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  • 1. . Nursing Informatics 2012

2. Nursing Informatics 2012 3. ?Nursing Informatics 2012 4. ?Nursing Informatics 2012 5. Nursing Informatics 2012 6. (Nursing Minimum Data Set) Nursing Informatics 2012 7. NMDS A standardize approach that facilitates the abstraction of these minimum, common, essential core data elements to describe nursing practice from both paper and electronicNursing Informatics 2012 8. NMDS Nursing Informatics 2012 9. Objective 1. 2. 3. Informatics 2012 Nursing 10. Objective 4. 5. 6. Nursing Informatics 2012 11. 3 16 Nursing Informatics 2012 12. 1 (Nursing Care Elements) 4 (nursing intensity) Nursing Informatics 2012 13. 1. 2. 3. 4./ 5. Nursing Informatics 2012 14. 1. 2. 3. 4. 5. 6. 7. 8. / Nursing Informatics 2012 15. 9. 10. 11. 12. 13. 14. 15. Nursing Informatics 2012 16. 2 (Patient/Client Demographic Elements) * * * * * Nursing Informatics 2012 17. 3 (Service Elements) * Nursing Informatics 2012 18. 3( ) * * * Nursing Informatics 2012 19. 16 (indexing) (sorting) (retrieving) (classifying) (clinical records) 2012 Nursing Informatics 20. common language, standardized nursing language Nursing Informatics 2012 21. 2012 Nursing Informatics 22. ? The very elements of nursing are all but unknown. (Florence Nightingale, 1859)Nursing Informatics 2012 23. Nursing Informatics 2012 24. Nursing Informatics 2012 25. Minute paper Nursing minimum data set 3 16 Nursing care element Nursing Informatics 2012 26. (Nursing Classification Systems) (classes) Nursing Informatics 2012 27. (Nursing Classification Systems) Nursing Informatics 2012 28. Nursing care elements standardize d nursing language ( ) ( ) Nursing clasification system Nursing clasification system Nursing Informatics 2012 29. (North American Nursing Diagnosis Association : NANDA) NANDA (Nursing Interventions Classification : NIC) NIC Nursing Informatics 2012 30. System : (OmahaApplications for Community Health Nursing) (Home Health Care Classification : HHCC Saba) (International Nursing Informatics 2012 31. Nursing Informatics 2012 32. Omaha System for Community Health Model for capturing, sorting and analyzing client data Used as a component of NMDS Problem classification and intervention scheme and problem rating scale for outcomes for community health nursing Provides ability to describe client population and level of serviceNursing Informatics 2012 33. Perioperative Nursing Data Set (PNDS) Vocabulary developed to define nursing diagnoses, expected outcomes, interventions, and activities for patients scheduled for invasive or operative procedures Nursing Informatics 2012 34. Home Health Care Classification (HHCC) Documents the provision of nursing care to patients in their homes Consists of two interrelated taxonomies: diagnoses and interventions Develop as a means to predict resources needs and measure outcomes Nursing Informatics 2012 35. NANDA http://www.nanda.org/ NANDA 9 (human response patterns) 137 Nursing Informatics 2012 36. : , Y00 Y00.0 Y00.1 Y01 Y01.0 - 9 () Y02 , Y02.0 , Y02.1 Y02.2 Nursing Informatics 2012 37. : Y20 , Y20.0 Y20.1 Y20.2 Y20.3 Y29.5Nursing Informatics 2012 38. : Y30 Y31 , Y31.0 , Y31.1 , Y32 Y33 Y 35Nursing Informatics 2012 39. : Y40 Y40.0 - 9 ( ) Y41 , Nursing Informatics 2012 40. NIC Nursing Interventions Classification Nursing Informatics 2012 41. NIC Nursing Informatics 2012 42. NIC Nursing Informatics 2012 43. (code) (labels) (definitions) Nursing Informatics 2012 44. NIC NANDA labeldefinitions.p df http://www.nursing.uiowa.edu/ centers/cncce/nic/index.htmNursing Informatics 2012 45. NANDA Y23.0 (Aspiration, Risk) Y22.0 (Fluid Volume