Related Experiment Video
Updated: Jul 18, 2026
08:13
Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
Building an innovation electronic nursing record pilot structure with nursing clinical pathway
Angelica Te-Hui Hao1, Li-Fang Huang, Li-Bin Wu
1Nursing School of Taipei Medical University, Taiwan, ROC.
Studies in Health Technology and Informatics
|November 15, 2006
Summary
This study developed a pilot electronic nursing record system to assist nurses in planning patient care. The system improves the accuracy and efficiency of care planning, especially for student and beginner nurses.
Area of Science:
- Nursing Informatics
- Clinical Decision Support Systems
- Healthcare Information Technology
Background:
- The nursing process involves complex data processing, often exceeding nurses' cognitive capacity.
- Current nursing information systems offer limited decision support, leaving critical planning steps to individual nurses.
- Computerized systems can enhance healthcare quality, patient-centeredness, and efficiency.
Purpose of the Study:
- To develop a pilot electronic nursing record system integrated with international nursing standards.
- To improve the proficiency and accuracy of nursing care planning within clinical pathways.
- To provide decision support for nurses in managing complex patient data.
Main Methods:
- Development of a pilot electronic nursing record system.
- Integration of international nursing standards into the system.
- Evaluation of the system's assistance in the care planning process.
Main Results:
- The pilot system demonstrated promise in assisting nurses with care planning.
- Student and beginner nurses showed improved proficiency and accuracy.
- Expert nurses benefited when working outside their specialized domains.
Conclusions:
- The developed electronic nursing record system shows potential for enhancing nursing care planning.
- The system supports nurses in making more proficient and accurate care decisions.
- Further development could optimize decision support for all nursing levels.
Related Concept Videos
01:27Nursing Clinical Information System
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
01:15Nursing Implementation
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
01:28Formats for Nursing Documentation
Nursing documentation encompasses various formats designed to capture precise patient data, facilitate communication among healthcare team members, and ensure comprehensive and accurate patient records. Let's explore each of these formats in detail:
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history, current medications, vital...
Nursing Assessment Form:
• A nursing assessment form is a foundational document that captures detailed patient data from physical assessments and nursing histories.
• It includes patient demographics, medical history, current medications, vital...
01:30Methods of Documentation VII: EMR
Electronic Medical Records (EMRs) primarily center around electronically documenting patients' health information within a single healthcare organization or practice. They contain essential clinical data related to a patient's medical history, diagnoses, medications, treatment plans, lab results, and other pertinent information relevant to the specific encounter or episode of care. EMRs are designed to streamline documentation and workflow processes within individual healthcare settings,...
01:29Planning Nursing Care II
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
01:08Role of Communication in the Nursing Process III: Evaluation and Documentation
A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes: