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262  n  InTeRnaTIonaL CLaSSIFICaTIon FoR nURSInG PRaCTICe



           the work of many nurses around the world,   Centers.  There  are  currently  10  accredited
           resulting  in  the  expansion  of  ICnP  from  a   centers  with  defined  organizational  struc-
   I       set of nursing concept (alpha, beta and beta   ture across the world. additionally, there is a
           2  versions)  to  a  logic-based  nursing  termi-  major emphasis on worldwide participation
           nology or ontology (ICnP 1.0, 1.1, and 2 ver-  of  nurses  and  additional  partners  (such  as
           sions). In other words, based on the concern   informatics experts, researchers, and indus-
           that the terminology was increasing in size   try) in the development of the ICnP. Many
           and complexity, a formal mechanism to orga-  individual nurses and researchers, thus have
           nize and maintain ICnP using Web ontology   contributed to the ongoing development, test-
           Language  was  adopted  from  version  1.0.   ing and evaluation of ICnP. a major priority
           Using  Web  ontology  Language,  which  is   for ICn is to encourage translations of ICnP.
           underpinned  by  description  logic,  helped   Translations  can  expand  opportunities  for
           determine  subsumption  relations  among   nurses to participate in research and devel-
           concepts and organizing ICnP in a machine-  opment  in  their  own  language.  Recently,
           interpretable format for automated reasoning   ICnP  was  recognized  as  a  related  member
           (Hardiker & Coenen, 2007). a new version of   of  the  World  Health  organization  Family
           ICnP will be released every 2 years in con-  of  International  Classifications,  and  ICn
           junction with the ICn Conference. ICn plans   joined the International Health Terminology
           to launch the release of the ICnP Version 3 in   Standards  Development  organization  in
           2011, at the ICn Congress in Malta.      an  agreement  to  harmonize  the  ICnP  and
              ICn’s commitment to the ICnP contin-  Systematized  nomenclature  of  Medicine
           ues  to  be  strengthened.  The  objectives  and   Clinical Terms.
           plans  of  the  ICnP  Program  are  identified   ICnP  research  projects  contribute  to
           and  reviewed  annually  and  organized  into   ongoing  development  and  include  (a)  con-
           three activity clusters; (a) research and devel-  cept  validation  studies,  (b)  computer-based
           opment, (b) maintenance and operations, and   information  system  demonstration  projects,
           (c) dissemination and education (ICn, 2009).   (c) evaluation studies, (d) subset development
           Research and development projects are initi-  projects,  and  (e)  cross-mapping  projects.
           ated by ICn and by nurse and other experts   evaluation studies include the degree of ICnP
           worldwide.  Terminology  maintenance  and   content coverage given a specialty area and
           operations is, for the most part, a set of pro-  the extent to which ICnP meets terminology
           cesses  internal  to  ICn.  Dissemination  and   requirements  defined  by  the  International
           education  encompass  internal  and  exter-  organization for Standardization.
           nal strategies and are directed at audiences   To facilitate the use of ICnP in practice,
           worldwide.  all  the  activities  are  intended   clinically  relevant  subsets  of  ICnP  nursing
           to support the vision of ICn as an integral   diagnoses,  interventions,  and  outcomes  are
           part of the global information infrastructure   being developed (Coenen & Kim, 2010). For
           informing health care practice and policy to   example,  ICn  released  an  ICnP  subset  for
           improve patient care worldwide.          Palliative  nursing  Care.  In  addition,  a  new
              For the success of the ICnP Program, part-  Internet site, ICNP C-Space, was launched to
           nerships are a priority for the ICnP Program.   facilitate  collaborative  work  in  ICnP  devel-
           ICn  already  has  a  strong  infrastructure,   opment and evaluation, along with facilitat-
           including  collaborative  relationships  with   ing the dissemination of ICnP.
           the member national nurses’ associations and   The  vision  of  ICnP  is  to  have  nursing
           other  established  nursing,  health  care,  and   data  readily  available  and  used  in  health
           governmental organizations. a new ICn ini-  care systems worldwide. In addition to pro-
           tiative to facilitate collaboration is the estab-  moting comparable nursing data, the ICnP is
           lishment of ICn Research and Development   intended to facilitate a comparison of nursing
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