Pan American Health Organization's Building Standard-Based Nursing Information Systems (PAHO PDF

By Pan American Health Organization

ISBN-10: 9275123640

ISBN-13: 9789275123645

ISBN-10: 9275127190

ISBN-13: 9789275127193

Development Standard-Based Nursing details structures is directed to practising and pupil nurses, healthiness care pros all for the implementation of data platforms, and data expertise expert operating within the wellbeing and fitness zone. the target of this publication is to supply them with a simple resource of proof with regards to the use and implementation of criteria in nursing medical and administrative documentation. A compelling case is made concerning the value of accurately documenting nursing care, to be able to facilitate analyses of nursing actions, the supply of caliber and evidence-based direct sufferer care, and promoting of continuity of carrier. Standardized documentation is usually required for verbal exchange nursing ideas, interventions, and results to different nurses and overall healthiness execs operating in several settings and international locations. The record makes a speciality of key problems with glossy nursing perform and illustrates how info expertise aid to the implementation and use of standard-based perform can increase medical and administration nursing services.

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Extra resources for Building Standard-Based Nursing Information Systems (PAHO Occasional Publication)

Sample text

Simple Lists The straightforward solution to the dilemma of using unstructured text in contemporary computerized nursing information systems is to standardize a terminology. This is accomplished by agreeing in advance on all of the expressions we might want to use, and by presenting these expressions in a list (Figure 1). Describing nursing care is just a case of selecting all relevant expressions from the list and transcribing them into the nursing record or even selecting them from a pick list on a computer screen.

Moreover, in simple lists there are no mechanisms for aggregating or grouping terms, which results in major difficulties with the organizing, accessing, retrieving, and analyzing information. For example, there is no way to identify that the expression "Pain" is related to the more detailed expression "Severe pain" and "Acute abdominal pain". 2. Classifications One solution to the problem of aggregating or grouping terms to allow the proper organization, access, and analysis of information is to organize expressions into a classification scheme (Figure 2).

The rules of classification used for development that were also adopted by several classification system developers are: • There is no inherent order considered better than another; one pattern is not 51 Classification Systems in Nursing • The level of abstraction determines the level of placement: general to specific, abstract to concrete; • The diagnosis is classified by considering the definition of the pattern and the diagnosis; • The placement of the diagnosis is conceptually consistent with the current theoretical views within nursing; • Categories in brackets were developed by the committee to clarify why certain diagnoses were placed at a specific level or in a specific pattern and from a collaborative effort with the American Nurses Association; • A numbering system was developed to facilitate computerization of the taxonomy.

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Building Standard-Based Nursing Information Systems (PAHO Occasional Publication) by Pan American Health Organization


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