 OBJECTIVES 1. define the concept nursing minimum data set (NMDS). 2. compare and contrast national NMDSs. 3. analyze which of the defined/published NMDSs support the international nursing minimum data set (i- NMDS). 4. apply the concept of “context” to the definition and use of NMDSs.

 Clinical Nursing Visibility from National to International Context  provide a synthesis of historical currents and future NMDS system which can increase nursing data and information capacity to drive knowledge building for the discipline and professions and contributes to the standards supportive of the HER  NMDS  identifies essential, common and core data elements to be collected for all pt/clients receiving nursing care.  conceptualize through a small group work at the nursing information system (NIS) conference held in 1977 at the university of Illinois college of nursing.  64 conference.  Werley and Categories  took the NMDS for ward at the NMDS conference in Board Categories of Elements A. nursing care. B. pt or client demographics C. service elements  AIM  not to be redundant of other data sets, but rather to identify what are the minimal data needed to be collected from records of pt receiving nursing care.

 8 benefits of the NMDS. 1. access to comparable, minimum nursing care, and resources data on local, regional, national and internal levels. 2. enhance documentation of nursing care provider. 3. identification of trends related to pt/client problem and nursing care provided. 4. impetus to improved costing of nursing services. 5. improve data for quality assurance evaluation. 6. impetus to further development and refinement of NISs 7. comparative research on nursing care, including research on nursing diagnosis, nursing intervention, nursing outcomes, intensity of nursing care and referral for further nursing services. 8. contribution toward advancing nursing as a research based discipline

 NMDS  influence the work of the professional nurses association.  1991  American nurses association (ANA) recognize the NMDS as the minimum data elements to be included in any data set or pt record.  ANA   establish the American nurses association steering committee on data bases to support clinical nursing practice.   launched a recognition process for standardized nursing vocabularies needed to capture the NMDS data elements for nursing diagnosis, interventions and outcomes in a pt record.   II languages have been recognize by ANA.  NMDS   serves as a key component of the standards develop by the nursing information and data set evaluation center (NIDSEC)   has supported nurse’s participation in developing computerized health information system (HISs), utilization of data and information to support evidence based.   work in the U.S.  American association of colleges of nursing (AACN)   white paper in the clinical nurse leaders is one example of the recognition of the essential core function of the informatics expertise w/in practice. seven countries have identified

 NMDS system 1. Australia 5. Netherlands 2. Canada 6. Switzerland 3. Belgium 7. Thailand 4. Iceland Emergent NMDS North America  exploring development of NMDS system.Europe  WHO has been concerned with variables including nursing care, personal data, medical diagnosis and service data.U.K  work is ongoing.Scotland  identify NMDS to be congruent with the initiatives of the national health service Nordic countries   ongoing activity to identify NMDS.

France  pursuing identification of a NMDS. Brazil  leading efforts in south America to identify a NTADS. Korea and Japan Korea and Japan  focusing in the development effort as well. New Zealand  focus effort on a diabetes specific data set to date.  Call for standardize contextual data  Ample studies have demonstrated the significance of nurse staffing, pt/ stafrations, professional autonomy and control organizational characteristic, unit internal environment, staff work satisfaction, education of staff, multidisciplinary coordination collaboration and educational level on the quality of outcomes of pt care. e.g. Belgium calls for data related to # of beds and # of nurses available.

 18 NMMDS elements are organized into 3 categories  18 NMMDS elements are organized into 3 categories. 1. environment 2. nursing care resources 3. financial resources NMMDS  NMMDS  minimum set of items of information with uniform definitions and categories conserving the specific dimension of the context of pt/client care delivery.   focuses on the nursing delivery unit/service/center of excellence level across these setting. NMDSs relationship to international nursing minimum data set (i-NMDS)  NMDSs relationship to international nursing minimum data set (i-NMDS) Evaluation of concept.  i-NMDS  core, internationally relevant, essential minimum data element to be collected in the course for providing nursing care.

Encouraged to establish triads composed of.  A. Representative (s) of the national nurses association (preferably international council of nurses [CN]member.  B. International medical informatics association nursing informatics special interest group (IMIA NI-SIG) representative.  C. Informatics expert  Project teams   provide coordination and communication of project work in each country.  i-NMDS project   in intended to build on and support data set work already underway in individual countries, as well as the work w/ another ICN initiative, the ICPN.  i-NMDS project focuses   coordinating on going international data collection and analysis of the iNMDS to support the description, study, and improvement of nursing practice.

Cosponsor ship Cosponsor ship  i-NMDS research center   lead by a sheering committee of international representatives of countries w/ existing and emerging NMDS’s as well as professional Cosponsor ship. Project  Project   Cosponsor ship by the ICN and the IMIANI-SIG.  Project work   also coordinated w/ international standards organizations and other slake holders to assure harmonization of these efforts. purposes purposes  i-NMDS as a key dataset will support  describing the human phenomena, nursing intervention, care outcomes, and resource consumption related to nursing services.  Improving the performance of health care system and the nurses working within these system world wide.  Addressing the nursing shortage, inadequate working conditions, poor distribution and inappropriate utilization of nursing personnel, and the challenges as well as opportunities of global technology, innovation.  Testing evidence based practice improvements.  Empowering the public internationally.

Data elements Data elements  i-NMDS elements organized into 3 categories 1. Setting   country characteristic as well as description of the location of care, whether   Acute, ambulatory, home and so on.2.Subjects   individuals, families, groups or communities.  Nursing Care Data   collected using standardized languages. 3.Nursing Care Elements   nursing diagnose/subject of care problem; interventions, and outcomes.

Issues  continuing attention needs to focused on consistency w/ the i-NMDSs across all countries.  Future Directions   the power of NMDSs to describe nursing from an international perspective is daunting.  Information and Knowledge   key to supporting an essential knowledge driven professional service and improving healthcare through effective policy changes.

 The End…..  PREPARED BY:  April Rose P. Collano Thank you for listening. GOD BLESS!!!