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Standardized nursing classification systems: necessary, but not sufficient, for representing what nurses do
1Department of Community Health Systems, University of California, San Francisco, USA.
Summary
Three nursing intervention classification systems are recognized but insufficient for representing nursing actions. Computer-based patient records need atomic-level nursing action representations for process improvement.
Area of Science:
- Nursing Informatics
- Health Information Systems
Background:
- The American Nurses Association recognizes three standardized nursing intervention classification systems.
- Existing systems focus on informational abstractions of nursing actions.
- These systems lack a controlled vocabulary and compositional grammar for constructing nursing concepts.
Purpose of the Study:
- To evaluate the sufficiency of current nursing intervention classification systems.
- To identify the need for more granular representations of nursing actions.
- To inform the development of computer-based patient record systems.
Main Methods:
- Analysis of existing nursing intervention classification systems.
- Literature review on nursing informatics and health data representation.
- Conceptual framework development for atomic-level nursing action representation.
Main Results:
- Recognized classification systems are necessary but not sufficient for comprehensive nursing action representation.
- Current systems do not provide the granular detail required for computer-based patient records.
- A need exists for atomic-level representations of nursing actions.
Conclusions:
- Standardized nursing intervention classification systems require enhancement.
- Atomic-level representations are crucial for computer-based patient records and process improvement.
- Future systems must support the construction of diverse informational abstractions from fundamental nursing actions.