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Advanced Nursing Process

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The Advanced Nursing Process is a new version of the general Nursing Process, which provides a structure for nursing practice [1-4]. The Nursing Process leads the nurse to assess patients’ care needs and to plan and evaluate nursing care. It contains five phases: Nursing Assessment, Nursing Diagnoses, Outcomes / Planning, Implementation, and Evaluation [2, 5]. As a structure with five phases alone, scientists criticised it for missing literature-based content and standardised concepts [6, 7]. The question was: What does the Nursing Process consist of? What content knowledge should it contain to be taught and researched?

To fill this research gap, the Advanced Nursing Process was developed. The term Advanced Nursing Process was first mentioned by Ackley & Ladwig [1]. The term “advanced” means “further developed, deepened, based on scientifically defined concepts”. Later, Müller-Staub et al., (2015) published a definition: “The Advanced Nursing Process consists of defined, validated concepts. It includes assessment, nursing diagnoses, nursing interventions and nursing outcomes that are rooted in scientifically based nursing classifications” [8], page 13 and [9, 10].

The Advanced Nursing Process is implemented by using standardized nursing classifications [6-28]. To teach it to nurses, the method ‘Guided Clinical Reasoning’ (GCR) was suggested. According to studies, GCR is a teaching method that supports the application of the Advanced Nursing Process [12, 29-35].

Advanced Nursing Process - original graph by Maria Müller Staub

Research indicates [21, 36, 37] three nursing classifications represent the body of nurses' knowledge: the Nursing Diagnosis Classification NANDA-I [38], the Nursing Interventions Classification NIC [39, 40], and the Nursing Outcomes Classification NOC [18]. Together, they are called NNN-Classification [41]. The NNN is research-based and was reported being the most used nursing classification [17, 26, 36, 37, 42]. It provides the content for the Advanced Nursing Process and contains 244 nursing diagnoses [38], 540 NOC nursing outcomes [18], and 565 NIC nursing interventions [40], see the following graph.


The aim of the Advanced Nursing Process is the application of scientific knowledge to clinical patient situations by valid concepts of nursing diagnoses, interventions and nursing-sensitive patient outcomes [8, 12, 16, 19, 21, 24, 33, 34, 36, 37, 42, 52, 55-60].

Nursing Process - Clinical Decision Support Systems (NP-CDSS) in EHRs can help nurses to apply the Advanced Nursing Process in practice, and an international standard gives direction on how to develop such a system in EHRs. With the aid of Clinical Decision Support Systems according to the NP-CDSS standard, clinical nurses can apply evidence-based knowledge in care planning and evaluations [61]. Studies revealed that the Advanced Nursing Process can significantly enhance patient outcomes [12, 30, 31, 33, 42, 57, 62-64]. Applying the NNN classifications in the Advanced Nursing Process points out what nurses do, why they do it, which objectives nurses’ pursue and which nursing-sensitive patient outcomes patients achieve [3, 4, 8, 17].

January 2023

References[edit]

1. Ackley, B.J. and G.B. Ladwig, Nursing diagnosis handbook: An evidence-based guide to planning care. 10 ed. 2011, St. Louis: Mosby/Elsevier.

2. American Nurses Association. What is nursing? The nursing process. 2009 January 5 [cited 2015 January 5]; Available from: http://www.nursingworld.org/EspeciallyForYou/What-is-Nursing/Tools-You-Need/Thenursingprocess.html.

3. American Nurses Association. What is nursing? 2013 [cited 2013 Oct.10]; Available from: http://www.nursingworld.org/EspeciallyForYou/What-is-Nursing.

4. Bickford, C.J., L. Marion, and S. Gazaway, eds. Nursing: Scope and Standards of Practice. 3 ed. 2015, American Nurses Association: Silver Spring, Maryland.

5. American Nurses Association, Nursing's social policy statement: The essence of the profession. 5 ed. 2010, Sliver Spring, Maryland: American Nurses Association. 144.

6. Bakken, S., et al., Utility of a standardized nursing terminology to evaluate dosage and tailoring of an HIV/AIDS adherence intervention. Journal of Nursing Scholarship, 2005. 37(3): p. 251–257.

