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
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
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
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
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
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
Nursing Diagnoses:
1 11111
Physiological Functions
2 11112111 Acute Pain
5
3 1111211 Pain
4 1111182
Urinary Elimination
5 111113111 Fever
6 1111111211 Expectoration
6 111221213 Self Care: Hygiene
7 111212111 Lack of Knowledge
7 111116 Hydration
5
8 11112114 Consciousness
8 111119 Integument
0
9 111112 Circulation
5
10 111111 Respiration
7
10 111111115 Mobility ( Lower Extr.)
10 11111222 Low Blood Pressure
10 1111215 Nausea
Total
V
% O
% R
%
Total %
4
1
40
45
23
4
32
3
3
14
20
7
4
6
17
1
2
13
16
10
0
1
11
0
9
2
11
0
5
5
10
1
4
10
8
1
0
9
1
8
9
2
1
8
0
0
7
0
6
1
7
6
1
0
7
0
1
6
7
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
7
2
%
Total %
Nursing phenomenon:
1 11111
Physiological Functions 4
2 11112111 Acute Pain
6 1111111211 Expectoration
5
8
1
40 38
23 38 4
10 16 0
0
4
1
45 20
32 14
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
measuring pulse
3500
describing faeces
measuring temperature
3000
describing drip bag I
informing patient about diet
2500
others
measuring blood pressure
number
2000
wound care
describing drip bag II
1500
washing patient
1000
describing urine
describing hydration
500
consult physiotherapist
mobilizing patient
0
1
nursing interventions
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
1st day
Column 2
2nd day
Column 3
3rd day
Column 5
5th day
Column 6
6th day
Column 7
7th day
Column 8
8th day
Column 9
9th day
Column 10
10th day
D e g re e o f A c u t e P a in
in E a1c h o 1f t h e 2 T h re2 e W a2 rd#NUM!
s V ,#NUM!
O a n #NUM!
d R
2
3
3
3.5
1.5
3
1
3
5
1
2
#NUM!
#NUM!
2
2
#NUM!
#NUM!
#NUM!
#NUM!
#NUM!
#NUM!
#NUM!
#NUM!
Degree of Acute Pain
in Each of the Three Wards V,O and R
4
5
4
Degree of Severity
D e g r e e o f S e v e r it y
Column 4
4th day
3
2
V
S éO!
r ie 2
S é r ie 3
R
S é r ie 1
3
Series1
Series2
2
Series3
1
1
0
1
2
3
4
5
6
7
8
9
10
Days of Admission
0
1
2
3
4
5
6
7
D a y s o f A d m is s io n
8
9
10
V:Intensiv afd.
O:Routeop.kirur.afd.
R:Onkol.afd.
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
ICNP
NEWS
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
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
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
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
ICNP
a Reference
Terminology
Data:Use of Existing Classification Systems
Nanda
HHCC
NOC
NIC
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
ICNP as a Unifying
Framework
ICNP
+
Design for
Expressive
Power
Use all ICNP
Concepts
and
combine New
ICNP
Concepts
Data for Clinical Nursing Practice: Use of existing
Classifications Systems or create
own Catalogs
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Context of
Discovery
HYPOTHESIS:
Context of
Justification
ICNP
Identification
through
analysis:
"Concept
dissection"
?
Validation
through
synthesis:
"Conceptsutures"
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]
Classifications are Concept Pyramids
Musical
instrument
Guitar
FolkGuitar
Classical
Guitar
Piano
Grand
piano
Upright
piano
Drum
Kettle
drum
Base
drum
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 phenomena
2. nursing actions
3. nursing outcomes
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Menu
Axes
Top term: Course
Classes:
Starters
Main Dish
Dessert
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Menu of the day
No choice of combinations
Starters
Top term: Course
Classes:
Shrimps
Main Dish
Lamb
Dessert
Ice-cream
Axes
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
A La Carte Menu
Free choice of combinations
Starters
Top term: Course
Classes:
Shrimps, Ham,Salad
Main Dish
Lamb,Steak, Fish
Dessert
Ice-cream, cake, fruit
Axes
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
ICNP: Nursing Phenomena
Axes
Top term: nursing phenomenon
Classes:
Focus
Judgement
Frequency
Duration
Topograhhy
Location
Likelihood
Bearer
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
ICNP: Nursing Phenomena
Focus
Top term: nursing phenomenon
Classes:
Coping
Judgement
Enhanced
Axes
Frequency
Duration
Topograhhy
Location
Likelihood
Chance for
Bearer
Family
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Beta ICNP: Nursing Actions
Axes:
Action Types
Top term: Nursing Action
Classes:
Target
Mean
Time
Topography
Location
Route
Bearer
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Beta ICNP: Nursing Actions
Axes:
Action Types
Top term: Nursing Action
Classes:
Reducing
Target
Anxiety
Mean
Guided Imagery Technique
Time
Topography
Location
Route
Bearer
Individual
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. 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
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Design of ICNP beta
Architecture and Domain
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 Phenomenon:
2. Nursing Actions
3. Nursing Outcomes
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]
ICNP: Nursing Phenomena
Axes
Top term: nursing phenomenon
Classes:
Focus
Judgement
Frequency
Duration
Topograhhy
Location
Likelihood
Bearer
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
ICNP: Nursing Phenomena
Axes
Top term: nursing phenomenon
Classes:
Focus
Judgement
Frequency
Duration
Topograhhy
Location
Likelihood
Bearer
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Is this a
nursing
phenomenon?
