DOC

Recognition Criteria- 2006 - Linda Q Thede

By Linda Hernandez,2014-04-12 23:40
16 views 0
Recognition Criteria- 2006 - Linda Q ThedeQ,Linda,Thede

1 DRAFT

    2 American Nurses Association

    3

    4 Recognition of Terminologies That

    5 Support Nursing Practice

    6

    7 The American Nurses Association (ANA) has a long and rich history related to the formulation 8 of policies and standards for nursing practice. This work has included demonstrated leadership 9 and oversight surrounding the development of standardized languages to describe and support 10 nursing practice.

    11

    12 Background

    13

    14 As one of its early strategic initiatives to promote the use of standardized nursing languages, 15 ANA established a recognition program to identify and formally recognize terminologies that 16 describe the phenomena of concern in nursing practice. The standardized terms for naming these 17 phenomena then provided a more precise description of the nursing process and its use in nursing 18 practice. As part of ANA’s periodic review cycle, the ANA published revised recognition criteria 19 in 1999 that built upon the original measures. Those new criteria better reflected the evolving 20 healthcare environment and emerging international standards efforts. Table 1 shows the 21 components of the nursing process supported by the 10 currently recognized terminologies. 22

    23 Table 1. ANA Recognized Terminologies that Describe Clinical Practice and Support the Use of 24 the Nursing Process

    NANDA NIC NOC OMAHA CCC PNDS ICNP ABC SNOMED LOINC Nursing Process CT

    Assessment x x x x x x

    Diagnosis/Problem x x x x x x

    Implementation/ x x x x x x x

    Intervention

    Evaluation/ x x x x x x

    Outcome/Goal

    25

    26 Three other nursing classifications have also received ANA recognition, but are not included in 27 Table 1: the Nursing Minimum Data Set (NMDS), the Nursing Management Minimum Data Set 28 (NMMDS), and the Patient Care Data Set (PCDS). The Patient Care Data Set was retired in 2004. 29 The NMDS is considered foundational work for the development of the terminologies for 30 nursing practice. The Nursing Management Minimum Data Set (NMMDS) provides for the 31 administrative context for nursing practice. The data sets identify and define the elements of data 32 that need to be collected, but do not offer the terms to use when actually collecting the data. 33 Today’s increased focus on complete electronic clinical care documentation has exponentially

    34 enhanced the demand for standardized terminologies to support the seamless sharing of clinical 35 and administrative data and information within and among healthcare systems. Such a 36 transformation has created significant challenges for those concerned about clinical content and

    C:\convert\temp\792563170.doc 1

    ? 2008 American Nurses Association DRAFT

1 the associated documentation practices. The increasing reliance on the use of reference

    2 terminologies (with their robust and complex mappings behind the scenes) as one of the 3 mechanisms to permit data and information sharing still requires some level of standardization of 4 the user level terminologies.

    5

    6 Clarity of terms, and definitions enables better understanding of the concepts, organizational

    structures and processes, and standards associated with languages, terminologies, classifications, 7

    8 and datasets. The ANA’s Committee for Nursing Practice Information Infrastructure (CNPII)

    9 provides the following definitions:

    10 ; Dataset [Insert definition]

    11 ; Classification - arrangement of objects or concepts (by the is_member_of relation) based 12 on their essential characteristics into groups of concepts, called classes 13 ; Terminology - a list of terms referring to concepts in a particular domain 14 ; Standardized Language [Insert definition]

    15 See the Glossary available at http://dlthede.net/CNPII/Glossary.htm [Insert new link] for

    16 additional definitions.

    17

    18 Maintenance of Recognition Program

    19

    20 The ANA’s Congress on Nursing Practice and Economics Committee for Nursing Practice 21 Information Infrastructure (CNPII) has responsibility for maintaining the ANA recognition 22 program for terminologies supporting nursing practice. The CNPII engages in a review of the 23 established recognition criteria at least every five years, submits any revisions for a 45 day public 24 comment period, and then forwards its recommendation for approval of new recognition criteria 25 to the Congress on Nursing Practice and Economics, the final approving body. Each update is 26 based on the advancement in the science of terminology development, incorporates related 27 terminology tools as appropriate, and remains focused on the promotion of standards. 28

    29 The CNPII’s oversight responsibility also includes a biennial review survey of each recognized

    30 terminology to confirm continued development and maintenance mechanisms are in place and 31 operational. The CNPII uses the survey results to:

    32 ; identify terminologies that have significantly changed and should be formally re-33 evaluated against the current recognition criteria

    34 ; update the posted website information about recognized terminologies supporting nursing 35 practice

    36 ; confirm emerging or continuing issues associated with standardized terminologies 37 ; inform the committee’s strategic planning and information dissemination activities.

