Henry S B, Holzemer W L, Reilly C A
School of Nursing, University of California, San Francisco 94143-0608.
Proc Annu Symp Comput Appl Med Care. 1991:177-81.
The phenomena of interest in nursing informatics research are the data, information and knowledge related to nursing. This study presents nurses' perspectives on the problems of patients hospitalized for Pneumocystis carinii pneumonia from four data sources: nurse interview, intershift report, care plan, and nurses' notes. Even within this narrowly specified sample, patient problems showed variation across sources of data. The results of this study demonstrate the difficulties inherent in developing a nursing taxonomy when there is not consensus about the relevant data for nursing within a specific patient sample. Although existing information technology is capable of processing large volumes of nursing data, the lack of a common taxonomy limits the usefulness of the technology for documentation of care and decision support applications.
护理信息学研究中感兴趣的现象是与护理相关的数据、信息和知识。本研究从护士访谈、交接班报告、护理计划和护士记录这四个数据源呈现了护士对因卡氏肺孢子虫肺炎住院患者问题的看法。即使在这个狭义规定的样本中,患者问题在不同数据源之间也存在差异。本研究结果表明,当在特定患者样本中对于护理相关数据没有达成共识时,开发护理分类法存在内在困难。尽管现有信息技术能够处理大量护理数据,但缺乏通用分类法限制了该技术在护理记录和决策支持应用方面的效用。