title: Retrospective study of the implementation of the nursing process in a health area.
abstract: OBJECTIVE
  To analyze when the nursing process began to be used in the public and private healthcare centers of Gipuzkoa (Basque Country), and when both NANDA-I nursing diagnoses and the NIC-NOC terminologies were incorporated into this process.
  
  
  METHODS
  A retrospective study was conducted, based on the analysis of nursing records that were used in the 158 studied centers.
  
  
  RESULTS
  The specific data provided showed that in Gipuzkoa, the nursing process began to be used in the 1990s. As for NANDA-I nursing diagnoses, they have been used since 1996, and the NIC-NOC terminologies has been used since 2004.
  
  
  CONCLUSIONS
  It was concluded that public centers are the ones which, generally speaking, first began with the nursing methodology, and that in comparison to the United States and Canada, the nursing process started to be used about 20 years later, NANDA-I nursing diagnoses around 15 years later, and the NIC-NOC terminologies, around six years later.
authors.affiliation: Departamento de Enfermería II, Escuela de Enfermería de Donostia-San Sebastián, Universidad del País Vasco, DonostiaSan Sebastián, Spain.
authors.forename: Joseba Xabier
authors.initials: JX
authors.lastname: Huitzi-Egilegor
authors.forename: Maria Isabel
authors.initials: MI
authors.lastname: Elorza-Puyadena
authors.forename: Jose Maria
authors.initials: JM
authors.lastname: Urkia-Etxabe
authors.forename: Maria Victoria
authors.initials: MV
authors.lastname: Esnaola-Herrero
authors.forename: Carmen
authors.initials: C
authors.lastname: Asurabarrena-Iraola
mesh_terms: D006801:Humans; D009736:Nursing Process / Q000458:organization & administration*; D012189:Retrospective Studies