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ICNP
Elisabeth Østensen1, Line K Bragstad1, Nicholas R Hardiker2
1Department of Nursing Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, Norway.
Studies in Health Technology and Informatics
|June 3, 2018
Summary
Nurses in Norway used standardized care plans within electronic patient record systems. This study explored how they integrated these International Classification for Nursing Practice (ICNP) tools into their daily work.
Area of Science:
- Nursing Informatics
- Health Information Management
- Clinical Terminology
Background:
- The International Classification for Nursing Practice (ICNP) terminology is crucial for standardizing nursing language.
- Electronic Patient Record (EPR) systems facilitate the integration of standardized terminologies into clinical workflows.
- Previous research has explored the implementation of standardized terminologies, but less is known about the practical application by nurses in daily informational work.
Purpose of the Study:
- To investigate how nurses applied standardized care plans based on ICNP terminology in their daily informational work.
- To understand the practical challenges and facilitators of using standardized care plans within an EPR system.
- To gather insights into the user experience of implementing a standardized nursing terminology in a real-world clinical setting.
Main Methods:
- An exploratory, qualitative study was conducted.
- Data were collected from nurses in three Norwegian municipalities where standardized care plans were implemented in 2016.
- The study focused on nurses' application of five standardized care plans within the EPR system.
Main Results:
- Nurses applied the standardized care plans in various ways, adapting them to individual patient needs and local contexts.
- The integration of ICNP terminology into the EPR system presented both opportunities for enhanced documentation and challenges related to usability and workflow.
- Nurses' informational work was influenced by the structure and content of the standardized care plans, impacting their communication and decision-making processes.
Conclusions:
- The application of standardized care plans based on ICNP terminology requires ongoing adaptation and support for nurses.
- Effective implementation of nursing terminologies in EPR systems necessitates a user-centered approach that considers clinical workflows and practical usage.
- Further research is needed to optimize the use of standardized nursing terminologies to improve patient care documentation and outcomes.