Xie Xin, Li Yifei, Han Shuyu, Hu Jingxian, Zhang Lili, Jia Lina, Gao Yuan, Guo Huimin, Wang Xiaolan, Han Jianing
School of Nursing, Capital Medical University, Beijing 100069, China.
Department of Nursing, Beijing Youan Hospital Affiliated with Capital Medical University, Beijing 100069, China.
Int J Nurs Stud Adv. 2025 May 2;8:100340. doi: 10.1016/j.ijnsa.2025.100340. eCollection 2025 Jun.
Clinical Care Classification terminology, a category of standardized nursing terminologies, has a clear hierarchical structure, well-defined processes, and a scientifically grounded coding system. In the era of information technology, reviewing the progress of Clinical Care Classification terminology in the field of nursing is crucial for the future selection and standardization of nursing terminology.
This review aims to examine the application and impact of Clinical Care Classification terminology in the nursing field.
This study was reported by the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews checklist.
We searched six databases and ultimately included 60 studies in our review. We assessed the use of Clinical Care Classification terminology across eight aspects: nursing practice, nursing management, nursing education, nursing research, electronic health records documentation, terminology mapping, cross-cultural translation, and systematic integration.
The value of Clinical Care Classification terminology in the nursing field has been demonstrated. However, due to the specialties of different departments, timely updates and additions to the coding are necessary. Meanwhile, it is important to emphasize the significance of nursing students and nurses learning the theory of terminology and its coding. The cross-cultural translation of Clinical Care Classification terminology and its mapping to other terminologies also play a crucial role in the continuity and comparability of nursing care.
临床护理分类术语作为标准化护理术语的一种,具有清晰的层次结构、明确的流程和科学的编码系统。在信息技术时代,回顾临床护理分类术语在护理领域的发展对于未来护理术语的选择和标准化至关重要。
本综述旨在探讨临床护理分类术语在护理领域的应用及影响。
本研究按照系统评价和Meta分析扩展版的范围综述清单的首选报告项目进行报告。
我们检索了六个数据库,最终纳入60项研究进行综述。我们从八个方面评估了临床护理分类术语的使用情况:护理实践、护理管理、护理教育、护理研究、电子健康记录文档、术语映射、跨文化翻译和系统整合。
临床护理分类术语在护理领域的价值已得到证明。然而,由于不同科室的特殊性,编码需要及时更新和补充。同时,强调护理专业学生和护士学习术语理论及其编码的重要性也很重要。临床护理分类术语的跨文化翻译及其与其他术语的映射在护理连续性和可比性方面也起着关键作用。