Topograhhy
Location
LikelihoodLikelihood
ICNP: Nursing Phenomena
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Nursing Judgement: •Chance for Altered Sensation•Risk for Disturbed Sleep•Chance for Reduced Mobility•Risk for Insufficient Breathing•Chance for Increased Perspiration•Risk for Constipation•Risk for Peripheral Oedema•Chance for Reduced Consciousness
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Focus Body Nutrition
Judgement Excess
Bearer
Top term: nursing phenomenonClasses:
FrequencyDuration
Topography
Location
Likelihood Risk for
Beta ICNP: nursing phenomenon
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Nursing Judgement:
•Chance for Self Esteem toa very high Degree•Risk for Self Care Deficit•Chance for demonstrated Self Control •Risk for Tobacco Use
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Focus Hope
Judgement Enhanced
Bearer
Top term: nursing phenomenonClasses:
FrequencyDuration
Topography
Location
Likelihood Chance for
Beta ICNP: nursing phenomenon
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Nursing Judgement: • Chance for desirable Parental Role•Risk for decreased Mother Child Attachment•Risk for neglected Breastfeeding•Risk for insufficient Infant Sucking
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Nursing Judgement: Nutrition Excess Excess in Familyin Family
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Focus Focus Hope
JudgementJudgement Enhanced
BearerBearer Family
Top term: nursing phenomenonClasses:
FrequencyDuration
Topography
Location
LikelihoodLikelihood Chance for
Beta ICNP: nursing phenomenon
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
ICNP: Nursing phenomenon
Axes
FocusFocus
JudgementJudgement
Bearer
Top term: Nursing phenomenonClasses:
FrequencyFrequency
Duration Duration
TopographyTopography
LocationLocation
Likelihood
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Nursing Judgement: •Risk for Chronic Intermittend Pain in Back •Chance for increased• Mobility of right Arm•Risk for Iching of whole Body•Risk for Constipation in Colon
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
ICNP: Nursing phenomenon
Axes
FocusFocus Pain
JudgementJudgement Yes, to a very high degree
Bearer
Top term: Nursing phenomenonClasses:
FrequencyFrequency Often
Duration Duration Chronic
TopographyTopography Right
LocationLocation Arm
Likelihood
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Content:1. Introduction2. Design of ICNP:
A Unifying Framework anda Design for Expressive Power
2.1 Nursing Phenomena2.2 Nursing Actions2.3 Nursing Outcomes3. ICNP: A Tool for Practice and Research 4. Conclusion
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
The 3 Classifications of ICNP:
1. Nursing Phenomenon2. Nursing Actions
3. Nursing Outcomes
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Breast Sw imming Craw l
Sw imming
Sprinting Jogging
Running
Exercising Sport
Classifications are Concept Pyramids
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Classification of Nursing Actions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Observing Managing Performing Attending Informing
Action Types
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Action Types
Observing
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Action Types
Observing Managing
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Action Types
Observing Managing Performing
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Action Types
Observing Managing Performing Attending
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Observing Managing Performing Attending Informing
Action Types
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Action Types
Identifizieren
Erm itteln
Aufpassen
Bew erten
Beobachten
Organisieren
Versorgen
Verw alten
Putzen "Groom ing"
Baden,duschen
Bedecken
Ernähren Installieren
M anipulieren Aufb ieten
Stim ulieren Nähen
Lüften Vorbereiten
Aufb lasen Einfügen
Aufb ieten Herausnehm en
W echseln
Handeln
Beistehen
Behandeln
Vorbeugen
In Kontaktsein
Pflegen
Lehren
Führen
Beschreiben
In form ieren
Handlungstypen
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Observing Managing Performing Attending Informingwhat? what? on what? to what? about?
Action Types
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Observing Managing Performing Attending Informingwhat? what? on what? to what? about?using? using? using? using? using?
Action Types
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Observing Managing Performing Attending Informingwhat? what? on what? to what? about?using? using? using? using? using?when? when? when? when? when?
