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Problem Solving for Volatilizing Situation in Nursing: Developing Thinking Process Supporting System using

Satoko Tsuru1, Fumiko Wako2, Miho Omori1

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Standardized nursing care plans, like NursingNAVI®, improve patient data accuracy by preventing observational and documentation failures. This system supports daily nursing tasks and reduces planning time.

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Area of Science:

  • Nursing Informatics
  • Healthcare Management

Background:

  • Nursing documentation is crucial for patient care continuity and data integrity.
  • Inconsistent nursing observations and documentation can lead to patient data volatility.
  • Standardized nursing care plans are essential for mitigating these issues.

Purpose of the Study:

  • To develop a structured knowledge model for nursing observation and action using the NursingNAVI® system.
  • To analyze nursing documentation for post-gastrectomy patients against a standardized care plan.
  • To create a thinking process support system for daily nursing activities.

Main Methods:

  • Development of a structured knowledge model based on NursingNAVI® content.
  • Analysis of nursing care documentations for post-gastrectomy patients.
  • Creation of a thinking process support system for planning, delivering, recording, and evaluating nursing care.

Main Results:

  • Identified "failure to observe" and "failure to document" in nursing records, causing data volatility.
  • Demonstrated that a standardized nursing care plan could prevent these failures.
  • A hospital adopted NursingNAVI® content into their Hospital Information System (HIS).

Conclusions:

  • The NursingNAVI® system and its associated thinking process support system enhance nursing practice.
  • Implementation can lead to reduced planning and recording times for nurses.
  • The system shows potential for nursing on-the-job training (OJT) and improved data consistency.