Identification of Data Element Categories for Clinical Nursing Information Systems via Information Analysis of Nursing Practice

摘要

In order to empirically identify data elements for content of a Clinical Nursing Information System serving cardiovascular nurses, the question “What supplemental information (or data, or knowledge) do nurses seek in order to make decisions about patient care?” was asked. Data was collected from nurses working all shifts in three different agencies: a community hospital, a large private teaching hospital, and a large public teaching hospital. For each instance of supplemental information-seeking (N=178), the information needed and the reason for seeking it were noted.Four main categories of supplemental information sought were identified: Patient-related information, Institution-related information, Protocol information, and Domain Knowledge.