International Journal of Nursing Knowledge

Cover image for Vol. 27 Issue 1

Edited By: Jane Flanagan, PhD, ANP-BC

Impact Factor: 0.404

ISI Journal Citation Reports © Ranking: 2014: 97/109 (Nursing (Social Science)); 100/111 (Nursing (Science))

Online ISSN: 2047-3095

Virtual Issue: Integration of NNN into EHRS

Integration of NNN into EHRS: How are we doing?
Gail M. Keenan, PhD, RN, FAAN
Diana J. Wilkie, PhD, RN, FAAN

Introduction by the Editor:
As I prepared for this second virtual issue that is focused on the integration of NANDA-I NIC and NOC (NNN) into the electronic health record (EHR), I reviewed two decades of articles to determine which best captured the development, growth and use of NNN within the EHR. What struck me as I reviewed articles first in the International Journal of Nursing Terminologies and Classifications and later in the International Journal of Nursing Knowledge is the ongoing commitment of those dedicated to the growth, development and use of NNN. I was also reminded that our use of computers in nursing has grown exponentially over these two decades.

The use of computerized systems for any purpose in nursing was still being discussed in the 1990’s and not truly realized until much more recent years as is evident by the articles chosen for this special issue. The early studies by Harvey (1993), Coenen et al (1995) and Moorhead and Delaney (1997) that were selected for this issue were not really about the EHR at all, but they were the necessary precursors to the studies by Delaney et al (2000), Klehr et al (2009) and Keenan et al (2012).

In what seemed like a flash forward in terms of EHR use from 1993 to the present, Keenan et al (2012) tested Hands-on Automated Nursing Data System (HANDS) to determine if this EHR system supported a standardized, streamlined and meaningful plan of care process for nurses to use across varied settings. HANDS incorporated the standardized nursing language of NNN. Without all the preliminary work of the many who have contributed to NNN over the years, this sort of study would be impossible.

As you read through the articles chosen for this virtual issue, I think you will also be reminded of the time before the computer and its introduction into nursing. Our growth in terms of the use of the computer for standardized nursing language development has been rapid. The increasingly widespread use of the EHR will continue to greatly impact our ability as nurses to communicate with one another because we will all be speaking the same language in terms of assessment and NNN. This development will help us to realize nursing’s goal to improve the health for all people globally.

Jane Flanagan, PhD, ANP-BC

Read these articles free until 15th November 2014:

Editorial and Commentary
Gail M. Keenan, PhD, RN, FAAN and Diana J. Wilkie, PhD, RN, FAAN

Data mining nursing care plans of end-of-life patients: A study to improve healthcare decision making.
Al-Masalha, F., Xu, D., Keenan, G. M., Khokhar, A., Chen, J., Johnson, A., Ansari, R., & Wilkie, D. J.

Use of the Nursing Minimum Data Set to Describe Nursing Interventions for Select Nursing Diagnoses and Related Factors in an Acute Care Setting
Coenen, A., Ryan, P., Sutton, J., Devine, E. C., Werley, H. H. and Kelber, S.

Reliability of Nursing Diagnoses Documented in a Computerized Nursing Information System
Delaney, C., Herr, K., Maas, M. and Specht, J.

Nursing Diagnosis by Computers: An Application of Neural Networks. International Journal of Nursing Terminologies and Classifications
Harvey, R. M.

Maintaining a Consistent Big Picture: Meaningful Use of a Web-based POC EHR System
Keenan, G. M., Yakel, E., Yao, Y., Xu, D., Szalacha, L., Tschannen, D., Ford, Y., Chen, Y.-C., Johnson, A., Lopez, K. D. and Wilkie, D. J.

Implementation of Standardized Nomenclature in the Electronic Medical Record.
Klehr, J., Hafner, J., Spelz, L. M., Steen, S. and Weaver, K.

Mapping Nursing Intervention Data Into the Nursing Interventions Classification (NIC): Process and Rules
Moorhead, S. and Delaney, C.