Assessment in a Computer-Based Nursing Documentation

Assessment in a Computer-Based Nursing Documentation

Elfriede Fritz (University of Health Sciences - Medical Informatics and Technology, Austria), Daniela Deufert (University of Health Sciences - Medical Informatics and Technology, Austria) and Johannes Hilbe (University of Health Sciences, Medical Informa)
Copyright: © 2009 |Pages: 10
DOI: 10.4018/978-1-60566-234-3.ch002
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Abstract

Experience in nursing practice shows that, in Austria, there are still problems with assessment in computer-based nursing documentation. Nursing documentation includes the various steps of the nursingprocess and the nursing diagnosis. In addition, an assessment instrument, which captures the needs for care, must also be integrated into it. This chapter describes different Nursing Assessment Instruments and the advantages of Computer-Based Nursing Process Documentation. Quality criteria for assessment instruments are validity, sensitivity, specificity, reliability, practicability, and the appropriateness of the instrument. Quality criteria for computer-based systems are basically software ergonomic aspects, which are not part of this study. Each country should choose for itself those specific assessment instruments that capture the needs for care of their clients. These data enable comparison of facilities and reliable cost estimates in connection with nursing.
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Background

According to Gottschalck (2003), assessments are carried out by nurses in order to gather basic data such as at admission of a patient to a hospital or a client to a nursing home or home care. Assessment serves the purpose of establishing the individual nursing needs of clients. Assessments simplify nursing documentation, help avoid unnecessary measures in relation to patients, enable estimation of individual reactions of clients to nursing care and facilitate monitoring of effectiveness of nursing (Gottschalck, 2003).

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Editorial Advisory Board
Table of Contents
Foreword
Peter J. Murray
Preface
Bettina Staudinger
Acknowledgement
Chapter 1
Wanda Sneed
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Chapter 2
Elfriede Fritz, Daniela Deufert, Johannes Hilbe
Experience in nursing practice shows that, in Austria, there are still problems with assessment in computer-based nursing documentation. Nursing... Sample PDF
Assessment in a Computer-Based Nursing Documentation
$37.50
Chapter 3
Dawn Dowding, Rebecca Randell, Natasha Mitchell, Rebecca Foster, Valerie Lattimer, Carl Thompson
Increasingly, new and extended roles and responsibilities for nurses are being supported through the introduction of clinical decision support... Sample PDF
Clinical Decision Support Systems in Nursing
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Chapter 4
Jerono P. Rotich
This chapter will give an overview of the healthcare-related challenges that most newcomer immigrants and refugees encounter as they acculturate... Sample PDF
Culturally Sensitive Healthcare for Newcomer Immigrants
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Chapter 5
Pammla Petrucka, Sandra Bassendowski, Thomas F. James, Hazel Roberts, June Anonson
This chapter presents the imperatives of mobile technologies in healthcare as these impact (or potentially) impact on development. It presents the... Sample PDF
Mobile Technology in a Developing Context: Impacts and Directions for Nursing
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Chapter 6
Kenric W. Hammond, Charlene R. Weir, Efthimis N. Efthimiadis
Computerized patient care documentation (CPD) is a vital part of a Patient Care Information System (PCIS). Studying CPD in a well-established PCIS... Sample PDF
Nursing Documentation in a Mature EHR System
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Chapter 7
Sisira Edirippulige, Anthony C. Smith, Mark Bensink, Nigel R. Armfield, Richard Wootton
Nurses play a pivotal role in the provision of healthcare. Home telehealth, the use of information and communication technologies to deliver and... Sample PDF
Nurses and Telehealth: Current Practice and Future Trends
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Chapter 8
Mary D. Oriol, Gail Tumulty
This chapter presents a theoretical framework and research base for the successful transition of an established Master of Science in Nursing program... Sample PDF
Successful Online Teaching and Learning Strategies
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Chapter 9
Virginia Plummer
This chapter is about the major policy issue of nursing resource allocation for hospitals. Health service executives have different views about... Sample PDF
Shaping Funding Policy for Nursing Services
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Chapter 10
Elizabeth M. Borycki, Andre W. Kushniruk, Shigeki Kuwata, Hiromi Watanabe
A range of new technologies/information systems are increasingly being used by nurses in healthcare organizations. These technologies/information... Sample PDF
Simulations to AssessMedication Administration Systems
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Chapter 11
Peter Jones
This chapter explores the potential of a conceptual framework – Hodges’ model – both as a socio-technical structure and means to explore such... Sample PDF
Socio-Technical Structures, 4Ps and Hodges' Model
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Chapter 12
Beth Perry Mahler, Margaret Edwards
Teaching nursing online requires teachers to purposefully use strategies that facilitate the development of virtual learning communities. The... Sample PDF
Strategies for Creating Virtual Learning Communities
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Chapter 13
Roberta Cuel, Roberta Ferrario
In this chapter a case study is presented, in which the ethnomethodological approach is used to analyze the impact of the implementation of an... Sample PDF
The Impact of Technology in Organizational Communication
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Chapter 14
Boris A. Kobrinsky, Nikolay V. Matveev
Telemedicine, or distant medical consultations using communication via electronic networks, is gradually becoming a standard of medical care... Sample PDF
The Roles of a Nurse in Telemedical Consultations
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Chapter 15
Daniel Carbone
The purpose of this chapter is to broadly discuss the need for enhanced evidence-based medicine (EBM) by nurses in the context of rural Australia... Sample PDF
The Role of EBM and Nursing Informatics in Rural Australia
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Chapter 16
Maureen Farrell
The use of mobile technologies in nursing education is rapidly increasing. Handheld computers are the most frequently used of these technologies as... Sample PDF
Use of Handheld Computers in Nursing Education
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Chapter 17
Elizabeth Rogerson, Linda Martindale, Carolyn Waltz
This chapter addresses issues relating to nursing informatics as used and applied in nursing education. This includes the use of information... Sample PDF
Using Information Technology in Nursing Education
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