    38

    39 Recognition Criteria

    40

    41 The following criteria provide the framework for the evaluation for recognition of a terminology 42 supporting nursing practice:

    43

    44 1. The terminology supports one or more components of the nursing process. 45

    46 2. The rationale for development supports this terminology as a new terminology itself or with a

    C:\convert\temp\792563170.doc 2

    ? 2008 American Nurses Association DRAFT

1 unique contribution to nursing / healthcare.

    2

    3 3. Characteristics of the terminology include:

    4 ; Support of one or more of the nursing domains

    5 ; Metadata to describe the data elements

    6 ; Internal consistency

    7 ; Testing of reliability and validity

    8 ; Utility in practice showing scope of use and user population

    9

    10 4. Characteristics of the terminology development and maintenance process include: 11 ; The intended use of the terminology

    12 ; The centricity of the content (patient, community, etc.)

    13 ; Research based framework

    14 ; Open call for participation for initial and ongoing development

    15 ; Systematic, defined ongoing process for development

    16 ; Relevance to nursing care and nursing science

    17 ; Collaborative partnerships

    18 ; Documentation of history of decisions

    19 ; Defined revision and version control mechanisms

    20 ; Defined maintenance program

    21 ; Long term plan for sustainability

    22

    23 5. Defined access and distribution mechanism

    24

    25 6. Plans and strategies for future development

    26

    27 Process for Recognition of Terminologies Supporting Nursing Practice

    28

    29 Submission of a completed Application for Recognition of A Terminology Supporting

    30 Nursing Practice initiates the review process. The CNPII will review the application and may 31 request additional information and documentation for its preliminary assessment. A formal 32 presentation by the developer or designated representative to the CNPII will follow. This 33 presentation will provide an opportunity to offer additional information, answer specific 34 questions of the committee members, and may need to include limited electronic access to the 35 terminology.

    36

    37 The CNPII will confirm during separate deliberations that the recognition criteria have or have 38 not been met. The CNPII will then forward its recommendation for recognition to the Congress 39 on Nursing Practice and Economics and the final review step. If the criteria have not been met, 40 the CNPII will notify the developer or designated representative of the deficiencies and will 41 suggest remediation strategies if appropriate.

    42

    C:\convert\temp\792563170.doc 3

    ? 2008 American Nurses Association DRAFT

1 Biennial Review of ANA Recognized Terminologies

    2

    3 The CNPII will survey the developers or custodians of the ANA recognized terminologies every 4 even numbered year and request informational updates on content adapted from the current 5 recognition criteria. This process will confirm continued development and maintenance 6 mechanisms are in place and operational and identify any significant modifications that warrant a

    formal reassessment using the complete recognition criteria. Significant modifications include 7

    8 but are not limited to a major revision, change in the architecture or structure, or change in the 9 name. This biennial review also permits the terminology developers or custodians to provide 10 feedback on the recognition program and other standardized terminology issues and initiatives. 11

    C:\convert\temp\792563170.doc 4

    ? 2008 American Nurses Association DRAFT

    1 Application for Recognition of A Terminology Supporting Nursing Practice 2

    3 For those seeking ANA recognition of a terminology, please provide detailed supporting 4 documentation for each question and criterion.

    5

    6 Name of Terminology:

    7

    8 Date Development Began:

    9

    10 Responsible Individuals, Group, or Organization:

    11

    12

    13 Contact Information, Including Address, Telephone Number, and e-mail Address: 14

    15

    16

    17 Recognition Criteria:

    18

    19 1. The terminology supports one or more components of the nursing process. 20 Respondent: Specify and then describe how the component(s) of the nursing process are 21 supported by the terminology.

    22

    23 ____Assessment

    24

    25

    26 ____Plan

    27

    28

    29 ____Diagnosis/Problem

    30

    31

    32 ____Implementation/Intervention

    33

    34

    35 ____Evaluation/Outcome/Goal

    36

    37 OR

    38 Describe how the terminology supports other components relevant to nursing practice. 39

    40 Provide a description of the other component(s) represented and how the terminology supports

    41 nursing practice. What content coverage is provided by the terminology that is not identified in

    42 the nursing process elements listed above?

    43

    44

    45 [The terminology may not be limited to representation of the nursing process components only.

    46 Although the nursing process elements are essential, the CNPII recognizes the importance to be

    47 “open” to future ideas about concept representation in nursing.]

