Evaluating the Beta version of the International Classification for Nursing Practice® for domain completeness, applicability of its axial structure and utility in clinical practice: a Norwegian project

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Abstract
The purpose of this Norwegian project was to evaluate the International Classification for Nursing Practice® (ICNP®) Beta version for domain completeness, applicability of its axial structure and utility in clinical practice. A subset of terms addressing the areas of circulation and elimination were abstracted from the nursing records of a cardiac intensive care unit and a nursing home. Abstracted terms were mapped to terms in the ICNP®. In the ICNP®, the same or similar terms were found for 47% of the documented circulation terms and 69% of the documented elimination terms that addressed nursing phenomena. For nursing interventions, 27% of the documented circulation terms and 35% of the documented elimination terms mapped to the ICNP®. The research team encountered difficulty in coding terms with the ICNP® that expressed patients' perspectives, preferences, behaviours and experiences, and terms that represented signs‐and‐symptoms. Recommendations for further development of the ICNP® include improvement in granularity, precision and conceptual definitions of terms; inclusion of time‐related terms for representing nursing phenomena; and an easier method for navigating around the ICNP®.

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