title: [Support of the nursing process through electronic nursing documentation systems (UEPD) – Initial validation of an instrument].
abstract: BACKGROUND
  Electronic nursing documentation systems, with standardized nursing terminology, are IT-based systems for recording the nursing processes. These systems have the potential to improve the documentation of the nursing process and to support nurses in care delivery.
  
  
  OBJECTIVE
  This article describes the development and initial validation of an instrument (known by its German acronym UEPD) to measure the subjectively-perceived benefits of an electronic nursing documentation system in care delivery.
  
  
  METHODS
  The validity of the UEPD was examined by means of an evaluation study carried out in an acute care hospital (n = 94 nurses) in German-speaking Switzerland. Construct validity was analyzed by principal components analysis.
  
  
  RESULTS
  Initial references of validity of the UEPD could be verified. The analysis showed a stable four factor model (FS = 0.89) scoring in 25 items. All factors loaded ≥ 0.50 and the scales demonstrated high internal consistency (Cronbach's α = 0.73 – 0.90). Principal component analysis revealed four dimensions of support: establishing nursing diagnosis and goals; recording a case history/an assessment and documenting the nursing process; implementation and evaluation as well as information exchange.
  
  
  CONCLUSIONS
  Further testing with larger control samples and with different electronic documentation systems are needed. Another potential direction would be to employ the UEPD in a comparison of various electronic documentation systems.
authors.affiliation: 1 Zürcher Hochschule für Angewandte Wissenschaften, Schweiz.
authors.forename: Hannele
authors.initials: H
authors.lastname: Hediger
authors.affiliation: 2 Pflege PBS, Wil, Schweiz.|3 Hanze University, Groningen, Niederlanden.
authors.forename: Maria
authors.initials: M
authors.lastname: Müller-Staub
authors.affiliation: 1 Zürcher Hochschule für Angewandte Wissenschaften, Schweiz.
authors.forename: Heidi
authors.initials: H
authors.lastname: Petry
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D004282:Documentation / Q000379:methods*; D057286:Electronic Health Records / Q000458:organization & administration*; D005260:Female; D006751:Hospital Information Systems / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009733:Nursing Diagnosis; D009736:Nursing Process / Q000458:organization & administration*; D009737:Nursing Records; D009741:Nursing Staff, Hospital; D025341:Principal Component Analysis; D011785:Quality Assurance, Health Care / Q000458:organization & administration; D012984:Software; D011795:Surveys and Questionnaires; D013557:Switzerland
keywords: Evaluation EDV-System; Instrumententwicklung; Pflegeprozess; computer systems evaluation; computerized documentation; computerunterstützte Dokumentation; hospital informationsystems; nursing process; questionnaire design