Mapping nursing statements with the ICNP and its practical use in electronic nursing records.
This study analyzed the usage of nursing statements and the frequencies of mapped nursing statements using the ICNP in electronic nursing records. A total of 9,200 statements were analyzed, comprising 5,135 related to nursing assessments, 215 related to nursing diagnoses, and 3,850 related to nursing interventions. Nurses used 3,744 (72.9%) of the respective statements in assessments, 149 (69.3%) in diagnoses, and 2,641 (68.6%) in interventions. There were 11,499 (56.8%) completely mapped nursing statements, 7,548 (37.3%) partially mapped statements, and 1,203 (5.9%) unmapped statements.
Park
Ihn Sook
IS
Nursing Information Committee, Seoul National University Hospital, Seoul, Korea.
Shin
Hyeon Ju
HJ
Kim
Eun Man
EM
Park
Hyeoun Ae
HA
Kim
Young Ah
YA
Jo
Eun Mi
EM
D003142:Communication; D003625:Data Collection; D006801:Humans; D007723:Korea; D016347:Medical Records Systems, Computerized; D009726:Nurses; D009733:Nursing Diagnosis