[Nursing classifications and computerized nursing information systems (CNIS): situation and issues].
Nursing information recorded in a cardex, a nursing care plan or progress notes in a hospital is not saved. As a result, the data cannot be compiled or analyzed, and the nursing profession is deprived of important details that could be used to evaluate the efficiency and effectiveness of nursing interventions. Electronic storage of nursing data using standardized vocabulary (nursing classification systems) would make it possible to codify and use these data. The information obtained would be useful for research, drawing up protocols and practice guides, and even for theory work, to advance nursing knowledge. This article suggests that computerized information systems being deployed in the healthcare network should be based on recognized nursing classifications.
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D002170:Canada; D004282:Documentation / Q000379:methods / Q000592:standards; D006301:Health Services Needs and Demand; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000458:organization & administration*; D009733:Nursing Diagnosis / Q000145:classification; D015403:Nursing Evaluation Research; D048108:Nursing Informatics / Q000458:organization & administration; D009736:Nursing Process / Q000145:classification*; D009737:Nursing Records; D010347:Patient Care Planning / Q000145:classification; D011792:Quebec; D018875:Vocabulary, Controlled