alison wallis, clinical advisor putting scottish community nurses on the map
TRANSCRIPT
Alison Wallis, Clinical Advisor
Putting
Scottish Community Nurses
on the Map
Agenda
What’s it about?
Why terminology?
Mapping process and progress
What’s next?
What’s it about?
Development of a catalogue of standardised community nursing terms for use in electronic patient records: Collaboration between Scottish Government Health Directorates, ISD & International Classification of Nursing Practice (ICNP). Development of a web-based collaborative tool.
Aims: Support communication within community nursing and across other disciplines. Provide a consistent terminology for nurses to articulate what they do. Facilitate description, comparison, and reuse of data to improve care.
Community Nursing Census
April 2008 – National, one day census
Filled information gap about community nursing
Provided information to support service redesign, workload management and policy decisions Tested a national minimum dataset for community nursing which could be embedded in electronic records to provide secondary information
Provided source terms for nursing problems and interventions for mapping to a recognised terminology
Why Standardise?
Think of ways you have used standardisation
at home?
on the move?
at work?
Why Standardise Terminology?
“In comparing the deaths of one hospital with those of another, any statistics are justly considered absolutely valueless which do not give the age, the sexes, and the diseases of all the cases.”Florence Nightingale, 1860
“The need for cost-effectiveness and accountability for quality in care demand descriptions and organization of data on nursing care.” Clark & Lang, 1992
“The availability of standardized nursing data can advance knowledge by enabling the study of health problems across populations, settings, and caregivers and by linking nursing diagnoses with interventions and outcomes.”McCloskey & Bulechek, 1992
Why Standardise Terminology?
ICD 10
OPCS 4
READSnomed CT
ICF
NANDA, NIC, NOCOmaha
ICNP
ICNP
International Classification of Nursing Practice
Flexibility – new items can be submitted to the ICNP for addition to the classification.
Comprehensive and adaptable –can express nursing diagnoses, interventions, and outcomes.
Transferability –other terminologies can be mapped to ICNP (e.g. SNOMED CT)
Comparability – international classification facilitates comparison with other countries.
Mapping Process
Nursing Problems
NursingInterventions
Categorisedlists
Categorisedlists
CENSUS
Catalogue of
Community Nursing
Catalogue of
Community Nursing
SnowCloudSnowCloud
Scottishterms
Scottishterms ICNPICNP
Mapping Process
Method: C-Space launched, April 2009
developed by SnowCloud password protected will host other catalogue developments in future
Editorial Group formed, May 2009 practising community nurses project manager NMAHP eHealth Clinical Lead ICN staff Nursing Problem & Intervention Mapping via C-Space
Invitations to participate and validate mappings, Aug 2009 individual clinicians professional organisations clinical networks lead professionals universities
Mapping Process
Mapping Process
Challenges: Clinicians
Yawn Factor ! Not familiar with terminology Lack of time to participate Hesitant about participating online
ICNP Locating matching terms Trans Atlantic translation & communication Different models of health Emerging models in Scotland
C-Space Scottish Census group first users Complex process for online media Requires time to participate
Mapping Process
Status: 142 nursing problems
164 nursing interventions
Mapping Process
Mapping Issues: Granularity Ambiguity
Examples:Nursing Problem Attention SeekingDisease PreventionVulnerable Child
Nursing InterventionsCase ConferenceToilet Training (child)Financial/ Employment support
What’s Next?
Complete mapping – new ICNP terms for no/ partial matches
Promote use of ICNP in community nursing systems Support ‘Shifting the Balance of Care’ Support Modernising Community Nursing Support new models of care delivery
Categorise terms to support high level reporting
Identify missing problems/ interventions
Outcomes???
Ongoing catalogue maintenance by ICNP
Any Questions??
http://icnp.clinicaltemplates.org