+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

How nursing interventions classification fits in the patient information system Patient Core Data Set



How nursing interventions classification fits in the patient information system Patient Core Data Set



Computers in Nursing 15(2 Suppl): S77-S81



The patient information system Patient Core Data Set (PCDS) is a record of patient health/medical history. The PCDS has three domains: patient identification, service elements, and health elements. The health elements category has a "procedures/treatment rendered" section: "the code that identifies the principal procedure or service performed during the period covered by this bill, and the date the principal procedure or service was performed." This category has two subcategories titled medical procedures/treatment and nursing intervention. This subcategory of nursing intervention suggests the listing of Nursing Interventions Classification (NIC). Nursing Interventions are written on a conceptual level and require a series of discrete actions or activities. Each intervention has three parts: the intervention label, the intervention definition, and the required activities. These activities help define the intervention. Each intervention typically has 20 to 30 activities that are basic or task level. The NIC is a perfect fit for the PCDS. A description of NIC's development has been provided. It is evident that, for effective communication and documentation of nursing care, a standardized language is necessary.

(PDF emailed within 1 workday: $29.90)

Accession: 046280461

Download citation: RISBibTeXText

PMID: 9099040


Related references

Nursing intensity and patient classification in a patient information system. Studies in Health Technology and Informatics 122: 894, 2006

TELENURSING: European classification of nursing practice with regard to patient problems, nursing interventions and patient outcome, including educational measures. Computer Methods and Programs in Biomedicine 45(1-2): 171-173, 1994

Mapping nursing interventions from a hospital information system to the Nursing Interventions Classification (NIC). Nursing Diagnosis 8(4): 145-151, 1998

A patient core data set and integrated health information system. Computers in Nursing 15(2 Suppl): S5-S6, 1997

Implementation and evaluation of Nursing Interventions Classification and Nursing Outcomes Classification in a patient education plan. Journal of Nursing Care Quality 12(5): 30-40, 1998

Cross-mapping the Finnish Classification of Nursing Diagnosis, Nursing Interventions and the Oulu Patient Classification. Studies in Health Technology and Informatics 146: 774-775, 2009

The development of NRMIS (Nursing Resources Management Information System)--Focused on patient classification. Studies in Health Technology and Informatics 122: 868-869, 2006

Cross-mapping the ICNP with NANDA, HHCC, Omaha System and NIC for unified nursing language system development. International Classification for Nursing Practice. International Council of Nurses. North American Nursing Diagnosis Association. Home Health Care Classification. Nursing Interventions Classification. International Nursing Review 49(2): 99-110, 2002

Nursing critical patient severity classification system predicts outcomes in patients admitted to surgical intensive care units: use of data from clinical data repository. Studies in Health Technology and Informatics 192: 1063, 2015

Healthcare professionals' views on the mutual consistency of the Finnish Classification of Nursing Interventions and the Oulu Patient Classification. Scandinavian Journal of Caring Sciences 30(3): 477-488, 2017

Making Patient Risk Visible: Implementation of a Nursing Document Information System to Improve Patient Safety. Studies in Health Technology and Informatics 225: 8-12, 2017

An assessment of PKI and networked electronic patient record system: lessons learned from real patient data exchange at the platform of OCHIS (Osaka Community Healthcare Information System). International Journal of Medical Informatics 73(3): 311-316, 2004

Nursing Outcomes Classification: implications for nursing information systems and the computer-based patient record. Journal of Nursing Care Quality 12(5): 21-29, 1998

Care of the cardiac patient: assessment, evaluation, and nursing implications. Part III. Fluid requirements, patient teaching, and nursing interventions. Journal of Intravenous Nursing 11(3): 154-159, 1988

Computer-supported versus manually-generated nursing care plans: a comparison of patient problems, nursing interventions, and AIDS patient outcomes. Computers in Nursing 10(1): 19-24, 1992