PERLUNYA STANDARDIZED NURSING LANGUAGES (SNLs)PADA ASUHAN KEPERAWATANKHUDAZI AULAWI

PSIK FKUNIVERSITAS GADJAH MADA

PENELITIANPRAKTISIPPNIPENDIDIKANNGANGGURPEMBIMBING KLINIKBIROKRATSNLs

APA ITU SNLs?

Standardized Nursing LanguageSekumpulan karakter atau ketentuan, atau istilah yang umum digunakan oleh perawat untuk menyampaikan apa yang dilakukan Standarisasi istilah yang digunakan untuk menggambarkan apa yang dilakukan oleh keperawatanSNLs Diagnosis (NANDA), Outcome/Tujuan dan kriteria hasil (NOC) Intervensi (NIC).

Nursing Nursing CareBased on knowledgeBased on ethic codeBased on evidenceIndividuals, Families, and Communities Nursing ProcessStandardized Nursing LanguageNANDANOCNIC

Delegated activities; Nursing diagnosis- Disease treatment, related activities Under order, or protocol

direct-care activities of nursing practice

Kenapa Memerlukan SNLs?Tuntutan sebagai profesi: menggunakan istilah yang baku/standarAktivitas yang dilakukan perawat menjadi kelihatanAlat komunikasi yang standarKontinyuitas asuhan keperawatanDasar dokumentasi elektronikJasa perawat

NANDA (North American Nursing Diagnosis Association)Tahun 1973, National conference group on the classification of nursing diagnosesFocused on diagnostic labels for individuals, families and communitiesTahun 1982: NANDATahun 1987: Taksonomi ITahun 1992: Taksonomi I direvisiPada konggres 14 th 2000: Taksonomi II

LanjutanTahun 2001: Nursing diagnoses: definition and classification 2001-2002155 Nursing DxClassification is updated every 2 yearsTahun 2003: Nursing diagnoses: definition and classification 2003-2004167 Nursing DxTahun 2005: Nursing diagnoses: definition and classification 2005-2006167 Nursing Dx5 New Diagnoses3 RevisedTahun 1997 Link NOC, NIC

Structure of NANDA DXDiagnostic Label (coded)Actual, Risk, or WellnessDefinitionDefining CharacteristicsRelated FactorsUses multi-axial approach

NOC (Nursing Outcomes Classification)Efforts to create an outcome classification began in 1992Research team at Iowa publishes first edition of Nursing Outcomes Classification (NOC) in 1997360 outcomes in 3rd edition

NOC StructureOutcome Label (coded)DefinitionIndicators (coded)Measurement scale(s) (coded)Can calculate outcome change score to capture change in patient status post intervention

Published every 4 years by Mosby

NIC (Nursing Interventions Classification)Efforts to standardize language for interventions began at Iowa in 1987 with the work of a research teamThe Nursing Interventions Classification (NIC) was first published in 1992336 InterventionsNIC 1996: 433 interventions in 2nd edition NIC 2004: 514 interventions in 4th edition

Structure of NICLabel name(coded)DefinitionSet of activitiesReferences

Classification is updated every 4 yearsPublished by Mosby

TranslationsNNN LinkagesChinese, Japanese, & SpanishNICChinese, Dutch, French, Japanese, Korean, Portuguese, & SpanishNOC Dutch, French, Japanese, Korean, Portuguese, & Spanish

HUBUNGAN SNLs DAN EVIDENCE BASED

Components of Evidence-based PracticeBuilding the evidenceAccessing the evidenceAnalyzing the evidenceApplying the evidence

Building the EvidenceStandardized language for defining health care interventionsOutcome measurements sensitive to the interventionsTechniques for routinely capturing and analyzing these types of data

KANAPA NANDA, NOC, DAN NIC?

Coding and Classification Systems with Utility for Clinical PracticeSystem Problem/Dx Intervention Outcomes

NANDA Taxonomy 2x

Current Procedural Terminologyx

Nursing Interventions Classificationx

Read Codes xxx

Omaha Systemxxx

Home Health Care Classificationxxx

SNOMED Internationalxxx

Patient Care Data Setxxx

Nursing Outcomes Classificationx

International Classification of Diseasesxx

Variasi pernyataan diagnosa keperawatanKurang perawatan diri

Variasi pernyataan diagnosa keperawatanResiko infeksi

MUNGKINKAH DITERAPKAN DI TEMPAT KITA?

Penggunaan Diagnosa Keperawatan NANDA Taksonomi 2

Penggunaan NOC dan NIC secara Kemaknaannya (definisi)

1997 Michigan Schools of Nursing Usage Of NANDA, NOC, NIC

2001 Michigan Schools of Nursing Usage Of NANDA, NOC, NIC

Tantangan ke DepanPenyamaan persepsiDiagnosa keperawatan, Tujuan IntervensiDikembangkan penelitian-penelitian tentang respon-respon spesifik orang Indonesia terhadap sakit/masalah kes.Berbeda Belum ada dalam gambaran diagnosa keperawatan NANDA Bisa Menemukan gambaran karakteristik dari respon orang Indonesia terhadap sakit atau masalah kesehatanBisa merupakan diagnosa keperawatan baru yang ditemukan oleh orang Indonesia.

Kesuwun Nggih