Incorporating Standardized Nursing Languages Into an Electronic Nursing Documentation System in <scp>K</scp>orea: A Pilot Study

Park, RN Hyejin; Lee, RN Eunjoo

doi:10.1111/2047-3095.12038

Cited by 15 publications

(14 citation statements)

References 12 publications

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“…Twenty-six (58%) studies analyzed nursing data coded with NANDA-I, [26][27][28] NOC, 29,30 NIC, [31][32][33] a combination of these terminologies (eg, NIC and NOC), [34][35][36] or the NNN set. [37][38][39][40][41][42][43][44][45][46][47][48][49][50][51] Fourteen (31%) studies used Omaha System, [52][53][54][55][56][57][58][59][60][61][62][63][64][65] while 4 (9%) used ICNP. [66][67][68] One (2%) study compared nursing data coded with NANDA-I and ICNP from different EHRs.…”

Section: Snts Usedmentioning

confidence: 99%

Secondary use of standardized nursing care data for advancing nursing science and practice: a systematic review

Macieira

Chianca

Smith

et al. 2019

Journal of the American Medical Informatics Association

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Objective The study sought to present the findings of a systematic review of studies involving secondary analyses of data coded with standardized nursing terminologies (SNTs) retrieved from electronic health records (EHRs). Materials and Methods We identified studies that performed secondary analysis of SNT-coded nursing EHR data from PubMed, CINAHL, and Google Scholar. We screened 2570 unique records and identified 44 articles of interest. We extracted research questions, nursing terminologies, sample characteristics, variables, and statistical techniques used from these articles. An adapted STROBE (Strengthening The Reporting of OBservational Studies in Epidemiology) Statement checklist for observational studies was used for reproducibility assessment. Results Forty-four articles were identified. Their study foci were grouped into 3 categories: (1) potential uses of SNT-coded nursing data or challenges associated with this type of data (feasibility of standardizing nursing data), (2) analysis of SNT-coded nursing data to describe the characteristics of nursing care (characterization of nursing care), and (3) analysis of SNT-coded nursing data to understand the impact or effectiveness of nursing care (impact of nursing care). The analytical techniques varied including bivariate analysis, data mining, and predictive modeling. Discussion SNT-coded nursing data extracted from EHRs is useful in characterizing nursing practice and offers the potential for demonstrating its impact on patient outcomes. Conclusions Our study provides evidence of the value of SNT-coded nursing data in EHRs. Future studies are needed to identify additional useful methods of analyzing SNT-coded nursing data and to combine nursing data with other data elements in EHRs to fully characterize the patient’s health care experience.

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Section: Snts Usedmentioning

confidence: 99%

Secondary use of standardized nursing care data for advancing nursing science and practice: a systematic review

Macieira

Chianca

Smith

et al. 2019

Journal of the American Medical Informatics Association

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“…The use of objective and standardized language is crucial to efficiently document the nursing process in electronic medical records (Lundberg et al., ; Park & Lee, ; Saranto et al., ). Accordingly, the North America Nursing Diagnosis Association (NANDA) developed the NANDA‐International (NANDA‐I) diagnosis, a database of standardized nursing terminology.…”

Section: Purposementioning

confidence: 99%

Identification of Nursing Diagnosis–Outcome–Intervention Linkages for Inpatients in the Obstetrics Department Nursing Unit in South Korea

Yang

Kim

2017

Int J of Nursing Knowl

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“…The NANDA‐I, NIC, and NOC represent nursing diagnoses, nursing interventions, and nursing outcomes (Park & Lee, ).The NANDA‐I is a nursing language used widely for communicating patient problems, potential risks, and readiness for health promotion by nursing professionals who provide bedside care (Herdman & Kamitsuru, ; Lunney, 2010; Rutherford, ). NANDA‐I, NIC, and NOC were developed separately but can be linked (Gordon, ) and are then often referred to as NANDA‐I NIC NOC.…”

Section: Introductionmentioning

confidence: 99%

Knowledge, Perception, and Utilization of Standardized Nursing Language (SNL) (NNN) among Nurses in Three Selected Hospitals in Ondo State, Nigeria

Olatubi

Oyediran

Faremi

et al. 2018

Int J of Nursing Knowl

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The use of standardized nursing languages helps nurses understand patients' needs with precision and speed. This study assessed the knowledge of standardized nursing languages (SNL); how nurses perceive SNL and nurses utilization of SNL. The study adopted a cross sectional research design. Participants were recruited using convenience sampling technique. Data was collected using 5-sectioned self-structured questionnaires whose validity and reliability had been previously ascertained. Data collected was analyzed using Statistical Package for Social Sciences (SPSS) version 20. Results showed that majority of the nurses that participated in the study are female (83.8%). Only 60.0% of the nurses know the number of steps in nursing process while very few (5.4%) can correctly define what SNLs is. Knowledge of SNLs shows that 26.2% have high knowledge; 44.6% moderate knowledge while 29.2% had low knowledge. Utilization of SNL by nurses showed that Majority (83.8%) of the nurses in the study agreed that utilization of SNL help nurses to deliver quality nursing care; 67.7% of nurses agreed that the use of SNL makes nursing practice unique, 55.4% opined that the use of SNL can be cumbersome while only 24.6% often use nursing process for patients' care. Although, participants in this study agreed that the use of SNL is crucial to quality nursing care, with poor utilization.

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Incorporating Standardized Nursing Languages Into an Electronic Nursing Documentation System in Korea: A Pilot Study

Abstract: Obtaining valid and comparable data from this system will be critical in improving patient safety, quality, and evidence-based practice.

Cited by 15 publications

References 12 publications

Secondary use of standardized nursing care data for advancing nursing science and practice: a systematic review

Secondary use of standardized nursing care data for advancing nursing science and practice: a systematic review

Identification of Nursing Diagnosis–Outcome–Intervention Linkages for Inpatients in the Obstetrics Department Nursing Unit in South Korea

Knowledge, Perception, and Utilization of Standardized Nursing Language (SNL) (NNN) among Nurses in Three Selected Hospitals in Ondo State, Nigeria

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