J Korean Soc Med Inform.  2000 Sep;6(3):31-38.

Standardization of Nursing Documents for Special Nursing Units

• Park HA
• Cho IS
• Kim KD
• Park JS
• Yoo KS
• Yoon SJ
• Lee SO
• Lee YS
• Jung YL
• Choi WJ
• Choi EY
• Han KL

Abstract

The purpose of this paper is to introduce standardization activities of nursing documentation for special nursing units following standardization efforts for general nursing units last year. Modified Delphi approach with expert panel was used to identify essential nursing documents and data set for each units. Expert panel was consisted of head nurses or charge nurses of each special nursing unit from 8 tertiary hospitals with more than 500 beds in Seoul. the secretary-general of Clinical Nurses Association and a faculty of College of Nursing. The exiting nursing forms of seven special nursing units, which include Emergency room, Intensive care unit, Operating room, Respiratory intensive care unit. Delivery floor. Nursery and Dialysis room, were analyzed and prototypes of the standard nursing forms and guidelines were developed. The clinical field test was done with the help of Clinical Nurses Association. At the field test 3.744 clinical staff nurses from 20 tertiary hospitals with more than 500 beds in Korea were involved and provided feedback. Finally public hearing was held and more than 600 nurses from 116 hospitals attended and provided feedback. Through these process consensus of nursing community was attained for standard documents and data items. The result is available at http://nursing.snu.ac.kr/standard/ through internet.

Keyword

Standardization; Nursing Information Standardization; Nursing Record Form; and Nursing Data

MeSH Terms

Consensus
Dataset
Dialysis
Emergency Service, Hospital
Hearing
Intensive Care Units
Internet
Korea
Nurseries
Nursing*
Nursing, Supervisory
Operating Rooms
Seoul
Tertiary Care Centers