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Related Concept Videos

Nursing Clinical Information System01:27

Nursing 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:
Nursing Evaluation01:15

Nursing Evaluation

The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
Section...
International Nursing Organizations I01:23

International Nursing Organizations I

International Nursing Organization (ICN) is a global union of national nurses' organizations. Individual nurses can be a part of ICN through member organizations. Each member organization strives to ensure quality nursing care, sound health policies, the advancement of nursing knowledge, respect for the profession, and a satisfied and competent nursing workforce.
ICN member organizations work to advance the field of nursing and healthcare via policies, partnerships, lobbying, professional...
Methods of Documentation III: PIE01:21

Methods of Documentation III: PIE

Problem-intervention-evaluation (PIE) is a systematic approach to documentation used in healthcare settings for clinical decision-making and patient care planning. It is a structured approach to organizing patient data based on problems, interventions, and evaluations. Here's a breakdown of its key features and considerations:
Methods of Documentation VII: EMR01:30

Methods 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,...
Role of Communication in the Nursing Process III: Evaluation and Documentation01:08

Role 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:

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Related Experiment Video

Updated: Jun 21, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Development and evaluation of ICNP-based Electronic Nursing Record System.

Young-Seon Lee1, Kwang-Ok Park, Myoung-Rye Bong

  • 1Department of Nursing, Asan Medical Center, Seoul, Korea. leeys@amc.seoul.kr

Studies in Health Technology and Informatics
|July 14, 2009
PubMed
Summary

This study mapped nursing statements to the International Classification of Nursing Practice (ICNP) and developed an ICNP-based Electronic Nursing Record System. The system demonstrated high user adoption and documentation rates in a Korean hospital setting.

Related Experiment Videos

Last Updated: Jun 21, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
19:15

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Area of Science:

  • Nursing Informatics
  • Health Information Systems

Background:

  • Standardizing nursing documentation is crucial for data analysis and quality improvement.
  • The International Classification of Nursing Practice (ICNP) provides a framework for nursing terminology.

Purpose of the Study:

  • To cross-map existing nursing statements with ICNP Version 1.
  • To develop and evaluate an ICNP-based Electronic Nursing Record System (ENRS).

Main Methods:

  • Cross-mapping of 7,631 nursing statements against ICNP Version 1.
  • Development of an ICNP-based ENRS tailored for Asan Medical Center.
  • Evaluation of user documentation within the ENRS from July 2007 to August 2008.

Main Results:

  • 78.2% of nursing statements were completely expressed during cross-mapping.
  • The developed ICNP-based ENRS achieved high documentation rates: 87.0% for nursing statements and 94.9% for ICNP terms.
  • Successful implementation and user adoption in a clinical setting.

Conclusions:

  • Cross-mapping nursing statements with ICNP is feasible and aids in standardizing terminology.
  • An ICNP-based ENRS can effectively support clinical nursing documentation.
  • The developed system shows potential for improving nursing data quality and interoperability.