International Classification For Nursing Practice Research Articles

Newborn with osteogenesis imperfecta: construction of a nursing care plan

The classic definition of osteogenesis imperfecta (OI) is a disease characterized by bone fragility caused by a qualitative or quantitative defect in type 1 collagen, synthesized by osteoblasts. To develop a nursing care plan aimed at a patient who presents osteogenesis imperfecta. This is an experience report based on bibliographical research and elaboration of the Nursing Care Systematization (SAE) in accordance with the International Classification for Nursing Practice (ICNP) and consequent care plan that involves nursing care provided to a patient admitted to the neonatal ICU of a university hospital. This study highlighted the importance of a multidisciplinary approach in osteogenesis imperfecta, integrating nursing care and emotional support to offer a comprehensive, patient-centered approach. Ethics played a fundamental role in ensuring informed and respectful decisions, promoting the well-being and quality of life of patients and their families. The analysis of the entire context makes us reflect, through bibliographic sources, that there is a need for new publications, since society knows little information about the subject. It is evident that this child faces greater challenges in acquiring his skills (whether motor, social and even cognitive) due to the limitations characteristic of the pathology, which interfere in the entire context of his global development.

Scientific production about the Systematization of Nursing Care in the Family Health Strategy

Objective: To analyze the scientific production on the Systematization of Nursing Care (SAE) in the Family Health Strategy (ESF). Method: This is an integrative literature review. The databases chosen for the selection of studies were LILACS, MEDLINE, BDENF and ColecionaSUS accessed via VHL/BIREME, and PUBMED. Scientific articles published on the topic were included, from 2016 to 2021, and made available in full. Results: The results indicate that the predominant methods of systematizing care in the ESF include nursing consultation, the use of the International Classification for Nursing Practice (ICNP) taxonomy and the application of the Nursing Process (NP). Conclusion: Specific obstacles include lack of training, high demand overloading professionals, limitations of physical structure and deficiency of materials, lack of sensitivity about the importance of SAE, lack of definition of the nurse's role in primary care and inadequate nursing staffing.

Nursing documentation of newborns with birth weight under 1500g in an Italian Neonatal Intensive Care Unit: a cross-mapping study to develop an ICNp® subset

Abstract Aim. This study aims to verify the possibility of developing an International Classification for Nursing Practice (ICNP) Subset for preterm newborns hospitalized in Neonatal Intensive Care Unit (NICU). Material and methods. This retrospective descriptive study is a lexical cross-mapping from nurses’ notes to the ICNP. The study analyzes a convenience sample of 115 newborns’ nursing notes of a NICU. The sample included preterm newborns with birth weight under 1500g hospitalized for at least three days. The frequency distribution, and the percentage frequency distribution of ICNP terms, together with ICNP terms for each need of the Italian nursing conceptual model were calculated. Results. As many as 99.8% of nursing phenomena in nurses’ notes found correspondence with ICNP terms. A total number of 203 ICNP terms described nursing phenomena, of which 161 belonged to pre-coordinated axes. Frequency of ICNP terms was categorized according to an Italian nursing conceptual model. Need of Nutrition and Hydration, need of Breathing and need of Urinary and Bowel Elimination were the patients’ needs with the highest number of ICNP terms. Conclusions. Results of the study suggest the possibility of developing an ICNP Subset for the NICU. Further studies are needed to validate a Subset and new ICNP terms.

Representation of Environmental Concepts Associated with Health Impacts in Computer Standardized Clinical Terminologies.

