Methodology to Establish Associations between Data and Clinical Assessment for Computerized Nursing Process in...

Area of Science:

• Nursing Informatics
• Health Information Technology
• Clinical Information Systems

Background:

• Information and Communication Technologies (ICT) integration supports the Nursing Process (NP) in healthcare.
• ICT and NP alliance organizes data and clinical information for improved nursing decision-making.

Purpose of the Study:

• To describe the methodology for articulating data and clinical information within a Computerized Nursing Process (CNP).
• To associate detailed clinical assessments of all human systems with diagnoses, interventions, and patient outcomes using ICNP® 2.0.

Main Methods:

• Methodological study and technological production conducted in 2010.
• Development in three distinct stages.
• Restructuring the CNP by associating data and clinical information across all human systems.

Main Results:

• Successfully restructured the Computerized Nursing Process (CNP).
• Established clear associations between clinical data, diagnoses, interventions, and patient outcomes for all human systems.
• Facilitated a more organized and logical structure of clinical data.

Conclusions:

• The developed methodology effectively integrates ICT into the NP.
• The Computerized Nursing Process (CNP) provides a structured approach to managing patient information.
• This approach supports evidence-based nursing practice and enhances patient care through organized data.