Computerized clinical decision support system utilization in nursing: a scoping review protocol.

REVIEW QUESTION/OBJECTIVE: The objective of this scoping review is to comprehensively identify and examine the available literature on computerized clinical decision support systems utilized in nursing. The following focus questions will be used as an initial starting point in order to map and discuss important characteristics of the work done in this field.

Implementation of Improvements in an Electronic Documentation Nursing Process System Structured on NANDA-I, NOC and NIC (NNN) Classification.

The aim of this study was to present the experience of a teaching hospital with the implementation of improvements to an electronic documentation system of the nursing process (PROCEnf-USP®). The improvements were based on functional performance and technical quality of the system. It was adopted Scrum™ method for version control PROCEnf-USP® by enabling agility, flexibility and possibility of integration between development and users. The PROCEnf-USP® has been used since 2009 and has professional and academic environments. The current version lets you generate reports and supports decisions about diagnoses, outcomes and interventions. It is provided the use of indicators to monitor results and registration at the point of care. The establishment of important.

Direct cost of development and documentation of the nursing process.

OBJECTIVE: identify the average direct cost (ADC) of the activities performed by nursing professionals in the nursing process development and documentation at the medical clinic of a teaching hospital. METHOD: 1040 activities were observed and the ADC was calculated by multiplying the time spent by professionals by the unit cost of direct labor. RESULTS: the ADC of patient admission was R$ 55.57 (SD=19.44); among the activities of patient follow-up, the assessment phase documentation had the most significant ADC (R$ 17.70 - SD=14.60); the ADC of descriptive records corresponded to R$ 1.21 (SD=1.21) and the ADC of the nursing team for shift change was R$ 54.23 (SD=28.95). CONCLUSION: the study promotes visibility of the work performed by nursing professionals in the development of the nursing process, providing financial data to ensure consistent arguments for proper resources to its feasibility.

Nursing Clinical Documentation System Structured on NANDA-I, NOC, and NIC Classification Systems.

Information is a key feature that health professionals need to exercise their profession with efficiency and quality. This study aims to present the experience of the usage of an electronic system for clinical documentation in nursing in a university hospital. It is a methodological research of technology production. The system was developed in four phases: Conception, Elaboration, Construction, and Transition, and was named Electronic Documentation System of the University of São Paulo Nursing Process (PROCEnf-USP™). The knowledge base of PROCEnf-USP™ was organized in hierarchy of domains and classes, according to NNN linkages.

Custo direto da condução e documentação do processo de enfermagem / Costo directo de la conducción y documentación del proceso de enfermería / Direct cost of development and documentation of the nursing process

RESUMOObjetivo:identificar o custo direto médio (CDM) das atividades realizadas por profissionais de enfermagem visando à condução e documentação do Processo de Enfermagem na Unidade de Clínica Médica de um hospital universitário.Método:foram observadas 1040 atividades e calculado o CDM multiplicando-se o tempo despendido pelos profissionais pelo custo unitário da mão de obra direta.Resultados:o CDM da admissão do paciente correspondeu a R$ 55,57 (DP ±19,44); dentre as atividades de seguimento dos pacientes a documentação do Histórico de Enfermagem representou o CDM mais impactante (R$ 17,70, DP=14,60); o CDM das anotações descritivas correspondeu a R$ 1,21 (DP=1,21) e o CDM da equipe de enfermagem para passagem de plantão foi de R$ 54,23 (DP=28,95).Conclusão:o estudo contribui para conferir visibilidade à atuação dos profissionais de enfermagem na condução do Processo de Enfermagem fornecendo elementos financeiros para argumentação consistente quanto aos recursos adequados à sua exequibilidade.

RESUMENObjetivo:identificar el coste directo medio (CDM) de las actividades realizadas por los profesionales de enfermería en la conducción y documentación del proceso de enfermería en la Unidad de Clínica Médica de un hospital universitario.Método:se observaron 1040 actividades y se calculó el CDM multiplicando el tiempo dedicado por los profesionales por el costo de la mano de obra directa.Resultados:la admisión CDM paciente fue de R$ 55,57 (SD=19,44); entre las actividades de seguimiento de los pacientes a la documentación de la evaluación fue lo CDM más impactante (R$ 17,70, SD=14,60); el CDM de anotaciones descriptivas correspondió a R$ 1,21 (SD=1,21) y el CDM del cambio de turno de enfermería fue de R$ 54,23 (SD=28,95).Conclusión:el estudio contribuye a dar visibilidad a la labor de los profesionales de enfermería en la realización del Proceso de Enfermería proporcionando datos financieros coherentes a su viabilidad.

ABSTRACTObjective:identify the average direct cost (ADC) of the activities performed by nursing professionals in the nursing process development and documentation at the medical clinic of a teaching hospital.Method:1040 activities were observed and the ADC was calculated by multiplying the time spent by professionals by the unit cost of direct labor.Results:the ADC of patient admission was R$ 55.57 (SD=19.44); among the activities of patient follow-up, the assessment phase documentation had the most significant ADC (R$ 17.70 - SD=14.60); the ADC of descriptive records corresponded to R$ 1.21 (SD=1.21) and the ADC of the nursing team for shift change was R$ 54.23 (SD=28.95).Conclusion:the study promotes visibility of the work performed by nursing professionals in the development of the nursing process, providing financial data to ensure consistent arguments for proper resources to its feasibility.