Action Types
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Observing Managing Performing Attending Informingwhat? what? on what? to what? about?using? using? using? using? using?when? when? when? when? when?where? where? where? where? where?
Action Types
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Observing Managing Performing Attending Informingwhat? what? on what? to what? about?using? using? using? using? using?when? when? when? when? when?where? where? where? where? where?
for whom? for whom? to whom? whom?
Action Types
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes:Action TypesAction Types
TargetTarget
Top term: Nursing ActionClasses:
Mean
TimeTopographyLocationRouteBeneficiary
Beta ICNP: Nursing Actions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes:Action TypesAction Types Preventing
TargetTarget Decubitus
Top term: Nursing ActionClasses:
Mean
TimeTopographyLocationRouteBeneficiary
Beta ICNP: nursing actions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes:Action TypesAction Types Attending to
TargetTarget Contact Lenses
Top term: Nursing ActionClasses:
Mean
TimeTopographyLocationRouteBeneficiaryBeneficiary Individual
Beta ICNP: nursing actions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Content:1. Introduction2. Design of ICNP:
A Unifying Framework anda Design for Expressive Power
2.1 Nursing Phenomena2.2 Nursing Actions2.3 Nursing Outcomes3. ICNP: A Tool for Practice and Research 4. Conclusion
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
The 3 Classifications of ICNP:
1. Nursing Phenomenon2. Nursing Actions
3. Nursing Outcomes
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Nursing Phenomena judged on a 5 point scale
are basis for measuring Nursing Outcomes
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
D O1 O2 O3 ........................................... On
Degree
5 ...to a very high degree
4 ...to a high degree
3 ...to some degree
2 ...to a lesser degree
1 ...no
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
D O1 O2 O3 ........................................... On
Degree
time-series
5 ...to a very high degree
4 ...to a high degree
3 ...to some degree
2 ...to a lesser degree
1 ...no
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Clinical nursing outcomesClinical nursing outcomes
Nursing outcomes arenursing diagnoses linked witha time interval interrupted by
a nursing interventionICNP and clinical nursing outcome:Diagnosis + Time interval = Outcome
Nursing Intervention
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Focus Pain
Judgement Yes, to a high degree
Distribution
Top term: nursing phenomenaClasses:
FrequencyDuration
Topography
Location
Likelihood
ICNP: nursing phenomenonPoint in Time: 1
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes:Action Types Administering
Target Medicine
Top term: Nursing ActionClasses:
Mean
TimeTopographyLocationRouteBeneficiary the individual
+ time intervalinterrupted by Nursing Intervention
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Focus Pain
Judgement No
Distribution
Top term: nursing phenomenonClasses:
FrequencyDuration
Topography
Location
Likelihood
ICNP: Nursing PhenomenonPoint in Time: 2
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
O1 O2 O3 ................................... On
NursingInterventions
Nursing Diagnoses
5
4
3
2
1
Diagnosis
PainTo a High Degree
time-series
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
O1 O2 O3 ................................... On
NursingInterventions
Nursing Diagnoses
5
4
3
2
1
Diagnosis
PainTo a High Degree
time-series
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
O1 O2 O3 ................................... On
NursingInterventions
Nursing Diagnoses
5
4
3
2
1
Diagnosis + Time interval =Outcome
PainTo a High Degree
Pain Notime-series
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
D O1 O2 O3 ........................................... On
Degree
time-series
Nursing Interventions
5 ...to a very high degree
4 ...to a high degree
3 ...to some degree
2 ...to a lesser degree
1 ...no
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Content:1. Introduction2. Design of ICNP:
A Unifying Framework anda Design for Expressive Power
2.1 Nursing Phenomena2.2 Nursing Actions2.3 Nursing Outcomes3. ICNP: A Tool for Practice and Research 4. Conclusion
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
The Nursing DomainThe Nursing Domain
Health- Human -Environment Nursing Practice
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
The Nursing DomainThe Nursing Domain
Health- Human -Environment Nursing Practice
Human Being Environment Observing ManagingPerformingAttendingInforming
Individual Group Nature Manmade
Function Person Family Community
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
The Nursing DomainThe Nursing Domain
Health- Human -Environment Nursing Practice
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Focus of Nursing PracticeFocus of Nursing Practice
Nursing Research
Nursing Practice
Nursing Philosophy
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Focus of Nursing PracticeFocus of Nursing Practice
Nursing Research
Nursing Practice
Nursing Philosophy
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Focus of Nursing PracticeFocus of Nursing Practice
Nursing Research
Nursing Practice
Nursing Philosophy
Human Being
Individual
Function Person
Sensation Resoration SelfReliantActions
Actions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Function
Sensation Resoration
Nursing Research
Nursing PracticeRestSleep
Hypersomnia Insomnia Fatigue Exhaustion
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
a
Concepts and their attributes
C1
C4
C3C2
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Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
a
Specific characteristics
C1
C4
C3C2
ab
d
a
dfj
n
b
C5bdg
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a
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C6
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C7
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Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
a
Definition by genus et species.
