Healthc Inform Res.  2010 Dec;16(4):273-280. 10.4258/hir.2010.16.4.273.

Crossmapping of Nursing Problem and Action Statements in Telephone Nursing Consultation Documentations with International Classification for Nursing Practice

• Lee HJ
• Park HA

• KMID: 2284540
• DOI: http://doi.org/10.4258/hir.2010.16.4.273

Abstract

OBJECTIVES
This study is to cross-map telephone nursing consultation documentations with International Classification for Nursing Practice (ICNP; ver. 1.0 concepts).
METHODS
The narrative telephone nursing consultation documentations of 170 ophthalmology nursing unit patients were analyzed. The nursing statements were examined and cross-mapped with the Korean version of the ICNP ver. 1.0. If all the concepts of a statement were mapped to ICNP concepts, it was classified as 'completely mapped'. If any concept of a statement wasnot mapped, it was classified as 'partially mapped'. If none of the concepts were mapped, it was classified as 'not mapped'.
RESULTS
A total of 738 statements wereused for documenting telephone nursing consultations. These statements were divided into 3 groups according to their content: 1) 294 nursing phenomena-related statements (72 unique statements), 2) 440 nursing actions-related statements (76 unique statements), and 3) 4 other statements (2 unique statements). In total, 189 unique nursing concepts extracted from 150 unique statements and 108 concepts (62.44%) were mapped onto ICNP concepts.
CONCLUSIONS
This study demonstrated the feasibility of computerizing narrative nursing documentations for electronic telephone triagein the ophthalmology nursing unit.

Keyword

Triage; Telenursing; Nursing Record; Terminology

MeSH Terms

Documentation
Electronics
Electrons
Humans
Nursing Records
Ophthalmology
Referral and Consultation
Telenursing
Telephone
Triage

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