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Related Experiment Videos

South Dakota statewide Nursing Minimum Data Set Project

K L Karpiuk1, C W Delaney, P Ryan

  • 1Education and Development Center, Sioux Valley Hospital, Sioux Falls, SD 57117-5039, USA.

Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing
|March 1, 1997
PubMed
Summary
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Manual data collection for the Nursing Minimum Data Set (NMDS) is time-consuming and costly. This study found that nursing diagnoses focused on comfort and mobility, with monitoring being the most frequent intervention.

Area of Science:

  • Nursing
  • Health Informatics

Background:

  • The Nursing Minimum Data Set (NMDS) is crucial for standardizing nursing data.
  • Collecting NMDS data manually presents significant challenges in terms of time and cost.

Purpose of the Study:

  • To describe discharge destinations, nursing diagnoses, interventions, and resource utilization for patients with fractured femur undergoing pinning.
  • To evaluate the feasibility and meaningfulness of collecting NMDS elements manually.

Main Methods:

  • Manual abstraction of NMDS elements from 188 medical records across eight acute care facilities in South Dakota.
  • Classification of nursing interventions using the Werley and Lang 16-category scheme.

Main Results:

  • The sample comprised older adults (mean age 78.5 years), predominantly female (69.1%).

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  • Most patients (84.0%) were transferred post-discharge, primarily to extended care facilities (46.2%).
  • Common nursing diagnoses included comfort (89.9%) and physical mobility (59.6%). Monitoring/surveillance was the most frequent intervention type (16.7%), while emotional support was less frequent (3.0%). Discharge planning was common in care coordination (54.8%).
  • Nursing resource utilization was the most challenging NMDS element to collect due to variations in facility systems.

    • Conclusions:

    • Manual NMDS data collection is inefficient and expensive, suggesting a need for improved, automated methods.
    • Understanding nursing diagnoses and interventions for fractured femur patients highlights areas for targeted care.
    • Variability in facility-specific data collection hinders meaningful analysis of nursing resource utilization.