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38 International Journal of Nursing Terminologies and Classifications Volume 19, No. 1, January-March, 2008
Blackwell Publishing IncMalden, USAIJNTInternational Journal of Nursing Terminologies and Classifications1541-5147XXXNEWSNews From Around the GlobeNews From Around the Globe
USA
Iowa
Institute on Nursing Informatics and Classification
The 2007 Institute on NursingInformatics and Classification washeld at the College of Nursing onJune 11–13, 2007. Over 50 participantsattended representing 14 states andthree countries. The conference fea-tured the use of standardized nurs-ing classification in the electronichealth record. Presentations weregiven by experts who are using orimplementing NIC and NOC intotheir healthcare system. During the3-day conference, the Center hadan open house to give participantsan opportunity to dialogue with thedevelopers and users of the classifi-cations. The conference also high-lighted information on the newbooks of NIC and NOC. Presentorsincluded Joanne Herman, “Appli-cation of clinical reasoning to clinicalteaching and practice”; Karen Martin,“Future visions for standardizedlanguages”; Tammy Schwichten-berg, “Birth of an electronic healthrecord”; Jane Brokel, “Frameworkof integrating the sciences of nursinginformatics into practice”; and JenniferHafner and Joan Klehr, “Electroniccare plans using SNL,” to name a few.The Institute this year will be heldfrom June 9 to 11, 2008.
New Editions of NIC and NOC Coming Soon
The editors of NIC (Bulechek,Butcher, and Dochterman) and
NOC (Moorhead, Johnson, Maas,and Swanson) have had a busyyear with the preparation of thenew editions of NIC and NOC,which will be published by Elsevierin October and December, respec-tively, this fall with a 2008 publi-cation date. The 5th edition of NICfeatures 542 interventions, including34 new and 77 substantively revisedinterventions. The 4th edition ofNOC will have 385 outcomes, whichinclude 58 new and 67 revisedoutcomes.
New Dean at the University of Iowa (UI)
Rita A. Frantz was appointednew Dean on July 1, 2007. She suc-ceeded Dr Rosenberg, who servedas Interim Dean following herpresidency of NANDA-I while thecollege did a national search for anew dean. Dr Frantz has been namedto the Kelting Dean’s Chair inNursing by UI Executive Vice Presid-ent and Provost Michael J. Hogan.Dr Frantz earned her Bachelor ofScience in Nursing from MarycrestCollege and her MA in Nursingand PhD from the University ofIowa. She first joined the faculty ofthe UI College of Nursing as aninstructor in 1972 and joined thetenure track as an assistant professor6 years later. She has been a fullprofessor in the college since 1996.
2008 InstituteThe Institute on Nursing Infor-
matics & Classification hosted bythe University of Iowa, College of
Nursing, Center for Nursing Clas-sification & Clinical Effectivenesswill be held on June 9–11, 2008, inIowa City, Iowa. Focus will be onthe cutting edge content on theinterface of nursing informaticsand classification. Emphasis isplaced on the actual use of stand-ardized language in clinical andeducational settings. The Instituteemphasizes state-of-the-art practice,education, and research initiativesrelated to the ANA recognizedclassifications of NANDA Interna-tional, NIC (Nursing InterventionsClassification), NOC (NursingOutcomes Classification). Imple-mentation challenges for the inclusionof nursing content for an electronichealthcare record will be addressedas well as standards.
Sue Moorhead, PhD, [email protected]
Missouri
Nursing classification languageremains near and dear to ourhearts at Saint Louis University.Currently, Saint Louis UniversitySchool of Nursing is in the prelim-inary stage of planning an invitedconference on the Classification ofDrug Therapy Risks. Additionalearly participants in the planningprocess include the St. Louis Col-lege of Pharmacy and NANDA-I.Other sponsors will be recruitedin the future. The current thinkingis that drug therapy risk diagnosesneed to be developed in the safety/
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International Journal of Nursing Terminologies and Classifications Volume 19, No. 1, January-March, 2008 39
protection domain of the NANDA-I Taxonomy II and this conferencewill be the springboard for thatwork. The projected conferencedate is March 2009 in St. Louis.More details on the conferencewill be forthcoming.
NANDA-I was formally invitedby the American Association forClinical Chemistry (AACC) to pro-vide input on their newly revisedevidence-based Clinical and Labo-ratory Guidelines for the Diagnosisand Management of Diabetes. DrMary Ann Lavin, RN, FAAN, rep-resented NANDA-I at the AACCeducational meeting in Atlanta,Georgia, on November 15–16, 2007.
