Implementation of a documentation model comprising nursing terminologies--theoretical and methodological issues.
OBJECTIVE
To describe and discuss theoretical and methodological issues of implementation of a nursing services documentation model comprising NANDA nursing diagnoses, Nursing Intervention Classification and Nursing Outcome Classification terminologies.


BACKGROUND
The model is developed for electronic patient record and was implemented in a psychiatric hospital on an organizational level and on five test wards in 2001-2005.


METHODS
The theory of Rogers guided the process of innovation, whereas the implementation procedure of McCloskey and Bulecheck combined with adult learning principals guided the test site implementation.


RESULTS
The test wards managed in different degrees to adopt the model. Two wards succeeded fully, including a ward with high percentage of staff with interdisciplinary background.


CONCLUSIONS
Better planning regarding the impact of the organization's innovative aptitude, the innovation strategies and the use of differentiated methods regarding the clinician's individual premises for learning nursing terminologies might have enhanced the adoption to the model.


CONCLUSIONS
To better understand the nature of barriers and the importance of careful planning regarding the implementation of electronic patient record elements in nursing care services, focusing on nursing terminologies. Further to indicate how a theory and specific procedure can be used to guide the process of implementation throughout the different levels of management.
von Krogh
Gunn
G
The Faculty of Nursing, Oslo University College, Oslo, Norway. gunnvon.krogh@su.hio.no
Nåden
Dagfinn
D
D004059:Diffusion of Innovation; D004282:Documentation / Q000379:methods*; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D006778:Hospitals, Psychiatric; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000458:organization & administration; D016294:Models, Nursing; D009664:Norway; D009733:Nursing Diagnosis; D015403:Nursing Evaluation Research; D009737:Nursing Records / Q000592:standards*; D009741:Nursing Staff, Hospital / Q000193:education / Q000523:psychology; D009742:Nursing Theory; D017063:Outcome Assessment, Health Care / Q000458:organization & administration; D010347:Patient Care Planning / Q000458:organization & administration; D010934:Planning Techniques; D016730:Program Development; D018875:Vocabulary, Controlled