News and Updates

1
News and Updates

• T. Heather Herdman, PhD RN
• Executive Director
• NANDA International

2
New Management Structure

• No longer associated with a management company to
  be responsible for the work of NANDA-I
• Executive Director position oversees all
  contracted work (marketing, book and journal
  publication and editing, finance, legal)
• More responsive
• More knowledgeable
• More cost effective for NANDA-I

3
NANDA-I Organization
NANDA-I Members
NANDA-I Networks
NANDA-I Board of Directors
Executive Director
Journal Editor
Marketing/PR
Bookkeeper
4
NANDA-I Networks

• Brasil
• Columbia
• Ecuador
• German-speaking countries
• Honduras
• Nigeria
• Peru
• Venezuela

5
NANDA-I Networks

• NANDA-I Membership Network Groups foster
  collaboration among NANDA-I members in many
  ways
• Development and revision of nursing diagnoses
• Regional conferences hosted by the Network Group
• Support from experienced colleagues with questions
  about nursing diagnosis use, teaching methods,
  translation issues, etc.
• Connection with the resources and global reach of
  NANDA International, including assistance with
  the study and application of nursing diagnosis in
  your region.

6
NANDA-I Network Group Structure

• NANDA-I Membership Network Groups provide a
  framework for  NANDA-I members to foster the work
  of NANDAI and promote membership within a
  country, region, language or specialty
• Each Network Group designates a Coordinator who
  is a Regular Member of NANDA I, serves as a
  member of the NANDA-I Membership and External
  Relations Committee
• NANDA-I Membership Network Groups are recognized
  as part of the greater organization. As
  such, Network Groups operate according to
  NANDA-I Bylaws and Membership Network Group
  policies.
• All members of NANDA-I Membership Network Groups
  must become active members of NANDA International
  within 3 months of the group receiving Board
  approval.
• The Board reserves the right to dissolve a
  NANDA-I Membership Network Group that does not
  function in accordance with the aims and
  objectives of the organization and its bylaws.

7
Increasing our International Base NANDA-I
Networks

• Provide a voice within a major NANDA-I Committee
  for network coordinators
• Provide ease of communication for a group of
  nurses sharing the same language, same specialty
  or same country within themselves and between
  these groups and NANDA-I Board of Directors
• Improves our ability to ensure the diagnoses
  under review are culturally and geographically
  sensitive, and that translation issues can be
  dealt with prior to publication

8
Pricing Structure for Memberships

• Members are charged lower fees for membership,
  based on the WHO Classification of Countries
• 105 USD Per Year Class I Country (Argentina,
  USA)
•   55 USD Per Year Class II Country (Brasil,
  Columbia, Ecuador, Honduras, Peru, Venezuela)
•   40 USD Per Year Class III Country
  (Afghanistan)
• Enables more members from all over the world
• Provides all benefits of membership, including
  discounted purchases and conference registration

9
2009 Initiatives

• New NANDA-I Website
• Goals1. Increase NANDA-I membership
• 2. Generate non-dues revenue
• 3. Create greater organizational efficiency
• 4. Distribute information about / provide expert
  assistance on nursing diagnoses
• 5. Promote the NANDA-I book
• 6. Promote the NANDA-I conference
• 7. Provide opportunity for international
  inclusiveness
• 8. Build online community among members

10

• Members Only Area
• Membership discounts on affiliate programs
• NANDA-I Publications
• Lexicomp
• Career center
• NANDA-I General store purchases
• Amazon.com

11
Increased Communication

• Quarterly newsletters via Email (sign-up on the
  NANDA-I website)
• E-blasts to members with information of interest
• Updated website content
• Direct email communication to President,
  Executive Director and Chairs of Informatics,
  Education Research, and Diagnosis Development
  Committees

12
Increased Transparency

• Board meeting minutes are posted immediately
  after the meeting concludes no waiting!
• Presidents Priorities are posted at website
• NANDA-I Position Statements are available for
  downloading

13
The Definition of Nursing Diagnosis

• Is the current definition of nursing diagnosis
  relevant today for
• All practice settings?
• All professional nursing roles?
• All countries?

