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What Are We Bringing to the Table?

What Are We Bringing to the Table? . Margaret Lunney, PhD, RN College of Staten Island. WHY Should Nurses Be At the Table?. Nursing is a unique service Nursing’s mission to help. What ARE We Bringing to the Table?. Unique service of nurses is mostly invisible, e.g.,

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What Are We Bringing to the Table?

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  1. What Are We Bringing to the Table? Margaret Lunney, PhD, RN College of Staten Island

  2. WHY Should Nurses Be At the Table? • Nursing is a unique service • Nursing’s mission to help

  3. What ARE We Bringing to the Table? Unique service of nurses is mostly invisible, e.g., • Perceived as only “following” physician orders • Society views nursing as a subsystem of medicine • Constant use of the term medical professionals instead of health care professionals

  4. Unique Service is Mostly Invisible (cont.) • Generally, the unique services of nurses are not named or described • Medical diagnosis is still the primary language used in health care, even by nurses • When nursing is named and described, nursing science does not get the credit, e.g., CMS quality indicators were derived from nursing

  5. What ARE We Bringing to the Table? • NYS Nurse Practice Act (1972) • Diagnosis of Human Responses • Treatment of Human Responses

  6. What ARE We Bringing to the Table? • Described in nursing models, philosophies & theories • Problem: Narrative descriptions are not practical for most health care settings • Solution: Practical, clinically-based nursing concepts are available in standardized nursing languages (SNLs)

  7. What Are We Bringing to the Table? • Question can be answered using concepts from NANDA, NOC & NIC (NNN): • NANDA International (NANDA) Diagnoses • Nursing-Sensitive Patient Outcomes Classification (NOC) • Nursing Interventions Classification (NIC)

  8. FYI: Websites • www.nanda.org • http://www.nursing.uiowa.edu/centers/cncce/ • http://www.nursingworld.org/nidsec/index.htm

  9. Opportunity is Knocking • The Electronic Health Record (EHR) is imminent • Computerization means that file names will be used to represent nursing • Which file names are important for use with specific populations?

  10. Research-Based Example: Experiences of Battered Women (Carlson-Catalano, 1997) • Altered Thought Processes • Stress Overload • Social Isolation • Sleep Pattern Disturbance • Self Esteem Disturbance • Ineffective Coping • Decisional Conflict • Fatigue • Ineffective Denial • Hopelessness • Altered Role Performance • Powerlessness • Ineffective Parenting

  11. Example: Long Term Care: Diagnosis of Human Responses • Self care deficits • High risk for pressure ulcers • Self esteem disturbance • Powerlessness • Hopelessness • Anxiety • Ineffective breathing pattern • Chronic Pain

  12. Example: Long Term Care Nursing Interventions • Bed Rest Care (0740) • Positioning (0840) • Nutrition Management (1100) • Exercise Management (0180) • Environmental Management: Comfort (6482) • Self Care Assistance (1800) • Behavior Management (4350) • Spiritual Support (5420)

  13. Conclusion • Nurses need to know what they are bringing to the table and let others know as well. • The Standardized Nursing Languages of NANDA-I, NOC and NIC can be used to describe the contributions of nurses. • Happy Nurses’ Week!

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