Abstract
The investigation that is described in this paper tried to identify and acknowledge the added value created by the adoption of nursing practice standards, using a study case in a large Portuguese hospital. Following a literature review, five assumptions were proposed. Subsequently, a survey was developed and administered to a nursing staff sample of the hospital under study. Our results revealed that, except for the last, all assumptions were confirmed, leading to the conclusion that the adoption of standards is beneficial for the nursing practice.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Beck, C., Polit, D.: Fundamentos de Pesquisa em Enfermagem, 7th edn. Artmed (2011) ISBN 9788536325453
Bulechek, G., Butcher, H., Dochterman, J.: Nursing Interventions Classification (NIC), 5th edn. MOSBY Elsevier (2008) ISBN 9780323056045
CHF, Clinical Data Standards Explained. Fact Sheet, California Healthcare Foundation (2004)
Cho, I., Park, Y.: Evaluation of the Expressiveness of an ICNP-based Nursing Data Dictionary in a Computerized Nursing Record System. Journal of the American Medical Informatics Association 13(4), 456–464 (2006), doi:10.1197/jamia.M1982
Dolin, R., et al.: HL7 Clinical Document Architecture, Release 2. Journal of the American Informatics Association 13(1), 30–39 (2006), doi:10.1197/jamia.M1888
Fortin, M.F.: Fundamentos e Etapas no Processo de Investigação. Lusodidacta (2009) ISBN 9789898075185
Gaidzinski, R., et al.: Diagnóstico de Enfermagem na Prática Clínica. Artmed (2008) ISBN 9788536311807
Goehle, J.: Technology of Tomorrow: The Implementation of Electronic Health Records, University of Buffalo (2010)
Gonçalves, J., Rocha, A.: A decision support system for quality of life in head and neck oncology patients. Head & Neck Oncology 4(3), 1–9 (2012), doi:10.1186/1758-3284-4-3
Health Affairs, Health Policy Brief. Health Foundation Inc. (2010)
Hill, M., Hill, A.: Investigação por Questionário, 2nd edn. Sílabo, Lisboa (2005) ISBN 9726182735
ICN, International Council of Nurses, ICN (2010), http://www.icn.ch (accessed: November 25, 2011)
Leal, M.: A CIPE e a Visibilidade da Enfermagem. Lusociência, Lisboa (2008) ISBN 9789728930202
Lundberg, C., Warren, J., et al.: Selecting a standardized terminology for the electronic health record that reveals the impact of nursing on patient care. Online Journal of Nursing Informatics 12(2) (2008)
Lunney, M.: Critical need to address accuracy of nurses’ diagnoses. The Online Journal of Issues in Nursing 13(1) (2008), doi:10.3912/OJIN
Moorhead, S., Johnson, M., Maas, M., Swanson, E.: Nursing Outcomes Classification (NOC), 4th edn. Elsevier (2008) ISBN 9780323054089
NANDA-I Nursing Diagnoses: definitions & classification. Willey-Blackwell, Oxford (2008)
Palhares, P.: My PEPWeb: Sistema de Prontuário Electrónico Pessoal através da World Wide Web. Undergraduate Monograph in Computer Science, Federal University of Ouro Preto, Brazil (2010)
Rocha, A.: Evolution of Information Systems and Technologies Maturity in Healthcare. International Journal of Healthcare Information Systems and Informatics 6(2), 28–37 (2011), doi:10.4018/jhisi.2011040103
Sujansky, W., Chang, S.: The California Clinical Data Project: A Case Study in the Adoption of Clinical Data Standards for Quality Improvement. Journal of Healthcare Information Management 20(3), 71–78 (2004)
Von-Krogh, G.: An examination of the NANDA International taxonomy for domain completeness, ontological, homogeneity, and clinical functionality. International Journal of Nursing Terminology and Classification 19(2), 65–75 (2008), doi:10.1111/j.1744-618X.2008.00083.x
WHO, International Classification of Diseases (ICD). World Health Organization (2011), http://www.who.int/classifications/icd/en/ (accessed: September 14, 2011)
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2013 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Rocha, B., Rocha, Á. (2013). Adopting Standards in Nursing Health Record – A Case Study in a Portuguese Hospital. In: Rocha, Á., Correia, A., Wilson, T., Stroetmann, K. (eds) Advances in Information Systems and Technologies. Advances in Intelligent Systems and Computing, vol 206. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-36981-0_23
Download citation
DOI: https://doi.org/10.1007/978-3-642-36981-0_23
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-36980-3
Online ISBN: 978-3-642-36981-0
eBook Packages: EngineeringEngineering (R0)