Nursing Classification module 1
Abstract and Objectives
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table of contents | references | test

Note: This independent study module encompasses two articles from one issue of the Online Journal of Issues in Nursing.

Abstract

The purposes of this two-part independent study module are to not only explain and discuss the characteristics, levels and outcomes of what is frequently heard of as a "good nomenclature" from a technological and informatics perspective, but also to define the end point of these outcomes and the emerging quality of care delivered by nurses. Ultimately, it is our purpose to propose a model that will move nursing classification toward a more useful universal level.

Objectives

After reading the articles in this independent study module, "Nursing Nomenclature and Needed Taxonomies for Health Care," and taking the test, you will be able to:

  1. Describe the characteristics of automated nomenclature.
  2. Discuss the issues involved in the development of structured vocabularies.

Part One: "Characteristics of a Good Nursing Nomenclature From an Informatics Perspective"

by Rita D. Zielstorff, MS, RN, FAAN

The purpose for which a nomenclature is designed dictates its characteristics. Very few clinical nomenclatures have been designed for use in automated record systems. For this reason, system designers have had to adapt existing nomenclatures and classification systems for use in the automated systems they develop. Researchers have delineated the characteristics of a "good" nomenclature for purposes of structured data capture, storage, analysis, and reporting. Some of these characteristics are:

  • domain completeness
  • granularity
  • parsimony
  • synonymy
  • non-ambiguity
  • non-redundancy
  • clinical utility
  • multiple axes
  • and combinatorial.
In addition, the terms should have unique and context-free term identifiers, eachterm should have a definition, terms should be arranged hierarchically with the ability to have multiple parents, and it must be possible to map terms to other standard classifications. These concepts are defined and rationalized in the context of the functions expected of an automated record system.

Part Two: "Is One Taxonomy Needed for Health Care Vocabularies and Classifications?"

by Kathleen A. McCormick, PhD, RN, FAAN, FRCNA, FACMI
and Cheryl B. Jones, PhD, RN

The use of vocabulary in nursing is a relatively new phenomenon. It has only been in the past 20 years that we have developed and refined the nursing nomenclatures and classification systems. However, as we become more knowledgeable about the information system infrastructure of health care in this country, the linking of vocabularies from disparate sources becomes more critical. We are now part of an international network of health care, where the term we use in one country greatly influences the impressions of other countries of our health care system. This paper describes some of the challenges to the nursing profession, in allowing us to maintain our local vocabulary, as we integrate into network and universal vocabularies in the future. It discusses some of the new technologies that facilitate the linkages. It defines some of the endpoint of our vocabulary in identifying the outcomes and quality of care that is delivered by the nursing profession. A model is proposed that demonstrate the linking required to move classifications from the point of care, through networks, and into universal levels.

The deadline for completion of this module is Dec. 31, 2001. Contact Hours: 2.4.


The American Nurses Association would like to thank our education consultants and reviewers for the continuing education offering:

Education Consultants

Peggy Doheny, PhD, RN, ONC
Associate Professor, Kent State University, School of Nursing

RoAnne Dahlen-Hartfield, DNSc, RN
Administrator, ANA Center for Continuing Education & Professional Development

Reviewers

Rosalie Benchot, PhD, RN
Mary Campbell, MS, RN, CS
Betty Freund, MSN, RN C
Shirley Hemminger, MSN, RN, CCRN
Betty Miller, MSN, RNC
Nancy Panthofer, MSN, RN
Carol Sedak, PhD, RN, ONC

next: Part One: "Characteristics of a Good Nursing Nomenclature From an Informatics Perspective"

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