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Nursing Clinical Information System

Nursing Clinical Information System

Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:

Nursing Implementation

Nursing Implementation

Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:

Healthcare Associated Infections II: Preventive Measures

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...

Endocarditis IV: Nursing Management

Endocarditis IV: Nursing Management

Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...

Accountability and Responsibility of a Nurse II

Accountability and Responsibility of a Nurse II

Professional accountability in nursing is a multifaceted concept that encompasses professional ethics, legal standards, and employment expectations. This framework ensures that nurses maintain and elevate the quality of care while upholding the values of their profession. It compels them to treat patients, families, and colleagues with respect, compassion, and integrity.
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide comfort...

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Related Experiment Video

Updated: Jun 26, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

From InSurE to MIST: A Quality Improvement Initiative in a Level IV NICU.

Natasha Ahn¹, Emiko Yamada¹, Kellie Barsotti²

¹Comer Children's Hospital, University of Chicago Medicine, Section of Neonatology, Department of Pediatrics, United States.

American Journal of Perinatology

|June 24, 2026

Summary

Minimally invasive surfactant therapy (MIST) significantly increased in NICUs, shifting respiratory care towards non-invasive methods. This quality improvement initiative improved surfactant delivery for preterm infants, reducing adverse outcomes.

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Improving IV Insulin Administration in a Community Hospital

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Published on: June 11, 2012

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Last Updated: Jun 26, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale

Published on: August 25, 2014

Improving IV Insulin Administration in a Community Hospital

Improving IV Insulin Administration in a Community Hospital

Published on: June 11, 2012

Area of Science:

Neonatalogy
Pediatric Pulmonology
Quality Improvement Science

Background:

Mechanical ventilation is a risk factor for bronchopulmonary dysplasia (BPD) in preterm infants.
Minimally invasive surfactant therapy (MIST) offers surfactant delivery to spontaneously breathing infants, potentially reducing BPD.
Uptake of MIST in US Neonatal Intensive Care Units (NICUs) has been inconsistent.

Purpose of the Study:

To increase MIST utilization in a level IV NICU.
To evaluate the impact of increased MIST use on respiratory care practices.
To assess the effect of MIST implementation on clinical outcomes in preterm infants with respiratory distress syndrome (RDS).

Main Methods:

A quality improvement initiative with a SMART aim to increase MIST use from 3% to 80% within one year.
Interventions included standardized guidelines, procedural kits, multidisciplinary education, and PDSA cycles.
Primary process measure was MIST utilization; secondary measures included procedural adherence and intubation rates.

Main Results:

MIST use increased from 3% to 97% within one year, demonstrating sustained improvement.
Intubation rates within 7 days remained stable (19% vs 18%).
Pharmacologic pre-medication use decreased significantly (17% to 1%), and intubated surfactant delivery decreased (71% to 37%).

Conclusions:

A structured, multidisciplinary quality improvement approach successfully increased and sustained MIST utilization.
The initiative facilitated a shift towards non-invasive surfactant delivery in a high-acuity NICU.
Implementing MIST is feasible and beneficial in complex neonatal intensive care settings.