Thieme Verlagsgruppe

ENP – the Language for Nursing

ENP stands for European Nursing care Pathways and has been constantly further developed for 30 years. The standardized nursing language ENP can be distinguished from other classifications by its concrete and specific descriptions for nursing situations: the ENP practice guideline. ENP is available as book, database, and software solution.

Detailed information on ENP research and development can be found in our scientific backgrounds.

  • Database
  • ENP
  • Advantages
  • Range of use
  • Downloads

Nursing Becomes Visible and Measurable

In today's increasingly networked and computerized workday optimizing workflows plays a significant role with regard to the ever scarcer time resources. Evidence of performed nursing quality under consideration of legal frameworks is essential. By using nursing classifications in electronic form, which are implemented in existing software, nursing interventions can be optimized. At the same time the workload for nurses decreases by using technically correct and professional formulation aids, so that there is more time left for the care of individuals. A desirable "win-win situation" for all users of such electronic solutions which are favored by scientifically based, standardized formulations and text blocks. 

ENP in Electronic Form - the Solution for the Entire Nursing Care Process

The ENP database electronically illustrates the entire nursing care process from the nursing diagnosis to the nursing intervention. Thereby it provides nurses a variety of options to correctly realize the nursing documentation and to work with ENP practice guidelines. The big advantage is in the very concrete, detailed formulation of the nursing diagnoses. The ENP database is available in German, English, French, Italian and Spanish. If you are interested in this database solution of ENP, please contact us using the form on the right.

You are Working with Nursing Classifications and Want to Retrieve the Information Electronically?

Read more here on the nursing classification for nursing diagnoses of NANDA International.

"The Cardbox of Modernity"

In general, the RECOM nursing databases provide the possibility to organize data. By providing scientifically based nursing knowledge, nursing care is supported. Data are quickly and easily collected, edited, searched, categorized, as well as safely and reliably stored and thus documented.

> Working with Databases – Your Advantages

  • The nursing databases are integrated into the existing software environment of hospitals or elderly homes to be available for nursing staff at all times.
  • Support of nurses in their everyday work by constant availability of up-to-date nursing knowledge
  • The nursing databases provide the basis for education, planning, and evaluation of nursing care
  • A standardized language promotes clarity of communication among nurses
  • Creation of performance transparency to payers through the illustration of nursing performances in the treatment process
  • Generating nursing data to promote patient safety and nursing quality
  • The nursing databases enable to collect patient outcomes and provide data for case cost calculations
  • Support of educational process in nursing through the creation of detailed nursing care plans
  • Through the continuous, systematic further development of ENP and NANDA-I, there is a smooth transfer of current nursing knowledge into practice.
  • Nursing databases support users in their decision-making in everyday nursing work.

> Facts and Figures

  • More than 120 institutions already work with the nursing databases of RECOM, for example in Germany, Austria, Switzerland, and Luxembourg.
  • Transfer of the requested database is available in CSV and MS SQL format
  • The nursing databases are integrated into the existing software environment of hospitals or elderly homes to be available for nursing staff at all times.
  • The RECOM nursing databases, for example, have been successfully implemented into the software systems of the vendors NEXUS, Agfa GWI, Swing, Syseca, Polypoint, root-service ag and Systema
  • Updates of the nursing databases are maintained by RECOM, complete updates are therefore available
  • Updates of the NANDA-I database will be provided every three years, in line with the German NANDA-I book publication of RECOM
  • The update of the ENP database will be provided annually
  • For questions and problems, RECOM offers comprehensive support by system experts

ENP for All Areas of Nursing

ENP is not only designed for a specific nursing institution, but can be used in all areas in which nursing takes place. Meanwhile, institutions from the areas of inpatient hospital care, rehabilitation, psychiatry, short-term care as well as aged care facilities and mobile nursing services work with ENP – in many European countries.

More than 50,000 Users Across Europe

ENP is used in EU countries by more than 50,000 users in hospitals, aged care facilities and mobile nursing services to cover and document the entire nursing care process. In many nursing schools in Germany ENP is an integral part of the training. The ENP database is available in German, English, French, Italian and Spanish. In Luxembourg ENP stands just before a statewide use in facilities with more than 5,000 users across all sectors.

