Development of a Prototype Expert System for Perioperative Nursing

摘要

Early retirement initiatives have led to a shortfall of nurses and scarcity ofexpertise in the Navy Nurse Corps perioperative community. The Perioperative Nurse Training Course provides theoretical knowledge and basic technical skills, but does not prepare the novice to make clinical decisions. The purpose of this project was to develop and validate a prototype expert system suited to assist in the cognitive learning process of the novice perioperative nurse. While consulting the system, the novice will improve reasoning skills by modeling the decision style of experts. The prototype system was built using the 1st-Class Development System. Knowledge sources included one domain expert and AORN's 1995 Standards and Recommended Practices. Three independent experts validated the system. They rated their agreement with the design, content, interface, and outputs using a five-point Likert scale. The mean scores indicate that a prototype system that captures expert knowledge and provides a model of the expert's reasoning process can be developed and validated for perioperative nursing and may provide one solution to the problems created by the shortage of experienced perioperative nurses.