Usability of the Clinical Care Classification System for Representing Nursing Practice According to Specialty

Abstract

This study examined the ability of the Clinical Care Classification system to represent nursing record data across various nursing specialties. The data comprised nursing care plan records from December 1998 to October 2008 in a medical center. The total number of care plan documentation we analyzed was 2 060 178, and we used a process of knowledge discovery in datasets for data analysis. The results showed that 75.42% of the documented diagnosis terms could be mapped using the Clinical Care Classification system. However, a difference in nursing terminology emerged among various nursing specialties, ranging from 0.1% for otorhinolaryngology to 100% for colorectal surgery and plastic surgery. The top five nursing diagnoses were identified as knowledge deficit, acute pain, infection risk, falling risk, and bleeding risk, which were the most common health problems in an acute care setting but not in non-acute care settings. Overall, we identified a total of 21 established nursing diagnoses, which we recommend adding to the Clinical Care Classification system, most of which are applicable to emergency and intensive care specialties. Our results show that Clinical Care Classification is useful for documenting patient's problems in an acute setting, but we suggest adding new diagnoses to identify health problems in specialty settings.

Identifying nurses’ concern concepts about patient deterioration using a standard nursing terminology

“…This was done because different unit types may contain different work flows and patient acuities. Thus, the concern score given for a specific concept may be dependent on these factors [14].…”

“…To overcome this challenge, we used a standard nursing terminology, the Clinical Care Classification (CCC) system, that contains a conceptual framework which represents nursing practice. Previous studies verified that CCC concepts, 176 nursing diagnoses and 201 nursing interventions categorized into 21 care component classes, highly represent the nursing process [12][13][14]. Therefore, using CCC concepts enabled the process of converting abstract nursing concern concepts into objectifiable concepts on which nurses could evaluate and reach consensus.…”

Prevalence of nursing diagnoses as a measure of nursing complexity in a hospital setting

“…, O'Brien‐Pallas et al . , Feng & Chang ). Nonetheless, studies such as these are central to improving the knowledge on the epidemiology of NDs.…”

“…A shortage of solid knowledge exists regarding the prevalence and distribution of patient needs among clinical settings and diseases. Only a few studies have been based on large hospital databases that included nursing diagnostic data (Halloran & Kiley 1987, Rosenthal et al 1995, Welton & Halloran 2005, Park et al 2006, O'Brien-Pallas et al 2010, Feng & Chang 2015. Nonetheless, studies such as these are central to improving the knowledge on the epidemiology of NDs.…”

Σχέση Των Νοσηλευτικών Διαγνώσεων, Των Νοσηλευτικών Παρεμβάσεων Και Της Έκβασης Με Πολυμορφισμούς Του Γονιδίου Του Μεταφορέα Της Σεροτονίνης Σε Ασθενείς Με Μείζονα Κατάθλιψη

“…(Saba and Whittenburg, 2015), εξασφαλίζοντας τη συνέχεια της νοσηλευτικής φροντίδας με επίκεντρο τον ασθενή (Whittenburg and Meetim, 2016). Ο εμπλουτισμός με νέες νοσηλευτικές διαγνώσεις θα συμβάλλει στην ευρύτερη αξιοποίηση του CCC από όλες τις νοσηλευτικές ειδικότητες, ιδιαίτερα σε δομές παροχής επείγουσας φροντίδας υγείας (Feng and Chang, 2015).…”