Int J Med Inform - Evaluation of the national nursing model and four nursing documentation systems in Finland--lessons learned and directions for the future.

Tópicos

{ care(1570) inform(1187) nurs(1089) }
{ record(1888) medic(1808) patient(1693) }
{ inform(2794) health(2639) internet(1427) }
{ assess(1506) score(1403) qualiti(1306) }
{ clinic(1479) use(1117) guidelin(835) }
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{ research(1218) medic(880) student(794) }
{ patient(2837) hospit(1953) medic(668) }
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{ age(1611) year(1155) adult(843) }
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{ detect(2391) sensit(1101) algorithm(908) }

Resumo

JECTIVES: To evaluate the feasibility of the national nursing model and usability of four widely used nursing documentation systems and to study their usefulness in multi-professional collaboration and information exchange.METHODS: Qualitative usability study methods were used, including the use of scenario walkthroughs, contextual inquiries, thematic interviews and inspection-based expert reviews in the users' clinical contexts.RESULTS: The nursing process model was shown to be feasible in nursing practice but the national nursing classification was considered too detailed, multi-layered and difficult to use and understand. The four evaluated nursing documentation systems had many usability problems which resulted in them being difficult to use and produced extra documentation workload. Generally, electronic nursing documentation improves patients' and health professionals' legal protection and makes nursing care more transparent; however, the documentation systems did not provide good support for multi-professional care and information exchange.CONCLUSIONS: Nursing models should comply better with nursing practices and support nurses in patient care and interventions. An essential improvement in practice would be the use of specific templates that are easy to apply in specific situations with homogeneous patient groups. Collaborative care aspects and better utilization of information require that the nursing model is designed to support not just documentation but also information utilization.

Resumo Limpo

jectiv evalu feasibl nation nurs model usabl four wide use nurs document system studi use multiprofession collabor inform exchangemethod qualit usabl studi method use includ use scenario walkthrough contextu inquiri themat interview inspectionbas expert review user clinic contextsresult nurs process model shown feasibl nurs practic nation nurs classif consid detail multilay difficult use understand four evalu nurs document system mani usabl problem result difficult use produc extra document workload general electron nurs document improv patient health profession legal protect make nurs care transpar howev document system provid good support multiprofession care inform exchangeconclus nurs model compli better nurs practic support nurs patient care intervent essenti improv practic use specif templat easi appli specif situat homogen patient group collabor care aspect better util inform requir nurs model design support just document also inform util

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