Objective To design and develop a intelligent nursing information system to meet the needs of clinical nursing based on international standard nursing terminology,so as to realize the auxiliary decision-making of clinical nursing and improve the efficiency and quality of nursing work.Methods Following the design principles of modulari-ty,hierarchy and structure,the knowledge base and coding of the Clinical Care Classification system of international standard nursing terms was implanted,and research and development was carried out with nursing procedures as a func-tional module framework.Results The intelligent nursing information system based on international standard nursing terminology included patient overview,responsible nurse assignment,nursing evaluation,nursing diagnosis,nursing plan,nursing execution,nursing evaluation,special nursing,nursing record and nursing shift handover.The intelligent guidance and auxiliary decision from nursing assessment,nursing diagnosis,nursing planning,nursing execution to nursing evaluation were realized,and nurses had a good experience in using it.Conclusion The intelligent nursing in-formation system promotes the practice of standard nursing procedures,realizes the intelligent decision-making of clini-cal nursing work,and promotes the homogenization of clinical nursing.
Nursing Information SystemStandard Nursing TerminologyIntelligentNursing ProceduresNursing Knowledge BaseEvidence-Based NursingNursing Quality
NETL
NSTL
万方数据
