1 / 13

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.,

neena
Download Presentation

What Are We Bringing to the Table?

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  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!

More Related