Presentation on theme: "What Are We Bringing to the Table? Margaret Lunney, PhD, RN College of Staten Island."— Presentation transcript:
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., 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
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
What ARE We Bringing to the Table? NYS Nurse Practice Act (1972) Diagnosis of Human Responses Treatment of Human Responses
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)
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)
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?
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
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
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)
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!