Deficit) Y24.0 : (Nutrition : Less than Body Requirement)NIC1080 (Gastrointestinal Intubation) 50 1 .Nursing Informatics 2012 46. Nursing Informatics 2012 47. NOC Nursing Outcomes Classification (family caregiver) Nursing Informatics 2012 48. (code) (labels) (definitions) (indicators) labeldefinitionsN OC.pdf (outcome measurement scale)Nursing Informatics 2012 49. NOC Nursing Informatics 2012 50. NOC (treatment regimen) Nursing Informatics 2012 51. NANDA - NIC - NOC The client with pneumonia Activity Intolerance Energy Management Activity Tolerance Self-Care Assistance Energy Conservation Self-Care: ADLs Oxygen Therapy Respiratory Status: Impaired Gas Respiratory Exchange Gas Exchange Monitoring Ineffective Airway ClearanceCough Enhancement Respiratory Status: Chest Physiotherapy Airway Patency Respiratory Status: Ventilation Nursing Informatics 2012 52. NANDA - NIC - NOC The client with pneumonia Acute painAnalgesic administration pain management Risk for infection Infection protection Wound carePain level Comfort level Pain control behavior Risk control Tissue integrity : skinNursing Informatics 2012 53. NANDA - NIC - NOC The Client with Respiratory Failure Impaired Spontaneous VentilationIneffective Airway Clearance Impaired Gas ExchangeRespiratory Monitoring Artificial Airway Management Mechanical Ventilation Airway Suctioning Airway Insertion and Stabilization Oxigen TherapyRespiratory status : Gas Exchange Respiratory status : Ventilation Respiratory status : Airway Patency Respiratory status : Gas Exchange Nursing Informatics 2012 54. ICNP International Classification of Nursing Practice ICNP (International Council of Nurses) Nursing Informatics 2012 55. ICNP ICNP Definition The ICNP is a unified nursing language system. It is a compositional terminology for nursing practice that facilitates the development of and the crossmapping among local terms and existing terminologies. Nursing Informatics 2012 56. ICNP .. 1996 ICNP Alpha .. 1999 ICNP Beta1 ICNP (ICNP Version 1)Nursing Informatics 2012 57. ICNP (multiaxial classification) (cross - mapping) Nursing Informatics 2012 58. ICNP Nursing Informatics 2012 59. 3 ICN1. (nursing phenomenon: nursing problem / diagnosis) 2. (nursing intervention: nursing treatment / action) 3. (nursing outcomes: nursing results) Nursing Informatics 2012 60. H A G F B C E D Nursing Informatics 2012 61. Guideline for composing a nursing diagnosis 1 Nursing Informatics 2012 62. , : : : : Nursing Informatics 2012 63. , : : : Nursing Informatics 2012 64. Nursing Informatics 2012 65. Nursing Informatics 2012 66. A H B G C F E D Nursing Informatics 2012 67. Action types 2A.1 Observing 2A.2 Managing 2A.3 Performing 2A.4 Attending 2A.5 Informing Nursing Informatics 2012 68. 1 1 Nursing Informatics 2012 69. Nursing Informatics 2012 70. 2 ( ) 2012 Nursing Informatics 71. Nursing Informatics 2012 72. Nursing Informatics 2012 73. ICNP .Nursing Informatics 2012 74. Nursing Informatics 2012 75. Nursing Informatics 2012 76. Nursing Informatics 2012 77. (DRG)DRG (Patient Classification System) (Isoresource group) Nursing Informatics 2012 78. DRG fee-forservice capitation Nursing Informatics 2012 79. ICD 10 10 10 International Statistical Classification of Disease and Related Health Problems Tenth Revision (ICD-10) Nursing Informatics 2012 80. ICD 10 Plasmodium falciparum malaria = B50 Acute appendicitis with generalized peritonitis = K35.0 Nursing Informatics 2012 81. ICD 10 Nursing Informatics 2012 82. ICD-9-CM International Statistical Classification of Disease Ninth Revision Clinical Modification ICD 9 WHO Nursing Informatics 2012 83. ICD-9-CM Procedure DRG Nursing Informatics 2012