Literature DB >> 9357605

Documenting 'what nurses do'--moving beyond coding and classification.

C N Mead1, S B Henry.   

Abstract

A variety of strategies for knowledge representation have been applied to the texts from a number of medical domains. Many of the techniques rely on the well-defined ways in which medical terms are used within a given domain, a phenomenon referred to as 'sublanguage.' Because much of nursing documentation involves the use of 'everyday' language, the viable application of sublanguage-based approaches to knowledge representation of nursing documentation is not a forgone conclusion. We propose an approach utilizing semantic markup of nursing notes as a strategy for determining whether the documentation of 'what nurses do' is a sublanguage Results of an initial feasibility study utilizing the approach are presented.

Mesh:

Year:  1997        PMID: 9357605      PMCID: PMC2233539     

Source DB:  PubMed          Journal:  Proc AMIA Annu Fall Symp        ISSN: 1091-8280


  10 in total

1.  A new home health classification method.

Authors:  V K Saba; A E Zuckerman
Journal:  Caring       Date:  1992-10

2.  From minimum data to maximum impact: using clinical data to strengthen patient care.

Authors:  J G Ozbolt
Journal:  Adv Pract Nurs Q       Date:  1996

3.  The architecture for an International Classification for Nursing Practice (ICNP).

Authors:  G H Nielsen; R A Mortensen
Journal:  Int Nurs Rev       Date:  1996 Nov-Dec       Impact factor: 2.871

4.  The content coverage of clinical classifications. For The Computer-Based Patient Record Institute's Work Group on Codes & Structures.

Authors:  C G Chute; S P Cohn; K E Campbell; D E Oliver; J R Campbell
Journal:  J Am Med Inform Assoc       Date:  1996 May-Jun       Impact factor: 4.497

5.  Phase II evaluation of clinical coding schemes: completeness, taxonomy, mapping, definitions, and clarity. CPRI Work Group on Codes and Structures.

Authors:  J R Campbell; P Carpenter; C Sneiderman; S Cohn; C G Chute; J Warren
Journal:  J Am Med Inform Assoc       Date:  1997 May-Jun       Impact factor: 4.497

Review 6.  Nursing classification systems: necessary but not sufficient for representing "what nurses do" for inclusion in computer-based patient record systems.

Authors:  S B Henry; C N Mead
Journal:  J Am Med Inform Assoc       Date:  1997 May-Jun       Impact factor: 4.497

Review 7.  Natural language processing and the representation of clinical data.

Authors:  N Sager; M Lyman; C Bucknall; N Nhan; L J Tick
Journal:  J Am Med Inform Assoc       Date:  1994 Mar-Apr       Impact factor: 4.497

8.  Toward standard classification schemes for nursing language: recommendations of the American Nurses Association Steering Committee on Databases to Support Clinical Nursing Practice.

Authors:  K A McCormick; N Lang; R Zielstorff; D K Milholland; V Saba; A Jacox
Journal:  J Am Med Inform Assoc       Date:  1994 Nov-Dec       Impact factor: 4.497

Review 9.  The nursing intervention lexicon and taxonomy: implications for representing nursing care data in automated patient records.

Authors:  S J Grobe
Journal:  Holist Nurs Pract       Date:  1996-10       Impact factor: 1.000

10.  Terms used by nurses to describe patient problems: can SNOMED III represent nursing concepts in the patient record?

Authors:  S B Henry; W L Holzemer; C A Reilly; K E Campbell
Journal:  J Am Med Inform Assoc       Date:  1994 Jan-Feb       Impact factor: 4.497

  10 in total
  2 in total

1.  Terminology standards for nursing: collaboration at the summit.

Authors:  J Ozbolt
Journal:  J Am Med Inform Assoc       Date:  2000 Nov-Dec       Impact factor: 4.497

Review 2.  A review of major nursing vocabularies and the extent to which they have the characteristics required for implementation in computer-based systems.

Authors:  S B Henry; J J Warren; L Lange; P Button
Journal:  J Am Med Inform Assoc       Date:  1998 Jul-Aug       Impact factor: 4.497

  2 in total

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