San Jose State University
School of Nursing
The Omaha System
for the Nursing Centers Without Walls: Primary Health Care on the Move (Division of Nursing,
United States Department of Health and Human Services, #lD10NU30061) by Jayne Cohen
DNSc, RNC, Program Director; Marian Yoder EdD, RN, Clinical Coordinator; Henrietta
Hamilton, BSN, RN; and Julie Cheitlin Cherry, MS, RN. The Omaha System terms, codes, and
definitions are not held under copyright. All rights reserved.
The Omaha System was developed through the efforts of many health professionals over a
fifteen year period. The System has gained acceptance as a documentation tool for community
health providers. Creators of the Omaha System acknowledge the
problem solving process
basis for its model.
The Omaha System provides a link between the nursing process and the real world of
practicing nursing in the community. Through this module, you will become familier with the
Omaha System and how to apply it to your practice in community-based care settings. It is
hoped you will find this learning experience fun and informative. Using the Omaha System for
documentation is an efficient and time saving tool.
The Omaha System Model
Objective: To diagram a model depicting the Omaha System with its three main components and
six steps of the nursing process.
To portray the interactive nature of the nurse-client relationship, nursing process, and clinical
judgment, a circular model is used (see page seven of the Omaha book). The broken lines
between all parts of the model allow flow in any direction, permit overlapping of activities, and
maintain an open system. The model reflects the complex, ever changing environment in which
health care is delivered to clients in the community.
The three components of the Omaha System Model that depict the family nursing process
are; the individual or family, the nursing activities, and the nurse/client relationship. Placed at
the center of the model is the
individual. family. or community.
The client is the focus of the
process, and therefore, is placed at the core of the model. The second layer contains the
These activities are nursing actions that affect the client's or family's state of health or
wellness. The outer layer of the model represents the
relationship of the practitioner and client.
A caring relationship is vital to the success of the nursing process using the Omaha System.
List the three components of the Omaha System Model depicting the problem