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ICNP Applications in Nursing Informatics 3rd TelenurseID Dissimination Meeting in CEE Countries

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

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ICNP Applications in Nursing Informatics 3rd TelenurseID Dissimination Meeting in CEE Countries

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  1. 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 Director of The Danish Institute for Health and Nursing Research

  2. Content: 1. Introduction 2. Design of ICNP: A Unifying Framework and a Design for Expressive Power 2.1 Nursing Phenomena 2.2 Nursing Actions 2.3 Nursing Outcomes 3. ICNP: A Tool for Practice and Research 4. Conclusion

  3. Content: 1. Introduction 2. Design of ICNP: A Unifying Framework and a Design for Expressive Power 2.1 Nursing Phenomena 2.2 Nursing Actions 2.3 Nursing Outcomes 3. ICNP: A Tool for Practice and Research 4. Conclusion

  4. Ward ID V % O % R % Total % Nursing Diagnoses: 1 11111 Physiological Functions 4 1 40 45 2 11112111 Acute Pain 5 23 4 32 3 1111211 Pain 3 3 14 20 4 1111182 Urinary Elimination 7 4 6 17 5 111113111 Fever 1 2 13 16 6 1111111211 Expectoration 10 0 1 11 6 111221213 Self Care: Hygiene 0 9 2 11 7 111212111 Lack of Knowledge 0 5 5 10 7 111116 Hydration 5 1 4 10 8 11112114 Consciousness 8 1 0 9 8 111119 Integument 0 1 8 9 9 111112 Circulation 5 2 1 8 10 111111 Respiration 7 0 0 7 10 111111115 Mobility ( Lower Extr.) 0 6 1 7 10 11111222 Low Blood Pressure 6 1 0 7 10 1111215 Nausea 0 1 6 7 Total 61 100 60 100 105 100 226 100

  5. 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

  6. Top 17 Nursing Interventions measuring pulse 3500 describing faeces measuring temperature 3000 describing drip bag I informing patient about diet 2500 others measuring blood pressure 2000 wound care number describing drip bag II 1500 washing patient 1000 describing urine describing hydration 500 consult physiotherapist mobilizing patient 0 informing patient about diet 1 documenting wasteproducts nursing interventions putting on tubes

  7. V O! R V:Intensiv afd. O:Routeop.kirur.afd. R:Onkol.afd.

  8. ICNP Nursing Today NEWS

  9. Content: 1. Introduction 2. Design of ICNP: A Unifying Framework and a Design for Expressive Power 2.1 Nursing Phenomena 2.2 Nursing Actions 2.3 Nursing Outcomes 3. ICNP: A Tool for Practice and Research 4. Conclusion

  10. The Construction of ICNP. As a Unifying Framework and a Design for Expressive Power Design: Architecture Domain

  11. ICNP as a Unifying Framework i.e a Reference Terminology ICNP Data:Use of Existing Classification Systems Nanda NOC NIC HHCC

  12. ICNP as a Unifying Framework + Design for Expressive Power Use all ICNP Concepts and combine New ICNP Concepts ICNP Data for Clinical Nursing Practice: Use of existing Classifications Systems or create own Catalogs

  13. Context of Justification Validation through synthesis: "Concept- sutures" Context of Discovery Identification through analysis: "Concept dissection" HYPOTHESIS: ICNP ? Data:Existing Classification Systems

  14. ICNP

  15. Classifications are Concept Pyramids

  16. The 3 Classifications of ICNP: 1. nursing phenomena 2. nursing actions 3. nursing outcomes

  17. Menu Top term: Course Axes Classes: Starters Main Dish Dessert

  18. Menu of the day No choice of combinations Top term: Course Axes Classes: Starters Shrimps Main Dish Lamb Dessert Ice-cream

  19. A La Carte Menu Free choice of combinations Top term: Course Axes Classes: Starters Shrimps, Ham,Salad Main Dish Lamb,Steak, Fish Dessert Ice-cream, cake, fruit

  20. ICNP: Nursing Phenomena Top term: nursing phenomenon Axes Classes: Focus Judgement Frequency Duration Topograhhy Location Likelihood Bearer

  21. ICNP: Nursing Phenomena Top term: nursing phenomenon Axes Classes: Focus Coping Judgement Enhanced Frequency Duration Topograhhy Location Likelihood Chance for Bearer Family

  22. Beta ICNP: Nursing Actions Top term: Nursing Action Axes: Classes: Action Types Target Mean Time Topography Location Route Bearer

  23. Beta ICNP: Nursing Actions Top term: Nursing Action Axes: Classes: Action Types Reducing Target Anxiety Mean Guided Imagery Technique Time Topography Location Route Bearer Individual

  24. ICNP on the Net: www.telenurse.net

  25. ICNP on the Net: www.telenurse.net

  26. Content: 1. Introduction 2. Design of ICNP: A Unifying Framework and a Design for Expressive Power 2.1 Nursing Phenomena 2.2 Nursing Actions 2.3 Nursing Outcomes 3. ICNP: A Tool for Practice and Research 4. Conclusion

  27. Design of ICNP beta Architecture and Domain ICNP

  28. The 3 Classifications of ICNP: 1. Nursing Phenomenon: 2. Nursing Actions 3. Nursing Outcomes

  29. Classification of Nursing Phenomena

  30. ICNP: Nursing Phenomena Top term: nursing phenomenon Axes Classes: Focus Judgement Frequency Duration Topograhhy Location Likelihood Bearer

  31. ICNP: Nursing Phenomena Top term: nursing phenomenon Axes Classes: Focus Judgement Frequency Duration Topograhhy Location Likelihood Bearer

  32. Is this a nursing phenomenon? Atoms

  33. Is this a nursing phenomenon? Molecules

  34. Is this a nursing phenomenon? Organs

  35. Is this a nursing phenomenon? Functions

  36. Is this a nursing phenomenon? Brain Functions

  37. Is this a nursing phenomenon? Persons Actions and Reasons for Actions

  38. Is this a nursing phenomenon? Self Reliant Actions

  39. Is this a nursing phenomenon? Interdependent Actions

  40. Is this a nursing phenomenon? Group

  41. Is this a nursing phenomenon? Nature

  42. GroupInterdependent Actions Self Reliant Actions Functions Organs Molecules Atoms

  43. Classification of Nursing Phenomena

  44. Focus of Nursing Practice

  45. FunctionPerson

  46. FunctionPerson Needs Self Care V.Henderson D.Orem Physical and the Humanities and the Biological Sciences: Social Sciences: Functional Health Human Reactions Conditions

  47. FunctionPerson e.g. Nutrition Self Care:Feeding Urinary Incontinence Self Care:Toiletting Lactation Breastfeeding Speech Communication

  48. Sensations of the Body Reasons for Actions Physical Humanitie and Biological Sciences: and Social Sciences: Functional Human Reactions Health Conditions ExplainingUnderstanding

  49. Sensations of the Body Reasons for Actions Pain Suffering Iching Coping Hunger Obsession Nausea Preoccupation Vision Powerlessness Hearing Illusion

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