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Using valid and reliable terminologies to electronically capture the activities and outcomes of nursing practice.

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Health Informatics New Zealand
Health Informatics New Zealand

Shona K. Wilson, RN; BHSc; MA; PhD Student Professor Jan Duke; Head Graduate School of Nursing, Midwifery and Health

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Using valid and reliable terminologies to electronically capture the activities and outcomes of nursing practice. Shona K. Wilson, RN; BHSc; MA; PhD Student Professor Jan Duke; Head Graduate School of Nursing, Midwifery and Health
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],What we do have
[object Object],[object Object],Commerce (vendors)
What we do not have ,[object Object],[object Object],[object Object],[object Object],[object Object]
It’s not just about validation of the profession Day-to-day structured documentation Plan and record nursing activities Determine service needs Contracts for services Health outcomes National health data International repositories Improving practice
To improve practice Terminologies to represent nursing practice (1 terminology may have one or more classification schemes in it to classify nursing activities and outcomes) What nurses do and what they achieve Electronic care planning and documentation Improve individual practice Valid and reliable tool (structure) Measure the difference nursing makes to the health of the population
What’s happening? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What are the options? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Getting it right at the user interface ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Nursing reference terminology Colloquial or interface nursing terminologies (examples) Multi-disciplinary clinical reference nomenclature NANDA NIC NOC OMAHA CCC Socio-cultural context that is Aotearoa-New Zealand SNOMED-CT ® ICNP ® Taxonomies Ontology Mapping to sustain meaning
A way forward ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Sustainability ICNP Multi-disciplinary clinical reference nomenclature SNOMED-CT ® Terminology at interface

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Using valid and reliable terminologies to electronically capture the activities and outcomes of nursing practice.

  • 1. Using valid and reliable terminologies to electronically capture the activities and outcomes of nursing practice. Shona K. Wilson, RN; BHSc; MA; PhD Student Professor Jan Duke; Head Graduate School of Nursing, Midwifery and Health
  • 2.
  • 3.
  • 4.
  • 5. It’s not just about validation of the profession Day-to-day structured documentation Plan and record nursing activities Determine service needs Contracts for services Health outcomes National health data International repositories Improving practice
  • 6. To improve practice Terminologies to represent nursing practice (1 terminology may have one or more classification schemes in it to classify nursing activities and outcomes) What nurses do and what they achieve Electronic care planning and documentation Improve individual practice Valid and reliable tool (structure) Measure the difference nursing makes to the health of the population
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12. Nursing reference terminology Colloquial or interface nursing terminologies (examples) Multi-disciplinary clinical reference nomenclature NANDA NIC NOC OMAHA CCC Socio-cultural context that is Aotearoa-New Zealand SNOMED-CT ® ICNP ® Taxonomies Ontology Mapping to sustain meaning
  • 13.
  • 14. Sustainability ICNP Multi-disciplinary clinical reference nomenclature SNOMED-CT ® Terminology at interface