[Nursing care in telemedicine and telehealth across the world]. / Les soins infirmiers en télémédecine et télésanté dans le monde.

Developments in cyberhealth are now accessible to all patients and healthcare professionals. These tools enable expert advice to be provided remotely and ensure a continuity of care for all those who need it. Telecare is developing across the world, as are networks of nurses who practise it and researchers who analyse the results.

Toward a Global eHealth Observatory for Nursing.

This poster summarizes a review of existing health observatories and proposes a new entity for nursing. A nursing eHealth observatory would be an authoritative and respected source of eHealth information that would support nursing decision-making and policy development and add to the body of knowledge about professional nursing and client care outcomes.

Leadership strategies for improved nursing synergy between informatics and telehealth.

The goal of best practice, best possible health care worldwide is shared by nurses and all involved with eHealth today. The purpose of this paper is to characterize the similarities and differences between informatics and telehealth from a nursing perspective, and to advocate for leadership strategies that would bring the strengths of each group to a more synergistic, collaborative professional model for the benefit of both groups. After comparing telehealth and informatics nursing and looking for commonalities, suggestions are made for bridging the gap between the two groups. Potential strategies include identifying leaders, using conflict avoidance techniques, and pursuing coaching and mentoring opportunities across the gap to enhance the professional standing and contributions of both groups. An added consideration would be to have joint conferences wherein the strengths, challenges and knowledge repositories of informatics and telehealth could be mutually appreciated.

Collaborative development and maintenance of health terminologies.

The quest for a standardized terminology that can meet the varying needs of healthcare practice, and requirements for secondary use, is ongoing. The number of potential users and the number of potential uses for standardized terminologies make collaborative development, rather than the traditional de jure approach, an imperative, and there appears to be significant worldwide interest in this area. In this article we describe an initiative of the International Council of Nurses (ICN), ICNP C-Space (Collaborative Space), which utilized a social media platform to encourage and facilitate global collaborative development of its terminology, the International Classification for Nursing Practice (ICNP(®)). We report on several years of experience of managing the platform and provide valuable lessons on collaborative terminology development. Our experience suggests that web-based platforms such as ICNP C-Space certainly offer the promise of a broader, wider-reaching, and more inclusive community of contributors to the terminology development process. However, there are also potential limitations for which we provide practical recommendations.

ICNP Catalogues for supporting nursing content in electronic health records.

The purpose of this study was to describe sets of nursing concepts including, for example, nursing diagnoses and interventions, which are knowledge-based and clinically relevant to support nursing practice. Health information systems using the International Classification for Nursing Practice (ICNP®) provide a platform for standardized nursing documentation for patients' health care, clinical decision support, and repositories for re-use of clinical data for quality evaluation, research, management decisions and policy development. Clinically relevant sets of ICNP concepts can facilitate implementation of health information systems for nursing. Descriptive analysis was used to examine the types of, and relationships among, existing nursing content sets. Findings included the need for various types of content sets, as represented in ICNP catalogues, for nursing documentation. Five types of ICNP Catalogues included Care Plans, Order Sets, Clinical Templates, Nursing Minimum Data Sets, and Terminology Subsets.

Representation of nursing terminologies in UMLS.

There are seven nursing terminologies or classifications that are considered a standard to support nursing practice in the U.S. Harmonizing these terminologies will enhance the interoperability of clinical data documented across nursing practice. As a first step to harmonize the nursing terminologies, the purpose of this study was to examine how nursing problems or diagnostic concepts from select terminologies were cross-mapped in Unified Medical Language System (UMLS). A comparison analysis was conducted by examining whether cross-mappings available in UMLS through concept unique identifiers were consistent with cross-mappings conducted by human experts. Of 423 concepts from three terminologies, 411 (97%) were manually cross-mapped by experts to the International Classification for Nursing Practice. The UMLS semantic mapping among the 411 nursing concepts presented 33.6% accuracy (i.e., 138 of 411 concepts) when compared to expert cross-mappings. Further research and collaboration among experts in this field are needed for future enhancement of UMLS.

Web-based collaboration for terminology application: ICNP C-space.

The purpose of this paper is to describe the ongoing evolution of a nursing terminology that involves users in all aspects of the terminology lifecycle. A terminology will not succeed until and unless it benefits users and contributes to improved client outcomes at the point of care. Since the release of ICNP®Version 1 in 2005, users have been necessary partners in research and development, dissemination and education, and, to some extent, in terminology maintenance and operations. ICNP C-Space was launched in 2008 as a platform for collaboration among users and the ICNP team. C-Space applications include, but are not limited to, the ICNP browser, a multi-lingual browser, catalogue development pages, and group discussion pages. Future uses may include work related to ICN research and networks. C-Space adds value to ICNP, ICN, and nursing worldwide by ensuring that terminology users can contribute their expertise to finding workable solutions and developing important products related to ICNP.