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Amy Coenen

Publications and source records attributed to Amy Coenen.

12 recordsLinked to original sources
PubMed2006

A cross-cultural analysis of dignified dying.

PURPOSE: To describe the characteristics of dignified dying and other terminology nurses used to describe this phenomenon in Ethiopia, India, Kenya, and the United States (US). DESIGN: A cross-sectional descriptive survey with a convenience sample of nurses who cared for dying patients in Ethiopia (n=14), India (n=229), Kenya (n=36), and the US (n=281). Data were collected between 2002 and 2004. METHODS: Nurses were recruited to complete the ICNP Dignified Dying survey, which consists of demographic information, 2 open-ended questions, and 14 questions about characteristics of dignified dying. FINDINGS: The 14 characteristics on the dignified dying scale reliably measured dignified dying, with a Cronbach's alpha coefficient of .91. All characteristics were rated as representative of dignified dying, with content validity scores ranging from .62 to .77. Factor analysis yielded a two-factor solution, which accounted for 53% of the variance. CONCLUSIONS: Findings of this study contribute to the ongoing development of the International Classification of Nursing Practice (ICNP) regarding the nursing phenomenon of dignified dying. The ICNP a unified nursing language system, is used to promote and facilitate scholarly exchange among nurses across countries.

Africa↗
PubMed2006

Changes in the ICNP Version 1.0 from Beta 2.

The International Classification for Nursing Practice (ICNP) Programme focuses on terminology for nursing practice and acknowledges that nursing practice is not static but changing and dynamic. A number of major revisions were made to the Beta 2 to develop the ICNP Version 1.0. Although the Beta 2 Version functioned to compare and combine data from different sources, there were many recommendations for improvement. In this paper, we examined the ICNP Version 1.0 and identified the changes from the Beta 2 Version. A major change was the use of new technology for development of the ICNP Version 1.0 using description logics. Another change to the new version is the single classification structure that was refined into representation of a 7 Axis Model. The new coding system and new guidelines for composing statements that were developed using an International Organization for Standardization (ISO) Standard are also discussed.

Nursing Informatics↗
PubMed2006

A formal foundation for ICNP.

The International Classification for Nursing Practice (ICNP) has been developed as a 'unifying framework' for comparing and combining disparate nursing data from across the world. In order to meet the increasingly sophisticated needs of users of ICNP, substantial revision has been made to the Beta 2 version of ICNP, culminating in the launch of ICNP Version 1 in 2005. In its revision of ICNP, the development team has followed a rigorous development process using current best practice in ontology development. The core of ICNP Version 1 is represented in the Web Ontology Language, the de facto standard ontology representation language. An ontology editor, Protégé, and other software tools have been used to support the process. The result is a robust terminological resource that can accommodate existing and emerging nursing terminologies and allow comparisons to be made between disparate nursing data. The revision has provided ICNP with a sustainable foundation that will a) facilitate further development and maintenance of ICNP and b) extend significantly its functionality.

Internationality↗
PubMed2006

Participation in the International Classification for Nursing Practice (ICNP) programme.

The International Council of Nurses (ICN) is a federation of 129 national nurses associations. The International Classification for Nursing Practice (ICNP) is a programme of the ICN. The purpose of this paper is to describe the development and maintenance processes of the ICNP Programme that are used to increase participation. These include processes by which the ICNP was and continues to be developed, tested, distributed and implemented worldwide, with emphasis on the current version, ICNP Version 1.0. The ICNP is a unified nursing language that facilitates cross-mapping among local terms and existing terminologies. ICNP conforms to current terminology standards and criteria, for example, ISO standards and HL7. The ICNP Alpha and Beta Versions documented the progress of concept validation and classification of nursing phenomena and interventions. The ICNP Beta 2 Version was a combinatorial terminology organized in two multi-axial structures representing nursing phenomena and nursing actions. The ICNP Version 1.0, launched in 2005, changed the relatively straight-forward multi-axial structure into a compositional terminology through the application of description logics using Web Ontology Language (OWL) within Protégé, an ontology development environment. ICNP Version 1.0 is also represented in a multiaxial model (7-Axis) for nurses to compose nursing diagnosis, intervention and outcome statements. Language translations and clinical information systems applications are required to make the ICNP Version 1.0 available to nurses at the point of healthcare delivery. ICNP data collected in healthcare environments provide standardized terminology for nursing that allows comparison of nursing practice across health care settings, specialties and countries; facilitate data-based clinical and management decision making; and contribute to the development of guidelines and standards for best practices and optimal outcomes for patients, families and communities.

