Describing Use of Nursing Interventions for Three Groups of Patients

Dochterman, Joanne; Titler, Marita G.; Wang, Jenny; Reed, David; Pettit, Debra; Mathew-Wilson, Mary; Budreau, Ginette; Bulechek, Gloria M.; Kraus, Vicki L.; Kanak, Mary

doi:10.1111/j.1547-5069.2005.00003.x

Cited by 35 publications

(44 citation statements)

References 7 publications

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“…In one analysis of nursing interventionsused mostly during an acute hospital stay and documented in an electronic database -the patients were divided into three groups older than 60 years: was individualized to daily patient need and was continued right up to the time of hospital discharge (6) .…”

Section: Published In 2005 In the Annals Of Internalmentioning

confidence: 99%

Prevalent nursing diagnoses and interventions in the hospitalized elder care

Almeida

Aliti²,

Franzen

et al. 2008

Rev. Latino-Am. Enfermagem

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Section: Published In 2005 In the Annals Of Internalmentioning

confidence: 99%

Prevalent nursing diagnoses and interventions in the hospitalized elder care

Almeida

Aliti²,

Franzen

et al. 2008

Rev. Latino-Am. Enfermagem

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“…ANA recognition is based on research establishing the reliability, validity, and usefulness of the terminology in practice. Subsequent research focuses on use of a standardized language, 7-12 however, no studies were found in which data from a standardized nursing terminology were abstracted from EHRs across agencies and software vendors. The majority of studies found abstracted data from paper records; others developed a data base that included standardized nursing terminologies for research or abstracted data from a single software vendor.…”

mentioning

confidence: 99%

The Feasibility of Integrating the Omaha System Data Across Home Care Agencies and Vendors

Westra

Oancea

Savik

et al. 2010

CIN: Computers, Informatics, Nursing

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Federal and state initiatives are aligning around the goal that by 2014 all Americans will have electronic health records to support access to their health information any time and anywhere. As a key health care provider, nursing data must be included to enhance patient safety, effectiveness, and efficiency of care that is patient-centric. The purpose of this study was to test the feasibility of abstracting, integrating, and comparing the effective use of a standardized terminology, the Omaha System, across software vendors and 15 homecare agencies. Results showed that the 2,900 patients in this study had an average of four problems on care plans, with interventions most frequently addressing surveillance (39%) and teaching (30%). Findings in this study support the feasibility of integrating data across software vendors and agencies as well as the usefulness for describing care provided in homecare. However, before exchanging data across systems data quality issues found in this study need attention. There was missing data for 10.8% of patients as well as concerns about the validity of using the problem rating scale for outcomes. Strategies for effective use of standardized nursing terminologies are recommended.

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“…For example, the nursing data in SNLs stored in the routine care database could provide the results of nursing interventions in terms of not only patient outcomes but also costs associated with care. 82 It has been promised that the home healthcare system would support the evolving continuum of comprehensive care by providing care to individuals and families in their places of residence. This should maximize patients' level of independence while minimizing illness.…”

Section: Discussionmentioning

confidence: 99%

Developing an Electronic Nursing Record System for Clinical Care and Nursing Effectiveness Research in a Korean Home Healthcare Setting

Lee

Moorhead

2009

CIN: Computers, Informatics, Nursing

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Increased accountability requirements for the cost and quality of healthcare force nurses to clearly define and verify nursing's contributions to patient outcomes. This demand necessitates documentation of nursing care in a precise manner. An electronic nursing record system is considered a key element that enhances nurses' ability not only to record nursing care provided to patients but also to measure, report, and monitor quality and effectiveness. Home care is a growing field as nurses attempt to meet the demand for long-term care. The development of an electronic record system for home care nursing was the immediate focus of this study. We identified the nursing content required for home care nursing using standardized nursing languages and designed linkages among medical diagnoses, nursing diagnoses, nursing interventions, and nursing-sensitive outcomes within the system. Equipping an electronic nursing record system with nursing standards is particularly critical for enhancing nursing practice and for creating refined data to verify nursing effectiveness.

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Describing Use of Nursing Interventions for Three Groups of Patients

Cited by 35 publications

References 7 publications

Prevalent nursing diagnoses and interventions in the hospitalized elder care

Prevalent nursing diagnoses and interventions in the hospitalized elder care

The Feasibility of Integrating the Omaha System Data Across Home Care Agencies and Vendors

Developing an Electronic Nursing Record System for Clinical Care and Nursing Effectiveness Research in a Korean Home Healthcare Setting

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