Use of the clinical care classification in South Korean nursing practice: Challenges and opportunities.
Int J Med Inform
; 170: 104968, 2023 02.
Article
in En
| MEDLINE
| ID: mdl-36603388
ABSTRACT
BACKGROUND AND OBJECTIVES:
A government-driven standardization of nursing terminology including the Clinical Care Classification (CCC) was endorsed in South Korea in 2015, but the number of hospitals who have adopted this standard terminology remains unknown. This study aimed to determine the CCC awareness, adoption, and utilization statuses and its association with patient experience in South Korea. DESIGN, SETTING, ANDPARTICIPANTS:
A nationwide telephone survey was conducted from January 13 to February 12, 2022 among 217 tertiary and secondary hospitals participating in the health information exchange network. The survey questionnaire included 22 items in 3 categories current status of electronic nursing records, awareness and adoption of standard terminology, and open-ended questions regarding standard usage and dissemination. General characteristics and experience scores of the patients of the surveyed hospitals were collected from the publicly available data sources. Data analysis was performed using descriptive statistics, t-test, and generalized linear regression. MAIN OUTCOMES ANDMEASURES:
The rates of awareness and adoption in hospitals to the nursing terminology standard of the CCC were calculated, and the current status of electronic nursing records used in practice was examined. The relationships between CCC awareness and the characteristics of hospitals in their patient experiences of health services were also identified.RESULTS:
The survey response rate was 24.9 % (54/217). Two out of three hospitals (68.5 %) were aware of the CCC. These hospitals had 800 beds or more, and higher scores for patient experience. CCC awareness was significantly related to increases in the overall scores for patient experiences (t = 2.70, p =.0103), but no significance with sub-score for nursing service (t = 1.23, p =.1594).CONCLUSIONS:
With a high adoption rate of electronic medical record systems, two-third hospitals acknowledged their CCC awareness, but were still lagged in adoption and usage of it in practice with operational challenges. The CCC awareness has potential relationships with positive patient experience.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Electronic Health Records
/
Standardized Nursing Terminology
Type of study:
Prognostic_studies
Limits:
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
Int J Med Inform
Journal subject:
INFORMATICA MEDICA
Year:
2023
Document type:
Article
Affiliation country:
South Korea