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Sung S, Kim Y, Kim SH, Jung H. Identification of Predictors for Clinical Deterioration in Patients With COVID-19 via Electronic Nursing Records: Retrospective Observational Study. J Med Internet Res 2024; 26:e53343. [PMID: 38414056 PMCID: PMC10984341 DOI: 10.2196/53343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Revised: 10/26/2023] [Accepted: 02/27/2024] [Indexed: 02/29/2024] Open
Abstract
BACKGROUND Few studies have used standardized nursing records with Systematized Nomenclature of Medicine-Clinical Terms (SNOMED CT) to identify predictors of clinical deterioration. OBJECTIVE This study aims to standardize the nursing documentation records of patients with COVID-19 using SNOMED CT and identify predictive factors of clinical deterioration in patients with COVID-19 via standardized nursing records. METHODS In this study, 57,558 nursing statements from 226 patients with COVID-19 were analyzed. Among these, 45,852 statements were from 207 patients in the stable (control) group and 11,706 from 19 patients in the exacerbated (case) group who were transferred to the intensive care unit within 7 days. The data were collected between December 2019 and June 2022. These nursing statements were standardized using the SNOMED CT International Edition released on November 30, 2022. The 260 unique nursing statements that accounted for the top 90% of 57,558 statements were selected as the mapping source and mapped into SNOMED CT concepts based on their meaning by 2 experts with more than 5 years of SNOMED CT mapping experience. To identify the main features of nursing statements associated with the exacerbation of patient condition, random forest algorithms were used, and optimal hyperparameters were selected for nursing problems or outcomes and nursing procedure-related statements. Additionally, logistic regression analysis was conducted to identify features that determine clinical deterioration in patients with COVID-19. RESULTS All nursing statements were semantically mapped to SNOMED CT concepts for "clinical finding," "situation with explicit context," and "procedure" hierarchies. The interrater reliability of the mapping results was 87.7%. The most important features calculated by random forest were "oxygen saturation below reference range," "dyspnea," "tachypnea," and "cough" in "clinical finding," and "oxygen therapy," "pulse oximetry monitoring," "temperature taking," "notification of physician," and "education about isolation for infection control" in "procedure." Among these, "dyspnea" and "inadequate food diet" in "clinical finding" increased clinical deterioration risk (dyspnea: odds ratio [OR] 5.99, 95% CI 2.25-20.29; inadequate food diet: OR 10.0, 95% CI 2.71-40.84), and "oxygen therapy" and "notification of physician" in "procedure" also increased the risk of clinical deterioration in patients with COVID-19 (oxygen therapy: OR 1.89, 95% CI 1.25-3.05; notification of physician: OR 1.72, 95% CI 1.02-2.97). CONCLUSIONS The study used SNOMED CT to express and standardize nursing statements. Further, it revealed the importance of standardized nursing records as predictive variables for clinical deterioration in patients.
