TUILDING STANDARD-BASED NURSING INFORMATION SYSTEMS docx

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TUILDING STANDARD-BASED NURSING INFORMATION SYSTEMS docx

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[...]... of nursing practice and reflect nursing 17 The Nursing Process responsibilities for every type of patients These themes provide an additional dimension for attention and inclusion In this context, it is obligatory to consider that a more scientific and complex approach to the nursing care process is required The role of information technology is vital Nursing knowledge feeds nursing information systems. .. to have it organized into different health information systems When information is structured in well-defined and integrated systems, it can be collected, processed, stored, retrieved, and distributed more efficiently, and individuals and organizations will be able to use it more effectively 1.2 Information Systems and Healthcare Organizations Information systems are necessarily inserted in a context... computer-based information systems being developed for the healthcare delivery system in the 21st century 3.3 Documenting the Nursing Process Assuming that the Nursing Process is indeed an appropriate framework for nursing practice, the internal structuring of the nursing documentation should be based on that model The characteristics of the nursing professional activities, the framework for nursing practice,... The Nursing Process and communicate nursing care activities across settings, population groups, and countries (Gassert, 1998) They further determined that the nursing caregivers need reliable data to formulate health policy and to develop standards for computer-based information systems The International Council of Nurses (ICN) agreed that the need for a common language for nursing was urgent if nursing. .. Different classification systems originating from other countries that frequently are not pertinent to the local users and pattern of care; • Lack of validation systems; • 14 High demand for nursing care; Lack of standard data and standard sets of nursing care terms or terminologies to support the implementation of the Nursing Process; and evaluation of of classification Information and Nursing Practice •... defines nursing as the diagnosis and treatment of human responses to actual or potential health problems It is also assumed that nursing care is individualized to meet a particular patient's unique needs and situation The Nursing Process is a rational evidence-based methodology for the provision of nursing care The Nursing Process adds accountability to the professional practice To support nursing. .. the Nursing Process methodology has been used as a useful instrument valid across different countries and healthcare delivery models The Nursing Process is recognized as a universal methodology to organize and perform nursing care It is a framework within which nurses can organize information about patient problems and design interventions to meet their needs 3.1 Explaining the Nursing Process Nursing. .. education of nurses in standard-based practice, and assist in the development of nursing information systems in Latin America and the Caribbean This publication is the result of a joint initiative of three technical programs (Essential Drugs and Technology, Organization and Management of Health Systems and Services, and Human Resources Development) of the Division of Health Systems and Services Development,... right time When information systems do exist, major stumbling blocks confronted by systems operators relate to the quality of data sources and timely data collection and recording Unquestionably, data capture at the point of their generation and the accuracy issues represent the most serious concerns regarding the operation of information systems Given the large quantity and the diversity of information. .. issues are being introduced in the curriculum of nursing education programs in the Region 15 This page intentionally left blank 3 The Nursing Process This section describes how the Nursing Process may be used as a vehicle for the delivery of nursing care It also explains how elements of the nursing process may be used to provide a structural framework for the nursing record - a framework that presents a . for Nursing Practice (ICNP) 60 6. Nursing Informatics 63 6.1. Information Technology and the Nursing Profession 64 6.2. Computerized Nursing Information. of Nursing, USA Contents Foreword Note from the Editors 1. Introduction 1 1.1. Information Systems and Healthcare Practice 3 1.2. Information Systems

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  • Contents

  • Foreword

  • Note from the Editors

  • 1. Introduction

    • 1.1. Information Systems and Healthcare Practice

    • 1.2. Information Systems and Healthcare Organizations

    • 1.3. Information Systems and Health Records

    • 2. Information and Nursing Practice

      • 2.1. Problems of Clinical and Administrative Records

      • 2.2. Nursing Documentation in Latin America and the Caribbean

      • 3. The Nursing Process

        • 3.1. Explaining the Nursing Process

        • 3.2. Standard Terminologies

        • 3.3. Documenting the Nursing Process

        • 3.4. Quality Assurance

        • 4. Standards, Terminologies, and Nursing Information Systems

          • 4.1. Practice Standards and Information Systems Standards

          • 4.2. Standards in Nursing Information: Concepts and Data

          • 4.3. Structured Terminologies

          • 4.4. Developing Standards

          • 4.5. Criteria for Selecting a Standardized Terminology

          • 4.6. Nursing Minimum Data Sets

          • 5. Classification Systems in Nursing

            • 5.1. The Omaha System – Applications for Community Health Nursing

            • 5.2. North American Nursing Diagnoses Association (NANDA)

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