Method for the Modeling and Structuring of Computerized Nursing in Intensive Care

Abstract

Hybrid study of technological production and methodological research aimed at restructuring and organize data and information from the Computerized Nursing Process, based on the International Classification for Nursing Practice (ICNP(r)) version 2.0 for Intensive Care Units. Study carried out in four stages: review of conceptual modeling and system logic; grouping of clinical situations in order of increasing complexity; determination of diagnoses and interventions for each clinical situation and; selection and registration of diagnoses and nursing interventions in the computerized system. As a result, 1,349 possibilities for clinical evaluations, 949 diagnoses and 438 nursing interventions were organized, restructured and divided into nine human body systems. The Computerized Nursing Process based on ICNP(r) can measure results, is adaptable to any reality and allows nurses to use this tool as a structured knowledge base.

Usefulness of Information and Communication Technologies: Portuguese Nurses’ Look

“…[15][16] Given that the time spent and the difficulties of access to use ICTs have been identified as the main barriers, investment in mobile devices that facilitate access, appears as an interesting possibility. 8,16…”

“…In fact, in increasingly complex contexts, one wonders whether the usefulness of ICTs can be enhanced by real-time access via mobile devices, rather than only via Web. 8 Although this may be a possibility, it is still important to make nursing professionals aware that any technology added to care increases, in an initial phase, the complexity of the work; however, in the long run, it can increase the workload reduction, as well as improve quality of care. 8 In this regard, it should be added that although some ICTs have been used to support the development of the Computerized Nursing Process, 17 which also happened in Portugal with SAPE and SClínico ® , the need to adopt reources is urgently needed to use ICTs as a structured knowledge base, which is effectively not always possible with the Intranet and email.…”

“…7 To achieve these objectives, among other aspects, there is a need for information systems and information technologies that integrate the collaboration of different health professionals in favor of high levels of quality in the care process of sick people. 8 In Portugal, although there are very diverse ICTs, at the time of data collection, there were nine ICTs in public hospitals: Nursing Practice Support System (SAPE -Sistema de Apoio à Prática de Enfermagem); SClínico ® ; Physician Support System (SAM -Sistema de Apoio ao Médico); ALERT ® ; Integrated Hospital Information System called SONHO ® ; Health Data Platform (PDS -Plataforma de Dados da Saúde); Intranet; newsletter; email. SAPE, currently updated in SClínico, is a resource that allows the computerization of the different phases of Nursing Process; SAM is a computer-oriented application for physicians' practices; ALERT ® is a clinical software that in most of the hospitals under study is implemented in Emergency Services; SONHO, acronym of Integrated Hospital Information System, has as main features patient registration, information about the procedure performed in patients in International Classification of Diseases (ICD) codes and the registration of patients leaving with transformation into Homogeneous Diagnostic Groups (HDG) for financial accounting related to the passage of patients in the hospital.…”

Software-protótipo para sistematização da assistência de enfermagem em doenças tropicais e infectocontagiosas

“…Nessa perspectiva de modernização dos serviços de saúde, a informatização ganha relevância por melhorar os fluxos de trabalho e favorecer a comunicação entre setores da instituição e unidades, representando uma base concreta para o processo de enfermagem, visto que, contribui, também, no processo gerencial, otimizando o tempo do próprio profissional na busca da melhor qualidade do cuidado (5)(6) .…”

Mapeamento E Cruzamento Das Informações Sobre Avaliação Clínica, Diagnóstico E Intervenções De Fisioterapia

“…Therefore, the creation of a recording system aims to contribute to the systematization of care given by the professions, including physiotherapy, aiming at critical thinking, safe decision-making, investigative reasoning and the constant search for scientific information and evidence, with the goal of improving the health of the population. [7][8] Currently, considering the large volume of data and information coming from physiotherapeutic assistance, there is an urgent need to create a computerized system that will manage and make this assistance available in a standardized way, optimizing the professional's time and facilitating the access to information. In addition, allowing the data to be presented dynamically and presenting a user-friendly interface makes epidemiological studies possible which are of great interest to society.…”