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Related Concept Videos

Formulating and Validating Nursing Diagnosis I01:26

Formulating and Validating Nursing Diagnosis I

3.9K
A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing interventions. The standardized terminologies of a nursing diagnosis help nurses identify and treat patients' problems. Every electronic health record that uses nursing diagnosis must employ standard diagnostic terminology. Developing an efficient, individualized care plan begins with accurate nursing diagnoses.
There are thirteen domains...
3.9K
Nursing Diagnosis01:22

Nursing Diagnosis

4.3K
Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
4.3K
Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

1.8K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.8K
Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

3.3K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.3K
Formulating and Validating Nursing Diagnosis II01:25

Formulating and Validating Nursing Diagnosis II

3.8K
Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, health promotion or wellness, and syndrome. The anatomy of a nursing diagnosis includes three components: problem statement or diagnostic label, defining characteristics, and related factors.
Risk nursing diagnoses represent clinical judgments of an individual, family, or community more vulnerable to developing the health problem than others...
3.8K
Nursing Interventions I: Taxonomy of Nursing Interventions01:03

Nursing Interventions I: Taxonomy of Nursing Interventions

3.9K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
3.9K

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Related Experiment Video

Updated: May 2, 2026

Translational Brain Mapping at the University of Rochester Medical Center: Preserving the Mind Through Personalized Brain Mapping
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Translational Brain Mapping at the University of Rochester Medical Center: Preserving the Mind Through Personalized Brain Mapping

Published on: August 12, 2019

37.6K

Inter-terminology mapping of nursing problems.

Tae Youn Kim1, Nicholas Hardiker2, Amy Coenen3

  • 1Betty Irene Moore School Nursing, University of California Davis, 4610 X Street, Sacramento, CA 95817, USA.

Journal of Biomedical Informatics
|March 18, 2014
PubMed
Summary
This summary is machine-generated.

This study explored the overlap between the International Classification for Nursing Practice (ICNP®) and SNOMED-CT, finding significant content differences. Harmonization efforts are needed to improve nursing terminology integration.

Keywords:
International Classification for Nursing PracticeMappingSystematized Nomenclature of Medicine–Clinical TermsTerminology

Related Experiment Videos

Last Updated: May 2, 2026

Translational Brain Mapping at the University of Rochester Medical Center: Preserving the Mind Through Personalized Brain Mapping
13:12

Translational Brain Mapping at the University of Rochester Medical Center: Preserving the Mind Through Personalized Brain Mapping

Published on: August 12, 2019

37.6K

Area of Science:

  • Nursing Informatics
  • Health Terminology Standards
  • Clinical Data Management

Background:

  • The International Classification for Nursing Practice (ICNP®) and Systematized Nomenclature of Medicine-Clinical Terms (SNOMED-CT) are crucial for standardizing nursing data.
  • Harmonizing these terminologies is essential for seamless data exchange and improved patient care.
  • Previous mapping efforts have highlighted the need for a comprehensive analysis of their overlap and differences.

Purpose of the Study:

  • To quantify the degree of overlap between ICNP® and SNOMED-CT, focusing on nursing problems.
  • To assess the feasibility of harmonizing content between these two major terminologies.
  • To identify specific areas of divergence and convergence for future integration strategies.

Main Methods:

  • A two-subset approach was used for mapping ICNP® diagnosis/outcome concepts to SNOMED-CT.
  • The first subset (n=238) utilized semi-automated mapping via the Unified Medical Language System (UMLS) with expert review.
  • The second subset (n=565) involved manual mapping by two independent reviewers, with differences resolved through discussion and inter-rater reliability calculated using Cohen's Kappa (κ).

Main Results:

  • Semi-automated mapping showed a high agreement (91.6%) between ICNP® and SNOMED-CT, with good reviewer agreement (κ=0.7).
  • Manual mapping revealed that a significant portion of ICNP® concepts (61.4%) could not be mapped to SNOMED-CT, with moderate reviewer agreement (κ=0.45).
  • Difficulties in mapping were attributed to content coverage differences, lexical variations, and semantic ambiguities within both terminologies.

Conclusions:

  • A notable degree of overlap exists between ICNP® and SNOMED-CT, particularly for established ICNP® content.
  • Significant differences in content coverage were identified, necessitating further development in both terminologies.
  • Enhancing SNOMED-CT content and exploring harmonization mechanisms are crucial next steps for integrating nursing terminologies.