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[International Nursing Minimum Data Set: a comparative study with tools of a pediatric clinic]
Insights
This study compared the International Nursing Minimum Data Set (i-NMDS) with pediatric nursing assessment tools. Findings show current tools incompletely capture i-NMDS data, highlighting a need for improved standardization in pediatric nursing documentation.
Area of Science:
- Nursing
- Health Informatics
- Pediatric Care
Background:
- Systematization of Nursing Care is crucial in pediatric clinics.
- Existing nursing clinical assessment tools may not fully align with standardized data sets.
- The International Nursing Minimum Data Set (i-NMDS) aims to standardize nursing data.
Purpose of the Study:
- To compare the comprehensiveness of the i-NMDS with data captured by current nursing clinical assessment tools in a pediatric setting.
- To evaluate the alignment of pediatric nursing assessment instruments with the i-NMDS for children and teenagers.
Main Methods:
- A descriptive and comparative study was conducted.
- Two historical nursing clinical assessment tools from a pediatric teaching hospital clinic were analyzed.
- The study compared the i-NMDS items against the data points within these tools.
Main Results:
- The nursing assessment tool for hospitalized teenagers included 12 out of 16 (75%) i-NMDS items.
- The tool for children aged 0-5 years included 7 out of 16 (43.75%) i-NMDS items.
- Neither tool fully incorporated all i-NMDS data elements.
Conclusions:
- Current nursing clinical assessment tools in pediatric care do not entirely encompass the i-NMDS.
- Improvements are needed in developing pediatric nursing assessment tools.
- Standardized nursing language is recommended for planning, documentation, and measuring practice outcomes.
Abstract:
Descriptive and comparative study, developed from two historical used to implement the Systematization of Nursing Care in a Pediatric clinic of a teaching hospital. It aimed to compare the International Nursing Minimum Data Set (i-NMDS) with the data contained in nursing clinical assessment tools that are used in the application of the Nursing Process in the area of Children and Teenagers Health in a Pediatric Clinic. From the sixteen items evaluated that belong to the proposal of the i-NMDS, the nursing clinical assessment tool for hospitalized teenagers included 12 (75%), while the instrument for children from 0 to 5 years old presented 7 (43.75%). It was concluded that the nursing clinical assessment tools analyzed did not include the i-NMDS data in its entirety. It is suggested that there should be an improvement on the development of the nursing clinical assessment tools, using standardized nursing language for planning assistance, documenting activities, identify and measure the results of practice.
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Nursing Clinical Information System
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:
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities
Data Collection I