Atoms
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Is this a
nursing
phenomenon?
Molecules
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Is this a
nursing
phenomenon?
Organs
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Is this a
nursing
phenomenon?
Functions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Is this a
nursing
phenomenon?
Brain
Functions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Is this a
nursing
phenomenon?
Persons
Actions and
Reasons for Actions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Is this a
nursing
phenomenon?
Self Reliant
Actions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Is this a
nursing
phenomenon?
Interdependent
Actions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Is this a
nursing
phenomenon?
Group
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Is this a
nursing
phenomenon?
Nature
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
Nursing
Phenomena
Human Being
Individual
Function
Group
Environment
Nature
Man Made
Person
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Focus 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
Person
Needs
V.Henderson
Self Care
D.Orem
Physical and the
Biological Sciences:
Functional Health
Conditions
Humanities and the
Social Sciences:
Human Reactions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Function
Person
e.g. Nutrition
Self Care:Feeding
Urinary Incontinence Self Care:Toiletting
Lactation
Breastfeeding
Speech
Communication
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Sensations of the Body
Physical
and Biological Sciences:
Functional
Health Conditions
Reasons for Actions
Humanitie
and Social Sciences:
Human Reactions
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
Pain
Iching
Hunger
Nausea
Vision
Hearing
Reasons for Actions
Suffering
Coping
Obsession
Preoccupation
Powerlessness
Illusion
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Person
Reasons for Actions
(internal)
Actions
(external)
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Self Reliant
Actions
Interdependent
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]
Beta ICNP: nursing phenomenon
Focus
Top term: nursing phenomenon
Classes:
Body Nutrition
Judgement
Excess
Axes
Frequency
Duration
Topography
Location
Likelihood
Bearer
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
• Guilt
•Loneliness
•Coping
• Hope
Reasons for Actions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
•Guilt Yes
•Loneliness Decreased
•Coping Impaired
• Hope Enhanced
Reasons for Actions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Beta ICNP: nursing phenomenon
Focus
Top term: nursing phenomenon
Classes:
Coping
Judgement
Reduced
Axes
Frequency
Duration
Topography
Location
Likelihood
Bearer
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
Axes
Focus
Top term: nursing phenomenon
Classes:
Self Care
Judgement
Adequate
Frequency
Duration
Topography
Location
Likelihood
Bearer
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
Axes
Focus
Top term: nursing phenomenon
Classes:
Communication
Judgement
Increased
Frequency
Duration
Topography
Location
Likelihood
Bearer
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
Axes
Focus
Top term: nursing phenomenon
Classes:
Family Planning
Judgement
Adequate
Frequency
Duration
Topography
Location
Likelihood
Bearer
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
Axes
Focus
Top term: nursing phenomenon
Classes:
Water
Judgement
Polluted
Frequency
Duration
Topography
Location
Likelihood
Bearer
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
ICNP: Nursing Phenomena
Axes
Top term: nursing phenomenon
Classes:
Focus
Judgement
Frequency
Duration
Topograhhy
Location
Likelihood
Bearer
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 Breathin
•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]
Beta ICNP: nursing phenomenon
Focus
Top term: nursing phenomenon
Classes:
Body Nutrition
Judgement
Excess
Axes
Frequency
Duration
Topography
Location
Likelihood
Risk for
Bearer
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 to
a 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]
Beta ICNP: nursing phenomenon
Axes
Focus
Judgement
Top term: nursing phenomenon
Classes:
Hope
Enhanced
Frequency
Duration
Topography
Location
Likelihood
Chance for
Bearer
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
in Family
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Beta ICNP: nursing phenomenon
Axes
Focus
Judgement
Top term: nursing phenomenon
Classes:
Hope
Enhanced
Frequency
Duration
Topography
Location
Likelihood
Chance for
Bearer
Family
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
ICNP: Nursing phenomenon
Axes
Top term: Nursing phenomenon
Classes:
Focus
Judgement
Frequency
Duration
Topography
Location
Likelihood
Bearer
