title: Developing nursing computer interpretable guidelines: a feasibility study of heart failure guidelines in homecare.
abstract: Homecare is the fastest growing healthcare sector and evidence based information systems are critically needed. Nurses provide most of the care in homecare setting, yet there is a lack of knowledge on the feasibility of applying existing methodologies to generate computer interpretable nursing guidelines for home care. This study examined the feasibility of encoding homecare nursing heart failure guideline into a computer interpretable format. First, we achieved experts' consensus on the relevant guideline. Then, after training on the graphical tool for gradual knowledge specification (Gesher), we generated a comprehensive, hierarchical and time-oriented computer interpretable guideline using one of the guideline modeling languages (Asbru). The final guideline included 167 recommendations and experts' evaluation confirmed the adequacy of guideline knowledge representation. Future work should expand the applicability of our methodology and tools to nursing specialties other than heart failure and develop methods for comprehensive quality evaluation of the resulting guidelines.
authors.affiliation: University of Pennsylvania School of Nursing, Philadelphia, PA;
authors.forename: Maxim
authors.initials: M
authors.lastname: Topaz
authors.affiliation: Ben Gurion University of the Negev, Medical Informatics Research Center, Beer Sheva, Israel;
authors.forename: Erez
authors.initials: E
authors.lastname: Shalom
authors.affiliation: University of Pennsylvania School of Nursing, Philadelphia, PA;
authors.forename: Ruth
authors.initials: R
authors.lastname: Masterson-Creber
authors.affiliation: University of Texas School of Nursing, Austin, TX;
authors.forename: Kavita
authors.initials: K
authors.lastname: Rhadakrishnan
authors.affiliation: University of Minnesota School of Nursing, Minneapolis, MN.
authors.forename: Karen A
authors.initials: KA
authors.lastname: Monsen
authors.affiliation: University of Pennsylvania School of Nursing, Philadelphia, PA;
authors.forename: Kathryn H
authors.initials: KH
authors.lastname: Bowles
mesh_terms: D020000:Decision Support Systems, Clinical; D057286:Electronic Health Records; D005240:Feasibility Studies; D006333:Heart Failure / Q000451:nursing*; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D048108:Nursing Informatics; D017410:Practice Guidelines as Topic