14
The Definition of Nursing Diagnosis

• A clinical judgment about individual, family, or
  community responses to actual or potential health
  problems/life processes. A nursing diagnosis
  provides the basis for selection of nursing
  interventions to achieve outcomes for which the
  nurse is accountable.
• NANDA, 1990

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The Definition of Nursing Diagnosis

• Accountability
• Is the nurse truly accountable for outcomes?
• Is this really interdisciplinary accountability?
• Where is the patients / familys accountability?
• Scope
• Is the scope of this definition too broad or too
  narrow?

16
Proposed Change to the Definition

• A nursing diagnosis is a clinical judgment that
  nurses make about individual, family, and
  community responses to conditions/life processes.
  Based on that judgment, the nurse is responsible
  for monitoring of client responses,
  decision-making culminating in a plan of care,
  and implementing interventions, including
  interdisciplinary collaboration and referral as
  needed. The nurse is wholly or partially
  accountable for the achievement of the desired
  outcomes.
• Proposal to NANDA International, 2008

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Potential Implications

• Does changing from for which the nurse is
  accountable TO The nurse is wholly or partially
  accountable weaken nursing practice?
• Is accountability a benchmark of autonomous,
  professional practice?
• Is international nursing practice consistent
  enough to enable a definition that meets all of
  our needs?

18
A call for simplicity

• Questions we should ask regarding nursing
  diagnosis definition
• Does the current definition exclude
• Any practice setting
• Any professional nursing role
• Any countrys nurse practice act/regulation?
• Can we simplify the definition without impacting
  any of the above?
• What does changing the definition give us?

19
A call to refocus

• Primary importance is to identify, define and
  conceptualize the domain of nursing science and
  nursing practice
• Gaps exist in our taxonomy that require
  development and refinement of nursing diagnoses
• Incomplete taxonomy threatens applicability of
  nursing diagnoses to international nursing
  practice

20
A call to refocus

• Nurses internationally need to claim their scope
  of practice by identifying and developing nursing
  diagnoses
• Acceptance into the NANDA-I taxonomy enables
  validation and refinement of diagnoses across
  practice setting and country
• Enables standardized terminology for use in
  electronic health records ensuring the
  visibility of nursing for today and into the
  future

21
Inclusiveness of Taxonomy

• How do we ensure that the taxonomy represents
• All languages (translation concerns)
• All cultures
• All practice settings

22
Evidence-Base of the Taxonomy

• NANDA-I is the only nursing diagnostic taxonomy
  that
• Requires an evidence / research base to justify
  term, definition, defining characteristics,
  related and/or risk factors
• Has a peer review process requiring review of
  relevant literature
• Is updated annually and permits feedback based on
  published literature from nurses across the world

23
Evidence-Base of the Taxonomy

• Our processes although important can slow
  down inclusion of new and/or revised diagnoses
• Difficulty with non-English based literature
  (requires additional time and support from
  non-English speaking NANDA-I members)
• Submission process can be intimidating
  resources available now, but only in English
  require translation into all major languages

24
New NANDA-I Website

• Expertise / Assistance in Nursing Diagnosis
  Development

New Online Diagnosis Submission Form

• Diagnosis Submission Handbook
• Free PDF Download

25
Nursing Diagnosis Member Discussion Forum

• Discuss Nursing Diagnosis Resources, New
  revised diagnoses being reviewed by DDC,
  education issues, Electronic Medical Record
  issues, Translation concerns, OR set up your own
  work group to develop or revise nursing diagnoses!

26
New Publications

• Nursing Diagnoses Definitions and classification
  2009-2011

• Critical thinking to achieve positive health
  outcomes

27
2010 NANDA-I / AENTDE Conference

• First conference for NANDA-I held outside of the
  United States