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KMID : 0367020130250040365
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Journal of Korean Academic of Adult Nursing
2013 Volume.25 No. 4 p.365 ~ p.376
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Construction and Application of Nursing Information System Using NANDA-NOC-NIC Linkage in Medical-Surgical Nursing Units
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Ko Eun
So Hyang-Sook
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Abstract
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Purpose: The purpose of this study was to construct, develop, and apply a nursing information system (NIS) using NANDA-NOC-NIC linkage in medical-surgical nursing units.
Methods: This study consisted of three phases which were the construction of the database, development of the NIS, and application of the NIS. To construct the database, a questionnaire and nursing record review by an expert group were used. Collected data were analyzed by the SPSS/WIN 13.0 program.
Results: In first phase, the database was made up of 50 nursing diagnoses, 127 nursing outcomes and 300 nursing interventions. In the second phase, NIS was developed according to its flow diagram and then tested. In the third phase, the developed NIS was applied to 130 inpatients. Nursing diagnoses frequently used were acute pain, delayed surgical recovery, and deficient knowledge (specify). Nursing outcomes for a nursing diagnosis of ’acute pain’ were identified as pain control, pain level and comfort level. Nursing interventions for the nursing outcome ’pain control’ were pain management, patient controlled analgesia assistance and medication management.
Conclusion: The results of this study will facilitate the use of the newly proposed NIS in nursing practice and provide a guideline for evidence-based nursing.
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KEYWORD
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Nursing diagnosis, Nursing outcome, Nursing intervention, Nursing information system
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