7. Beyea, S.C., Standardized language--making nursing practice count. AORN Journal, 1999. 70(5): p. 831–834. 837–838.

8. Müller-Staub, M., et al., Expert report on nurses' responsibility. 2015, Bern: Swiss Nursing Science Association (ANS).

9. Müller Staub, M., et al., Rapport d’expertes concernant le domaine de responsabilité des soins infirmiers. 2015, Bern: Association Suisse Pour les Sciences Infirmières (AAPSI). 40.

10. Müller-Staub, M., et al., Expertenbericht zum Verantwortungsbereich der Pflege. 2015, Bern: Schweizerischer Verein für Pflegewissenschaft VFP. 41.

11. Ackley, B.J., G.B. Ladwig, and M.B. Flynn Makic, Nursing diagnosis handbook: An evidence-based guide to planning care. 2017, St. Louis: Mosby/Elsevier.

12. Bruylands, M., et al., Effects on the quality of the nursing care process through an educational program and the use of electronic nursing documentation. International journal of nursing knowledge, 2013. 24(3): p. 163–70.

13. Doenges, M., M.F. Moorhouse, and A. Geissler-Murr, Nursing diagnosis manual: Planning, individualizing, and documenting client care. 2005, Philadelphia: F.A. Davis.

14. Doenges, M., et al., Pflegediagnosen und Massnahmen. 6 ed. 2018, Bern: Hogrefe.

15. Doenges, M.E., M.F. Moorhouse, and A.C. Murr, Nurse's pocket guide: Diagnoses, prioritized interventions, and rationales. 13 ed. 2016, Philadelphia: F. A. Davis.

16. Keenan, G.M., et al., A Shovel-Ready Solution to Fill the Nursing Data Gap in the Interdisciplinary Clinical Picture. Int J Nurs Knowl, 2018. 29(1): p. 49–58.

17. Kuiper, R.A., et al., Clinical reasoning and standardized terminology, in The essentials of clinical reasoning for nurses: Using the Outcome-Present State-Test Model for reflective practice, S.T.T. International, Editor. 2017, Sigma Theta Tau International. p. 23–46.

18. Moorhead, S., et al., Nursing outcomes classification (NOC). 6 ed. 2018, St. Louis: Elsevier.

19. Müller Staub, M., et al., Anforderungen an die Pflegeprozess-Dokumentation. 2018, Zürich: Waispital.

20. Müller Staub, M., H. de Graaf-Waar, and W. Paans, Standard for Nursing Process Clinical Decision Support Systems (NP-CDSS) in EHRs, in ACENDIO. 2015, Association for Common European Nursing Diagnoses, Intervention and Outcomes: Bern.

21. Müller Staub, M., P. König, and K. Schalek, eds. Pflegeklassifikationen: Anwendung in Praxis, Bildung und elektronischer Pflegedokumentation. Vol. 1. 2017, Hogrefe: Bern. 416.

22. Müller-Staub, M., ed. Pflegeprozess und kritisches Denken. ed. R. Alfaro-LeFevre. 2013, Huber: Bern. 509.

23. Müller-Staub, M., Denkend denken was man denkt. Padua, 2015. 10(5): p. 285–291.

24. Müller-Staub, M. and M. Odenbreit, Assessment-Instrumente die den Pflegeprozess berücksichtigen, in Pflegeklassifikationen: Anwendung in Praxis, Bildung und elektronischer Pflegedokumentation, M. Müller-Staub, K. Schalek, and P. König, Editors. 2017, Hogrefe: Bern.

25. Muller-Staub, M. and W. Paans, A Standard for Nursing Process - Clinical Decision Support Systems (NP-CDSS). Stud Health Technol Inform, 2016. 225: p. 810–1.

26. Müller-Staub, M. and E. Rappold, Klassifikationen/Systeme – Beurteilung anhand von Studien, in Pflegeklassifikationen: Anwendung in Praxis, Bildung und elektronischer Pflegedokumentation, M. Müller-Staub, K. Schalek, and P. König, Editors. 2017, Hogrefe: Bern.

27. Saranto, K., et al., Impacts of structuring nursing records: a systematic review. Scand J Caring Sci, 2014. 28(4): p. 629–47.