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
Focus
Judgement
Frequency
Duration
Topography
Location
Top term: Nursing phenomenon
Classes:
Pain
Yes, to a very high degree
Often
Chronic
Right
Arm
Likelihood
Bearer
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
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
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 Phenomenon
2. Nursing Actions
3. Nursing Outcomes
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Classifications are Concept Pyramids
Exercising Sport
Swimming
Breast Swimming
Running
Crawl
Sprinting
Jogging
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]
Action Types
Observing Managing Performing Attending
Informing
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]
Action Types
Observing Managing Performing Attending
Informing
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Action Types
H an d lu n g styp en
B eo b ach ten
V erw alten
H an d eln
P fleg en
In fo rm ieren
Id en tifizieren
O rg an isieren
P u tzen
"G ro o m in g "
B eisteh en
L eh ren
E rm itteln
V erso rg en
B ad en ,
d u sch en
B ed ecken
B eh an d eln
Fü hren
A u fp assen
E rn ä h re n
In stallieren
V o rb eu g en
B esch reib en
B ew erten
M an ip u lieren
A u fb ieten
In K o n takt
sein
S tim u lieren
N ähen
L ü fte n
V o rb ereiten
A u fb lasen
E in fü g e n
A u fb ieten
H erau sn eh m en
W ech seln
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
what?
what?
on what? to what?
Informing
about?
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
what?
what?
on what? to what?
using?
using?
using?
using?
Informing
about?
using?
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Action Types
Observing
what?
using?
when?
Managing
what?
using?
when?
Performing
on what?
using?
when?
Attending
to what?
using?
when?
Informing
about?
using?
when?
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Action Types
Observing
what?
using?
when?
where?
Managing
what?
using?
when?
where?
Performing
on what?
using?
when?
where?
Attending
to what?
using?
when?
where?
Informing
about?
using?
when?
where?
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Action Types
Observing
what?
using?
when?
where?
Managing
what?
using?
when?
where?
for whom?
Performing
on what?
using?
when?
where?
for whom?
Attending
to what?
using?
when?
where?
to whom?
Informing
about?
using?
when?
where?
whom?
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Beta ICNP: Nursing Actions
Axes:
Action Types
Top term: Nursing Action
Classes:
Target
Mean
Time
Topography
Location
Route
Beneficiary
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Beta ICNP: nursing actions
Axes:
Action Types
Top term: Nursing Action
Classes:
Preventing
Target
Decubitus
Mean
Time
Topography
Location
Route
Beneficiary
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Beta ICNP: nursing actions
Axes:
Action Types
Top term: Nursing Action
Classes:
Attending to
Target
Contact Lenses
Mean
Time
Topography
Location
Route
Beneficiary
Individual
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
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
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 Phenomenon
2. 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]
Degree
5
...to a very high degree
4
...to a high degree
3
...to some degree
2
...to a lesser degree
1
...no
D O1 O2 O3 ........................................... On
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Degree
5
...to a very high degree
4
...to a high degree
3
...to some degree
2
...to a lesser degree
1
...no
timeseries
D O1 O2 O3 ........................................... On
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Clinical nursing outcomes
Nursing outcomes are
nursing diagnoses linked with
a time interval interrupted by
a nursing intervention
ICNP 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]
ICNP: nursing phenomenon
Point in Time: 1
Focus
Top term: nursing phenomena
Classes:
Pain
Judgement
Yes, to a high degree
Axes
Frequency
Duration
Topography
Location
Likelihood
Distribution
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
+ time interval
interrupted by
Nursing Intervention
Axes:
Action Types
Top term: Nursing Action
Classes:
Administering
Target
Medicine
Mean
Time
Topography
Location
Route
Beneficiary
the individual
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
ICNP: Nursing Phenomenon
Point in Time: 2
Focus
Top term: nursing phenomenon
Classes:
Pain
Judgement
No
Axes
Frequency
Duration
Topography
Location
Likelihood
Distribution
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Nursing
Interventions
Nursing
Diagnoses
5
Diagnosis
4
Pain
To a High Degree
3
2
1
O1 O2 O3 ................................... On
timeseries
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Nursing
Interventions
Nursing
Diagnoses