To evaluate the representation of environmental concepts associated with health impacts in standardized clinical terminologies. This study used a descriptive approach with methods informed by a procedural framework for standardized clinical terminology mapping. The United Nations Global Indicator Framework for the Sustainable Development Goals and Targets was used as the source document for concept extraction. The target terminologies were the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) and the International Classification for Nursing Practice (ICNP). Manual and automated mapping methods were utilized. The lists of candidate matches were reviewed and iterated until a final mapping match list was achieved. A total of 119 concepts with 133 mapping matches were added to the final SNOMED CT list. Fifty-three (39.8%) were direct matches, 37 (27.8%) were narrower than matches, 35 (26.3%) were broader than matches, and 8 (6%) had no matches. A total of 26 concepts with 27 matches were added to the final ICNP list. Eight (29.6%) were direct matches, 4 (14.8%) were narrower than, 7 (25.9%) were broader than, and 8 (29.6%) were no matches. Following this evaluation, both strengths and gaps were identified. Gaps in terminology representation included concepts related to cost expenditures, affordability, community engagement, water, air and sanitation. The inclusion of these concepts is necessary to advance the clinical reporting of these environmental and sustainability indicators. As environmental concepts encoded in standardized terminologies expand, additional insights into data and health conditions, research, education, and policy-level decision-making will be identified.

Clinical decision-making and the nursing process in digital health systems: An integrated systematic review.

To identify how the nursing process (assessment, planning, intervention and outcome evaluation) has been incorporated into digital health systems (electronic medical records, electronic care plans and clinical decision support systems) to gain an understanding of known benefits and challenges posed to nurses' decision-making processes. Nursing terminologies, including the International Classification for Nursing Practice (ICNP), and Nursing Minimum Data Set's (NMDS), have been developed to improve standardised language integration of components of nursing care into digital systems. However, there is limited evidence regarding whether the complete nursing process is effectively being incorporated into digital health systems. An integrative systematic review following PRISMA guidelines. A search strategy was applied to extract articles from included databases: CINAHL, MEDLINE, SCOPUS and Web of Science Core Collection. Articles were limited to English language and published January 2007-March 2022 and assessed using a pre-determined eligibility criteria. Quality assessment and a narrative synthesis were conducted. A total of 3321 articles were identified, and 27 studies included. There were (n = 10) qualitative, (n = 4) quantitative non-randomised controlled trials, (n = 3) quantitative descriptive studies and (n = 10) mixed methods. Nurse assessment and planning components were the most comprehensive phases incorporated into digital health systems, and interventions and outcome evaluation were scarcely reported. Inadequate capture of nursing work is a problem unresolved by digital health systems. This omission may be hindering nurse clinical decision-making for patient care and limiting the visibility of the nursing role in health care interventions and the associated impact on patient outcomes. Further research is needed on how digital systems can support nurses to apply the full nursing process and to further evaluate patient outcomes. Digital systems can support health-service level evaluation through capturing missed nursing care and the consequences on patients utilising nurse-sensitive-outcomes; however, this is not yet being realised.

Description of COVID‐19 patients and mapping nursing data to ICNP 2021 reference set in SNOMED CT

To describe nursing care of COVID-19 patients with International Classification for Nursing Practice (ICNP) 2019, ICNP 2021 reference set, and Systematized Nomenclature of Medicine-Clinical Terms (SNOMED CT). From the beginning of the COVID-19 pandemic, nurses have realised the importance of documenting nursing care. It is important to recognise how real nursing data match the ICNP reference set in SNOMED CT as that is the terminology to be used in Iceland. A descriptive study with two methods: (a) statistical analysis of demographic and coded clinical data identified and retrieved from Electronic Health Record (EHR) and (b) mapping of documented nursing diagnoses and interventions in EHRs into ICNP 2019, ICNP 2021 and SNOMED CT 2021. The sample consisted of all (n = 91) adult COVID-19 patients admitted to the National University Hospital between 28 February and 30 June 2020. Nurses used 62 different diagnoses and 79 interventions to document nursing care. Diagnoses and interventions were best represented by SNOMED CT (85.4%; 100%), then by ICNP 2019 version (79.2%; 85%) and least by the ICNP 2021 reference set (70.8; 83.3%). Ten nursing diagnoses did not have a match in the ICNP 2021 reference set. Nurses need to keep up with the development of ICNP and submit to ICN new terms and concepts deemed necessary for nursing practice for inclusion in ICNP and SNOMED CT. Not all concepts in ICNP 2019 for COVID-19 patients were found to have equivalence in ICNP 2021. SNOMED CT-preferred terms cover the description of COVID-19 patients better than the ICNP 2021 reference set in SNOMED CT. Through the use of ICNP, nurses can articulate the unique contribution made by the profession and make visible the specific role of nursing worldwide.