28. Wilkinson, J.M., Nursing process and critical thinking. 2012, New Jersey: Prentice Hall.

29. Leoni-Scheiber, C., R.M. Gothe, and M. Muller-Staub, [Nurses' Attitudes toward the "Advanced Nursing Process" before and after an educational intervention - a quasi-experimental study]. Pflege, 2016. 29(1): p. 33–42.

30. Leoni-Scheiber, C., H. Mayer, and M. Muller-Staub, Measuring the effects of guided clinical reasoning on the Advanced Nursing Process quality, on nurses' knowledge and attitude: Study protocol. Nurs Open, 2019. 6(3): p. 1269–1280.

31. Leoni-Scheiber, C., H. Mayer, and M. Muller-Staub, Ubereinstimmung des Advanced Nursing Process mit Beobachtungen, Interviews und Pflegedokumentationen im Akutspital. Pflege, 2019: p. 1-10.

32. Müller-Staub, M., Klinische Entscheidungsfindung und kritisches Denken im pflegediagnostischen Prozess. Pflege: Die wissenschaftliche Zeitschrift für Pflegeberufe, 2006. 19(5): p. 275–279.

33. Müller-Staub, M., et al., Improved quality of nursing documentation: Results of a nursing diagnoses, interventions and outcomes implementation study. International Journal of Nursing Terminologies and Classifications, 2007. 18(1): p. 5-17.

34. Müller-Staub, M., et al., Implementing nursing diagnostics effectively: cluster randomized trial. Journal of Advanced Nursing, 2008. 63(3): p. 291–301.

35. Müller-Staub, M. and U. Stuker-Studer, Klinische Entscheidungsfindung: Förderung des kritischen Denkens im pflegediagnostischen Prozess durch Fallbesprechungen. Pflege: Die wissenschaftliche Zeitschrift für Pflegeberufe, 2006. 19(5): p. 281–286.

36. Odenbreit, M., et al., Nursing classifications: Criteria and evaluation, in NANDA International Nursing Diagnoses: Definitions and classification 2012–2014, T.H. Herdman, Editor. 2012, Wiley-Blackwell: Oxford. p. 133–143.

37. Tastan, S., et al., Evidence for the existing American Nurses Association-recognized standardized nursing terminologies: a systematic review. Int J Nurs Stud, 2014. 51(8): p. 1160–70.

38. Herdman, T.H. and S. Kamitsuru, eds. NANDA International nursing diagnoses: Definitions and classification 2018–2020. 2018, Thieme: New York.

39. Bulechek, G., et al., Nursing interventions classification. 6 ed. 2013, St. Louis: Elsevier.

40. Butcher, H., et al., Nursing Interventions Classification (NIC). 2018, Elsevier: St. Louis.

41. Johnson, M., et al., NOC and NIC linkages to NANDA-I and clinical conditions. 3 ed. 2012, Maryland Heights: Elsevier Mosby. 422.

42. Rabelo-Silva, E.R., et al., Advanced Nursing Process quality: Comparing the International Classification for Nursing Practice (ICNP) with the NANDA-International (NANDA-I) and Nursing Interventions Classification (NIC). J Clin Nurs, 2017. 26(3-4): p. 379–387.

43. Jones, D., et al., Standardized nursing languages: essential for the nursing workforce. Annual review of nursing research, 2010. 28: p. 253–94.

44. Lopez, K.D., et al., Toward a More Robust and Efficient Usability Testing Method of Clinical Decision Support for Nurses Derived From Nursing Electronic Health Record Data. Int J Nurs Knowl, 2017. 28(4): p. 211–218.

45. Lunney, M. and M. Müller-Staub, Nursing diagnosis and research, in NANDA International Nursing Diagnoses: Definitions and classification 2012–2014, T.H. Herdman, Editor. 2012, Wiley-Blackwell: Oxford. p. 114–121.

46. Müller-Staub, M., et al., Testing the Q-DIO as an instrument to measure the documented quality of nursing diagnoses, interventions, and outcomes. International journal of nursing terminologies and classifications : the official journal of NANDA International, 2008. 19(1): p. 20–7.

47. Odutayo, P.O., et al., Impact of an educational program on the use of standardized nursing languages for nursing documentation among public health nurses in Nigeria. Int J Nurs Knowl, 2013. 24(2): p. 108–112.

48. Paans, W., M. Muller-Staub, and W.P. Krijnen, Outcome Calculations Based on Nursing Documentation in the First Generation of Electronic Health Records in the Netherlands. Stud Health Technol Inform, 2016. 225: p. 457–60.

49. Paans, W., et al., Do knowledge, knowledge sources and reasoning skills affect the accuracy of nursing diagnoses? a randomised study. BMC Nurs, 2012. 11: p. 11.

50. Polit, D.F. and C. Tatano Beck, Nursing research: Generating and assessing evidence for nursing practice. 9 ed. 2012, Philadelphia: Wolters Kluwer /Lippincott, Williams & Wilkins.

51. Sanson, G., et al., Impact of nursing diagnoses on patient and organisational outcomes: a systematic literature review. J Clin Nurs, 2017. 26: p. 3764–3783.

52. Silva-Rabelo, E.R., et al. Quality of nursing records comparing the standardized languages NANDA-I/NIC and ICNP in 10th European Conference of ACENDIO - eHEALTH AND NURSING: Knowledge for Patient Care. 2015. Bern: ACENDIO Abstracts Conference CD.

53. Tuinman, A., et al., Accuracy of documentation in the nursing care plan in long-term institutional care. Geriatr Nurs, 2017. 38(6): p. 578–583.

54. Welton, J.M. and E.M. Harper, Nursing Care Value-Based Financial Models. Nurs Econ, 2015. 33(1): p. 14–9, 25.

55. Keenan, G., et al., Challenges to nurses' efforts of retrieving, documenting, and communicating patient care information. J Am Med Inform Assoc, 2013. 20(2): p. 245–51.

56. Müller Staub, M., Anforderungskriterien Pflegeassessment und Pflegeprozess- Dokumentation. 2017, Wil: Pflege PBS.

57. Müller-Staub, M., Evaluation of the implementation of nursing diagnostics: A study on the use of nursing diagnoses, interventions and outcomes in nursing documentation. 2007, Wageningen: Ponsen & Looijen. 175.

58. Odenbreit, M., Pflegedaten sinnvoll nutzen: Elektronische Pflegedokumentation und DRG, in Pflegeklassifikationen: Anwendung in Praxis, Bildung und elektronischer Pflegedokumentation, M. Müller-Staub, K. Schalek, and P. König, Editors. 2017, Hogrefe: Bern. p. Kap. 19.

59. Odenbreit, M., C. Leoni-Scheiber, and E. Bättig, Wissenschaftliche Stellungnahme: NANDA-I − POP, Schweizerischer Verein für Pflegewissenschaft VFP, Editor. 2016, Schweizerischer Verein für Pflegewissenschaft (VFP): Bern. p. 1–5.

60. Paans, W., M. Müller-Staub, and W.P. Krijnen, Outcome calculations based on nursing documentation in the first generation of electronic health records in the Netherlands, in NI16. 2016, IOS Press: Amsterdam.

61. Muller-Staub, M., H. de Graaf-Waar, and W. Paans, An Internationally Consented Standard for Nursing Process-Clinical Decision Support Systems in Electronic Health Records. Comput Inform Nurs, 2016. 34(11): p. 493–502.

62. Leoni-Scheiber, C., H. Mayer, and M. Muller-Staub, Relationships between the Advanced Nursing Process quality and nurses' and patient' characteristics: A cross-sectional study. Nurs Open, 2020. 7(1): p. 419–429.

63. Odenbreit, M., et al. Wissenschaftliche Empfehlung des VFP für standardisierte Pflegefachsprachen in Klinikinformations-Systemen (KIS). 2018. 5.

64. Zanon, D.C., D. Gralher, and M. Muller-Staub, Interventions of the nursing diagnosis "Acute Pain" - Evaluation of patients' experiences after total hip arthroplasty compared with the nursing record by using Q-DIO-Pain: a mixed methods study. Pflege, 2017. 30(3): p. 129–138.



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