RÉSUMÉ
The purpose of this paper is to report the work of the Interventions Group of the first Nursing Terminology Summit (1999) and to describe the challenges and insights of this group as they have evolved a reference terminology model for nursing interventions. When the group began its work as part of the first meeting of the Nursing Terminology Summit, it had the overall objective of proposing the intervention component of a reference terminology model for nursing. Although there is not a definitive proposal for this to date, the group's exploration and analysis has clarified and explicated both the types of models of clinical information and the current " state of the art" of formal representations of nursing interventions as well as the relationship of nursing languages to these formal representations. In addition, it is our perspective that the work of this group is representative of the process and challenges facing many similar groups currently engaged in modeling efforts. Consequently, critical success factors of such efforts are identified and discussed. This paper reports both the specific outputs of the group related to progress in defining a terminology model of nursing interventions and observations and lessons learned regarding consensus modeling work.
Sujet(s)
Soins infirmiers , Terminologie comme sujet , Modèles théoriquesRÉSUMÉ
The Nursing Terminology Summit has used collaborative processes to bring about significant changes in the development of terminology standards for nursing. This paper draws on agendas, reports, notes, and other documents from the Summit, in addition to the authors' own experience as Organizer, Steering Committee, and participants, to provide a brief history of the Summit process. The analysis identifies factors that increased the risk of failure as well as factors that fostered success. The paper concludes with lessons learned that can be applied in other arenas to promote change in medical informatics.
Sujet(s)
Soins/classification , Terminologie comme sujet , Vocabulaire contrôléRÉSUMÉ
As key stakeholders from the clinical setting and vendor communities, the authors share a summary of their collective experience related to the challenges and issues associated with implementing the vocabularies recognized by the American Nurses Association in several installations of commercially available clinical information systems. Although the focus of the article is on summarizing the challenges and issues, it is of note that the authors' experiences across care settings suggest that the experience and effort of using one of the ANA-recognized vocabularies in a computer-based system are essentially worthwhile and positive. The issues and challenges fall into two categories: 1) those related to the developmental status of nursing vocabularies, and 2) those related to the adoption or implementation of new technology.
Sujet(s)
Systèmes informatisés de dossiers médicaux/organisation et administration , Soins/classification , Vocabulaire contrôlé , Association américaine des infirmiers et infirmières , États-UnisRÉSUMÉ
The authors describe the implementation of the Nursing Interventions Classification (NIC), a standardized nursing language in five test sites: Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; Genesis Medical Center, Davenport, Iowa; Loyola University Medical Center, Maywood, Illinois; Oaknoll Retirement Residence, Iowa City, Iowa; and The University of Iowa Hospitals and Clinics, Iowa City, Iowa. A description of NIC is provided along with a discussion of implementation issues and recommendations for implementation.
Sujet(s)
Soins infirmiers/classification , Collecte de données , Systèmes de gestion de bases de données/organisation et administration , Systèmes d'information hospitaliers , Humains , Recherche en soins infirmiers/méthodes , Personnel infirmier/enseignement et éducation , Terminologie comme sujet , États-UnisRÉSUMÉ
A critical path has been defined as a "written plan that functions as a map and timetable for efficient and precise delivery of health care." Critical paths are seen as a method of maintaining quality care while controlling costs through coordination of services. Many benefits have been realized through the use of critical paths in acute care settings. Despite their effectiveness in acute care settings, critical paths have received minimal attention in home healthcare. The purposes of this paper are to (1) illustrate the ways that home care can benefit from the use of critical paths; and (2) describe a process that home care providers can use to develop critical paths.
Sujet(s)
Services de soins à domicile , Démarche de soins infirmiers , Planification des soins du patient , Assurance de la qualité des soins de santé , HumainsRÉSUMÉ
Automated clinical databases are crucial to the future of nursing but presently are not meeting the needs of clinicians, administrators, educators, or researchers. This article examines theoretical, empirical, and practical issues relating to the development of automated nursing clinical databases that will foster safe, effective practice and further nursing's knowledgebase. A series of key questions are identified relevant to each issue. These issues must be resolved if nurses are to take full advantage of the possibilities inherent in the evolving information technology.