Exploring Nursing Diagnoses, Interventions, Outcomes in Oncology Specialty Units in an Acute Setting: The Impact of the Use of Electronic Standardized Terminology

2.50
Hdl Handle:
http://hdl.handle.net/10755/303934
Category:
Abstract
Type:
Presentation
Title:
Exploring Nursing Diagnoses, Interventions, Outcomes in Oncology Specialty Units in an Acute Setting: The Impact of the Use of Electronic Standardized Terminology
Author(s):
Tseng, Huichen
Lead Author STTI Affiliation:
Gamma Iowa
Author Details:
Huichen Tseng, PhD, huichen.tseng@nurs.utah.edu
Abstract:

Session presented on: Thursday, July 25, 2013

Purpose:

The study aimed to explore nursing care (problems, interventions, outcomes) as documented by nurses using standardized terminology in electronic health records for oncology care. We also examined the outcome change scores for the frequent problems. Findings provided resources for continuing education for nurses, managers and administrators.

Methods:

Donabedian’s structure-process-outcome is the framework for this study. In this descriptive retrospective study, we included patients with cancer admitted in four oncology units in a tertiary hospital over seven months. Data collection included demographics, diagnoses, interventions, and outcomes. Data were retrieved from medical records, and the nursing documentation system. Only patients with planned nursing care documented were analyzed.

Results:

The sample (2,237) was primary female (63%) and white (89%). The most common elements in nursing care were diagnosis (Acute Pain), intervention (Pain Management), and outcome (Pain Level). Patients with Acute Pain rated their outcome scores from 1 to 5 for Pain Level. We compared the first and last scores and found most patients (39%) kept the same scores at discharge, and 35% of them improved the score by 1. The priorities of planned nursing care differed by unit and length of stay. We also found that patient safety, such as Fall Prevention, was common among the top ten concerns in the study.

Conclusion:

The use of electronic standardized terminologies for nursing care benefits the exploration of common problems, interventions, and outcomes, and in monitoring the change in their scores in an efficient and systematical way in clinical practice and research. This assists nurses in managing oncology patient care for individualized care, decision making and time management. The link between electronic standardized terminologies used for nursing care and other elements of study interests in the electronic health records provides potential benefits for future research.

Keywords:
Cancer; Nursing care; Electronic Standardized Terminology
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleExploring Nursing Diagnoses, Interventions, Outcomes in Oncology Specialty Units in an Acute Setting: The Impact of the Use of Electronic Standardized Terminologyen_GB
dc.contributor.authorTseng, Huichenen_GB
dc.contributor.departmentGamma Iowaen_GB
dc.author.detailsHuichen Tseng, PhD, huichen.tseng@nurs.utah.eduen_GB
dc.identifier.urihttp://hdl.handle.net/10755/303934-
dc.description.abstract<p>Session presented on: Thursday, July 25, 2013</p><b>Purpose: </b> <p>The study aimed to explore nursing care (problems, interventions, outcomes) as documented by nurses using standardized terminology in electronic health records for oncology care. We also examined the outcome change scores for the frequent problems. Findings provided resources for continuing education for nurses, managers and administrators. <p><b>Methods: </b> <p>Donabedian’s structure-process-outcome is the framework for this study. In this descriptive retrospective study, we included patients with cancer admitted in four oncology units in a tertiary hospital over seven months. Data collection included demographics, diagnoses, interventions, and outcomes. Data were retrieved from medical records, and the nursing documentation system. Only patients with planned nursing care documented were analyzed. <p><b>Results: </b> <p>The sample (2,237) was primary female (63%) and white (89%). The most common elements in nursing care were diagnosis (Acute Pain), intervention (Pain Management), and outcome (Pain Level). Patients with Acute Pain rated their outcome scores from 1 to 5 for Pain Level. We compared the first and last scores and found most patients (39%) kept the same scores at discharge, and 35% of them improved the score by 1. The priorities of planned nursing care differed by unit and length of stay. We also found that patient safety, such as Fall Prevention, was common among the top ten concerns in the study. <p><b>Conclusion: </b> <p>The use of electronic standardized terminologies for nursing care benefits the exploration of common problems, interventions, and outcomes, and in monitoring the change in their scores in an efficient and systematical way in clinical practice and research. This assists nurses in managing oncology patient care for individualized care, decision making and time management. The link between electronic standardized terminologies used for nursing care and other elements of study interests in the electronic health records provides potential benefits for future research.en_GB
dc.subjectCanceren_GB
dc.subjectNursing careen_GB
dc.subjectElectronic Standardized Terminologyen_GB
dc.date.available2013-10-22T20:26:10Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:26:10Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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