Indirect Patient Care by Nurses in the Intensive Care Unit of a Hospital in Iran During the COVID-19 Pandemic

Background & Aims The most important factors for the development of any society are human resources. The intensive care units (ICUs) are the most important departments in the hospitals. Considering the importance of time management for patient care, lack of human resources in this profession, and the fact that nurses spend a lot of time on indirect and non-nursing works, this study aims to investigate the time and type of indirect patient care provided by nurses in the ICU of a hospital in Iran during the COVID-19 pandemic. Materials & Methods This is a descriptive, cross-sectional, and observational study that was conducted for 6 months. Participants were 42 nurses working in the ICU of Hafte Tir Hospital in Rey, Iran who were randomly selected from different shifts. Their activities were observed and their spent time was recorded by the researcher using the stopwatch mobile application. The data collection tool was the Persian version of the International Classification for Nursing Practice (ICNP) checklist with acceptable face and content validity according to opinions of a panel of experts (5 faculty members and 10 nurses). descriptive statistics (frequency, mean, standard deviation, minimum, and maximum) were used for data analysis by SPSS software, version 22. Results Most of nurses (60%) were in the age group of 30-39 years and 72% of them had a work experience of 11-20 years. Most of the nurses were female (85%) and married (80%). In each shift, nurses spent an average time of 247 minutes providing indirect care. The longest time in indirect care was related to writing nursing reports (34.9 ± 10.5 min per shift) and the shortest time were related to removing personal protective equipment (6.11±3.19 min per shift), consulting with a colleague, and wearing personal protective equipment (both with 7±3.55 min per shift). Conclusion Although patients need direct care and continuous presence of the nurse more during the COVID-19 pandemic and there are advanced equipment. To provide proper nursing care, it is important to increase the number of nurses and reduce their non-nursing activities.

Terminologies matter - the case of ICNP and SNOMED-CT

Abstract Terminologies can seem very abstract to end-users. While most health professionals will be familiar with some terminologies (for example MeSH (Medical Subject Headings), the controlled vocabulary thesaurus used for indexing articles for PubMed or ICD-10, WHO's terminology for disease coding), fewer will be aware of the depth and range of terminologies used in healthcare, nor of the central importance of multilingual standard terminologies in health care interoperability. Following a brief introduction to the use of terminologies, the integration of the International Classification for Nursing Practice (ICNP) the Systematized Nomenclature of Medicine - Clinical Terms (SNOMED CT) will be presented, as an example of the use of terminologies, and their ongoing curation, maintenance and development.

Nursing diagnoses of newborns in rooming-in care using ICNP®.

to create nursing diagnosis definitions for newborns in rooming-in care, using the International Classification for Nursing Practice (ICNP). methodological study following the steps for the identification and validation of relevant terms to care for clients; cross-mapping of the terms identified with the terms of the ICNP® 2019; elaboration and validation of the nursing diagnostic definitions of ICNP® and later classification according with the Basic Human Needs described by Wanda Horta. from the terms extracted, 168 were validated through specialist consensus, subsidizing the elaboration of 27 diagnosis definitions. the most common diagnoses for the clients studied were: "Effective Feeding Behaviour", "Effective Urination", "Normal Respiration Rhythm", "Effective Swallowing", "Effective Peripheral Intravenous Access", and "Effective Parent Child Attachment". It was confirmed that the records of psychobiological needs are mainly made by nurses, which were responsible for 23 of the diagnoses in this study.

