title: Appropriateness of ICNP in Korean home care nursing.
abstract: OBJECTIVE
  There are several hospitals in Korea that introduced the ICNP (International Classification for Nursing Practice) as the standard terminology for clinical and home care nursing. This research attempted to determine the appropriateness of ICNP in Korean, hospital based, home care nursing.
  
  
  METHODS
  The data was collected from a home care nursing center from January 1, 2009 to September 21, 2012. The center is operated by a Korean teaching hospital equipped with an ICNP based electronic nursing record (ENR) system. Via a refining process, 40,082 simplified sentences of nursing intervention were acquired from 41,158 nursing records. Among them, 545 preferred nursing statements were extracted, then mapped, to ICNP 2011 at both axis and sentence levels.
  
  
  RESULTS
  The mapping results were classified into three categories based on the axis of concept origin and the level of hierarchy. These categories were titled: complete, incomplete and no mapping. Out of 45 unique concepts in the action axis, 42 (93.33%) concepts were completely mapped. However, only 38 (15.08%), out of 252 unique concepts, were completely mapped in the focus axis. At the statement level, only 19.63% of statements were completely mapped.
  
  
  CONCLUSIONS
  The ICNP is not useful as a tool for home care nursing in its present form. The granularity of ICNP has to be improved and more concepts, specific to home care nursing, need to be added in the focus and action axes. Also, a new measure needs to be introduced to prevent information loss during mapping.
authors.affiliation: College of Nursing, The Catholic University of Korea, Republic of Korea.
authors.forename: Min-Jeoung
authors.initials: MJ
authors.lastname: Kang
authors.affiliation: College of Nursing, The Catholic University of Korea, Republic of Korea.
authors.forename: Soon-Lae
authors.initials: SL
authors.lastname: Kim
authors.affiliation: College of Nursing, The Catholic University of Korea, Republic of Korea.
authors.forename: Jong-Eun
authors.initials: JE
authors.lastname: Lee
authors.affiliation: College of Medicine, The Catholic University of Korea, Republic of Korea.
authors.forename: Chai Young
authors.initials: CY
authors.lastname: Jung
authors.affiliation: College of Medicine, The Catholic University of Korea, Republic of Korea. Electronic address: sikimMD@catholic.ac.kr.
authors.forename: Sukil
authors.initials: S
authors.lastname: Kim
mesh_terms: D006699:Home Care Services / Q000592:standards*; D064650:Home Health Nursing; D006784:Hospitals, Teaching; D006801:Humans; D016347:Medical Records Systems, Computerized; D010347:Patient Care Planning / Q000458:organization & administration*; D056910:Republic of Korea
keywords: Home care nursing; ICNP (International Classification for Nursing Practice); Nursing records