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KMID : 0603720100160040273
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Journal of Korean Society of Medical Informatics
2010 Volume.16 No. 4 p.273 ~ p.280
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Crossmapping of Nursing Problem and Action Statements in Telephone Nursing Consultation Documentations with International Classification for Nursing Practice
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Lee Hyun-Jung
Park Hyeoun-Ae
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Abstract
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Objectives: This study is to cross-map telephone nursing consultation documentations with International Classification for Nursing Practice (ICNP; ver. 1.0 concepts).
Methods: The narrative telephone nursing consultation documentations of 170 ophthalmology nursing unit patients were analyzed. The nursing statements were examined and cross-mapped with the Ko-rean version of the ICNP ver. 1.0. If all the concepts of a statement were mapped to ICNP concepts, it was classified as ’com-pletely mapped’. If any concept of a statement wasnot mapped, it was classified as ’partially mapped’. If none of the concepts were mapped, it was classified as ’not mapped’.
Results: A total of 738 statements wereused for documenting telephone nurs-ing consultations. These statements were divided into 3 groups according to their content: 1) 294 nursing phenomena-related statements (72 unique statements), 2) 440 nursing actions-related statements (76 unique statements), and 3) 4 other state-ments (2 unique statements). In total, 189 unique nursing concepts extracted from 150 unique statements and 108 concepts (62.44%) were mapped onto ICNP concepts.
Conclusions: This study demonstrated the feasibility of computerizing narrative nursing documentations for electronic telephone triagein the ophthalmology nursing unit.
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KEYWORD
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Triage, Telenursing, Nursing Record, Terminology
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