JMIR Publications

ABSTRACT

Background:

The World Health Organization is in the process of developing an international administrative classification for health called the International Classification of Health Interventions (ICHI). This purpose of ICHI is to provide a tool for supporting intervention reporting and analyzing at a global level for policy development and beyond. Nurses represent one of the largest resources carrying out clinical interventions in any health system. With the shift in nursing care from hospital to community settings in many countries, it is important to ensure that community nursing interventions are present in any international health information system. Thus, an investigation into the extent to which community nursing interventions were appropriately covered in ICHI was needed.

Objective:

The objective of this study was to identify the extent of coverage of community nursing interventions in the ICHI administrative classification system. Recommendations for additional content were made where gaps in ICHI coverage were identified.

Methods:

The study was completed using a content mapping approach in two phases in 2018. Nursing intervention codes were extracted from the International Classification of Nursing Practice community nursing catalogue data set. In phase one, two coders conducted independent content mapping. In phase two, consensus was reached through discussion by the two coders. The coders then came to consensus on the mapping and determined whether the ICHI codes identified were broader than, narrower than, or equivalent to the community nursing interventions from the source.

Results:

After consensus was researched, 151 cases (81%) the community nursing interventions resulted in an ICHI match. In a total of 36 cases (19%) there was no match to the community nursing interventions. The initial percentage agreement between the two coders was 47%. Most community nursing interventions resulted in a broader ICHI code (53%). A small number resulted in a narrower ICHI code (5%), and 22% were considered equivalent.

Conclusions:

This study demonstrated that there is a good representation of community nursing interventions in ICHI. However, it also found areas of missing concept coverage, difficulties with inter-terminology mapping, and further need to develop mapping methods. Clinical Trial: Not applicable.