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The International Nursing Knowledge Association, INKA (formerly known as NANDA® International, NANDA-I) Board of Directors establishes administrative policies governing the affairs of the Association, develops and implements a strategic plan toward the accomplishment of the Association’s purposes and provides a biennial report to the membership at a regular meeting of the Association.

The Board acts as the custodian of the property, securities and records of the Association, provides for the annual audit of the books of the Association, provides for the bonding of Board officials as it may deem necessary and provides for payment of authorized expenses.

INKA Board of Directors

Hortensia Castañeda-Hidalgo, PhD, BSN – Mexico

President

Dr. Hortensia Castañeda-HidalgoDr. Hortensia Castañeda-Hidalgo works as a Professor Emerita and Full Time Professor at the Universidad Autónoma de Tamaulipas. She has been involved with NANDA-I since 2012 as a translator for the Latin-American edition of the Nursing Diagnoses book and since 2018 as a member of the Diagnosis Development Committee. She is a renowned speaker on nursing process and nursing diagnoses in Latin America. At her request, the Mexico Network Group is collaborating with the Ministry of Health to update the Mexican care model, including the NANDA-I classification. Dr. Hortensia Castañeda-Hidalgo holds a number of leadership positions, building on her previous experience that provided her with a comprehensive understanding of international work and collaboration.

Dr. Castañeda-Hidalgo received a BSN and a master’s in education from the University of Tamaulipas, a MSN from the University of Nuevo León in Mexico, a Major in surgical nursing at the Japan Itabashi Hospital in Tokyo, her PhD in Nursing at the University of Alicante in Spain, and a postdoc of Public Health Leader at Rollins School of Public Health, Emory University, in Georgia, USA. She was selected as a member of the Mexican Scholars’ System in 2017. She also served as Chair of the Nominations Committee, NANDA-I in the past.

She was a consultant for the Nursing Doctoral Program at University of South Alabama. She has been an active member of Sigma Theta Tau since 2004, and served on the Sigma Nursing Research and Scholarship Advisory Council, and the Sigma Nursing Global Regional Council. She is an external evaluator of research projects for the University of Tampere, Finland. She has been an international speaker, environmental activist, author of several published papers, and evaluator of research projects for the National Council of Science. She is a peer reviewer at Revista AQUICHAN; Journal of Nursing Scholarship; Revista de la Facultad Nacional de Salud Pública, Colombia; Journal of Transcultural Nursing; Hispanic Health Care International.

Miriam Rodriguez-Monforte, PhD, RN, RD – Spain

President-Elect

Dr. Miriam Rodriguez-Monforte is currently an Associate Professor of Community Nursing and the Clinical Placements’ Coordinator at the Blanquerna School of Health Sciences-Ramon Llull University, in Barcelona, Spain. Her clinical background is in community nursing. She has developed her clinical expertise in different Primary Health Centers in Barcelona, including adult and children’s health. She holds a master’s degree (2012) and a PhD (2017) from the University of Barcelona on Food, Nutrition and Metabolism. She was a pre-doctoral student at the Toronto Rehabilitation Institute, Canada (2016).

Dr. Miriam Rodriguez-Monforte is also a researcher at the Global Research on Wellbeing research group (GRoW) at the Blanquerna School of Health Sciences-Ramon Llull University, as well as at the Lifestyle Research Group in the Foundation University Institute for Primary Health Care Research Jordi Gol i Gurina in Barcelona, Spain. Her research curriculum is configured in three basic pillars. A first pillar encompasses relevant aspects for the nursing profession. Consequently, she participates in different projects on standardized professional languages, nursing leadership, educational innovation and in several international studies that focus on the analysis of the needs of the population considered fragile, as well as the analysis of the role of the nursing professionals in charge of their care. Additionally, and combining the approach of community nursing and that of human nutrition and dietetics, she has participated in the analysis of the relationship between different cardio-metabolic diseases and habitual dietary patterns. The third pillar in the researcher’s trajectory incorporates the life-course approach, considering the community and global perspective for the analysis of the different vital moments in the development of behaviors related to health. Specifically, the transition from adolescence to adulthood, the work to retirement transition, and the transition of nursing students to the professional world.

Fabio D’Agostino, PhD, RN – Italy

Secretary/Treasurer

Fabio D’Agostino is currently an Associate Professor and Dean of the BSc Nursing Program at UniCamillus University in Rome, Italy. He has a PhD in nursing science and considerable experience in research, practice, and teaching. His clinical background is in cardiology and emergency medicine. His expertise in nursing diagnosis was acquired through practice and extensive research, as highlighted in various publications. He is interested in interdisciplinary research and collaborative partnerships.

