The CCC system of nursing terminology and the Omaha System (https://www.omahasystem.org/) are both publicly available with no licensing fee. Many of the privately-owned Nursing Terminology Databases require a certification process. NANDA, NIC, and NOC are widely used and charge a licensing fee for usage for the electronic version.

Should these databases all be publicly available?

If they are all publicly available, how will the integrity of the data be maintained?

If they are not publicly available, how might this affect usage in third-world countries and health care systems found in areas of poverty?

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