[The Dutch nursing concepts framework in registration and record systems]

Area of Science:

• Nursing Informatics
• Health Terminology
• Information Science

Context:

• A literature review was conducted as part of the Dutch National Pilot Research in Nursing Terminology.
• The study focused on documents utilized in practical nursing settings.
• This research aimed to assess the heterogeneity of Dutch nursing terminology.

Purpose:

• To analyze the structure and usage of nursing terminology in Dutch practice.
• To identify inconsistencies in the application of nursing diagnosis and problem concepts.
• To evaluate the extent of conceptual confusion within nursing language.

Summary:

• The literature review revealed significant heterogeneity in Dutch practical nursing terminology, with diverse interpretations of nursing diagnoses and problems.
• A lack of standardized classifications and considerable conceptual confusion were identified.
• Community and mental health care demonstrated more advanced classification efforts compared to acute hospital care.

Impact:

• Findings indicate a high degree of conceptual confusion and dissimilarity in nursing terminology arrangement.
• The results align with other components of the National Pilot Research in Nursing Terminology, reinforcing their credibility.
• This study underscores the need for standardization to improve nursing data systematization and communication.