More than terminology: using ICNP to enhance nursing's visibility in Italy

Background: The International Council of Nurses (ICN) has elaborated an international terminology for nursing practice [International Classification of Nursing Practice (ICNP)] that can be useful to catalogue the problems of a nursing nature in diagnosis and also find a system for the classification of nursing activities. ICNP is also the reason why the Italian association Consociazione, representing Italian Nurses at ICN, through the School of Advanced Nursing of the University 'La Sapienza' of Rome, has set up a working group for the translation and experimentation of the ICNP version Beta 2. Content: In this article the ICNP beta translation and validation into Italian is considered with some scenarios of how benefit could be derived by its utilization for nursing's visibility. The visibility of nursing care can be measured not only through patient outcomes but also by studying the existing data of patient care documentation. To have a common language and terminology in nursing is important for a universal understanding. Results: Some philosophical reasoning on the genesis and development of 1CNP is discussed along with arguments for and against nursing classification systems. Some findings on Italian experimentation for nursing documentation as well as economical analysis are reported along with a vision for future development and utilization

Teaching Nursing Students Empathic Communication: A Mandate from the Code of Ethics for Nursing

Empathy is the foundation of understanding patient’s needs, concerns and emotions, and is fundamental to nursing practice. Empathy is the attribute that gives the nurse the ability to truly understand another person. Do nursing educators, students, and patients acknowledge the value of empathic communication? Two key questions emerge which are centered in a critical care scenario regarding a patient and his family. These questions explore whether nursing educators view their teaching role as inclusive of empathic communication with patients from both an ethical perspective as well as consideration of accreditation. Also identified is the saliency of the ANA (American Nurses Association) Code of Ethics for Nurses and the ICN (International Council of Nurses) Code of Ethics for Nurses in addressing the realm of empathic communication. Nursing faculty must be cognizant of any aspect of nursing education that compromises their ethical responsibility. The inclusion of teaching empathic communication to nursing students and ensuring their competency is vital to all the patients and family encountered along their professional journey

Nursing education and regulation: international profiles and perspectives

This review of nurse education and regulation in selected OECD countries forms part of ongoing work on contemporary nursing careers and working lives, based at the National Nursing Research Unit, King’s College London. The review was commissioned by the Department of Health to inform their work in considering the UK’s position in relation to the Bologna declaration and changes that may emanate from the implementation of Modernising Nursing Careers (DH 2006). While much of the information in the review was obtained from publications and websites, we also contacted key personnel in most of the countries included for an up-to-date review of developments in their country and would like to thank them all for providing this information

Development of disaster nursing competency assessment instruments

It is important to ensure that nurses have sufficient skills and knowledge to handle emergency situations. This competency assessment can help improve nurses' readiness to face disasters and emergency situations that may occur. To develop an unobtrusive (observation) instrument for assessing disaster nursing competency which refers to the International Council of Nurses (ICN) disaster nursing competency framework, especially earthquake and volcano disasters. The starting date for the design of the disaster nursing competency assessment instrument was 2023. Then, the implementation of the research to test the instrument, which had been validated by experts using disaster nursing practice simulations, was conducted for a month from February to March 2023. The research design uses Design-Based, the sample criteria were active student status, emergency nursing, and disaster management courses. The total number of respondents was 80 students, and in the initial stage of testing the instrument during disaster simulation observations, a limited sample of 20 respondents was taken at random and assessed by five lecturers as raters. The instrument development stage started with the specification of the ICN disaster nursing competency assessment instrument. The Aiken index for the unobtrusive observation technique instrument with competency assessment rubric is high, valid, and met reliability requirements. Multifaceted analysis compared students, items, and lecturers from small and large samples. The analysis reveals that students' difficulty levels vary according to the assessing lecturer, with some mastering all items and others only mastering specific ones

Advocacy in Nursing: A Qualitative Discourse Analysis of Fundamental Nursing Textbooks

Advocacy in nursing has been provided to patients by nurses inconsistently with grave consequences for both patients and nurses. Patients have suffered debilitation or injury when nursing advocacy has not been operationalized effectively, and nurses have been ostracized, experienced job loss, and some have been prosecuted criminally for advocating for patients. The American Nurses Association (ANA) and the International Council of Nurses (ICN) have maintained that inherent to the role of nursing is advocating for patients, yet advocacy in nursing remains ill defined. The purpose of this research study was to investigate how advocacy was defined and taught in fundamental nursing textbooks, using discourse analysis. Four widely used fundamental nursing textbooks were analyzed. The analysis revealed that advocacy definitions were inconsistent, and the textbooks failed to prepare nurses for the complexities of real-world applications of advocacy. Nurses are asked to support patient autonomy and well-being, but nurses are not instructed with reasonable ways to do so in realistic, complex, modern healthcare settings. Recommendations for those who educate nursing students should consider adding additional, more realistic, advocacy resources to supplement nursing advocacy education, and textbooks should be updated to improve the discussion of nursing advocacy. Recommendations for the ANA are to consider developing a code of advocacy to protect nurses while they follow instructions to protect patients and avoid potential personal, professional, and legal ramifications