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Affiliation(s)
- Sumi Sung
- Department of Nursing Science, Research Institute of Nursing Science, Chungbuk National University, Cheongju, Chungcheongbuk-do, Republic of Korea
| | - Youlim Kim
- Department of Radiation Oncology, College of Medicine, Seoul National University, Seoul, Republic of Korea
| | - Su Hwan Kim
- Department of Information Statistics, Gyeongsang National University, Jinju, Gyeongsangnam-do, Republic of Korea
| | - Hyesil Jung
- Department of Nursing, College of Medicine, Inha University, Incheon, Republic of Korea
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Sung S, Park HA, Jung H, Kang H. A SNOMED CT Mapping Guideline for the Local Terms Used to Document Clinical Findings and Procedures in Electronic Medical Records in South Korea: Methodological Study. JMIR Med Inform 2023; 11:e46127. [PMID: 37071456 PMCID: PMC10155087 DOI: 10.2196/46127] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/31/2023] [Revised: 03/06/2023] [Accepted: 03/30/2023] [Indexed: 04/19/2023] Open
Abstract
BACKGROUND South Korea joined SNOMED International as the 39th member country. To ensure semantic interoperability, South Korea introduced SNOMED CT (Systemized Nomenclature of Medicine-Clinical Terms) in 2020. However, there is no methodology to map local Korean terms to SNOMED CT. Instead, this is performed sporadically and independently at each local medical institution. The quality of the mapping, therefore, cannot be guaranteed. OBJECTIVE This study aimed to develop and introduce a guideline to map local Korean terms to the SNOMED CT used to document clinical findings and procedures in electronic health records at health care institutions in South Korea. METHODS The guidelines were developed from December 2020 to December 2022. An extensive literature review was conducted. The overall structures and contents of the guidelines with diverse use cases were developed by referencing the existing SNOMED CT mapping guidelines, previous studies related to SNOMED CT mapping, and the experiences of the committee members. The developed guidelines were validated by a guideline review panel. RESULTS The SNOMED CT mapping guidelines developed in this study recommended the following 9 steps: define the purpose and scope of the map, extract terms, preprocess source terms, preprocess source terms using clinical context, select a search term, use search strategies to find SNOMED CT concepts using a browser, classify mapping correlations, validate the map, and build the final map format. CONCLUSIONS The guidelines developed in this study can support the standardized mapping of local Korean terms into SNOMED CT. Mapping specialists can use this guideline to improve the mapping quality performed at individual local medical institutions.
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Affiliation(s)
- Sumi Sung
- Biomedical Research Institute, Seoul National University Hospital, Seoul, Republic of Korea
| | - Hyeoun-Ae Park
- College of Nursing, Seoul National University, Seoul, Republic of Korea
| | - Hyesil Jung
- Department of Nursing, Inha University, Incheon, Republic of Korea
| | - Hannah Kang
- Kakao Healthcare Corp, Seongnam-si, Gyeonggi-do, Republic of Korea
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Gaudet-Blavignac C, Foufi V, Bjelogrlic M, Lovis C. Use of the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) for Processing Free Text in Health Care: Systematic Scoping Review. J Med Internet Res 2021; 23:e24594. [PMID: 33496673 PMCID: PMC7872838 DOI: 10.2196/24594] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/28/2020] [Revised: 11/24/2020] [Accepted: 11/30/2020] [Indexed: 12/19/2022] Open
Abstract
Background Interoperability and secondary use of data is a challenge in health care. Specifically, the reuse of clinical free text remains an unresolved problem. The Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) has become the universal language of health care and presents characteristics of a natural language. Its use to represent clinical free text could constitute a solution to improve interoperability. Objective Although the use of SNOMED and SNOMED CT has already been reviewed, its specific use in processing and representing unstructured data such as clinical free text has not. This review aims to better understand SNOMED CT's use for representing free text in medicine. Methods A scoping review was performed on the topic by searching MEDLINE, Embase, and Web of Science for publications featuring free-text processing and SNOMED CT. A recursive reference review was conducted to broaden the scope of research. The review covered the type of processed data, the targeted language, the goal of the terminology binding, the method used and, when appropriate, the specific software used. Results In total, 76 publications were selected for an extensive study. The language targeted by publications was 91% (n=69) English. The most frequent types of documents for which the terminology was used are complementary exam reports (n=18, 24%) and narrative notes (n=16, 21%). Mapping to SNOMED CT was the final goal of the research in 21% (n=16) of publications and a part of the final goal in 33% (n=25). The main objectives of mapping are information extraction (n=44, 39%), feature in a classification task (n=26, 23%), and data normalization (n=23, 20%). The method used was rule-based in 70% (n=53) of publications, hybrid in 11% (n=8), and machine learning in 5% (n=4). In total, 12 different software packages were used to map text to SNOMED CT concepts, the most frequent being Medtex, Mayo Clinic Vocabulary Server, and Medical Text Extraction Reasoning and Mapping System. Full terminology was used in 64% (n=49) of publications, whereas only a subset was used in 30% (n=23) of publications. Postcoordination was proposed in 17% (n=13) of publications, and only 5% (n=4) of publications specifically mentioned the use of the compositional grammar. Conclusions SNOMED CT has been largely used to represent free-text data, most frequently with rule-based approaches, in English. However, currently, there is no easy solution for mapping free text to this terminology and to perform automatic postcoordination. Most solutions conceive SNOMED CT as a simple terminology rather than as a compositional bag of ontologies. Since 2012, the number of publications on this subject per year has decreased. However, the need for formal semantic representation of free text in health care is high, and automatic encoding into a compositional ontology could be a solution.