5
Diagnosis
4
Pain
To a High Degree
3
2
1
O1 O2 O3 ................................... On
timeseries
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Nursing
Interventions
Nursing
Diagnoses
5
Diagnosis
4
Pain
To a High Degree
+ Time interval
=Outcome
3
2
1
Pain No
O1 O2 O3 ................................... On
timeseries
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Nursing Interventions
Degree
5
...to a very high degree
4
...to a high degree
3
...to some degree
2
...to a lesser degree
1
...no
timeseries
D O1 O2 O3 ........................................... On
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
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
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
The 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 Domain
Health- Human -Environment
Human Being
Environment
Individual Group
Function Person Family
Nature
Nursing Practice
Observing ManagingPerformingAttendingInforming
Manmade
Community
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
The 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 Practice
Nursing Philosophy
Nursing Research
Nursing Practice
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Focus of Nursing Practice
Nursing Philosophy
Nursing Research
Nursing Practice
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Focus of Nursing Practice
Nursing Philosophy
Human Being
Individual
Nursing Research
Function
Person
Nursing Practice
Sensation
Resoration
SelfReliant
Actions
Actions
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Nursing Research
Function
Sensation
Nursing Practice
Resoration
Sleep
Hypersomnia
Rest
Insomnia
Fatigue
Exhaustion
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Concepts and their attributes
a
C1
a
a
b
d
b a
d C4
f
j
n
C2
a
b C5
d
g
k o
C3
a
c
C6 e
h
p l
c
e
a
c
C7 e
i
m
q
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Specific characteristics
a
C1
a
a
b
d
b a
d C4
f
j
n
C2
a
b C5
d
g
k o
C3
a
c
C6 e
h
p l
c
e
a
c
C7 e
i
m
q
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Definition by genus et species.
a
C1
a
a
b
d
b a
d C4
f
j
n
C2
a
b C5
d
g
k o
C3
a
c
C6 e
h
p l
c
e
a
c
C7 e
i
m
q
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
ICNP Concepts
Definitions and Criteria:
Restoration
A
Sleep
Definition:
B
Is a type of Restoration
with the specific characteristics:
Recurring
lowering of bodily activity
marked by reduced
consciousness
Criteria: not awake,not aware,immobile posture
C
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
ICNP Concepts
Definitions and Criteria:
Restoration
A
Sleep
Definition:
B
Is a type of Restoration
with the specific characteristics:
Recurring
lowering of bodily activity
marked by reduced
consciousness
Criteria: not awake,not aware,immobile posture
Rest
C
Definition:
Is a type of Restoration
with the specific characteristics:
Recurring
lowering of bodily activity and
immobile posture while
Criteria: 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:
Restoration
Definition: Is a type of Function with the specific characteristics:Recurring
lowering of bodily activity
Criteria: mental and physical rejuvenationA
Sleep
Definition:
B
Is a type of Restoration
with the specific characteristics:
Recurring
lowering of bodily activity
marked by reduced
consciousness
Criteria: not awake,not aware,immobile posture
Rest
C
Definition:
Is a type of Restoration
with the specific characteristics:
Recurring
lowering of bodily activity and
immobile posture while
Criteria: awake and aware,
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
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
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 Care
and 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]
ICNP: Nursing Phenomena
Axes
Top term: nursing phenomenon
Classes:
Focus
Judgement
Frequency
Duration
Topograhhy
Location
Likelihood
Bearer
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Pyramids of concepts are many sided
The Combinatorial Design of ICNP can be
used as:
•Unifying Framework
•Design for Expressive Power
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
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
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
Focus 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 Practice
Nursing Philosophy
Nursing Research
Nursing Practice
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
The Nursing Domain
Health- Human -Environment
Human Being
Environment
Individual Group
Function Person Family
Nature
Nursing Practice
Observing ManagingPerformingAttendingInforming
Manmade
Society
Danish Institute for Health and Nursing Research. Fensmarkgade 3. 2200 Copenhagen N. Denmark.
Phone +45 31394066. Email: [email protected]
The 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]