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away. They point to intervention classifications used by doctors that are much less verboseand can afford to be, they arguebecause every doctor knows the standard form of treatment for, say, appendicitis. (Though they also argue that there are local variations in medical practice that have been picked up by good reporting procedures and that NIC will be able to provide such a service for nursing, leading to an improvement in the quality of practice). It is assumed that any reasonable education in nursing or medicine should lead to a common language wherein things do not need spelling out to any ultimate degree. The information space will be sufficiently well prestructured that some details can be assumed. Attention to the finer-grained details is delegated to the educational system where it is overdetermined. |
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These NIC erasure strategiesdealing with overspecification and the political drive to relative autonomy by dropping things out of the representational spaceare essential for the development of a successful potential memory. Partial erasure of local context is needed to create the very infrastructure in which nursing can both become a science like any other and yet nursing as a profession can continue to develop as a rich, local practice. The ongoing erasure is guaranteed by the classification system. Only information about nursing practice recognized by NIC or by other classification schemes in use can be coded on the forms fed into a hospital's computers or stored in a file cabinet. |
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Nursing informaticians agree as a body that for proper health care to be given and for nursing to be recognized as a profession, hospitals should code for nursing within the framework of their memory systems. Nursing work should be classified and forms should be generated that utilize these classifications. There has been one notable disagreement, however, with respect to the best strategy for coding nursing work into memory systems. |
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To understand the difference that has emerged, recall one of those forms you have filled in that does not allow you to say what you think. You may, in a standard case, have been offered a choice of several racial origins, but may not believe in any such categorization. There is no room on the form to write an essay on race identity politics. So either you make an uncomfortable choice to get counted, and hope that enough of your complexity will be preserved by your set of answers to the form, or you do not answer the question and perhaps decide to |
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