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International Journal of Nursing KnowledgeWe are pleased to announce the newest “Virtual Issue” of the International Journal of Nursing Knowledge (IJNK)! Click here to view. Virtual issues are topically-focused collections of articles published in IJNK. Articles are selected by a guest editor, and presented with the editor's summary and insights. All articles are free to read - no subscriber login is required.

This issue focuses on the topic of Integration of NANDA-I, NIC and NOC (NNN) into the Electronic Health Record (EHR), and includes six articles selected by Dr. Gail Keenan, guest editor and NANDA International, Inc. Informatics Committee Chair / Board Member. The issue begins with Dr. Keenan’s commentary and article summaries. All articles are free to read - no subscriber login is required.

As I prepared for this second virtual issue that is focused on the integration of NANDA-I NIC and NOC (NNN) into the electronic health record (EHR), I reviewed two decades of articles to determine which best captured the development, growth and use of NNN within the EHR.  What struck me as I reviewed articles first in the International Journal of Nursing Terminologies and Classifications and later in the International Journal of Nursing Knowledge is the ongoing commitment of those dedicated to the growth, development and use of NNN. I was also reminded that our use of computers in nursing has grown exponentially over these two decades. 

The use of computerized systems for any purpose in nursing was still being discussed in the 1990’s and not truly realized until much more recent years as is evident by the articles chosen for this special issue. The early studies by Harvey (1993), Coenen et al (1995) and Moorhead and Delaney (1997) that were selected for this issue were not really about the EHR at all, but they were the necessary precursors to the studies by Delaney et al (2000), Klehr et al (2009) and Keenan et al (2012). 

In what seemed like a flash forward in terms of EHR use from 1993 to the present, Keenan et al (2012) tested Hands-on Automated Nursing Data System (HANDS) to determine if this EHR system supported a standardized, streamlined and meaningful plan of care process for nurses to use across varied settings.  HANDS incorporated the standardized nursing language of NNN. Without all the preliminary work of the many who have contributed to NNN over the years, this sort of study would be impossible. 

As you read through the articles chosen for this virtual issue, I think you will also be reminded of the time before the computer and its introduction into nursing.  Our growth in terms of the use of the computer for standardized nursing language development has been rapid. The increasingly widespread use of the EHR will continue to greatly impact our ability as nurses to communicate with one another because we will all be speaking the same language in terms of assessment and NNN.  This development will help us to realize nursing’s goal to improve the health for all people globally.

Dr. Jane Flanagan
Editor, International Journal of Nursing Knowledge

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