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The development of the nursing action master file
Mutsuko Nakanishi1, Satoko Tsuru, Chitose Watanabe
1International University of Health and Welfare, Tochigi, Japan.
Studies in Health Technology and Informatics
|July 14, 2009
Summary
A nursing action master was created by collecting and classifying nurse-used terms. This master, with four hierarchical structures and annual revisions since 2006, includes 1,053 basic nursing practice standards.
Area of Science:
- Nursing Informatics
- Healthcare Terminology Management
Background:
- Standardized nursing terminology is crucial for consistent documentation and communication.
- Existing terminologies may not fully capture the breadth of nursing actions.
- Development of a comprehensive nursing action master is needed.
Purpose of the Study:
- To develop a structured and hierarchical master list of nursing actions.
- To classify nursing actions into basic and specialty categories.
- To provide a foundation for standardized nursing documentation.
Main Methods:
- Collection of terms utilized by nurses in practice.
- Classification of collected terms into basic and specialty domains.
- Establishment of a four-level hierarchical structure with unique identifiers.
- Annual revision and updates to the master list since 2006.
Main Results:
- A comprehensive nursing action master was successfully developed.
- The master incorporates a four-tiered hierarchical classification system.
- The database contains 1,053 basic nursing practice standard terms.
- The master has been consistently updated and supplied since 2006.
Conclusions:
- The developed nursing action master provides a standardized framework for nursing terminology.
- This resource facilitates consistent and accurate recording of nursing actions.
- The hierarchical structure supports advanced data analysis and research in nursing practice.
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