Evaluation of the expressiveness of an ICNP-based nursing data dictionary in a computerized nursing record system.

Journal of the American Medical Informatics Association : JAMIA
Insook Cho, Hyeoun-Ae Park

Abstract

This study evaluated the domain completeness and expressiveness issues of the International Classification for Nursing Practice-based (ICNP) nursing data dictionary (NDD) through its application in an enterprise electronic medical record (EMR) system as a standard vocabulary at a single tertiary hospital in Korea. Data from 2,262 inpatients obtained over a period of 9 weeks (May to July 2003) were extracted from the EMR system for analysis. Among the 530,218 data-input events, 401,190 (75.7%) were entered from the NDD, 20,550 (3.9%) used only free text, and 108,478 (20.4%) used a combination of coded data and free text. A content analysis of the free-text events showed that 80.3% of the expressions could be found in the NDD, whereas 10.9% were context-specific expressions such as direct quotations of patient complaints and responses, and references to the care plan or orders of physicians. A total of 7.8% of the expressions was used for a supplementary purpose such as adding a conjunction or end verb to make an expression appear as natural language. Only 1.0% of the expressions were identified as not being covered by the NDD. This evaluation study demonstrates that the ICNP-based NDD has sufficient power to cover most of the ex...Continue Reading

References

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Citations

Dec 17, 2008·Journal of the American Medical Informatics Association : JAMIA·Patricia C DykesHoward S Goldberg
Aug 28, 2013·Informatics for Health & Social Care·Álvaro Rocha, Bruno Rocha
Apr 29, 2010·Journal of Advanced Nursing·InSook Cho, Maengseok Noh
Nov 20, 2013·Scandinavian Journal of Caring Sciences·Kaija SarantoHannele Hyppönen
May 26, 2015·International Journal of Medical Informatics·Ning WangDavid Hailey
Jul 17, 2016·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Andy Sharma
Feb 20, 2019·Journal of Medical Internet Research·Insook ChoPatricia Dykes
Sep 6, 2011·Revista gaúcha de enfermagem·Rejane Kiyomi FuruyaLídia Aparecida Rossi
Apr 17, 2018·Journal of the American Medical Informatics Association : JAMIA·Insook ChoPatricia C Dykes
Feb 4, 2012·Revista gaúcha de enfermagem·Francine Dutra MatteiMarcia Regina Cubas
Aug 9, 2020·International Journal of Medical Informatics·Jinhwa LeePatricia C Dykes
Mar 14, 2021·International Journal of Medical Informatics·Orna FennellyNicholas R Hardiker

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