By Pan American Health Organization
Construction Standard-Based Nursing info structures is directed to practising and pupil nurses, wellbeing and fitness care execs focused on the implementation of knowledge platforms, and data expertise expert operating within the healthiness quarter.
The goal of this publication is to supply them with a simple resource of proof regarding the use and implementation of criteria in nursing scientific and administrative documentation. A compelling case is made concerning the value of competently documenting nursing care, which will facilitate analyses of nursing actions, the availability of caliber and evidence-based direct sufferer care, and merchandising of continuity of provider. Standardized documentation is usually required for conversation nursing innovations, interventions, and results to different nurses and healthiness execs operating in several settings and nations.
The rfile specializes in key problems with smooth nursing perform and illustrates how details expertise help to the implementation and use of standard-based perform can enhance medical and administration nursing capabilities.
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Extra info for Building Standard-Based Nursing Information Systems
DOMAIN Health Promotion Nutrition 3. 4. Elimination Activity/Rest 5. Perception/ Cognition 6. 7. Self-perception Role Relationships 8. Sexuality 9. Coping/Stress Tolerance 10. Life Principles 11. Safety/Protection 12. Comfort 13. 3. CLASSES Health awareness, Health management Ingestion, Digestion, Absorption, Metabolism, Hydration Bladder/Kidney, Bowel, Skin, Lungs Sleep/Rest, Activity/Exercise, Energy field, Cardiovascular pulmonary responses Attention, Orientation, Cognition/Perception, Cognition, Communication Self concept, Self-esteem, Body image Caregiver roles, Family relationships, Role performance Sexual identity, Sexual function, Reproduction Post-trauma responses, Coping, Neurobehavioral stress Values, Beliefs, Value/Beliefs congruence Infection, Physical injury, Violence, Environmental hazards, Immune responses, Thermoregulation Physical comfort, Environmental comfort, Social comfort Growth, Development Nursing Interventions Classification (NIC) The Iowa Nursing Interventions Classification (NIC) is a categorization system of direct care activities performed by nurses, including both direct and indirect care.
6. Nursing Minimum Data Sets Nursing data represent the primary level of nursing informatics. Nursing data are the basic tool used to elaborate and record the Nursing Process through the methodology of assessment, diagnoses, interventions, outcomes, documentation, and evaluation of patient care. According to Saba and McCormick (1996), nursing data are defined and coded terms are needed for the development of computer-based information systems. Nursing data, once processed, produce nursing information, and nursing information, once analyzed, interpreted, and aggregated, produces nursing knowledge.
28 Standards, Terminologies, and Nursing Information Systems • In combinatorial terminologies a number of simple (atomic) concepts combine into complex (molecular) concepts. As examples, the two atomic concepts "sleep" and "disturbed" may combine into the complex concept "disturbed sleep" and the two simple concepts "acute" and "pain" may similarly come together to become the complex concept "acute pain". Combinatorial classification systems have helped to disseminate the notion of concepts and their combinations, and promoted the implementation of concept standards.
Building Standard-Based Nursing Information Systems by Pan American Health Organization