"In England the patient has the right to know their options and to make the decision to choose the treatment they prefer. Obviously, it has to be prepared by clinical professionals but, at the end of the process, it is the nurses who are face to face with the patient". This was explained at the University of Navarra by Helen Sampson, vice-president of the London Nurse Practitioner Executive committee , who participated in the 3rd International Symposium on Nursing Diagnosis "From Nursing Conceptualization to Computerization".

Sampson clarified that "today a pregnant woman has the right to choose whether she wants to have an epidural anesthesia during childbirth. In the past, we were the ones who made that decision. Therefore, we must explain to the patient what procedures she will be treated with; for example, we must offer her information on surgery if she is going to undergo an operation of this subject, because she must have the opportunity to know how her hospital treatment may affect her".

The goal of the Nursing Care Process (NCP), according to Sampson, "is to be able to share with patients the information available about them without fear, to be able to communicate in order to prepare them well for their treatment.

In this regard, Gloria Bulechek, of the University of Iowa (USA), commented that "patients must be helped to make their decisions, and for this the role of the nursing professional is essential. Today, we take into account all aspects of their lives, not only their families and jobs, but also their spiritual beliefs.

In this new way of conceiving nursing, the computerization of patient data plays an important role in streamlining health care.

Regarding the ethical implications, Sampson explained that "the computerization of patient data can improve confidentiality, with the implementation of personal access codes to the software. This method streamlines the work of the clinical staff and their relationship with the patient. When a person arrives at the health center, we enter his or her personal data and the name of his or her primary care physician. Automatically, we connect to any information about this patient. The simplicity of the data allows us to react very quickly.

Regarding the objectives of the symposium in terms of obtaining a unified language among Nursing professionals, Bulechek emphasized that "a lot of progress is being made in this aspect, which has to focus especially on Nursing practices. In fact, the International Nursing committee passed a resolution five years ago to reach worldwide uniformity in this regard."