DESENVOLVIMENTO DE SUBCONJUNTO TERMINOLÓGICO PARA PESSOAS COM SEQUELAS POR COVID-19

ABSTRACT Objectives to develop a terminological subset of the International Classification for Nursing Practice (ICNP) for people with covid-19 sequelae.® Method methodological study, which followed the steps: Identification of the relevant terms contained in the literature related to Covid-19 sequelae; Cross-mapping of the terms identified in the review with the terms of the classification; Construction of the statements of diagnoses, outcomes and nursing interventions and mapping of the constructed statements; Content validation of the statements by specialist nurses; and Structuring of the subset based on Roy's Adaptation Model. For data analysis, the Content Validity Index was used, and the statements with Content Validity Index were validated ≥ 0.80. Content validation was performed by 28 specialist nurses. Results 178 statements of nursing diagnoses/outcomes were constructed, with 450 nursing intervention statements. After content validation, a quantity of 127 diagnoses/outcomes and 148 nursing interventions were obtained, which comprised the terminological subset proposed in the study. Conclusion the validated statements that make up the terminological subset with greater predominance were those outlines in the physiological adaptive mode. However, the repercussions on the spiritual, social and personal dimensions are also highlighted.

Nursing diagnoses related to the nutrition of hospitalized older adults using the ICNP®: a cross - sectional study

Objective: To identify Nursing diagnoses for hospitalized older adultsabout basic human nutrition needs, using the International Classification for NursingPractice (ICNP®). Method: A cross-sectional survey with a sample of 100 older adultsfroma hospital. For data collection, a semi-structured instrument was used, containingsociodemographic data, anamnesis and physical examination. The diagnostic statementswere built from the ICNP®. Data analysis was performed using descriptive statistics toobtain absolute and relative frequency. Results: The following diagnostic titles wereconstructed: Dentition, impaired; Nutritional condition, impaired; Nutritional condition,positive; Ability to eat, impaired; Emaciated (Thin); Obesity; Cachexia; Deglutition,impaired; and Taste, impaired. Conclusion: The importance of applying the stages of theNursing Process is emphasized, providing systematic assistance to the older adult.Nursing diagnoses focused on nutrition for the older adult favor the formulation ofinterventions aimed at improving quality of life and functioning of the gastrointestinal system.

The use of International Classification for Nursing Practice (ICNP) in pediatric and neonatal settings: literature review

Literature reports that the use of Standardized Nursing Terminology contributes to a better implementation of nursing care and patients' safety and to do research. ICNP is an international and combinatorial standard terminology proposal by ICN, adaptable to different settings, among which paediatric and neonatal. A literature review on different databases (Medline/Pubmed, CINAHL, Embase, Web of Science and Scopus) was conducted to investigate the use of ICNP in professional practice in paediatric and neonatal settings. 44 papers were included in the review; 33 of which focused on the paediatric setting while 11 on the neonatal setting. It is evident ICNP is usable in both settings, permitting to describe nursing care to different age groups, in-hospital, out-of-hospital and in specific clinical situations. ICNP is up to the task of describing nursing care, implementing nursing care plans, analysing types of nursing care for management aims, studying concepts or specific pediatric or neonatal situations. ICNP is adaptable to different nursing frameworks and models. Few studies analyses ICNP implementation or effectiveness in clinical settings. Additional research is needed to verify ICNP effectiveness in paediatric and neonatal settings and to implement contextual catalogues.

A quantitative analysis of translation strategies used in the translation of the International Classification for Nursing Practice into Polish

This article discusses the standardisation and translation of the International Classification for Nursing Practice (ICNP). The material used in the analysis is the ICNP in translation into Polish. The terms are grouped into the following categories: cross-cultural equivalent, terminological equivalent, descriptive equivalent, calques and borrowings, neologism. The results indicate which is the most frequent strategy involved using cross-cultural equivalents (1987 terms, 49.96 %). Calques and borrowings are present in 1025 terms (25.77 %), 904 (22.73 %) terms are terminological equivalents. There were only 61 (1.53 %) descriptive equivalents. No neologisms were found in the Classification.

