The interplay between global standards and local practice in nursing

Abstract

Abstract:2 Purpose: The paper assesses the extent, form, and transformation of global nursing classifications (NANDA) in a nursing practice during a period of five years.Method: Mixed-method: a) quantitative frequency analysis and b) qualitative (longitudinal case study)Results: A surprisingly high proportion (95.5%) of nursing diagnoses were consistent with the global standard, in spite of the users' relative freedom in the practice of coding. This is elaborated more thoroughly through a co-constructing perspective, emphasizing how the global standard and the practice mutually shaped each other over several years. Conclusion:Standardization is an iterative process that is performed in close relationship with practice. The mutual interrelation between formal classifications (NANDA) and local practices are co-constructed in a dynamic interplay that evolves over time. In such a process, the use of local classifications may be a means to bridge the gap between global standards and local distinctiveness. Keywords: Nursing classifications, Standardization, Electronic Patient Records.What was known before the study:Comparing and cross mapping between different nursing terminologies shows that none of the existing terminologies cover all the needs of local nursing practice.Alignment of standards to the existing socio-technical infrastructure is needed as a means for bridging the gap between interoperability and domain-specific multiplicityWhat the study has added to the body of knowledge:Empirical insight on how standardization and work practice is co-constructed in a dynamic interplay over several years.Elaboration on how the use of local classifications (folksonomies) bridged the gap between global standards and local practice.A careful use of local classifications may serve as a facilitator mechanism when implementing global classifications in organizations.

Global Nursing-a literature review in the field of education and practice

“…According to our findings, we recommend an ethical framework and nursing actions as useful tools in the efforts to reduce inequities and inequalities in Global Nursing practice (cf. Grootjans & Newman, 2013;Gutierrez et al, 2012;Meum et al, 2013;Wieck, 2003).…”

“…At the beginning of the millennium, perspectives on nursing education and nursing values in global contexts were topics of concern (Gerrish & Griffith, 2003;Kim, Woith, Otten, & McElmurry, 2006;Swenson, Salmon, Wold, & Sibley, 2005;Wieck, 2003;Wros, Doutrich, & Izumi, 2004 Zinsli & Smythe, 2009). Finally, in the mid-2020s, the question of global leadership, nursing faculty competence, and discussions on nurse professionals and nurse faculty retirement has been key issues (Havens, Warshawsky, & Vasey, 2013;Meum, Ellingsen, Monteiro, Wangensteen, & Igesund, 2013;Tourangeau et al,2014). During recent years, the vulnerability of nurse professionals' educational and work status has been addressed (Ortiga, 2014;Weng, Huang, Chen, & Chang, 2015).…”

“…It was also stated that global leaders have knowledge about political operations, politically charged environments and their role in international nursing organizations (Garner et al, 2009;Kim et al, 2006) models, allocated creative projects, and skilled nursing faculty was presented in the studies (Garner et al, 2009;Gutierrez et al, 2012;Kim et al, 2006;Meum et al, 2013;Tourangeau et al, 2014). In addition, education could teach students to apply leadership theories, co-constructing global standards, collaborative activities in nursing research and an active use of nursing values or nursing ethics (Gutierrez et al, 2012;Meum et al, 2013;Wieck, 2003). Broadened perspectives of global competencies and effective leadership skills were noted by Garner et al (2009) who stated that "The students gained awareness of Global Nursing issues (advocacy), presented research on topics of interest (activism) and contributed to a continuing education workshop based on their experiences (professional accountability)" (p. 105).…”

From continuity of information to continuity of care through user software 'Syntegra'

“…Korišćenje ovakvog načina dokumentovanja postaje relevantno za medicinske sestre jer one na osnovu dokumentovanja dobijaju ogroman broj informacija [6,7]. Ovim putem zdravstvena nega postaje imperativ visokog kvaliteta zdravstvene nege.…”