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dc.contributor.authorMeum, Torbjørg
dc.contributor.authorEllingsen, Gunnar
dc.contributor.authorMonteiro, Eric
dc.contributor.authorWangensteen, Gro
dc.contributor.authorIgesund, Harald
dc.date.accessioned2018-08-15T12:38:09Z
dc.date.available2018-08-15T12:38:09Z
dc.date.issued2013-05-17
dc.description.abstract<p><i>Purpose</i>: The paper assesses the extent, form, and transformation of global nursing classifications (NANDA) in a nursing practice during a period of 5 years.</p> <p><i>Method</i>: A longitudinal case study was used to trace implementation, adoption and use of nursing classifications as an integral part of an electronic nursing module. A mixed method of data collection was used, including semi-structured interviews, observation and document analysis.</p> <p><i>Results</i>: A surprisingly high proportion of nursing diagnoses was consistent with the global standard, in spite of a gradual increase of user-generated concepts. This is elaborated more thoroughly through a co-constructing perspective, emphasizing how the global standard and the practice mutually shaped each other over several years.</p> <p><i>Conclusion</i>: Standardization is an iterative process that is performed in close relationship with practice. The mutual interrelation between formal classifications (NANDA) and local practices are co-constructed in a dynamic interplay that evolves over time. In such a process, the use of local classifications and local strategies can be a means to bridge the gap between these two extreme points.</p> <p><i>Highlights</i>: ► Extensive use of standardized classification after implementation of electronic care plan. ► Local classifications evolved during long-term use. ► Co-construction of classifications was used to bridge the gap between global classifications and local needs.en_US
dc.descriptionSubmitted manuscript version. Published version available at <a href=https://doi.org/10.1016/j.ijmedinf.2013.02.005> https://doi.org/10.1016/j.ijmedinf.2013.02.005</a>.en_US
dc.identifier.citationMeum, T., Ellingsen, G., Monteiro, E., Wangensteen, G. & Igesund, H. (2013). The interplay between global standards and local practice in nursing. International Journal of Medical Informatics, 82(12), e364-e374. https://doi.org/10.1016/j.ijmedinf.2013.02.005en_US
dc.identifier.cristinIDFRIDAID 1033095
dc.identifier.doi10.1016/j.ijmedinf.2013.02.005
dc.identifier.issn1386-5056
dc.identifier.issn1872-8243
dc.identifier.urihttps://hdl.handle.net/10037/13409
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalInternational Journal of Medical Informatics
dc.relation.projectIDinfo:eu-repo/grantAgreement/RCN/SFI/174934/Norway/Tromsø Telemedicine Laboratory: Research-Based Innovation in Telemedicine and eHealth Systems for Chronic, Age, & Lifestyle related Diseases//en_US
dc.rights.accessRightsopenAccessen_US
dc.subjectVDP::Medical disciplines: 700::Clinical medical disciplines: 750en_US
dc.subjectNursing classificationsen_US
dc.subjectNursing care plansen_US
dc.subjectInterplay between local and global standardsen_US
dc.subjectCo-constructionen_US
dc.subjectVDP::Medisinske Fag: 700::Klinisk medisinske fag: 750en_US
dc.titleThe interplay between global standards and local practice in nursingen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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