Developing hierarchical standardized home care nursing statements using nursing standard terminologies

ObjectivesHome care nursing requires high quality documentation to facilitate communication between health providers. Despite the awareness surrounding the importance of documentation, the home care nursing environment lends itself to incomplete and inaccurate documentation. Our study aims to develop a hierarchical standardized home care nursing statement (S-HCNS) structure that can increase documentation quality and completeness. MethodsWe collected a year of home care nursing notes from a hospital-based home care nursing agency in South Korea. Two nursing terminology standards, the International Classification for Nursing Practice (ICNP) and the Clinical Care Classification (CCC), were used to develop the hierarchical S-HCNS structure. ResultsA total of 1,230 S-HCNSs were derived by mapping 61,061 home care nursing notes to the ICNP. Among the total statements, 82.8 % were completely mapped and 0.3 % were not mapped. A total of 99.2 % of the S-HCNSs were classified within the CCC system to build a hierarchical S-HCNS structure. ConclusionsThe ICNP and CCC showed high mapping rates when building the hierarchical S-HCNSs. The unmapped concepts did not exist in the CCC or ICNP but existed in other terminology systems such as SNOMED CT. The differences in granularity between the two terminology standards enabled the development of a hierarchical structure, which enabled the representation of the appropriate level of detail found within clinical documentation. We expect this structure will increase documentation quality and completeness.

Comparison of the Results of Manual and Automated Processes of Cross-Mapping Between Nursing Terms: Quantitative Study.

BackgroundCross-mapping establishes equivalence between terms from different terminology systems, which is useful for interoperability, updated terminological versions, and reuse of terms. Due to the number of terms to be mapped, this work can be extensive, tedious, and thorough, and it is susceptible to errors; this can be minimized by automated processes, which use computational tools.ObjectiveThe aim of this study was to compare the results of manual and automated term mapping processes.MethodsIn this descriptive, quantitative study, we used the results of two mapping processes as an empirical basis: manual, which used 2638 terms of nurses’ records from a university hospital in southern Brazil and the International Classification for Nursing Practice (ICNP); and automated, which used the same university hospital terms and the primitive terms of the ICNP through MappICNP, an algorithm based on rules of natural language processing. The two processes were compared via equality and exclusivity assessments of new terms of the automated process and of candidate terms.ResultsThe automated process mapped 569/2638 (21.56%) of the source bank’s terms as identical, and the manual process mapped 650/2638 (24.63%) as identical. Regarding new terms, the automated process mapped 1031/2638 (39.08%) of the source bank’s terms as new, while the manual process mapped 1251 (47.42%). In particular, manual mapping identified 101/2638 (3.82%) terms as identical and 429 (16.26%) as new, whereas the automated process identified 20 (0.75%) terms as identical and 209 (7.92%) as new. Of the 209 terms mapped as new by the automated process, it was possible to establish an equivalence with ICNP terms in 48 (23.0%) cases. An analysis of the candidate terms offered by the automated process to the 429 new terms mapped exclusively by the manual process resulted in 100 (23.3%) candidates that had a semantic relationship with the source term.ConclusionsThe automated and manual processes map identical and new terms in similar ways and can be considered complementary. Direct identification of identical terms and the offering of candidate terms through the automated process facilitate and enhance the results of the mapping; confirmation of the precision of the automated mapping requires further analysis by researchers.

Development of a subset of ICNP Nursing Diagnoses for the promotion of self-care in people with diabetes mellitus: a multi-center observational study.

