INTERNATIONAL CONFERENCE  

“INTERNATIONAL CLASSIFICATION FOR NURSING PRACTICE® AS PROFESSIONAL

HEALTH CARE TOOL”

WARSAW29.09.2009

VALIDATION AND IMPLEMENTATION OF ICNP

THE PORTUGUESE EXPERIENCE TOWARD THE FUTURE

ESCOLA SUPERIOR DE SAÚDE DE PORTALEGRE

CORDEIRO, RAULRN, MSc, PhD (ABD)Associate Professor Health School of PortalegrePolytechnic Institute of Portalegre

QUINTINO, RUIRN, SN

Chief HursePortalegre Local Health Unit

ESCOLA SUPERIOR DE SAÚDE DE PORTALEGRE

Brief historical references1994

2005

2009

2007

2009

IGIF (Health Informatics and Financial Management Institute) – Ministry of Health.Telenurse (project partner, ended 1994)Translation ICNP®α

APE - Portuguese Nurses AssociationValidation and subsequent activities ( and 2)

ESE PORTO – S. João Nursing School OPORTOResearch, utilization and dissemination

ORDEM DOS ENFERMEIROS1.0; 1.1; ICNP Catalogues Guidelines

Examples of ICNP® Research ProjectsCross cultural validation

studies

Electronic health information system

Cross-mapping and ICNP® Catalogue development

Australia, Botswana, Brazil, Canada, Chile, India, Japan, Mexico, New Zealand, Portugal, South Africa, Swaziland, USA, Zimbabwe

Brazil, Germany, Denmark, Italy, Korea, Pakistan, Portugal, Slovenia, Thailand, USA

Canada, Germany, Japan, Korea,

Netherlands, Portugal, Sweden, UK, USA

WHAT WE HAVE DONE

AND

WHAT WE ARE DOING IN PORTUGAL

Main strategies

•Endorsement of ICNP® as “the” terminology for nursing care documentation

•Strategic directions-Working group(Board of Directors)devoted to Nursing Information SystemsMulti sectorial approach

Colaborative activities

•International Council of Nurses

•Government (Ministry of Health)

•Healthcare institutions / nurses

•Software manufacturers/vendors

Colaborative activities

International Council of Nurses

•Translation & Publication agreements ICNP® 1.0•Regular consultation•Joint activities

Government (Ministry of Health)

•Collaborative agreement (in negotiation)

SAPE (Nursing Practice Support System)/ Patient Classification System (SCD)

Government (Ministry of Health)

•Endorsement of OE’s positions (in negotiation)Software architectural principles and technical-functional requirements; 

Software content credentialing (in negotiation)

Nursing Minimum Data Set(in preparation)

•Official guidelines (in negotiation)

Healthcare institutions / nurses

•Information dissemination

•Quality standards project (ICNP/NMDS)

•ICNP Conference (2005)

•National workshop (2007)

Software manufacturers/vendors

•Information dissemination

•Credentialing programme

•Joint meeting with ICN

Translation & validation ICNP®1.0

•Collaboration with S. João Nursing School OPorto•Stakeholders  (APE; IGIF)•Five regional groups (OE)•Consensus meeting•Public launch ceremony with the participation of the Health Secretary of State

NORTH

CENTER

SOUTH

MADEIRA

AZORES

Translation & validation ICNP®1.0

MAIN STRATEGIESAll the process has controlled by the National

Nursing Council (OE)We work together with the Associations and

Nursing Schools who have translated previous versions

We strictly follow the translation rules of ICN

Translation & validation ICNP®1.0

MAIN STRATEGIES5 Regional Work Groups corresponding to each

Region (South, Center, North, Azores and Madeira)

Each group was formed by 4 nurses (1 from the NNC (OE), 1 from the National Nursing Association and 2 recognized specialists in ICNP

Translation & validation ICNP®1.0

MAIN STRATEGIES

We had already translated b2 version to PortugueseFirst we started to compare the terms of 2 that

remain in version 1.0 (english-english and english-portuguese) and we noted some changes in translation

Translation & validation ICNP®1.0

MAIN STRATEGIESThen we started to compare our translation with an

independent translation – Nursing School S. João – Oporto

Finally – 3 months later – we had a National Workshop with independent observers to agree on a final translation to Portuguese

Translation & validation ICNP®1.0

MAIN STRATEGIES

We have also a Browser in Portuguese and English which is free of charge to all RN, as well as a paper edition

We follow translation rules of ICNP

National survey about use ICNP® to document nursing care

50%

25%

Impossible to compare (no previous data)

Significant number of healthcare institutions use ICNP ® to document nursing care (37 institutions / 305 care units)

A considerable number plan to start within the next year (2010)

30 institutions / 46 care units/ use SAPE

National survey about use ICNP® to document nursing care

Some are monitoring health indicators (patient falls and pressure ulcers)

Some nursing students use ICNP® during all phases of their training and a significant number during their clinical placements

National survey about use ICNP® to document nursing care

SPECIAL THANKS

ORDEM DOS ENFERMEIROSNNA Portugal

António Manuel OliveiraInternacional Affaires NNA Portugal

Dziękuję Odwiedź Portugalię

OBRIGADO