An internationally consented standard for nursing process-clinical decision support systems in electronic health records

M Müller-Staub, H de Graaf-Waar… - CIN: Computers …, 2016 - journals.lww.com
Nurses are accountable to apply the nursing process, which is key for patient care: It is a
problem-solving process providing the structure for care plans and documentation. The state …

Features of computerized clinical decision support systems supportive of nursing practice: a literature review

S Lee - CIN: Computers, Informatics, Nursing, 2013 - journals.lww.com
This study aimed to organize the system features of decision support technologies targeted
at nursing practice into assessment, problem identification, care plans, implementation, and …

Building an innovation electronic nursing record pilot structure with nursing clinical pathway

AT Hao, L Huang, L Wu, C Kao, M Lu… - Studies in health …, 2006 - books.google.com
Angelica Te-Hui HAOa, e, Li-Fang Huangb, Li-Bin Wud, Ching-Chiu Kaod Mei-Show Lua,
Wen-Shan Jianc, Her-Kung Change, Chien-Yeh Hsub a Nursing School of Taipei Medical …

Development and evaluation of an electronic nursing documentation system

M Shafiee, M Shanbehzadeh, Z Nassari… - Bmc Nursing, 2022 - Springer
Background Nursing documentation is a critical aspect of the nursing care workflow. There is
a varying degree in how detailed nursing reports are described in scientific literature and …

Toward a more robust and efficient usability testing method of clinical decision support for nurses derived from nursing electronic health record data

KD Lopez, A Febretti, J Stifter… - … journal of nursing …, 2017 - Wiley Online Library
PURPOSE To develop methods for rapid and simultaneous design, testing, and
management of multiple clinical decision support (CDS) features to aid nurse decision …

Clinical decision‐making and the nursing process in digital health systems: an integrated systematic review

L Hants, K Bail, C Paterson - Journal of Clinical Nursing, 2023 - Wiley Online Library
Aims To identify how the nursing process (assessment, planning, intervention and outcome
evaluation) has been incorporated into digital health systems (electronic medical records …

Implementation of standardized nomenclature in the electronic medical record

J Klehr, J Hafner, LM Spelz, S Steen… - International Journal of …, 2009 - Wiley Online Library
PURPOSE. To describe a customized electronic medical record documentation system
which provides an electronic health record, Epic, which was implemented in December …

Standardized nursing language for healthcare information systems

C Delaney, PA Mehmert, C Prophet… - Journal of Medical …, 1992 - Springer
Since a substantial component of health care delivery is reflected in nursing's work, it is
imperative that nursing expedites implementation of a standardized language that reflects …

Understanding the use of standardized nursing terminology and classification systems in published research: A case study using the International Classification for …

G Strudwick, NR Hardiker - International journal of medical informatics, 2016 - Elsevier
Background In the era of evidenced based healthcare, nursing is required to demonstrate
that care provided by nurses is associated with optimal patient outcomes, and a high degree …

Representing the nursing process with nursing terminologies in electronic medical record systems: a Swiss approach

A Bernhart-Just, B Lassen… - CIN: Computers …, 2010 - journals.lww.com
This article describes a framework model within a selected nursing classification system for
the integration of nursing care processes into a clinical information system. The" Electronic …