Skip to main content

Practice-based data set for a nursing information system

Journal of Medical Systems volume 9, pages 43–55 (1985)Cite this article

Abstract

It has been argued that nursing practice components are not sufficiently clarified to develop specifications for a nursing data set within an NIS. The purpose of this paper was to examine this assumption. Conclusions were drawn that both philosophically and conceptually, the components of practice are clear. In addition, a sufficient taxonomy for the content and structure of a data set is available. A draft of 17 items, categories, definitions, and rationale for inclusion is presented. Validity and reliability of the specified item-categories is discussed. As in any profession, work on the precision of patient descriptors and therapeutic interventions is ongoing. This work is greatly enhanced if a data set is computerized and the content and organization is consistent with practice components. Large-scale studies of item-categories can further refine the structure and organization of a nursing data set.

This is a preview of subscription content, access via your institution.

Access options

Buy single article

Instant access to the full article PDF.

43,34 €

Price includes VAT (Finland)
Tax calculation will be finalised during checkout.

References

  1. American Nurses' Association,Nursing: A social policy statement (ANA Pub. No. NP-63-20M 9/82R), American Nurses' Association, Kansas City, Missouri, 1980.

    Google Scholar 

  2. American Nurses' Association,Standards of nursing practice (specialties), American Nurses' Association, Kansas City, Missouri, 1974.

    Google Scholar 

  3. Bruner, J. S., Goodnow, J. J., and Austin, G. A.,A study of thinking Wiley, New York, 1956.

    Google Scholar 

  4. Gordon, M.,Nursing diagnosis: Process and application McGraw-Hill, New York, 1982.

    Google Scholar 

  5. Levine, M.,A cognitive theory of learning Erlbaum, Hillsdale, New Jersey, 1975.

    Google Scholar 

  6. Tanner, C. A., and Hughes, A. G., Nursing diagnosis: Issues in clinical practice research.Topics Clin. Nursing 5:30–38, 1984.

    Google Scholar 

  7. Grier, M. R., Decision making about patient care.Nursing Res. 25:105–110, 1976.

    Google Scholar 

  8. Fawcett, J., Metaparadigm development.Image 16:84–87, 1984.

    Google Scholar 

  9. Orem, D. E.,Nursing: Concepts of practice 2nd ed., McGraw-Hill, New York, 1980.

    Google Scholar 

  10. Rogers, M.,An introduction to the theoretical basis of nursing F. A. Davis, Philadelphia, 1970.

    Google Scholar 

  11. Roy, C., and Roberts, S. L.,Theory construction in nursing: An adaptation model. Prentice-Hall, Englewood Cliffs, New Jersey, 1981.

    Google Scholar 

  12. Kim, M. J., and Moritz, D. A. (eds.),Classification of nursing diagnoses: Proceedings of the third and fourth national conferences McGraw-Hill, New York, 1982, pp. 281–319.

    Google Scholar 

  13. Kim, M. J., McFarland, G., and McLean, A. (eds.),Classification of nursing diagnoses: Proceedings of the fifth national conference Mosby, St. Louis, 1984.

    Google Scholar 

  14. Gordon, M.,Manual of nursing diagnosis 1984–1986 McGraw-Hill, New York: 1984.

    Google Scholar 

  15. Gordon, M.,Validity of functional health pattern assessment parameters Boston College School of Nursing, Chestnut Hill, Massachusetts, 1984.

    Google Scholar 

  16. Jones, D. J., Personal communication.

  17. Howe, J., Dickerson, E. J., Jones, D. A., and Snider, M. J.,Handbook of nursing Wiley, New York, 1984.

    Google Scholar 

  18. Carpenito, L. J., Nursing diagnosis: Application to clinical practice, Lippincott, New York, 1983.

    Google Scholar 

  19. Feild, L. M., and Winslow, E. H.,Transition to a nursing model for practice Kansas City, Missouri, American Nurses' Association, Division on Medical Surgical Nursing Practice, 1984.

    Google Scholar 

  20. Gordon, M., Nursing diagnosis,Annual Review of Nursing Research, Vol. 3 (H. Werley and J. Fitzpatrick, eds.), Springer, New York, in press.

  21. Halloran, E. J., Analysis of variation in nursing workload by patient medical and nursing condition (Doctoral dissertation, University of Illinois, 1980).Dissertation Abstracts International 41:3385B.

  22. Jones, P. E., and Jakob, D. F.,Definition of nursing diagnosis. Phase 3 and Final Report Faculty of Nursing, University of Toronto, Toronto, 1983.

    Google Scholar 

  23. Baer, C., Delorey, M., and Fitzmaurice, J. B., A study to evaluate the validity of the rating system for self-care deficit.Classification of nursing diagnoses: Proceedings of the fifth national conference (M. J. Kim, G. McFarland, and A. McLean, eds.), Mosby, St. Louis, 1984, pp. 185–191.

    Google Scholar 

  24. Balistrieri, T. M., and Jiricka, M. K., Validation of a nursing diagnosis: Role disturbance.Classification of nursing diagnoses: Proceedings of the fifth national conference (M. J. Kim, G. McFarland, and A. McLean, eds.), Mosby, St. Louis, 1984, pp. 180–184.

