While the nursing process provides a framework for documenting nursing practice and delivering patient-focused care, nurses often have difficulty applying the nursing process in clinical practice. Fortunately, electronic nursing documentation using clinical decision support systems (END-CDSS) can improve the accuracy of recorded nursing process. To date, however, no study has evaluated nursing documentation accuracy over time following END-CDSS implementation. Accordingly, the aim of this study was to evaluate if the Professional Assessment Instrument (PAI) END-CDSS improved the accuracy of nursing documentation in an Italian hospital cardiology inpatient unit. A quasi-experimental longitudinal design was conducted. A random sample of 120 nursing documentations was collected and evaluated using the D-Catch instrument. A significant improvement (p <.001) in nursing documentation accuracy scores was shown after PAI implementation. These results suggest that an END-CDSS can support nurses in the nursing process by improving their clinical reasoning skills.

D’Agostino, F., Zeffiro, V., Cocchieri, A., Vanalli, M., Ausili, D., Vellone, E., et al. (2019). Impact of an electronic nursing documentation system on the nursing process accuracy. In Advances in Intelligent Systems and Computing (pp.247-252). Springer Verlag [10.1007/978-3-319-98872-6_29].

Impact of an electronic nursing documentation system on the nursing process accuracy

D’Agostino, Fabio
;
ZEFFIRO, VALENTINA;Cocchieri, Antonello;Vellone, Ercole;Zega, Maurizio;Alvaro, Rosaria
2019-01-01

Abstract

While the nursing process provides a framework for documenting nursing practice and delivering patient-focused care, nurses often have difficulty applying the nursing process in clinical practice. Fortunately, electronic nursing documentation using clinical decision support systems (END-CDSS) can improve the accuracy of recorded nursing process. To date, however, no study has evaluated nursing documentation accuracy over time following END-CDSS implementation. Accordingly, the aim of this study was to evaluate if the Professional Assessment Instrument (PAI) END-CDSS improved the accuracy of nursing documentation in an Italian hospital cardiology inpatient unit. A quasi-experimental longitudinal design was conducted. A random sample of 120 nursing documentations was collected and evaluated using the D-Catch instrument. A significant improvement (p <.001) in nursing documentation accuracy scores was shown after PAI implementation. These results suggest that an END-CDSS can support nurses in the nursing process by improving their clinical reasoning skills.
8th International Conference in Methodologies and Intelligent Systems for Technology Enhanced Learning, 2018
esp
2018
Rilevanza internazionale
Settore MED/45 - Scienze Infermieristiche Generali, Cliniche e Pediatriche
English
Clinical decision support system; Electronic nursing documentation; Longitudinal design; Nursing documentation accuracy; Nursing process; Control and Systems Engineering; Computer Science (all)
http://www.springer.com/series/11156
Intervento a convegno
D’Agostino, F., Zeffiro, V., Cocchieri, A., Vanalli, M., Ausili, D., Vellone, E., et al. (2019). Impact of an electronic nursing documentation system on the nursing process accuracy. In Advances in Intelligent Systems and Computing (pp.247-252). Springer Verlag [10.1007/978-3-319-98872-6_29].
D’Agostino, F; Zeffiro, V; Cocchieri, A; Vanalli, M; Ausili, D; Vellone, E; Zega, M; Alvaro, R
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/206888
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