开发ICNP®术语的子集,用于NICU和新生儿学设置
Valentina Tommasi1,2, Laura E A Stabilini3, Giulia Vercesi4
1Niguarda Hospital, Ospedale Maggiore 3 Square, 20162 Milan, Italy.
Healthcare (Basel, Switzerland)
|March 14, 2026
概括
为新生儿重症监护室 (NICU) 开发了一个新的护理实践国际分类 (ICNP) 子集. 这种标准化的护理语言提高了新生儿环境中的文档和护理质量.
科学领域:
- 护理信息学 护理信息学
- 临床术语学 临床术语学
- 医疗保健标准化 医疗保健标准化
背景情况:
- 国际护理实践分类 (ICNP) 提供了一个标准化的护理语言来描述诊断,干预和结果.
- 在特定的临床环境中,ICNP子组对于实际应用至关重要,但在新生儿学或NICU方面没有.
- 标准化术语对于电子健康记录和一致的护理文档至关重要.
研究的目的:
- 专门为新生儿重症监护室 (NICU) 和新生儿学设置开发和验证一个ICNP子集.
- 确保拟议的ICNP术语与SNOMED CT命名体系协调,以确保互操作性.
- 促进在新生儿护理文档中采用标准化的护理语言.
主要方法:
- 这是一项两阶段的研究,涉及通过四轮Delphi方法和重点小组进行专家验证.
- 由NICU和新生儿专家进行ICNP术语的定性验证.
- 已验证的ICNP术语与SNOMED CT命名体系的协调.
主要成果:
- 总共有479个ICNP术语 (诊断/结果和干预轴) 得到了验证,与SNOMED CT.的兼容性为99.65%.
- 97个新术语 (30个诊断/结果,67个干预) 得到了验证,SNOMED CT兼容性达到93.81%.
- 最后提出的子集包括576个ICNP术语 (177个诊断/结果,399个干预).
结论:
- 开发的ICNP子集为NICU和新生儿学提供了经过验证和协调的术语.
- 本子组的实施可以支持新生儿护理中采用电子健康记录.
- 这种标准化的护理语言有可能提高NICU设置中的护理护理的质量和一致性.
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