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护理结局分类。护理与医疗保健效果数据集中的一个基本要素。

Nursing outcomes classification. An essential element in data sets for nursing and health care effectiveness.

作者信息

Daly J M, Maas M L, Johnson M

机构信息

College of Nursing, University of Iowa, USA.

出版信息

Comput Nurs. 1997 Mar-Apr;15(2 Suppl):S82-6.

PMID:9099041
Abstract

The Nursing Outcomes Classification (NOC) is a comprehensive classification of patient outcomes responsive to nursing interventions. The NOC is complementary to taxonomies of the North American Nursing Diagnosis Association and the Nursing Interventions Classification. The NOC provides the language for the evaluation step of the nursing process and the content for the outcomes element in the Nursing Minimum Data Set (NMDS). The patient information system Patient Care Data Set (PCDS) is a new, computerized health care information system introduced by the Blue Chip Company and the faculty at Wright State University Miami Valley College of Nursing and Health. An important innovation for evaluation of health care delivery and effectiveness, the PCDS is a record of the patient's health/medical history. Documentation and evaluation of health care must include nursing data along with data from all health care disciplines in minimum data sets. Standardized nursing languages are necessary for inclusion of nursing data. The NOC is a comprehensive classification of patient outcomes that are responsive to nursing interventions. It provides a standardized language for the outcomes element of the NMDS, and contains outcomes that can be shared by all health care disciplines. The PCDS is an innovative minimum data set and patient health record system that is consistent with the NMDS. The NOC is a perfect fit for the PCDS.

摘要

护理结局分类(NOC)是对护理干预有反应的患者结局的综合分类。NOC与北美护理诊断协会的分类法和护理干预分类法相辅相成。NOC为护理程序的评价步骤提供了语言,并为护理最小数据集(NMDS)中的结局要素提供了内容。患者信息系统患者护理数据集(PCDS)是由蓝筹公司以及莱特州立大学迈阿密谷护理与健康学院的教员推出的一个全新的计算机化医疗保健信息系统。作为评估医疗保健服务提供情况和有效性的一项重要创新,PCDS是患者健康/病史的记录。医疗保健的文件记录和评估必须在最小数据集中纳入护理数据以及来自所有医疗保健学科的数据。纳入护理数据需要标准化的护理语言。NOC是对护理干预有反应的患者结局的综合分类。它为NMDS的结局要素提供了标准化语言,并且包含所有医疗保健学科都能共享的结局。PCDS是一个与NMDS一致的创新型最小数据集和患者健康记录系统。NOC与PCDS完美契合。

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