He has been a NANDA-I member since 2014. From 2019 to 2020, he served as NANDA-I Co-Director of Research, collaborating with the former Director of Research, Dr. Kay Avant, and joined regular Board meetings. From 2019 to 2023, he served as a member of the NANDA-I Diagnosis Development Committee, reviewing newly proposed, proposed revisions, or proposed deletions of nursing diagnoses. Since 2018, he has served as a member of the NANDA-I Research Committee, during which time he was invited to review NANDA-I conference abstracts. In 2022, he presented a NANDA-I webinar entitled “Anxiety in Hospitalized Medical-Surgical Patients: Clinical indicators and validation”. He was a consultant for the NANDA International Nursing Diagnoses Definitions & Classification, 2021-2023 book.

Camila Takáo Lopes, PhD, RN, FNI – Brazil

Director of Diagnosis Development

Dr. Takáo Lopes is an Adjunct Professor at Escola Paulista de Enfermagem, Universidade Federal de São Paulo, Brazil, where she teaches nursing fundamentals to undergraduate students and advises master’s and doctoral students. She has clinical experience in cardiology and adult intensive care. She participates in a strong research group in her university, and has published numerous articles on standardized nursing language and cardiology in international journals. She has been a co-editor of the NANDA International nursing diagnoses: Definitions and classification book since 2021.

Dr. Takáo Lopes served as a volunteer for NANDA-I since 2010, including as a member of the Diagnosis Development Committee and a coordinator of the Brazilian NANDA-I distance learning program, PRONANDA. She was the youngest individual inducted as a NANDA-I Fellow, in 2018, and appointed as the Director of Diagnosis Development in January of 2019. She serves the Board of Directors in an ex officio role. She has become a highly sought international speaker on NANDA-I classifications and clinical reasoning, and presents in Portuguese, English and Spanish.

Carme Espinosa i Fresnedo, MSc, BSN, FNI – Andorra

Director of Education

Carme holds a Master’s degree in Nursing Science from Rovira i Virgili University (Tarragona, Spain) and a Post-Graduate degree in Health Informatics from Swansea University. A dedicated member of NANDA International since 2000, she has contributed extensively through various committees, including Education and Clinical Innovation, Taxonomy, and the former International Committee.

She served as NANDA-I President from 2020 to June 2023 and was named a NANDA-I Fellow in 2016. Her distinguished career spans academia and consultancy, with a focus on Nursing Languages, Methodology, Critical Thinking, and Clinical Reasoning. Recently retired from her consultancy work in September 2025, she remains deeply engaged in advancing standardized nursing languages through organizations such as AENTDE and ACENDIO.

Carme continues to contribute to the field as a translator of NANDA-I Nursing Diagnoses: Definitions and Classification into Spanish, and as a collaborator on NOC Outcomes and NIC Interventions. She has published widely and frequently participates in international conferences and educational programs, sharing her passion for nursing knowledge and innovation.

Christine Spisla, DNP, RN – USA

Director of Informatics

Dr. Christine Spisla has 20+ years of clinical experience in various Women’s Health clinical areas including high-risk Labor & Delivery, Reproductive Endocrinology, infertility, colposcopy and laser. She holds a Doctor of Nursing Practice from Loyola University Chicago. Her Doctoral thesis focused on the use of healthcare information technology for continuity of care for chronic disease and the end-stage renal disease (ESRD) patient populations following a disaster.

Her electronic health record (EHR) implementation experience includes end-user training and on-site implementation support of EpicCare Inpatient, workflow analysis and redesign, build and applications analyst for Epic Ambulatory. Dr. Spisla is a former Clinical Editor for SNOMED CT, providing terminology management and coordinating new concept requests. She actively participated in the SNOMED Nursing and Anaesthesia Work Groups to apply SNOMED CT editorial policies to their terminology projects and needs. She created and delivered SNOMED CT education via nationwide webinars and has published and presented on nursing terminology standards and clinical data quality nationally and internationally.

Dr. Spisla has worked with prominent quality measure developers, helping them understand the role of clinical reference terminologies and clinical workflows for electronic quality measures development. She helped develop clinical data best practices for clinical documentation improvement projects in preparation for Meaningful Use, electronic quality measure specifications and clinical data analytics. Dr. Spisla was an invited participant in standards initiatives: American College of Obstetrician and Gynecologists Revitalize project and Vital Records Vocabulary Committee for Prenatal Care (CDC), as well as providing SNOMED CT subject matter expertise for Integrating the Healthcare Enterprise (IHE) antepartum profiles. She has extensive experience mapping client terminology to SNOMED CT, LOINC and ICD-10-CM, and is leading INKA’s work with NANDA 360 – SNOMED CT mapping. As a consultant, Dr. Spisla focused on healthcare compliance and clinical data quality.

