Using interoperable nursing care data to improve outcomes for multiple traumas patients with Impaired Physical...

Area of Science:

• Nursing Informatics
• Clinical Data Interoperability
• Trauma Care

Background:

• Holistic patient care requires comprehensive understanding of complex needs.
• Multiple trauma patients with impaired physical mobility present unique challenges in care planning.
• Standardized nursing terminologies are crucial for data interoperability and evidence-based practice.

Purpose of the Study:

• To demonstrate the utility of interoperable nursing data for multiple trauma patients.
• To propose and validate linkages between nursing diagnoses (Impaired Physical Mobility) and standardized classifications (NOC, NIC).
• To enhance nurses' ability to understand and address the healthcare needs of trauma patients.

Main Methods:

• Descriptive cross-sectional design utilizing quantitative and qualitative analysis.
• Cross-mapping methodology applied to de-identified nursing records in a Brazilian Level 1 Trauma Center.
• Expert nurse consensus and Kappa's coefficient used for validation of proposed linkages.

Main Results:

• 44 patient records were analyzed, mapping to 3 NOCs and 13 NICs with 32 interrelated activities.
• The study identified 37 NOCs and 41 NICs through constructed NNN Linkages.
• Validated linkages were established for the nursing diagnosis of Impaired Physical Mobility in multiple trauma patients.

Conclusions:

• Validated NNN linkages provide a valuable resource for efficient clinical decision-making by nurses.
• This approach enhances the potential for improving patient safety and outcomes in trauma care.
• Interoperable nursing data, when effectively linked, supports evidence-based practice and holistic patient assessment.