Rapport au Roi Souverain : rapport de la Commission d'Enquête ; A. M. le Secrétaire d'État de l'État Indépendant du Congo [31 octobre 1905]

Bakgrund: Den palliativa vården för hälso- och sjukvårdspersonal innebär att försöka uppnå den döende personens maximala livskvalitet och att lindra lidandet. Vården lutar sig mot det nationella vårdprogrammet för palliativ vård samt International Council of Nurses, ICN. Sjuksköterskans roll och uppgifter inom vården beskrivs där även de fyra hörnstenarna belyses. Syfte: Att belysa sjuksköterskornas upplevda svårigheter vid vård av patienter med palliativ diagnos. Metod: Examensarbetet är en litteraturöversikt baserad på Fribergs analysmetod. Denna litteraturöversikt inkluderar tio vetenskapliga artiklar som har sökts i databaserna CINAHL Complete och PubMed. Som en teoretisk utgångspunkt har Patricia Benners teori från novis till expert valts som en diskussion i resultatdiskussionen. Resultat: Sjuksköterskornas upplevda svårigheter av att vårda patienter med en palliativ diagnos resulterade i fyra huvudteman i litteraturöversikten; kommunikation, närstående och relation, vårdteamet samt kunskap och erfarenheter. Diskussion: Resultatet i litteraturöversikten har diskuterats utifrån Benners teori. Sjuksköterskornas upplevda svårigheter belystes genom fyra teman – kunskap och erfarenhet, närståendestöd, kommunikation mellan kollegor och gentemot patienten samt kultur som upplevd svårighet.Background: Palliative care for health professional means trying to achieve the maximum dying person's quality of life and ease suffering. The palliative care for health professionals means to try to achieve the dying person's maximum quality of life and alleviate suffering. The care inclined towards the Swedish national health care program for palliative care and the International Council of Nurses, ICN. The nurse's role and tasks in health care are described where even the four cornerstones elucidated. Aim: To elucidate the nurses perceived difficulties in nursing patients with palliative diagnosis. Method: The thesis is a literature review based on Friberg's analysis. This literature review includes ten scientific articles that have been searched in the databases CINAHL Complete and PubMed. As a theoretical base, Patricia Benner's theory from novice to expert was selected as a discussion of the results discussion. Results: The nurses perceived difficulties of caring for patients with a palliative diagnosis resulted in four main themes in the literature; communication, family and relationship, the health care team as well as knowledge and experience. Discussion: The results of the literature review are discussed based on Benner's theory. The nurses' perceived difficulties irradiated by four themes – knowledge and experience, family support, communication between colleagues and towards the patient as well the culture as perceived difficulties

The Community of Nursing: Moral Friends, Moral Strangers, Moral Family

Unlike bioethicists who contend that there is a morality common to all, H. Tristan Engelhardt (1996) argues that, in a pluralistic secular society, any morality that does exist is loosely connected, lacks substantive moral content, is based on the principle of permission and, thus, is a morality between moral strangers. This, says Engelhardt, stands in contrast to a substance-full morality that exists between moral friends, a morality in which moral content is based on shared beliefs and values and exists in communities that tend to be closely knit and religiously based. Of what value does Engelhardt’s description of ethics as moral friends and moral strangers have for nursing? In this essay, I attempt to show how Engelhardt’s description serves to illustrate how the nursing community historically had been one of moral friends but has gradually become one of moral strangers and, hence, at risk of failing to protect patients in their vulnerability and of compromising the integrity of nursing. Building on Engelhardt’s concepts, I suggest we might consider modern nursing like a moral family to the extent that members might at times relate to one another as moral strangers but still possess a desire and a need to reconnect with the common thread that binds us as moral friends. Nursing is a practice discipline. Given the challenges of modern bioethics, an applied ethic is needed to give moral direction to clinicians as we strive to conduct ourselves ethically in the practice of our profession. To that end, nursing should reflect upon and seek to reconnect with the content-full morality that is historically and religiously based

2005 Annual Report of the Iowa Communications Network

This is the Annual Report for Fiscal Year 2005 (July 1, 2004-June 30, 2005) for the Iowa Communications Network

NAFTA and the Mobility of Highly Skilled Workers: The Case of Canadian Nurses

This article examines the impact of trade treaties on health professionals' international mobility. It presents a case study of the impact of labour mobility clauses in trade agreements on the Canadian nursing labour market. It provides statistical evidence on the impact of NAFTA's Chapter 16 on the cross-border movement of Canadian nurses in the 1990s. We observed that an increasingly large number of Canadian nurses went to work in the United States using the NAFTA facilitation mechanism but that this growth could not be attributed to the trade agreement alone; domestic labour market conditions are key to understanding this cross-border movement. The article concludes that trade treaties and international migration of health personnel do not offer simple solutions to health personnel shortages, but can pose a danger to precarious health systems in developing countries.labour mobility, NAFTA, nurses, International Relations/Trade, Labor and Human Capital,