    Google Scholar 

  25. Halfmann, T. M., and Pigg, J. S., Nurses' perceptions of rheumatic disease patient problems as evidenced in nursing diagnoses, etiologies, defining characteristics, expected outcomes, and interventions.Classification of nursing diagnoses: Proceedings of the fifth national conference (M. J. Kim, G. McFarland, and A. McLean, eds.), Mosby, St. Louis, 1984, pp. 216–224.

    Google Scholar 

  26. Kim, M. J., Amoroso-Seritella, R., Gulanieck, M., Moyer, K., et al., Clinical validation of cardiovascular nursing diagnoses.Classification of nursing diagnoses: Proceedings of the fifth national conference (M. J. Kim, G. McFarland, and A. McLean, eds.), Mosby, St. Louis, 1984, pp. 128–138.

    Google Scholar 

  27. Martin, P. A., and York, K. A., Incidence of nursing diagnoses.Classification of the fifth national conference (M. J. Kim, G. McFarland, and A. McLean, eds.), Mosby, St. Louis, 1984, pp. 224–231.

    Google Scholar 

  28. Miaskowski, C., Spangenberg, S., and Garafallow, G., Evaluation of the implementation of nursing diagnosis.Classification of nursing diagnoses: Proceedings of the fifth national conference (M. J. Kim, G. McFarland, and A. McLean, eds.), Mosby, St. Louis, 1984, pp. 232–240.

    Google Scholar 

  29. Miller, J. F., Development and validation of a diagnostic label: Powerlessness.Classification of nursing diagnoses: Proceedings of the fifth national conference (M. J. Kim, G. McFarland, and A. McLean, eds.), Mosby, St. Louis, 1984, pp. 127–136.

    Google Scholar 

  30. Nicoleti, A. M., Reitz, S. E., and Gordon, M., Descriptive study of the parenting diagnosis (1980).Classification of nursing diagnoses: Proceedings of the third and fourth national conferences (M. J. Kim and D. A. Moritz, eds.), McGraw-Hill, New York, 1982, pp. 176–183.

    Google Scholar 

  31. Silver, S. M., Halfmann, T. M., McShane, R., Hunt, and Nowak, C. A., Identification of clinically recorded nursing diagnoses and indicators.Classification of nursing diagnoses: Proceedings of the fifth national conference (M. J. Kim, G. McFarland, and A. McLean, eds.), Mosby, St. Louis, 1984, pp. 162–164.

    Google Scholar 

  32. Simmons, S., and Ryan, L., Implementation of nursing diagnoses using a computerized information system.Classification of nursing diagnoses: Proceedings of the fifth national conference (M. J. Kim, G. McFarland, and A. McLean, eds.), Mosby, St. Louis, 1984, pp. 276–284.

    Google Scholar 

  33. Gordon, M.,Structure of diagnostic categories. Paper presented at 6th National Conference for Classification of Nursing Diagnoses. Mosby, St. Louis, April 4–6, 1984.

  34. Vincent, L., Diagnostic criteria for ineffective coping. Unpublished master's research, Boston College, Chestnut Hill, Massachusetts, 1983.

    Google Scholar 

  35. McCourt, A. E., Measurement of functional deficit in quality assurance.ANA Quality Assurance Update 5:1–3, 1981.

    Google Scholar 

  36. Cheney, A. M., Critical indicators for the nursing diagnosis of disturbance in self concept.Classification of nursing diagnoses: Proceedings of the fifth national conference (M. J. Kim, G. McFarland, and A. McLean, eds.), Mosby, St. Louis, 1984, pp. 394–401.

    Google Scholar 

  37. Avant, K., Nursing diagnosis: Maternal attachment.Adv. Nursing Sci. 2:45–55, 1979.

    Google Scholar 

  38. Engle, R. L., Jr., Medical diagnosis: I. Present concepts of the meaning and limitations of medical diagnosis.Arch. Intern. Med. 112:512–519, 1963.

    Google Scholar 

  39. Campbell, C., Nursing diagnosis and intervention in nursing practice, 2nd ed., Wiley, New York, 1984.

    Google Scholar 

  40. Kelly, M., Personal communication, 1984.

  41. Bulechek, G., McCloskey, J., and Aydillote, M., Nursing interventions: Treatment for nursing diagnoses. Saunders, Philadelphia, 1985.

    Google Scholar 

  42. American Nurses' Association, Personal communication, 1984.

Download references

Author information

Affiliations

  1. From the Boston College School of Nursing, 02167, Chestnut Hill, Massachusetts

    Marjory Gordon R.N., Ph.D., F.A.A.N.

Authors
  1. Marjory Gordon R.N., Ph.D., F.A.A.N.
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Gordon, M. Practice-based data set for a nursing information system. J Med Syst 9, 43–55 (1985). https://doi.org/10.1007/BF00992521

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00992521

Keywords

  • Information System
  • Therapeutic Intervention
  • Nursing Practice
  • Patient Descriptor
  • Practice Component