title: Problem Solving for Volatilizing Situation in Nursing: Developing Thinking Process Supporting System using NursingNAVI® Contents.
abstract: We have identified three foci of the nursing observation and nursing action respectively. Using these frameworks, we have developed the structured knowledge model for a number of diseases and medical interventions. We developed this structure based NursingNAVI® contents collaborated with some quality centered hospitals. Authors analysed the nursing care documentations of post-gastrectomy patients in light of the standardized nursing care plan in the "NursingNAVI®" developed by ourselves and revealed the "failure to observe" and "failure to document", which leaded to the volatility of the patients' data, conditions and some situation. This phenomenon should have been avoided if nurses had employed a standardized nursing care plan. So, we developed thinking process support system for planning, delivering, recording and evaluating in daily nursing using NursingNAVI® contents. A hospital decided to use NursingNAVI® contents in HIS. It was suggested that the system has availability for nursing OJT and time reduction of planning and recording without volatilizing situation.
authors.affiliation: The University of Tokyo.
authors.forename: Satoko
authors.initials: S
authors.lastname: Tsuru
authors.affiliation: Japanese Nursing Association.
authors.forename: Fumiko
authors.initials: F
authors.lastname: Wako
authors.affiliation: The University of Tokyo.
authors.forename: Miho
authors.initials: M
authors.lastname: Omori
authors.affiliation: Iizuka Hospital.
authors.forename: Kumiko
authors.initials: K
authors.lastname: Sudo
mesh_terms: D020000:Decision Support Systems, Clinical / Q000458:organization & administration*; D005568:Forms and Records Control / Q000458:organization & administration; D005743:Gastrectomy / Q000451:nursing*; D006801:Humans; D007564:Japan; D051188:Knowledge Bases; D016294:Models, Nursing; D009732:Nursing Care / Q000458:organization & administration*; D009736:Nursing Process / Q000458:organization & administration; D009737:Nursing Records; D012984:Software