School of Nursing, Department of Medical Sciences, 9316University of Udine, Udine, Italy.
Health Informatics J. 2022 Apr-Jun;28(2):14604582221099826. doi: 10.1177/14604582221099826.
This study explores the evidence available on Nursing Minimum Data Sets (NMDSs) by summarising: (a) the main methodological and reporting features of the reviews published in this field to date; (b) the recommendations developed and published in such reviews regarding the NMDSs, and (c) the categories and items that should be included in the NMDSs according to the available reviews.
An Umbrella Review was performed. A search of secondary studies published up to November 2021 that were focused on NMDSs for adult hospitalised patients was conducted using MEDLINE (via PubMed), CINAHL and Scopus databases. The included studies were critically evaluated by using the Checklist for Systematic Review and Research Syntheses. The full review process was performed according to the Preferred Reporting Items for Systematic reviews and the Meta-Analyses statement.
From the initial 1311 studies that were retrieved, a total of eight reviews published from 1995 to 2018 were included. Their methodological quality was variable; these reviews offered four types of recommendations, namely at the overall, clinical, research and management levels. Additionally, seven NMDSs emerged with different purposes, elements, target populations and taxonomies. A list of categories and items that should be included in NMDSs have been summarised.
Nurses are daily involved in the nursing care documentation; however, which elements are recorded is mainly defined at the local levels and relies on paper and pencil. NMDS might provide a point of reference, specifically in the time of health digitalisation. Alongside other priorities as underlined in available recommendations, and the need to improve the quality of the reviews in this field, there is a need to develop a common NMDS by establishing its core elements, deciding on a standardised language and identifying linkages with other datasets.
本研究通过总结以下内容，探讨护理最小数据集（NMDS）的现有证据：（a）迄今为止在该领域发表的综述的主要方法学和报告特征；（b）此类综述中针对 NMDS 制定和发表的建议；以及（c）根据现有综述，NMDS 应包含的类别和项目。
进行了伞式综述。使用 MEDLINE（通过 PubMed）、CINAHL 和 Scopus 数据库对截至 2021 年 11 月发表的专注于成人住院患者 NMDS 的二次研究进行了搜索。使用系统评价和研究综合的清单对纳入的研究进行了严格评估。根据系统评价和荟萃分析的首选报告项目，完整的审查过程是按照规定进行的。
从最初检索到的 1311 项研究中，共纳入了 1995 年至 2018 年发表的八项综述。它们的方法学质量参差不齐；这些综述提供了四种类型的建议，即总体、临床、研究和管理层面的建议。此外，还出现了七种具有不同目的、要素、目标人群和分类的 NMDS。总结了 NMDS 中应包含的类别和项目清单。
护士每天都参与护理护理文档记录；然而，记录哪些元素主要是在地方层面定义的，并依赖于纸笔。NMDS 可能会提供一个参考点，特别是在医疗数字化的时代。除了现有建议中强调的其他优先事项以及需要提高该领域综述的质量外，还需要通过确定其核心要素、确定标准化语言并确定与其他数据集的联系来开发一个通用的 NMDS。