Self-care is a key for people with diabetes mellitus (DM) to avoid severe complications and to maintain quality of life. Person-centered and accurate nursing care plans can help nurses to deliver effective self-care promotion interventions. Few studies focused on nursing diagnoses that are specific for diabetes self-care education, and none of them used the International Classification for Nursing Practice (ICNP). International Catalogues of ICNP nursing diagnoses are missing in this field. To identify the ICNP nursing diagnoses that are useful to promote self-care in people with DM; to describe the prevalence of ICNP nursing diagnoses in self-care of people with DM. A subset of 55 ICNP nursing diagnoses was developed based on the Middle Range Theory of Self-care of Chronic Illness, and most recent diabetes clinical guidelines. Then, the subset was tested through a multicenter cross-sectional design involving a consecutive sample of 170 adults with confirmed diagnosis of Type 1 or Type 2 DM. Data were collected by medical records, physical examinations and semi-structured interviews. 1343 nursing diagnoses were identified, with an average of 8 nursing diagnoses per patient. The 100% of the nursing diagnoses were described using the pre-developed subset. Overall, the five prevalent nursing diagnoses were: Body weight problem (56.4%), Non adherence to immunization regime (53.5%), Conflicting attitude toward dietary regime (41.7%), Impaired weight monitoring (39.4%), and Lack of knowledge about blood glucose diagnostic test result (32.3%). Nursing diagnoses by self-care maintenance, monitoring and management were also described. A huge amount of nursing diagnoses was identified suggesting the need of intensive education. Clinicians and administrators can use this subset to improve the accuracy of the documentation of diabetes care. In Public Health, the subset can be used to assess the cost-effectiveness of diabetes healthcare services. Future research is needed to assess the effectiveness of this subset in settings that are different from the one where it was developed. Finally, this subset could be a starting point to develop and International ICNP Catalogue for diabetes care.

An examination of the coverage of the SNOMED CT coded nursing problem list subset.

ObjectiveThe purpose of this article is to describe the current nursing problem list subset of Systematized Nomenclature of Medicine Clinical Terms (NPLS) coverage of the American Nurses Association (ANA) recognized standardized nursing terminologies (SNTs) and to identify potential ways to expand and enhance the utility of this list.Materials and MethodsThe study is a cross-sectional exploratory design. We mapped the content of the North American Nursing Diagnosis Association International (NANDA-I) (2018–2020), International Classification for Nursing Practice (ICNP) (2017 AB), Clinical Care Classification (CCC) (2018 AA), and Omaha System (2007AC) terminologies with each other and into NPLS (August 2017 edition) using Unified Medical Language System (UMLS) (release 2018AA) as the intermediary.ResultsWe identified a total of 1470 unique nursing diagnosis concepts across SNTs in UMLS, including 175 in CCC, 840 in ICNP, 244 in NANDA-I, 418 in Omaha System, and 631 in NPLS. The NPLS covers approximately 43% of the 1470 concepts—coverage for SNT content is 90% for CCC, 47% for ICNP, 59% for NANDA-I, and 32% for the Omaha System.Discussion/RecommendationsThe NPLS version 2017 coverage of SNT nursing diagnoses included in the UMLS is incomplete and equivocal. Recommendations: (1) ensure all SNT concepts in the UMLS are represented by SNOMED CT terms, (2) devise a formal strategy of partial matching to further enhance interoperability, (3) add a classification structure to the NPLS to enhance the ease of use and utility of the list, and (4) minimize redundancy within NPLS.

Visibility of Community Nursing Within an Administrative Health Classification System: Evaluation of Content Coverage.

BackgroundThe World Health Organization is in the process of developing an international administrative classification for health called the International Classification of Health Interventions (ICHI). The purpose of ICHI is to provide a tool for supporting intervention reporting and analysis at a global level for policy development and beyond. Nurses represent the largest resource carrying out clinical interventions in any health system. With the shift in nursing care from hospital to community settings in many countries, it is important to ensure that community nursing interventions are present in any international health information system. Thus, an investigation into the extent to which community nursing interventions were covered in ICHI was needed.ObjectiveThe objectives of this study were to examine the extent to which International Classification for Nursing Practice (ICNP) community nursing interventions were represented in the ICHI administrative classification system, to identify themes related to gaps in coverage, and to support continued advancements in understanding the complexities of knowledge representation in standardized clinical terminologies and classifications.MethodsThis descriptive study used a content mapping approach in 2 phases in 2018. A total of 187 nursing intervention codes were extracted from the ICNP Community Nursing Catalogue and mapped to ICHI. In phase 1, 2 coders completed independent mapping activities. In phase 2, the 2 coders compared each list and discussed concept matches until consensus on ICNP-ICHI match and on mapping relationship was reached.ResultsThe initial percentage agreement between the 2 coders was 47% (n=88), but reached 100% with consensus processes. After consensus was reached, 151 (81%) of the community nursing interventions resulted in an ICHI match. A total of 36 (19%) of community nursing interventions had no match to ICHI content. A total of 100 (53%) community nursing interventions resulted in a broader ICHI code, 9 (5%) resulted in a narrower ICHI code, and 42 (23%) were considered equivalent. ICNP concepts that were not represented in ICHI were thematically grouped into the categories family and caregivers, death and dying, and case management.ConclusionsOverall, the content mapping yielded similar results to other content mapping studies in nursing. However, it also found areas of missing concept coverage, difficulties with interterminology mapping, and further need to develop mapping methods.