    48

    C:\convert\temp\792563170.doc 5

    ? 2008 American Nurses Association DRAFT

1

    2 2. The rationale for development supports this terminology as a new terminology itself or 3 with a unique contribution to nursing / healthcare.

    4 Respondent: Identify the rationale for development of the terminology by selecting one or more 5 of the following reasons and provide supporting documentation.

    6

    7 ____Fills gaps related to representation of terms in existing terminologies8 ____Fills gaps related to representation of relationships in existing terminologies 9 ____Builds on existing terminologies by adding new content for a specific practice environment 10 ____Builds on existing terminologies by adding new relationships for a specific practice 11 environment

    12 ____Results from a new synthesis by merging existing terminologies 13 ____Represents new framework or modeling strategy

    14 ____Represents content not found in existing terminologies

    15 ____Other (please describe)

    16

    17 3. Characteristics of the terminology development and maintenance process include: 18 Respondent: Please describe each characteristic.

    19

    20 ; The intended use of the terminology

    21 ; The centricity of the content (patient, community, etc.)

    22 ; Research based

    23 ; Open call for participation for initial and ongoing development. 24 ; Systematic, defined ongoing process for development.

    25 ; Relevance to nursing care and nursing science

    26 ; Collaborative partnerships

    27 ; Documentation of history of decisions

    28 ; Defined revision and version control mechanisms

    29 o Retirement, not deletion of changed or outdated terms

    30 o Creation of a new concept with a new code resulting from a change in the meaning of 31 a preferred name with required retirement of the original concept and its code

    32 o Explicit designation of new versions

    33 o Annotation of changes between versions

    34 ; Defined maintenance program

    35 o Include governance structure

    36 ; Long term plan for sustainability (including a description of how this will be funded) 37

    38

    C:\convert\temp\792563170.doc 6

    ? 2008 American Nurses Association DRAFT

1

    2 4. Characteristics of the terminology include:

    3 Respondent: Please describe how each characteristic is or will be accommodated. 4

    5 A. Support of one or more of the nursing domains

    6 ; Practice

    7 o Specialty clinical area perioperative for example

    8 ; Administration

    9 ; Education

    10

    11 B. Metadata description of the data elements; data about the data 12 [For example, NANDA would need to describe a nursing diagnosis label, definition, 13 defining characteristics, related factors and any other category of information that

    14 accompanies a nursing diagnosis label.]

    15 ; Unique (context free) identifier and rationale for coding choice 16 ; Preferred term includes identification as nursing content 17 ; Synonyms identification when present

    18 ; Unambiguous definitions of terms both natural language and logical

    19 ; Unambiguous, natural language definitions of relationships 20 ; Identification of relationships and linkages

    21 ; Framework or structure (for example, axis representation) 22 ; Granularity

    23

    24 C. Internal Consistency

    25 ; If the terminology is polyhierarchical, the term has the same children each time the

    26 term occurs in the hierarchy

    27 ; Consistent application of the classification criteria 28

    29 D. Testing of Reliability and Validity initial and ongoing

    30

    31 E. Utility in Practice (showing scope of use and user population) 32 ; Number of users

    33 ; Types of users

    34 ; Types of systems/applications that use (integrate or call) the terminology 35 ; Number of agencies (clinical, academic categories) 36 ; Dissemination mechanism, including representative sample of diversity of 37 publications

    38 ; Appropriate tools for use (training materials, coding indexes) 39

    C:\convert\temp\792563170.doc 7

    ? 2008 American Nurses Association DRAFT

1

    2 5. Explanation of the access and distribution mechanism, including format(s) to access the

    3 terminology, i.e., URL, book, DVD, CD.

    4 Respondent: Please select and explain.

    5 A. Distribution formats available:

    6 List here

    7

    8

    9 B. User Agreements available:

    10 ____License mechanism and process

    11

    12 ____Registration mechanism and process

    13

    14 ____Cost

    15

    16 6. Plans and strategies for future development.

    17 Respondent: Please describe.

    18

    19 A. Accepts new requests via request process based upon user feedback 20

    21 B. If not currently represented in a common formal, logic-based language, such as Protégé

    22 frames or OWL-DL, what work is underway for conversion to or inclusion in a formal, logic-

    23 based terminology

    24

    25 C. Assignment of a unique Biomedical Domain identifier such as the unique prefixes for

    26 each ontology in the Open Biomedical Ontologies project (currently at 27 http://obo.sourceforge.net/, but will be moving to http://bioontology.org/

    28

    29 D. Other plans?

    C:\convert\temp\792563170.doc 8

    ? 2008 American Nurses Association DRAFT

Report this document

For any questions or suggestions please email
cust-service@docsford.com