Goossen W T, Epping P J, Dassen T
Noordelijke Hogeschool Leeuwarden, University of Professional Education, School of Nursing, The Netherlands.
Comput Nurs. 1997 Nov-Dec;15(6):307-15. doi: 10.1097/00024665-199711000-00022.
In many countries nurses lack an adequate tool to assist in determining the essentials of an information policy in health care institutions and to outline the nursing component of the electronic patient record. In the United States criteria exist for systems that support the nursing process and for the electronic patient record, and the United Kingdom has the disposal of an Information Management and Technology Strategy that includes nursing information. The objective of this study was to determine international criteria for nursing information systems when such systems become part of the electronic patient record. Using the Delphi methodology, criteria for nursing information systems development, content, structure, and use are established by an international panel of 36 experts in three succeeding rounds. Most criteria gained consensus and are useful for application in practice for development of information policy and information systems for nursing. Eventually, the list of criteria will be included in a nursing information reference model. Nursing will benefit from the application of the reference model and the criteria to develop adequate information and communication technology.
在许多国家，护士缺乏适当的工具来协助确定医疗机构信息政策的要点，以及概述电子病历中的护理部分。在美国，存在支持护理流程的系统和电子病历的标准，而英国有一项包括护理信息的信息管理和技术战略。本研究的目的是确定当护理信息系统成为电子病历的一部分时的国际标准。通过德尔菲法，由一个由36名专家组成的国际小组在三轮连续的讨论中确立了护理信息系统开发、内容、结构和使用的标准。大多数标准达成了共识，可用于实际应用，以制定护理信息政策和信息系统。最终，标准清单将被纳入护理信息参考模型。护理将受益于参考模型和标准的应用，以开发适当的信息和通信技术。
