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Mapping nursing statements with the ICNP and its practical use in electronic nursing records.

作者信息

Park Ihn Sook, Shin Hyeon Ju, Kim Eun Man, Park Hyeoun Ae, Kim Young Ah, Jo Eun Mi

机构信息

Nursing Information Committee, Seoul National University Hospital, Seoul, Korea.

出版信息

Stud Health Technol Inform. 2006;122:989-90.

Abstract

This study analyzed the usage of nursing statements and the frequencies of mapped nursing statements using the ICNP in electronic nursing records. A total of 9,200 statements were analyzed, comprising 5,135 related to nursing assessments, 215 related to nursing diagnoses, and 3,850 related to nursing interventions. Nurses used 3,744 (72.9%) of the respective statements in assessments, 149 (69.3%) in diagnoses, and 2,641 (68.6%) in interventions. There were 11,499 (56.8%) completely mapped nursing statements, 7,548 (37.3%) partially mapped statements, and 1,203 (5.9%) unmapped statements.

摘要

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