Nursing Informatics↗
PubMed2004

Development of a provisional domain model for the nursing process for use within the Health Level 7 reference information model.

OBJECTIVE: Since 1999, the Nursing Terminology Summits have promoted the development, evaluation, and use of reference terminology for nursing and its integration into comprehensive health care data standards. The use of such standards to represent nursing knowledge, terminology, processes, and information in electronic health records will enhance continuity of care, decision support, and the exchange of comparable patient information. As part of this activity, working groups at the 2001, 2002, and 2003 Summit Conferences examined how to represent nursing information in the Health Level 7 (HL7) Reference Information Model (RIM). DESIGN: The working groups represented the nursing process as a dynamic sequence of phases, each containing information specific to the activities of the phase. They used Universal Modeling Language (UML) to represent this domain knowledge in models. An Activity Diagram was used to create a dynamic model of the nursing process. After creating a structural model of the information used at each stage of the nursing process, the working groups mapped that information to the HL7 RIM. They used a hierarchical structure for the organization of nursing knowledge as the basis for a hierarchical model for "Findings about the patient." The modeling and mapping reported here were exploratory and preliminary, not exhaustive or definitive. The intent was to evaluate the feasibility of representing some types of nursing information consistently with HL7 standards. MEASUREMENTS: The working groups conducted a small-scale validation by testing examples of nursing terminology against the HL7 RIM class "Observation." RESULTS: It was feasible to map patient information from the proposed models to the RIM class "Observation." Examples illustrate the models and the mapping of nursing terminology to the HL7 RIM. CONCLUSION: It is possible to model and map nursing information into the comprehensive health care information model, the HL7 RIM. These models must evolve and undergo further validation by clinicians. The integration of nursing information, terminology, and processes in information models is a first step toward rendering nursing information machine-readable in electronic patient records and messages. An eventual practical result, after much more development, would be to create computable, structured information for nursing documentation.

Feasibility Studies↗
PubMed2004

Translating the International Classification for Nursing Practice (ICNP)--an experience from two countries.

The International Classification for Nursing Practice (ICNP) has been published in the alpha, beta 1, and beta 2 versions that, together with forthcoming versions, are going to be translated into many languages. It is important that the translation process facilitates a valid and reliable translation. Experiences from two countries are given as well as recommendations for future work. There is a need for an ongoing development of the ICNP, including feedback from numerous countries to ICN.

Brazil↗
PubMed2002

Parish nurse practice with client aggregates.

The purpose of this study was to describe 1 aspect of parish nurses' practice: working with client aggregates. Nineteen parish nurses practicing in 22 faith communities collected data using 2 standardized nursing classification systems--North American Nurses Diagnosis Association Taxonomy and Nursing Intervention Classification. Nurses recorded 77 group encounters for services provided over a 5-month period. The most frequent nursing diagnoses and nursing interventions are reported and emphasize health promotion and illness prevention. The parish nurse roles of educator, counselor, referral agent, and advocate-facilitator described in the literature were consistent with the findings of this study. In addition, the parish nurse as a member of the ministerial team is discussed. A focus group of the parish nurses provided validation of the results of aggregate practice.

Adolescent↗
PubMedDate not supplied

Evaluation of the draft international standard for a reference terminology model for nursing actions.

PURPOSE: The purpose of this study was to evaluate the draft ISO reference terminology model (RTM) for nursing actions. Nursing RTM models attempt to include concepts that are universally represented in nursing documentation to improve the depiction of nursing practice in computerized systems. METHOD: Content analysis was used to decompose interventions into words and phrases, which were then mapped to the six model categories used to represent nursing actions in the draft ISO RTM. The decomposition of interventions was applied to nurses' documentation of pain interventions entered into a clinical information system. FINDINGS: Consistent with the ISO standard requirements, all (100.00%) of the interventions contained an word or phrase and a < >. Additional findings are discussed in relation to earlier studies of terminology models. CONCLUSIONS: It is recommended that terminology and information system developers consider this model in their ongoing system development, evaluation, maintenance, and revisions. Further evaluation of the ISO RTM for nursing will contribute to the goals of this specific model and the harmonization and integration with other health care models.

Computational Biology↗