ICNP Modify Concept Submission Form

Submitted by
Name of Submitter
Title/Position
Postal Address
Street
City
Province or State
Postal Code
Country
Telephone
Fax Number
E-mail
Current Concept
Current Concept Description
Current Synonym(s) or related concept(s)
Modified Concept
Modified Concept Description

be as specific and complete as possible, giving the parent and essential characteristics of the modified concept
Use Case for Modified Concept

one or two examples of how the concept can be used in clinical practice, research or quality reporting
Synonym(s) or related concept(s) for Modified Concept
Scientific evidence (eg, literature review) supporting concept modification:
Citation 1
Citation 2
Continue as Needed
Additional comments or information for reviewers and ICN:
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ICN’s 25th Quadrennial Congress : Equity and Access to Health Care
ICN looks forward to welcoming you to our 25th Quadrennial Congress in Melbourne, Australia, 18-23 May 2013.

ICN is pleased to announce the launch of a special Florence Nightingale teddy bear in support of the Girl Child Education Fund (GCEF). The GCEF provides for the primary and secondary schooling of orphaned daughters of nurses in developing countries, paying for school fees, uniforms, shoes and books. The GCEF is an initiative of ICN’s premier foundation, the Florence Nightingale International Foundation (FNIF).

To order this delightful bear and support the GCEF, just click on the bear or go to www.gcefbear.com