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Testing the Use of Natural Language Processing Software and Content Analysis to Analyze Nursing Hand-off Text Data
Benjamin J Galatzan1, Jane M Carrington, Sheila Gephart
1Author Affiliations: College of Nursing, University of Arizona (Dr Galatzan), Tucson, and School of Nursing University of Alabama Birmingham, Birmingham, Alabama; College of Nursing University of Florida (Dr Carrington), Gainesville, Florida; and College of Nursing University of Arizona (Dr Gephart), Tucson, Arizona.
Natural language processing (NLP) can analyze nurse communication during shift changes. This method reveals how communication impacts patient outcomes and identifies areas for improved patient safety.
Area of Science:
- Health Informatics
- Clinical Communication
- Natural Language Processing
Background:
- Electronic health records and healthcare databases are primarily mined using natural language processing (NLP) for tasks like identifying at-risk populations and predicting hospital-associated infections.
- NLP is rarely used in healthcare research to analyze provider-to-provider communication or the impact of language on patient outcomes.
- Few studies analyze the content (data, information, knowledge) and context (how) of healthcare communication.
Purpose of the Study:
- To discuss the feasibility of using an innovative within-methods triangulation data analysis to examine nurse-to-nurse change-of-shift hand-off communication.
- To uncover the contextual and linguistic meaning within nursing hand-off communication.
Main Methods:
- Utilizing a natural language processing (NLP) software program.
- Employing content analysis.
- Implementing an innovative within-methods triangulation data analysis approach to analyze nursing hand-off communication.
Main Results:
- The study discusses the feasibility of the proposed analytical approach.
- The methodology aims to uncover contextual and linguistic nuances in nurse communication.
Conclusions:
- Analyzing the 'how' and 'what' of healthcare communication has the potential to decrease errors and improve patient outcomes.
- The proposed triangulation method offers a novel approach to understanding nurse-to-nurse communication during hand-offs.
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