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Integration of Evidence into a Detailed Clinical Model-based Electronic Nursing Record System
OBJECTIVES: The purpose of this study was to test the feasibility of an electronic nursing record system for perinatal care that is based on detailed clinical models and clinical practice guidelines in perinatal care. METHODS: This study was carried out in five phases: 1) generating nursing statemen...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Medical Informatics
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3402556/ https://www.ncbi.nlm.nih.gov/pubmed/22844649 http://dx.doi.org/10.4258/hir.2012.18.2.136 |
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author | Park, Hyeoun-Ae Min, Yul Ha Jeon, Eunjoo Chung, Eunja |
author_facet | Park, Hyeoun-Ae Min, Yul Ha Jeon, Eunjoo Chung, Eunja |
author_sort | Park, Hyeoun-Ae |
collection | PubMed |
description | OBJECTIVES: The purpose of this study was to test the feasibility of an electronic nursing record system for perinatal care that is based on detailed clinical models and clinical practice guidelines in perinatal care. METHODS: This study was carried out in five phases: 1) generating nursing statements using detailed clinical models; 2) identifying the relevant evidence; 3) linking nursing statements with the evidence; 4) developing a prototype electronic nursing record system based on detailed clinical models and clinical practice guidelines; and 5) evaluating the prototype system. RESULTS: We first generated 799 nursing statements describing nursing assessments, diagnoses, interventions, and outcomes using entities, attributes, and value sets of detailed clinical models for perinatal care which we developed in a previous study. We then extracted 506 recommendations from nine clinical practice guidelines and created sets of nursing statements to be used for nursing documentation by grouping nursing statements according to these recommendations. Finally, we developed and evaluated a prototype electronic nursing record system that can provide nurses with recommendations for nursing practice and sets of nursing statements based on the recommendations for guiding nursing documentation. CONCLUSIONS: The prototype system was found to be sufficiently complete, relevant, useful, and applicable in terms of content, and easy to use and useful in terms of system user interface. This study has revealed the feasibility of developing such an ENR system. |
format | Online Article Text |
id | pubmed-3402556 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Korean Society of Medical Informatics |
record_format | MEDLINE/PubMed |
spelling | pubmed-34025562012-07-27 Integration of Evidence into a Detailed Clinical Model-based Electronic Nursing Record System Park, Hyeoun-Ae Min, Yul Ha Jeon, Eunjoo Chung, Eunja Healthc Inform Res Original Article OBJECTIVES: The purpose of this study was to test the feasibility of an electronic nursing record system for perinatal care that is based on detailed clinical models and clinical practice guidelines in perinatal care. METHODS: This study was carried out in five phases: 1) generating nursing statements using detailed clinical models; 2) identifying the relevant evidence; 3) linking nursing statements with the evidence; 4) developing a prototype electronic nursing record system based on detailed clinical models and clinical practice guidelines; and 5) evaluating the prototype system. RESULTS: We first generated 799 nursing statements describing nursing assessments, diagnoses, interventions, and outcomes using entities, attributes, and value sets of detailed clinical models for perinatal care which we developed in a previous study. We then extracted 506 recommendations from nine clinical practice guidelines and created sets of nursing statements to be used for nursing documentation by grouping nursing statements according to these recommendations. Finally, we developed and evaluated a prototype electronic nursing record system that can provide nurses with recommendations for nursing practice and sets of nursing statements based on the recommendations for guiding nursing documentation. CONCLUSIONS: The prototype system was found to be sufficiently complete, relevant, useful, and applicable in terms of content, and easy to use and useful in terms of system user interface. This study has revealed the feasibility of developing such an ENR system. Korean Society of Medical Informatics 2012-06 2012-06-30 /pmc/articles/PMC3402556/ /pubmed/22844649 http://dx.doi.org/10.4258/hir.2012.18.2.136 Text en © 2012 The Korean Society of Medical Informatics http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Park, Hyeoun-Ae Min, Yul Ha Jeon, Eunjoo Chung, Eunja Integration of Evidence into a Detailed Clinical Model-based Electronic Nursing Record System |
title | Integration of Evidence into a Detailed Clinical Model-based Electronic Nursing Record System |
title_full | Integration of Evidence into a Detailed Clinical Model-based Electronic Nursing Record System |
title_fullStr | Integration of Evidence into a Detailed Clinical Model-based Electronic Nursing Record System |
title_full_unstemmed | Integration of Evidence into a Detailed Clinical Model-based Electronic Nursing Record System |
title_short | Integration of Evidence into a Detailed Clinical Model-based Electronic Nursing Record System |
title_sort | integration of evidence into a detailed clinical model-based electronic nursing record system |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3402556/ https://www.ncbi.nlm.nih.gov/pubmed/22844649 http://dx.doi.org/10.4258/hir.2012.18.2.136 |
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