The first Waidsymposium entitled “Advanced Nursing Process in Practice” was held at October 24 in Zürich, Switzerland. A successful premiere!
The scientific conference program attracted a fully booked forum: over 130 participants from Switzerland, Austria, Germany and the Netherlands took part in vivid discussions.
Prof. Hanna Mayer (University of Vienna) highlited differences in thinking and perceiving the world among clinical nurses and nursing scientists. She concluded that knowledge transition (back and forth) is needed rather than knowledge transfer (from research to practice). Prof. Müller Staub (PhD, RN, FEANS, FNI; Head of Nursing Development and Research at Waidspital) gave a practical example to knowledge transition by presenting the implementation of the Advanced Nursing Process. It is defined as: “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”. This means, it is based on validated, standardized nursing languages (SNLs)
http://www.vfp-apsi.ch/download/58/page/31760_1_dl_expertenbericht%20englisch.pdf (p. 13). The growing literature on this process supports its implementation in theory and practice, and its implementation was scientifically validated at Waidspital. All presentations can be found at: https://www.stadt-zuerich.ch/waid/de/index/waid_aktuell/professionals/fortbildung/fortbildung-pflege/waid-symposium.html.
Claudia Leoni-Scheiber (MNS, MSc, PhDc) presented a complex mixed-methods study design to evaluate the implementation of the Advanced Nursing Process. The intervention method is ‘Guided Clinical Reasoning’, a method to support nurses’ clinical decision-making and critical thinking when performing the Advanced Nursing Process. Her results demonstrate that more accurate diagnoses lead to significantly more effective nursing interventions. She also found a strong correlation between accurate (SNL based) nursing diagnoses and (better) nursing-sensitive patient outcomes.
The APN team of the hospital – as part of the research group – had joined in data gathering. Jeanine Altherr (MNS) and Anita Eugster (APN) shared experiences made and how they support and supervise clinical nurses in practice. Nursing diagnoses (NANDA-I) were implemented in this hospital in 2009, and currently a new electronic nursing documentation system (EHR) is developed to apply the NNN Assessement which is linked to nursing diagnoses and NIC interventions. All APNs strongly support these innovations by working in project groups and in practice.
Beatrice Gehri (MNS/APN in the Psychiatric University Hospital in Basel) described the implementation of NANDA-I, NIC and NOC in several clinics. A highlight she shared with the audience was when a patient said to her: “The nurses work with me on my anxiety problems”. Checking the EHR supported his statement: the nursing diagnosis ‘Anxiety’ was clearly and fully documented with related NIC interventions and stated NOC outcomes. An other example of putting SNL into practice!
The director of the Lectoraat in Nursing Diagnostics, Prof. Wolter Paans (PhD, RN) presented study results indicating connections between nursing diagnoses and patients length of stay (LOS): the LOS is significantly predicted by nursing diagnoses, not by medical diagnoses or treatments. He also showed impressive research and possibilities to make nursing visible in the future by Big Nursing Data reserach https://www.hanze.nl/assets/kc-cares/verpleegkundige-diagnostiek/Documents/Public/Rede%20Wolter%20Paans.pdf
Submitted respectfully by Maria Müller Staub, Jan 11.