Korean J Adult Nurs.  2019 Oct;31(5):496-506. 10.7475/kjan.2019.31.5.496.

Emergency Department Nursing Activities: Retrospective Study on Data from Electronic Nursing Records

Affiliations
  • 1RN, Severance Hospital, Yonsei University Health System, Seoul, Korea.
  • 2Professor, College of Nursing · Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea. monachoi@yuhs.ac
  • 3Deputy General Manager, Center for Precision Medicine and Data Science, Yonsei University Health System, Seoul, Korea.

Abstract

PURPOSE
This study aimed to identify the type and frequency of nursing activities targeting emergency department patients by analyzing electronic nursing records.
METHODS
This retrospective study identified the characteristics of and nursing activities for adult patients who visited a university hospital emergency department for 6 months from January to June 2018 by analyzing the hospital's electronic nursing records. Descriptive statistics and one-way analysis of variance were used to analyze the characteristics of patients and the nursing records.
RESULTS
A total of 36,435 patients, with an average age of 52.82±19.91 years and a male-to-female ratio of 1:1.16, participated in the study. The number of patients with Korean Triage and Acuity Scale levels 4 (less urgent) and 5 (non-urgent) were 24,403 (67% of the total number). Referrals were requested 1.21±0.54 times per patient. The most frequent NANDA diagnosis and Nursing Intervention Classification intervention were "Risk for unstable blood glucose level" (858, 28.4%), and "Surveillance" (83,131, 23.9%). The most frequent Clinical Care Classification action type was "Assess or Monitor" (313,729, 38.5%). The higher the severity level and the number of referrals, the more the recorded numbers of nursing diagnoses, interventions, and care activities.
CONCLUSION
This study demonstrated the possibility of nursing task analysis by identifying the type and frequency of nursing activities based on the data from electronic nursing records. Further research on electronic nursing records would contribute to the usefulness of these records for nursing workload analysis and effective workforce management.


MeSH Terms

Adult
Blood Glucose
Classification
Diagnosis
Electronic Health Records
Emergencies*
Emergency Service, Hospital*
Humans
Nursing Diagnosis
Nursing Records*
Nursing Services
Nursing*
Referral and Consultation
Retrospective Studies*
Triage
Blood Glucose

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