Building an innovation electronic nursing record pilot structure with nursing clinical pathway

Angelica Te Hui Hao, Li Fang Huang, Li Bin Wu, Ching Chiu Kao, Mei Show Lu, Wen Shan Jian, Her Kung Chang, Chien-Yeh Hsu

研究成果: 書貢獻/報告類型會議貢獻

3 引文 斯高帕斯(Scopus)

摘要

The nursing process consists of five interrelated steps: assessment, diagnosis, planning, implementation, and evaluation. In the nursing process, the nurse confronts a great deal of data and information. The amount of data and information may exceed the amount the nurse can process efficiently and correctly. Thus, the nurse needs assistance to become proficient in the planning of nursing care, due to the difficulty of simultaneously processing a large set of information. Thus, some form of assistance will be needed to help nurses to become more proficient in planning nursing care. Using computer technology to support clinicians' decision making may provide high-quality, patient-centered, and efficient healthcare. Although some existing nursing information systems aid in the nursing process, they only provide the most rudimentary decision support-i.e., standard care plans associated with common nursing diagnoses. Such a computerized decision support system helps the nurse develop a care plan step-by-step. But it does not assist the nurse in the decision-making process. The decision process about how to derive nursing diagnoses from data and how to individualize the care plans still remains in the mind of the nurse. The purpose of this study is to develop a pilot structure in an electronic nursing record system integrated with international nursing standards for improving the proficiency and accuracy of the plan of care in the clinical pathway process. The pilot system has shown promise in assisting both student nurses and beginner nurses. It also shows promise in helping experts who need to work in a practice area that is outside of their immediate domain.

原文英語
主出版物標題Studies in Health Technology and Informatics
頁面279-283
頁數5
122
出版狀態已發佈 - 2006
事件9th International Congress on Nursing Informatics, NI 2006 - Seoul, 大韓民國
持續時間: 六月 9 2006六月 21 2006

其他

其他9th International Congress on Nursing Informatics, NI 2006
國家大韓民國
城市Seoul
期間6/9/066/21/06

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management
  • Medicine(all)

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