Standardizing the language for nursing treatments: An overview of the issues

McCloskey, Joanne Comi; Bulechek, Gloria M.

doi:10.1016/s0029-6554(06)80022-9

Cited by 53 publications

(17 citation statements)

References 4 publications

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“…Fonteyn (1995 p. 60) summarizes the purpose of nurses’ clinical reasoning as to ‘identify and diagnose actual or potential patient problems’ which places diagnosis within nurses’ remit and militates against attempts to inculcate it with special properties. Nevertheless, there is clearly some doubt over labelling the domain of nurses’ decisions, reflected in the current interest in classifying nursing diagnoses (McCloskey & Buluchek 1994, Hogston 1997). Whether the type of clinical task changes the way in which decisions are made is a moot point, but there are plenty of theories from which to choose.…”

Section: Applying Decision‐making Theory In Nursing Practicementioning

confidence: 99%

Classifying clinical decision making: a unifying approach

Buckingham

Adams

2000

Journal of Advanced Nursing

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This is the first of two linked papers exploring decision making in nursing which integrate research evidence from different clinical and academic disciplines. Currently there are many decision-making theories, each with their own distinctive concepts and terminology, and there is a tendency for separate disciplines to view their own decision-making processes as unique. Identifying good nursing decisions and where improvements can be made is therefore problematic, and this can undermine clinical and organizational effectiveness, as well as nurses' professional status. Within the unifying framework of psychological classification, the overall aim of the two papers is to clarify and compare terms, concepts and processes identified in a diversity of decision-making theories, and to demonstrate their underlying similarities. It is argued that the range of explanations used across disciplines can usefully be re-conceptualized as classification behaviour. This paper explores problems arising from multiple theories of decision making being applied to separate clinical disciplines. Attention is given to detrimental effects on nursing practice within the context of multidisciplinary health-care organizations and the changing role of nurses. The different theories are outlined and difficulties in applying them to nursing decisions highlighted. An alternative approach based on a general model of classification is then presented in detail to introduce its terminology and the unifying framework for interpreting all types of decisions. The classification model is used to provide the context for relating alternative philosophical approaches and to define decision-making activities common to all clinical domains. This may benefit nurses by improving multidisciplinary collaboration and weakening clinical elitism.

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Section: Applying Decision‐making Theory In Nursing Practicementioning

confidence: 99%

Classifying clinical decision making: a unifying approach

Buckingham

Adams

2000

Journal of Advanced Nursing

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“…We can hypothesize two main reasons for these findings: Nursing is still undergoing an exciting and on‐going terminology standardization process, despite the important work which began in 1973 by a group from the USA, which was later become the North American Nursing Diagnosis Association (NANDA‐International), or by the research team of the University of Iowa (McCloskey & Bulechek ), and by the International Council of Nurses itself. The consolidation of such a standardized terminology for the description of nursing diagnoses, interventions and outcomes cannot fail to facilitate, apart from the imaginable positive clinical practice and development effects, an increased and better chance of evaluation of nursing action in its many expressions (Clark & Lang ; Crawford et al ; Ebener et al ; Lush & Jones ; Maas et al ). There is a lively debate on the most appropriate research instruments for the study of the ‘nursing phenomenon’.…”

Section: Discussionmentioning

confidence: 99%

Health Technology Assessment in nursing: a literature review

Ramacciati

2012

International Nursing Review

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In the international literature, although analyses regarding the efficacy of nursing interventions have been conducted, there are to date very few research projects that focus exclusively on the HTA process as applied to nursing. The recent development of a standardized nursing language coupled with the open debate as to which research method (qualitative vs. quantitative) best serves to 'read' nursing phenomena may explain the scarce diffusion of HTA in the field of nursing.

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“…Clark & Lang (1992) argue for the development of an International Classification of Nursing Practice (ICNP). Information on assessment, nursing diagnosis, interventions and outcomes, known as a Nursing Minimum Data Set, could be accessible ( McClosky & Bulechek 1994). Such classification systems could help the nurse if they were available on computer systems and used when preparing care plans.…”

Section: Literature Reviewmentioning

confidence: 99%

An investigation into the description of patients’ problems by nurses using two different needs‐based nursing models

Griffiths

1998

Journal of Advanced Nursing

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This paper describes an investigation into how nurses describe patients' problems and the possible effects of an espoused nursing model on these descriptions. A descriptive study was conducted on two medical wards in a Welsh District General Hospital. Data collected were subjected to content analysis using Gordon's Functional Health Patterns to order the data. The two wards investigated, whilst being very similar in many ways, utilized different nursing models. Findings showed that the nurses studied, when describing patients' problems, most commonly used medical diagnoses or the medical reasons for admission. Patients' problems identified predominately addressed bio-physical needs with scant attention given to psycho-social needs. Despite the use of two different nursing models the language and emphasis of problem description were very similar and there was no evidence of the application of the conceptual underpinnings of the two models. It is suggested that although the use of a ready-made nursing language may have drawbacks, the British nurse should understand and assess the value of the North American Nursing Diagnosis Association's (NANDA) nursing diagnoses. Without such involvement this system may be implemented in the United Kingdom (UK) without the input and influence of practising nurses.

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Standardizing the language for nursing treatments: An overview of the issues

Cited by 53 publications

References 4 publications

Classifying clinical decision making: a unifying approach

Classifying clinical decision making: a unifying approach

Health Technology Assessment in nursing: a literature review

An investigation into the description of patients’ problems by nurses using two different needs‐based nursing models

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