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Affiliation(s)
- Christophe Gaudet-Blavignac
- Division of Medical Information Sciences, Geneva University Hospitals, Geneva, Switzerland.,Department of Radiology and Medical Informatics, University of Geneva, Geneva, Switzerland
| | - Vasiliki Foufi
- Division of Medical Information Sciences, Geneva University Hospitals, Geneva, Switzerland.,Department of Radiology and Medical Informatics, University of Geneva, Geneva, Switzerland
| | - Mina Bjelogrlic
- Division of Medical Information Sciences, Geneva University Hospitals, Geneva, Switzerland.,Department of Radiology and Medical Informatics, University of Geneva, Geneva, Switzerland
| | - Christian Lovis
- Division of Medical Information Sciences, Geneva University Hospitals, Geneva, Switzerland.,Department of Radiology and Medical Informatics, University of Geneva, Geneva, Switzerland
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Boyd AD, Dunn Lopez K, Lugaresi C, Macieira T, Sousa V, Acharya S, Balasubramanian A, Roussi K, Keenan GM, Lussier YA, Li J'J, Burton M, Di Eugenio B. Physician nurse care: A new use of UMLS to measure professional contribution: Are we talking about the same patient a new graph matching algorithm? Int J Med Inform 2018; 113:63-71. [PMID: 29602435 PMCID: PMC5909845 DOI: 10.1016/j.ijmedinf.2018.02.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2017] [Revised: 12/22/2017] [Accepted: 02/03/2018] [Indexed: 02/07/2023]
Abstract
BACKGROUND Physician and nurses have worked together for generations; however, their language and training are vastly different; comparing and contrasting their work and their joint impact on patient outcomes is difficult in light of this difference. At the same time, the EHR only includes the physician perspective via the physician-authored discharge summary, but not nurse documentation. Prior research in this area has focused on collaboration and the usage of similar terminology. OBJECTIVE The objective of the study is to gain insight into interprofessional care by developing a computational metric to identify similarities, related concepts and differences in physician and nurse work. METHODS 58 physician discharge summaries and the corresponding nurse plans of care were transformed into Unified Medical Language System (UMLS) Concept Unique Identifiers (CUIs). MedLEE, a Natural Language Processing (NLP) program, extracted "physician terms" from free-text physician summaries. The nursing plans of care were constructed using the HANDS© nursing documentation software. HANDS© utilizes structured terminologies: nursing diagnosis (NANDA-I), outcomes (NOC), and interventions (NIC) to create "nursing terms". The physician's and nurse's terms were compared using the UMLS network for relatedness, overlaying the physician and nurse terms for comparison. Our overarching goal is to provide insight into the care, by innovatively applying graph algorithms to the UMLS network. We reveal the relationships between the care provided by each professional that is specific to the patient level. RESULTS We found that only 26% of patients had synonyms (identical UMLS CUIs) between the two professions' documentation. On average, physicians' discharge summaries contain 27 terms and nurses' documentation, 18. Traversing the UMLS network, we found an average of 4 terms related (distance less than 2) between the professions, leaving most concepts as unrelated between nurse and physician care. CONCLUSION Our hypothesis that physician's and nurse's practice domains are markedly different is supported by the preliminary, quantitative evidence we found. