支持医院护理过程的计算机决策支持系统的能力:一个范围审查
Cynthia Abi Khalil1,2, Antoine Saab3,4, Jihane Rahme5
1Nursing Administration, Lebanese Hospital Geitaoui-UMC, Beirut, Lebanon. cynthiakjammal@outlook.com.
BMC nursing
|July 2, 2025
概括
护理过程临床决策支持系统 (NP-CDSS) 仅限于遵守国际标准,缺乏对护理过程步骤和关键联系的全面覆盖. 改进需要减少文档负担,并通过结果研究证明影响.
科学领域:
- 护理信息学 护理信息学
- 卫生信息技术 信息技术
- 临床决策支持系统 临床决策支持系统
背景情况:
- 护理过程 (NP) 是复杂的;临床决策支持系统 (CDSS) 可以增强其实施.
- 护理过程临床决策支持系统 (NP-CDSS) 旨在支持所有五个NP步骤:评估,护理诊断 (ND),规划,干预和评估.
- 目前的NP-CDSS与2016年国际商定的NP-CDSS开发标准 (ICS4NP-CDSSs) 的遵守程度有限.
研究的目的:
- 评估NP-CDSS是否符合ICS4NP-CDSS的指导方针.
- 评估NP-CDSS在医院环境中的实施和记录结果.
- 确定影响NP-CDSS实施的障碍和促进因素.
主要方法:
- 在PubMed的搜索中,发现了2013年1月至2024年2月间发表的NP-CDSS.
- 评估ICS4NP-CDSS的遵守,包括NP步骤覆盖,使用标准化护理语言 (SNL) 和技术特征.
- 审查实施状态,评估和记录的结果或护士反.
主要成果:
- 在21个有资格的系统中,只有7个涵盖了NP的所有步骤;评估步骤发展不足.
- 17个系统提供了NDs,15个系统将NDs与干预相关联,10个系统与结果相关联.
- 只有四个系统经过实施后的评估;障碍包括缺乏信任和感知到的有用性.
结论:
- NP-CDSS的发展还处于起步阶段,最佳实践与当前实施之间存在很大的差距.
- 现有的NP-CDSS缺乏全面的NP步骤覆盖和必要的联系.
- 未来的战略应优先考虑减少文档负担,加强护士教育和支持,并通过结果研究证明影响.
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