Related Experiment Videos
Using the PEN&PAD information model to support hospital-based clinical care
H A Heathfield1, N R Hardiker, J Kirby
1Computing Department, Manchester Metropolitan University, UK.
Proceedings. Symposium on Computer Applications in Medical Care
|January 1, 1994
Summary
The PEN&PAD model, used for medical records, faces challenges when adapted for nursing documentation. This study emphasizes the need for nurses to clarify information use in their practice.
Area of Science:
- Health Informatics
- Nursing Information Systems
- Clinical Documentation
Background:
- The PEN&PAD model is established for clinical record systems in general practice and hospitals.
- Developing computer-based nursing records requires evaluating existing models.
Purpose of the Study:
- To describe experiences applying the PEN&PAD model to computer-based nursing records.
- To identify challenges in adapting the PEN&PAD model for the nursing domain.
Main Methods:
- Evaluation of the PEN&PAD model's applicability in nursing.
- Analysis of the roles and structure of nursing records.
Main Results:
- Direct application of the PEN&PAD model to nursing records presents difficulties.
- Nursing records serve multiple, potentially conflicting roles beyond simple documentation.
- The structure and content of nursing records are influenced by professional philosophical frameworks.
Conclusions:
- The PEN&PAD model requires adaptation for effective use in nursing.
- Nurses need to explicitly define and clarify their information usage.
- Tools are needed to assist nurses in making their information use explicit.