Title

Developing an electronic nursing record system for clinical care and nursing effectiveness research in a korean home healthcare setting

Document Type

Article

Peer Reviewed

1

Publication Date

7-1-2009

Journal, Book or Conference Title

Computers, informatics, nursing

NLM Title Abbreviation

Comput Inform Nurs

PubMed ID

19574749

DOI

10.1097/NCN.0b013e3181a91b75

Abstract

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.

Keywords

Decision Support Systems, Clinical, Home Care Services/organization & administration, Korea, Medical Records Systems, Computerized, Nursing Records, Terminology as Topic

Published Article/Book Citation

The definitive version was published in Computers, informatics, nursing, 27:4 (2009) pp.234-244. DOI:10.1097/NCN.0b013e3181a91b75.

This document is currently not available here.

Share

COinS
 

URL

http://ir.uiowa.edu/nursing_pubs/1082