Benefit of ENP

  • ENP with its practice guidelines is a nursing language, and a classification system, as well.
  • Can be used in all areas of nursing
  • Constant further development of the scientific team
  • Development of new nursing diagnoses from the practice through theory back into practice
  • Each ENP practice guideline is matched with up-to-date international scientific literature
  • Especially suitable for electronic data analysis, for example for outcome measurements

ENP as Standardized Terminology

ENP stands for European Nursing care Pathways. Since 1989 the nursing language has been developed from the need for appropriate practical and intersectoral communication tools to describe the nursing care process. ENP is aimed at all areas in which care is performed: meanwhile, facilities of inpatient hospital care, rehabilitation, psychiatry, short-term care, residential care, and outpatient care work with ENP - and in many European countries.

ENP as Classification System

At the same time ENP is a classification system that consists of the categories of nursing diagnosis with characteristics, etiologies, resources, outcomes, interventions as well as detailed guiding interventions. ENP is distinguished from other classifications by its low level of abstraction, i.e., ENP provides specific descriptions for each care situation throughout the nursing care process. All the necessary elements describing the nursing situation are available as a formulation aid. In addition, ENP is linked to nursing time values and thus allows for the measurement of the nursing input required.

557 Nursing Diagnoses with ENP Practice Guidelines

In support of the nursing process the nurse is provided a selection of possible characteristics, etiologies, and resources according to the nursing diagnosis. Characteristics describe, how the problem is recognized, etiologies explain why the problem occurred, and resources indicate positive aspects of the care receiver regarding the treatment process. Also, a selection of possible nursing outcomes and interventions is provided. In the graph (see link) an example of a practice guideline is visualized based on a nursing diagnosis with one selected item from the list of each category.

The current ENP version 2.10 (2017) consists of 557 nursing diagnoses with corresponding practice guidelines. In four domains and 21 classes, the user has around 15,000 items available for the individual description of the nursing care process of a patient/resident.

Electronic Use in Practice

The standardization of ENP and the electronic use in practice allow to obtain transparency about the process of nursing care in the various healthcare institutions and to examine nursing interventions e.g. with regard to efficiency of outcome.

Additionally, ENP is linked with systems of workload management and personnel calculation (e.g. LEP nursing 3 and PPR nursing staff regulation). Similarly, cross-mappings with medical classifications, like ICD-9, ICD-10 and OPS (operation and procedure coding) as well as risk assessment instruments have been carried out.

Thus, ENP is not only a valuable and practical tool for nurses, but also provides a solid data basis for nursing controller, manager and scientists as well as medical controller and case manager.

ENP Can be Used in All Areas of Nursing

Meanwhile, institutions from the areas of inpatient hospital care, rehabilitation, psychiatry, short-term care as well as residential care and outpatient care work with ENP – in many European countries.

Optimal Cross-Sectoral Communication with ENP

By using the standardized nursing language ENP e.g. in elderly care it is possible that all nurses can name the health status of the resident accurately and professionally. Thus, it is possible that all nurses within an institution can optimize the nursing communication even beyond the institutional boundaries with other sectors (with regard to transitional care). The resident's situation can be described individually, yet is comprehensively formulated for third parties.

Formulation Aids according to the PESR Format

Due to the structure offered by ENP (formulation aids according to the PESR format as been described by the MDS, Medical Service of the Central Association of Health Insurance Funds) it is possible to describe the entire nursing process with ENP. However, the nursing language is not only designed for a specific nursing institution, but can be used in all areas in which nursing takes place. To achieve this goal a special setting, a selection of relevant content, has been developed.

ENP Offers Unique Practice Guidelines

With ENP, the complete nursing care process is supported, because all necessary elements for the description of the nursing situation are provided. A further great added value for clinicians is that ENP offers practice guidelines based on nursing diagnosis. The practice guidelines suggest the ENP user concrete action-guiding interventions. These base generally on up-to-date nursing knowledge. This ensures that ENP users always work at the current nursing scientific level.

For hospital care the ENP contents can also be found in the book titled "Praxisleitlinien Pflege" (Practice guidelines nursing, not yet published in English). The book contains the special educational software "ENP trainer" on CD-ROM. For use in an electronic patient record ENP is also available as a database.

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