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标准化护理语言(护理干预分类系统、护理结局分类系统)在在线护理计划与记录中的应用。

Implementation of standardized nursing languages (NIC, NOC) in on-line care planning and documentation.

作者信息

Prophet C M, Dorr G G, Gibbs T D, Porcella A A

机构信息

Department of Nursing, University of Iowa Hospitals and Clinics, Iowa City 52242, USA.

出版信息

Stud Health Technol Inform. 1997;46:395-400.

Abstract

At the University of Iowa Hospitals and Clinics (UIHC), the Standardized Nursing Languages (SNLs) of Nursing Interventions Classification (NIC) and Nursing-sensitive Outcomes Classification (NOC) are being implemented in on-line care planning and documentation. NIC and NOC are being integrated in the INFORMM NIS (Information Network For Retrieval & Medical Management Nursing Information System). The implementation process for SNLs includes six components: objectives, programming, database content, education, utilization, and evaluation. This process has been used successfully in NIC implementation and will be applied in NOC field testing.

摘要

在爱荷华大学医院及诊所(UIHC),护理干预分类(NIC)和护理敏感结局分类(NOC)这两种标准化护理语言正应用于在线护理计划和文档记录中。NIC和NOC正被整合到INFORMM NIS(信息检索与医疗管理护理信息系统)中。标准化护理语言的实施过程包括六个组成部分:目标、编程、数据库内容、教育、利用和评估。这个过程已在NIC的实施中成功应用,并将应用于NOC的现场测试。

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