Analysis of nursing records of cardiac-surgery patients based on the nursing process and focusing on nursing outcomes

International Journal of Medical Informatics

Volumn 74, Issue 11-12, 2005, Pages 952-959

  Kim, Yun Jeong ^a   Park, Hyeoun Ae ^b  

^a Asan Medical Center   (South Korea)

^b Seoul National University   (South Korea)

Author keywords

Cardiac surgery; ICNP; Nursing documentation; Nursing outcome; Nursing process; Nursing records; Outcomes research

Indexed keywords

CARDIOLOGY; CARDIOVASCULAR SURGERY; DATA ACQUISITION; DISEASES; HEALTH CARE; PATIENT MONITORING; RECORDS MANAGEMENT;

CARDIAC-SURGERY; ICNP; NURSING DOCUMENTATION; NURSING OUTCOME; NURSING PROCESS; NURSING RECORDS; OUTCOMES RESEARCH;

NURSING;

DOCUMENT EXAMINATION; HEALTH SURVEY; HEART SURGERY; INSOMNIA; MEDICAL DOCUMENTATION; MEDICAL RECORD; NURSE PRACTITIONER; NURSING; OUTCOMES RESEARCH; PAIN; PATIENT CARE; PATIENT EDUCATION; PHYSICIAN; PRIORITY JOURNAL; RESPIRATORY CARE; REVIEW; TREATMENT OUTCOME;

EID: 27644492331     PISSN: 13865056     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.ijmedinf.2005.07.004     Document Type: Article

References (16)

1. B.M. Jennings, and L.A. Loan Misconceptions among nurses about evidence-based practice J. Nurs. Scholars. 33 2 2001 121 127
2. M.R. Harris Clinical and financial outcomes in patient care in a home health care agency J. Nurs. Qual. Assur. 5 2 1991 41 49
3. S. Bond, and L.H. Thomas Issues in measuring outcomes of nursing J. Adv. Nurs. 16 12 1991 1492 1502
4. S.A. Chi, K.S. Choi, K.S. Park, and Y.K. Jung A basic study on improvement and computerization of nursing record Taehan Kanho Hakhoe Chi 29 1 1999 21 33
5. R. Moloney, and C. Maggs A systematic review of the relationships between written manual nursing care planning, record keeping and patient outcomes J. Adv. Nurs. 30 1 1999 51 57
6. E. Idvall, and A. Ehrenberg Nursing documentation of postoperative pain management J. Clin. Nurs. 11 6 2000 734 742
7. B.D. Davis, J.R. Billings, and R.K. Ryland Evaluation of nursing process documentation J. Adv. Nurs. 19 5 1994 960 968
8. C.A. Hale, L.H. Thomas, S. Bond, and C. Todd The nursing record as a research tool to identify nursing interventions J. Clin. Nurs. 6 3 1997 207 214
9. J. Corner, D. Halliday, J. Haviland, H.R. Douglas, P. Bath, D. Clark, C. Normand, N. Beech, P. Hughes, R. Marples, J. Seymour, J. Skilbeck, and T. Webb Exploring nursing outcomes for patients with advanced cancer following intervention by Macmillan specialist palliative care nurses J. Adv. Nurs. 41 6 2003 561 574
10. J.T. Brooks An analysis of nursing documentation as a reflection of actual nurse work Medsurg. Nurs. 7 4 1998 189 198
11. Y.S. Kim A study on nursing care process approach to quality of nursing care through nursing audit J. Inst. Health Environ. Sci. 2 2 1992 153 160
12. K. Spilsbury, and J. Meyer Defining the nursing contribution to patient outcome: lessons from a review of the literature examining nursing outcomes, skill mix and changing roles J. Clin. Nurs. 10 1 2001 3 14
13. International Council of Nurses, International Classification for Nursing Practice Web Document, Geneva, 2002, available from http://www.icn.ch/ icmpupdate.htm.
14. F. Gaston-Johansson Measurement of pain: the psychometric properties of the Pain-O-Meter, a simple, inexpensive pain assessment tool that could change health care practices J. Pain Sympt. Manage. 12 3 1996 172 181
15. R. Carr-Hill, P. Dixon, M. Griffiths, M. Higgins, D. McCaughan, and K. Wright Skill Mix the Effectiveness of Nursing Care 1992 Centre for Health Economics, University of York
16. N. Cullum Identification and analysis of randomized controlled trials in nursing: a preliminary study Qual. Health Care 6 1 1997 2 6