Marcos Venícios de Oliveira Lopes, PhD, RN, FNI – Brazil

Director of Research

Dr. Marcos Lopes is a distinguished nurse researcher with over two decades of experience in nursing diagnosis, theory development, and research methodologies. Dr. Lopes holds a degree in Nursing from the State University of Ceará, a degree in Statistics from the Federal University of Ceará, and a degree in Psychology from the Maurício de Nassau University Center. He completed his PhD in Nursing from the Federal University of Ceará in 2001 and completed postdoctoral studies at the Department of Statistics and Operational Research at the University of Valencia in Spain, focusing on the analysis of nursing diagnoses using Bayesian inference. He is currently a Full Professor at the Federal University of Ceará and a CNPQ level 1A Research Productivity Fellow. Dr. Lopes advises master’s and doctoral students in Nursing, with an emphasis on research related to the validation of Nursing Diagnoses.

He is a member of the Nursing Process Research Network (REPPE). He worked as Vice-Coordinator of the Postgraduate Program in Nursing at the Federal University of Ceará between 2017 and 2021. Dr. Lopes served as a member of the Research Committee (2014-2018) of NANDA International and currently participates as Chair of the Research Committee, having been elected a Fellow of NANDA International (FNI) in 2018 and received the Dr. Kristine Gebbie & Dr. Mary Ann Lavin Founders Award from NANDA-I, in 2021.

Dr. Lopes is a reviewer of the McMaster Online Rating of Evidence (MORE) system at McMaster University – Canada, which aims to help define the best research to support evidence-based clinical practice, as well as journals in Brazil, Latin America, Europe, and the United States.

T. Heather Herdman, PhD, RN, FNI, FAAN – USA

Chief Executive Officer

Dr. Herdman is the Chief Executive Officer of INKA. She has served as a member, Chair and Co-Director of the Diagnosis Review Committee/Diagnosis Development Committee, and is a former President of the Association. Heather is the editor/co-editor of the nursing textbook, NANDA International Nursing Diagnoses: Definitions and Classification, since 2009. She has numerous peer-reviewed publications related to clinical reasoning and nursing diagnosis, and is a well known international speaker. She is a past-president of NANDA-I, and served as Director/Co-Director of the Diagnosis Development Committee. Heather was in the founding class of NANDA-I Fellows, and is a recipient of the NANDA-I Mentor Award. She is also a Fellow of the American Academy of Nurses.

Her clinical background is neonatal intensive care, high risk perinatal care, and women’s health. She served as director of quality and strategic planning for hospital and clinics, and as Chief Strategic Officer for a startup health technology company.

Dr. Herdman is a tenured professor and has served as an advisor and committee member of several master’s and doctoral students, in the USA, Europe and Brazil. Her research interests include clinical reasoning, nursing diagnosis, spirituality, and integrative health care, and she is also a Clinical Herbalist. Heather serves the Board of Directors in an ex officio role.

Dorothy A. Jones, Ed.D., RNC, ANP, FNI, FAAN – USA

Director, The Dr. Marjory Gordon Program for Knowledge Development and Clinical Reasoning

Dr. Dorothy A. Jones is Professor Emeritus at the Connell School of Nursing, Boston College, where she formerly served as Chair of the Adult Health Department from 1995 to 1999. She received her B.S.N. from Long Island University and Brooklyn Hospital School of Nursing in Brooklyn, New York, and earned graduate degrees from Indiana University and Boston University.

She is a senior nurse scientist at the Massachusetts General Brigham (MGB) in Boston, Massachusetts, and former president of the Eastern Nursing Research Society. She has been involved in nursing language development, serving as past president of the North American Nursing Diagnosis Association (now INKA). In recognition of her leadership at MGB, the hospital established the Connell-Jones Endowed Chair in Nursing and Patient Care Research, funded by longtime BC philanthropist Margot Connell. The chair is held by a senior member of the nursing faculty who has demonstrated leadership.

Her many awards include Boston College’s Teaching Excellence Award in 2005, Partners Award for Excellence in Practice in 1998 and 2003, the Indiana University School of Nursing Outstanding Alumni Award, and the Sigma Theta Tau International Founders Award in 2000. She was named a Living Legend by the American Nurses Association Massachusetts in 2017, and by NANDA International in 2024. She has a strong record of curriculum development and mentorship with graduate students, as evidenced by their scholarship nationally and internationally. Her research includes a NIH-funded study focusing on patients’ recovery at home following ambulatory surgery, theory development related to Margaret Newman’s Health as Expanding Consciousness, evaluation research, and instrument development.

Dr. Jones is a former board member and past-president of NANDA-I, is a recipient of the NANDA-I Mentor Award, and was in the founding class of NANDA-I Fellows. She is currently the Director of the Marjory Gordon Program for Knowledge Development and Clinical Reasoning at Boston College, established in partnership with NANDA-I and the Connell School of Nursing at Boston College. In this role she oversees and mentors participants of the International Gordon Fellows Program, supports online educational programming and our biennial conference. She serves the Board of Directors in an ex officio role.

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