2026-02-10 Nursing Clinical Reference Group
Date
Feb 10, 2026
https://snomed.zoom.us/my/nursingcrg
Password - 871141
Participants
@Christine Spisla @Ian Green @cheryl Wagner @Erica Culp @Elisabeth Giesenhagen Friso Raemaekers @Niels Schram @Janice Kelly @ Liz Swanson @ Tess Settergren @ Steph Hartleben @ Sue Moorhead
Apologies
Cathy Richardson
Discussion topics
Item | Description | Presenter | Notes |
|---|---|---|---|
1 | Welcome | Erica Culp Christine Spisla |
|
2 | SNOMED International Updates | Ian Green Kelly Kuru | |
3 3a
3b
| Terminology Discussion
| Erica and Christine | See Chat Log from call below. |
4 | Call for future topics Planning for April Business meeting Next meeting Tuesday 10 March 2026 |
|
Action items
Decisions
2026-02-10 14:04:36 From Erica Culp to Everyone:
https://www.snomed.org/business-meetings
2026-02-10 14:15:13 From Cheryl Wagner to Everyone:
Hello,
I have included Christina Spisla on this as she was asking Karen and I previously for this information. I apologize that it was so long for us to respond - we had - and still have - quite a few commitments that tend to backlog some of our work!
But thanks for checking Friso, and hopefully I will see you at the meeting in case more information is needed.
The NIC has a section in its Appendices, Appendix B, where some definitions of terms that might be used in NIC activities are provided, largely I suppose, because Dr. Dochterman and Dr. Bulechek addressed many of these questions decades ago when the NIC was created.
The definition for Enhancement is
Making greater, augmenting, increasing
The definition for Promotion is
Advancing
Interestingly, both also include directions to see the other one in their definitions.
AI responds that the difference between the two is that enhancement is more internally related to quality and internal improvements, while promotion is an external advancement. Enhancement is internal refinement, promotion is external elevation.
In relation to child development, it seems that the intention - at least from the NIC application of the terms - is to advance the child through stages of development, so in this case Promotion seems to be more of a correct selection.
Nonetheless, increasing their development ability could also be enhancing it without necessarily promoting or advancing it - but the user of the term would have to be clear what they intend.
I will try to be at the meeting today to field questions on this, in case it helps.2026-02-10 14:21:48 From Erica Culp to Everyone:
https://forums.snomed.org/t/child-development-concepts-meaning/809/5
2026-02-10 14:34:30 From Janice Kelly to Everyone:
Care management is like ongoing care responsibility
2026-02-10 14:35:57 From Janice Kelly to Everyone:
management only is a broader concept for more specific airway procedures - interventions to establish, maintain, secure a patient's airway
2026-02-10 14:37:23 From Cheryl Wagner to Everyone:
facilitation of patency of air passages
2026-02-10 14:37:51 From Cheryl Wagner to Everyone:
NIC Definition of our Airway Management Label #3140
Related materials
Chat:
Erica Culp
05:02
https://www.snomed.org/business-meetings
Cheryl Wagner
15:39
Hello,
I have included Christina Spisla on this as she was asking Karen and I previously for this information. I apologize that it was so long for us to respond - we had - and still have - quite a few commitments that tend to backlog some of our work!
But thanks for checking Friso, and hopefully I will see you at the meeting in case more information is needed.
The NIC has a section in its Appendices, Appendix B, where some definitions of terms that might be used in NIC activities are provided, largely I suppose, because Dr. Dochterman and Dr. Bulechek addressed many of these questions decades ago when the NIC was created.
The definition for Enhancement is
Making greater, augmenting, increasing
The definition for Promotion is
Advancing
Interestingly, both also include directions to see the other one in their definitions.
AI responds that the difference between the two is that enhancement is more internally related to quality and internal improvements, while promotion is an external advancement. Enhancement is internal refinement, promotion is external elevation.
In relation to child development, it seems that the intention - at least from the NIC application of the terms - is to advance the child through stages of development, so in this case Promotion seems to be more of a correct selection.
Nonetheless, increasing their development ability could also be enhancing it without necessarily promoting or advancing it - but the user of the term would have to be clear what they intend.
I will try to be at the meeting today to field questions on this, in case it helps.
Erica Culp
22:14
https://forums.snomed.org/t/child-development-concepts-meaning/809/5
Janice Kelly
34:56
Care management is like ongoing care responsibility
Janice Kelly
36:23
management only is a broader concept for more specific airway procedures - interventions to establish, maintain, secure a patient's airway
Cheryl Wagner
37:49
facilitation of patency of air passages
NIC Definition of our Airway Management Label #3140
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