Development of ICNP-based inpatient falls prevention catalogue

Area of Science:

• Nursing Informatics
• Patient Safety
• Health Terminology

Background:

• The International Council of Nurses (ICN) advocates for standardized nursing terminologies.
• Electronic health records (EHRs) require robust classification systems for effective data management.
• A specific need exists for a standardized catalogue for inpatient fall prevention.

Purpose of the Study:

• To develop an International Classification for Nursing Practice (ICNP®)-Based Inpatient Fall-Prevention Catalogue.
• To support the integration of fall-prevention data into electronic health records.
• To facilitate evidence-based practice in nursing for patient safety.

Main Methods:

• Development followed six ICN-recommended steps, including concept gathering from international guidelines and local terms.
• Concepts were mapped to ICNP® terminology, with new terms identified.
• Clinical face validation with a 12-member panel and external review ensured understandability and validity.

Main Results:

• The catalogue includes 18 nursing care elements and 141 terms.
• Mapping to ICNP® showed 75% for assessment/diagnosis/outcomes and 40.6% for interventions.
• External review confirmed understandability and validity, though some terms were not found in tertiary hospital practice.

Conclusions:

• A clinically validated, evidence-based fall-prevention catalogue has been successfully developed.
• The catalogue serves as a standardized interface terminology for EHRs, enabling direct evidence delivery.
• It functions as an informatics tool for aggregating and analyzing nursing data globally.