C1
C4
C3C2
ab
d
a
dfj
n
b
C5bdg
k
a
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a
C6ceh
lp
C7
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ca
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
ICNP Concepts
Definitions and Criteria:
A
B C
SleepDefinition: Is a type of Restoration with the specific characteristics:Recurringlowering of bodily activitymarked by reduced consciousnessCriteria: not awake,not aware,immobile posture
Restoration
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
ICNP Concepts
Definitions and Criteria:
A
B C
SleepDefinition: Is a type of Restoration with the specific characteristics:Recurringlowering of bodily activitymarked by reduced consciousnessCriteria: not awake,not aware,immobile posture
Restoration
RestDefinition: Is a type of Restoration with the specific characteristics:Recurringlowering of bodily activity and immobile posture whileCriteria: awake and aware,
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
ICNP Concepts
Definitions and Criteria:
A
B C
SleepDefinition: Is a type of Restoration with the specific characteristics:Recurringlowering of bodily activitymarked by reduced consciousnessCriteria: not awake,not aware,immobile posture
Restoration Definition: Is a type of Function with the specific characteristics:Recurringlowering of bodily activityCriteria: mental and physical rejuvenation
RestDefinition: Is a type of Restoration with the specific characteristics:Recurringlowering of bodily activity and immobile posture whileCriteria: awake and aware,
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Content:1. Introduction2. Design of ICNP:
A Unifying Framework anda Design for Expressive Power
2.1 Nursing Phenomena2.2 Nursing Actions2.3 Nursing Outcomes3. ICNP: A Tool for Practice and Research 4. Conclusion
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
ICNP: Surveillance of Peoples Need for Nursing Care-Clinical Nursing Outcome
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Overview of Nursing Careand Resource Estimation
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Thank You!
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Axes
Focus Focus JudgementJudgement
Bearer
Top term: nursing phenomenonClasses:
FrequencyDuration
Topograhhy
Location
Likelihood
ICNP: Nursing Phenomena
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
The Combinatorial Design of ICNP can be used as:•Unifying Framework•Design for Expressive Power
Pyramids of concepts are many sided
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Content:1. Introduction2. Design of ICNP:
A Unifying Framework anda Design for Expressive Power
2.1 Nursing Phenomena2.2 Nursing Actions2.3 Nursing Outcomes3. ICNP: A Tool for Practice and Research 4. Conclusion
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Focus of Nursing PracticeFocus of Nursing Practice
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
Focus of Nursing PracticeFocus of Nursing Practice
Nursing Research
Nursing Practice
Nursing Philosophy
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
The Nursing DomainThe Nursing Domain
Health- Human -Environment Nursing Practice
Human Being Environment Observing ManagingPerformingAttendingInforming
Individual Group Nature Manmade
Function Person Family Society
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.Phone +45 31394066. Email: [email protected]
The Nursing DomainThe Nursing Domain
Health- Human -Environment Nursing Practice