Developing a subset of ICNP nursing diagnoses for medical and surgical hospital settings, informed by an Italian nursing conceptual model: a multicenter cross-sectional study.

The International Classification for Nursing Practice (ICNP) is designed to facilitate the expression of nursing diagnoses, interventions and outcomes. The development of the ICNP subsets may support nurses by providing appropriate terms for documenting nursing care. This project aimed to develop a subset of ICNP nursing diagnoses oriented by an Italian Nursing Conceptual Model (MPI) to describe nursing clinical data in medical and surgical acute hospital wards. A subset of ICNP nursing diagnoses was developed based on a literature review and on an expert consensus. A cross-sectional study was conducted in three Northern Italian hospitals to empirically test the subset in target settings. In accordance with the guidelines adopted by the International Council of Nursing, the study followed the process for developing an ICNP subset. Twelve expert nurses from clinical settings and nursing education in surgical and medical care participated in a Delphi method to further validate the subset. A cross-mapping process has been implemented and the prevalence of diagnoses was described. Data were collected from healthcare documentation of admitted patients, including, retrospectively, nursing clinical data from the patients' admission date to the time of data collection. Documentation from 476 admitted patients was analysed: 228 were from surgical and 248 from medical wards. 24,142 nursing diagnoses were detected consulting retrospectively each documentation. A total number of 21,401 nursing diagnoses (88%) were fully mapped by the ICNP subset. Results showed a high capability of ICNP terminology to describe nursing care in acute medical and surgical areas in Italian hospitals. The identified subset of ICNP diagnoses could be a valuable way to support a computerized documentation system for hospitals using MPI and ICNP. Results could be used to start revising nursing education programs in order to introduce this nursing standardized terminology combining it with the nursing conceptual model in use.

The use of International Classification for Nursing Practice (ICNP) in Postoperative Care of a Patient Diagnosed with a Spinal Cord Tumor

Introduction. Spinal canal tumors are divided into intradural or extradural. Depending on the location, their symptoms differ and the prognosis depends on many variables. The magnetic resonance imaging (MRI) is used as a diagnostic tool facilitating diagnosis of proliferative lesions of the spinal canal, and the surgical treatment is most commonly used treatment for tumors located in the spinal canal.Case Report. A 58 year-old patient diagnosed with Intradural extramedullary schwannoma located on the left side of the spinal canal at the L3 level was admitted to the Neurosurgery Clinic based on a referral for surgical treatment. Before surgery, the patient complained about pain in the lumbar region radiating to the lower limbs, feeling of numbness and tingling of the lower left limb for about 2 months and recurring constipation.Discussion. Patient care after surgery on the spinal cord must be comprehensive. Nursing and therapeutic care should be adopted to the individual needs of the patient following the recommendations.Conclusions. The case of the patient after surgical removal of the spinal canal tumor indicated the difficulties the patient struggled with. Main nursing care activities provided the patient with assistance in meeting his physiological needs, performing daily activities and helping to return to good physical condition. The acquired knowledge contributed to improving the daily functioning and coping with difficult situations. All the actions taken in this field brought the intended effect. (JNNN 2017;6(3):120–125)