护理教育中的护理诊断准确性:临床决策支持系统与纸质文档相比-A研究前后
Luca Bertocchi1, Angelo Dante, Carmen La Cerra
1Author Affiliations: Department of Life, Health & Environmental Sciences, University of L'Aquila, Italy (Drs Bertocchi and Ms Marcotullio; Messrs Masotta, Ferraiuolo, and Mr Lancia; and Mr Dante, Ms La Cerra, Dr Caponnetto, and Ms Petrucci); and The Marjory Gordon Program for Clinical Reasoning and Knowledge Development at Boston College, William F. Connell School of Nursing, MA (Dr Bertocchi and Ms Jones).
电子健康记录提高了护理学生癌症和中风情景的护理诊断准确度. 虽然可用性需要改进,但数字化方法对更好的临床决策充满希望.
科学领域:
- 护理教育 护理教育
- 医疗信息学 医疗信息学
- 临床决策支持 临床决策支持
背景情况:
- 基于计算机的技术在护理教育中普遍存在.
- 通过电子健康记录 (EHR) 提高护理诊断的准确性仍然是一个需要研究的领域.
- 护理诊断对于指导患者护理和治疗结果至关重要.
研究的目的:
- 为了比较护理诊断的准确性,满意度和可用性,在计算机化和基于纸张的文档系统之间.
- 确定有效的方法,以提高护理诊断的准确性.
- 评估临床决策支持系统 (CDSS) 对护理学生诊断能力的影响.
主要方法:
- 66名护理学生在三个临床场景中使用了传统的纸质方法和计算机方法.
- 在这两种方法中都使用了NANDA-国际术语.
- 基于计算机的临床决策支持系统被用于电子方法.
主要成果:
- 在癌症和中风情景中观察到显著更高的护理诊断准确度 (P < .001).
- 对于急性心肌梗塞情景,没有发现准确度的显著差异.
- 电子系统增加了正确的诊断指标 (P < .05),但学生满意度水平相似.
- 可用性得分表明需要更易于使用的电子文档系统.
结论:
- 基于计算机的系统,特别是CDSS,可以提高特定复杂条件的护理诊断准确性.
- 需要进一步开发以优化护理教育中电子文档系统的可用性.
- 这些发现支持技术的整合,以改善护理文档和诊断技能.
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