E-documentation as a process management tool for nursing care in hospitals.

Area of Science:

• Nursing Informatics
• Healthcare Management
• Clinical Documentation

Background:

• Effective nursing care relies on robust documentation for process management.
• Current documentation practices often lack holistic data integration across the patient's clinical journey.
• Reengineering documentation is crucial for optimizing nursing workflows.

Purpose of the Study:

• To develop an innovative e-documentation model for nursing care.
• To integrate Henderson's 14 basic living activities and international nursing classifications into the model.
• To facilitate process reengineering in nursing through enhanced digital documentation.

Main Methods:

• Development of a novel e-documentation model based on process methodology.
• Assessment of patient status using Henderson's theoretical model.
• Alignment of the model with internationally recognized nursing classifications.

Main Results:

• A prototype e-nursing documentation solution has been created.
• The model supports holistic data management throughout the patient's care pathway.
• The system is currently undergoing testing at university medical centers.

Conclusions:

• Electronic nursing documentation is essential for efficient process management.
• The developed model offers a structured approach to patient data, enhancing care quality.
• The prototype demonstrates the feasibility of advanced e-documentation in clinical settings.