Geralyn Meyer, PhD, RNSaint Louis University School
Massachusetts
On November 10, 2007, SisterCalista Roy, PhD, RN, FAAN, washonored as a “Living Legend” atthe 34th Annual Meeting and Con-ference of the American Academyof Nursing. The meeting was heldNovember 8–10 at the JW MarriottHotel in Washington, DC.
Dorothy Jones, EdD, RN, FAAN,was awarded the Rose and GeorgeDoval Education Award, whichrecognized her for “influencingnursing education through creative,humanistic approaches and instill-ing passion in students.” The awardwas presented at the 20th annual
“Celebration of Nursing Excellence”at New York University.
Jane Flanagan, PhD, APRN, [email protected]
Japan
The 14th annual conference ofJapan Society of Nursing Diagnosiswill be held at Pacifico Yokohama,Japan, on July 5–6, 2008. For moreinformation visit http://isnd.umin.jp/jsnd14/.
Shigemi Kamitsuru, PhD, [email protected]
Spain
The Spanish Association forNursing Nomenclature, Taxonomy,and Nursing Diagnoses (AENTDE)held their 8th Institute in Val-ladolid, a very nice city near thecenter of Spain. Under the title“Clinical Reality and NursingResearch,” more than 150 nursesfrom Spain met together to discussthe importance of DiagnosticAccuracy and Research in NursingDiagnoses.
Professor Margaret Lunney fromthe City University of New York,together with Professor Adolf Guiraofrom the University School of Nurs-ing La Fe in Valencia Spain, andCarme Espinosa from the Blan-querna School of Nursing of theUniversity Ramon Llull in Barce-lona, Spain, have worked with thenurses in an interactive workshop.
Two groups of nurses wereorganized: one for advanced leveland one for beginners. Both groupsworked with a case scenario toidentify nursing diagnoses and towork with Lunney’s scale ofNursing Diagnoses Accuracy.
The objectives of the workshopwere:• To develop abilities in the use
of NANDA-I, NIC, & NOCwithin Nursing Process.
• To identify the importance ofNursing Diagnoses Accuracy andthe use of Nursing Languages.
• To value the importance ofresearch in Nursing Taxonomiesas related to clinical practice.
• To acquire knowledge aboutvalidation processes for NursingDiagnoses.The methodology of the work-
shop included conferences andpresentations by the professors,using a mainly interactive method-ology within the work groups.
Nursing Languages in Spain isevolving very rapidly. This wasdemonstrated by the fact thataround two-thirds of the particip-ants in the workshop joined theadvanced group, while only athird considered themselves to bebeginners.
The next AENTDE meeting willbe in Barcelona, Spain, in 2008, atthe end of October. It is the bigInternational Symposium onNursing Languages. Discussions ofwhat a Nursing Diagnosis is andhow to make Nursing Languagesmore “user friendly” for use in
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40 International Journal of Nursing Terminologies and Classifications Volume 19, No. 1, January-March, 2008
News From Around the Globe
clinical practice settings will betopics at the meeting. Papersand presentations are welcome.AENTDE will provide translationinto Spanish and English. You canfind more information on theAENTDE Web page http://www.aentde.com.
We hope to meet you all there!
Carme Espinosa i [email protected]
Switzerland
Currently, the implementationof standardized language is com-mon in many Swiss institutions. Aconference organized by M. Müller-Staub, Pflege PBS, on October30, 2007, gained great attention.More than 150 participants felthonored to meet Marilynn Doenges,Mary F. Moorhouse, and Alice C.Murr, the keynote speakers fromthe USA. M. Doenges and hercolleagues are the authors of theNurse’s Pocket Guide, a book thathas been translated into sevenlanguages, including German. Thebook was first published in 1985.The focus of the conference wason the implementation of nursingdiagnoses into clinical practice byfostering nurses’ clinical reasoningskills using NANDA-I diagnoses,and linkage with appropriateoutcomes and interventions (Doengeset al., 2003). The participants gotinsight in the history of Nurse’sPocket Guide and the authors sharedtheir experiences in writing, teach-
ing, and implementing nursingdiagnoses, interventions, and out-comes. Currently, the 11th editionof the Nurse’s Pocket Guide is inpress in English, and the 4th Ger-man edition will follow very soon.M. Doenges shared her teachingexpertise at the conference in apresentation titled “ImplementingStandardized Language,” and A.Murr presented research and useof standardized language in theelectronic health record. M.Moorhouse led a workshop abouteducational strategies to imple-ment diagnoses, interventions,and outcomes by using theNurse’s Pocket Guide. Swiss nurseeducators felt assured regardingtheir own teaching through thisworkshop and were encouragedto further develop their educationalmethods.
C. Vaterhaus-Buser gave aworkshop on a similar topic inGerman. She presented imple-mentation and teaching methodsin Higher Swiss Nursing Educationand shared her expertise with theaudience.
M. Odenbreit presented arecent survey which included 50Swiss hospitals with a total of12,000 beds (Odenbreit, in press).The results of this survey demon-strated that 62% use NANDA-Iembedded in the care plan byDoenges et al. Results also indicatedthat several hospitals have startedthe implementation of NANDA-Idiagnoses. When adding actualand planned implementations,
NANDA-I will be used by 88% ofthe participating hospitals. Studyresults have shown the Nurse’sPocket Guide to be the most oftenused book in applying NANDA-Idiagnoses in Swiss hospitals(Müller-Staub, Lavin, Needham, &van Achterberg, 2006).
Evaluation studies of the imple-mentation of nursing diagnoses,interventions, and outcomes werepresented by I. Needham and M.Müller-Staub, who presented highlysignificant enhancements indocumenting specific nursing diag-noses, effective interventions andpatient outcomes. These studieswere part of Müller-Staub’sdoctoral research at the RadboudUniversity Nijmegen (Müller-Staub,2007), a thesis that has been distri-buted in more than 250 exemplarssince last summer.
A study evaluating the nursingprocess documentation in theState of Wallis was presented byS. Delic. NANDA-I diagnoses havebeen taught for many years in thisstate. S. Delic gave insight into anelectronically developed measure-ment instrument to evaluate careplans. The results showed that93% of 152 care plans did includenursing diagnoses. However,24% did not contain correct defin-ing characteristics or etiologicalfactors.
This conference reflected the“Swiss state of the art” in applyingstandardized language. Participantsshowed a great interest not in merelyintroducing nursing diagnoses,
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International Journal of Nursing Terminologies and Classifications Volume 19, No. 1, January-March, 2008 41
interventions, and outcomes intoelectronic programs (EHR), butalso in teaching and fostering clin-ical decision-making skills andcritical thinking aimed at statingaccurate diagnoses based onpatient’s cues (defining character-istics/etiological factors) and basedon knowledge about the NANDA-Itaxonomy embedded into thenursing process.
Matthias Odenbreit, MNS,Head of the Swiss Nursing
Network WE’GAarau, Switzerland
Müller-Staub, M. (2007). Evaluation of theimplementation of nursing diagnostics: Astudy on the use of nursing diagnoses,interventions and outcomes in nursingdocumentation. Wageningen, the Nether-lands: Ponsen & Looijen.
Müller-Staub, M., Lavin, M. A., Needham,I., & van Achterberg, T. (2006). Meetingthe criteria of a nursing diagnosisclassification: Evaluation of ICNP®,ICF, NANDA and ZEFP. InternationalJournal of Nursing Studies, doi:10.1016/j.ijnurstu.2006.02.001.
Maria Muller-Staub, [email protected]
Slovenia
Slovenian nurses are among theleaders in Europe in their devel-
opment and use of nursing diag-nosis. Nursing diagnosis wasintroduced into Slovenian nursingeducation and practice during theearly 1990s. It is now a compulsorycomponent of basic nursing edu-cation programs, and according toa recent survey is now used “everyworking day” by more than 40%of frontline nurses. Slovenian nurseshave developed their own list ofnursing diagnoses, which contains173 diagnoses, each with a label,definition, causes, and indicators.The diagnoses reflect the orientationof Slovenian nursing practice andare therefore particularly rich indiagnoses relating to maternal andchild health, family nursing, andcommunity health, which arecurrently underrepresented in theNANDA-I classification. Work iscurrently underway to includethese diagnoses into the NANDA-I list and relevant NANDA-I diag-noses into the Slovenian list.
On March 29–30, 2007, Sloveniaheld its 3rd National Conferenceon Nursing Diagnosis in Maribor.More than 100 nurses from allhealthcare sectors and all parts ofthe country participated (Sloveniais a small country with a popula-tion of less than two million, and
only four schools of nursing, all ofwhich are based in universities).Following an opening plenarypresentation by Professor DameJune Clark from the UK, presenta-tions included the report of acountrywide survey about the useof nursing diagnosis, an accountof teaching nursing diagnosis toyoung nursing assistants, the diag-noses most commonly used inmidwifery practice (the most com-mon was found to be “fear”), anddescriptions of the use of nursingdiagnosis in specialist clinicalareas. The focus was on usingnursing diagnosis in practice, sothere were workshops in whichparticipants were asked to identifynursing diagnoses from case studyscenarios or to create a scenarioaround a nursing diagnosis.
Slovenian nurses also presentedat the ACENDIO conference inAmsterdam in April, and the nextSlovenian conference will be heldin September 2008.
June Clark, DBE, PhD,RN, RHV, FRCN
[email protected]@zd-mb.si.
doi: 10.1111/j.1744-618X.2007.00078.x
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