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The interplay between global standards and local practice in nursing

Permanent link
https://hdl.handle.net/10037/13409
DOI
https://doi.org/10.1016/j.ijmedinf.2013.02.005
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Submitted manuscript version (PDF)
Date
2013-05-17
Type
Journal article
Tidsskriftartikkel
Peer reviewed

Author
Meum, Torbjørg; Ellingsen, Gunnar; Monteiro, Eric; Wangensteen, Gro; Igesund, Harald
Abstract

Purpose: The paper assesses the extent, form, and transformation of global nursing classifications (NANDA) in a nursing practice during a period of 5 years.

Method: A longitudinal case study was used to trace implementation, adoption and use of nursing classifications as an integral part of an electronic nursing module. A mixed method of data collection was used, including semi-structured interviews, observation and document analysis.

Results: A surprisingly high proportion of nursing diagnoses was consistent with the global standard, in spite of a gradual increase of user-generated concepts. This is elaborated more thoroughly through a co-constructing perspective, emphasizing how the global standard and the practice mutually shaped each other over several years.

Conclusion: Standardization is an iterative process that is performed in close relationship with practice. The mutual interrelation between formal classifications (NANDA) and local practices are co-constructed in a dynamic interplay that evolves over time. In such a process, the use of local classifications and local strategies can be a means to bridge the gap between these two extreme points.

Highlights: ► Extensive use of standardized classification after implementation of electronic care plan. ► Local classifications evolved during long-term use. ► Co-construction of classifications was used to bridge the gap between global classifications and local needs.

Description
Submitted manuscript version. Published version available at https://doi.org/10.1016/j.ijmedinf.2013.02.005.
Publisher
Elsevier
Citation
Meum, T., Ellingsen, G., Monteiro, E., Wangensteen, G. & Igesund, H. (2013). The interplay between global standards and local practice in nursing. International Journal of Medical Informatics, 82(12), e364-e374. https://doi.org/10.1016/j.ijmedinf.2013.02.005
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