Feasibility and Problems on Description of Nursing Practice with ICNP

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  • ICNP看護実践国際分類を用いた看護行為の記録の可能性および問題に関する検討
  • ICNP カンゴ ジッセン コクサイ ブンルイ オ モチイタ カンゴ コウイ ノ キロク ノ カノウセイ オヨビ モンダイ ニ カンスル ケントウ

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Abstract

The purpose of this study was to examine how nursing practice in Japan can be described with the International Classification for Nursing Practice (ICNP®) and to review the problem of introduction of the ICNP® to Japanese nursing.<br>Ninety-four terms for nursing activity were described according to the guidelines for creating ICNP® statements. They consisted of three domains; “Observation and/or Monitoring,” “Support for activities of daily living,” and “Approach to the physical function” in the Classification of Nursing Practice by Japan Academy of Nursing Science.<br>Results were as follows: 1) about 70% of the terms were successfully expressed with ICNP®. This shows the feasibility of introducing ICNP® to describe nursing activity in Japan. On the other hand, 2) about 20% of those terms could express things only very abstractly; for example, “assist (action) and elimination (focus)” could not be used to narrow down the tools or means of assistance. 3) About 10% could express only a part of nursing activities. For example, “cleaning (action) and denture (means)” could not express “denture” itself but only so as to indicate cleaning with a denture; and 4) a certain important nursing activity like “bed bath” could not be described directly.<br>These results indicate the necessity of further investigation of additional important terms and a review of the definition and how to use the axes of ICNP®.

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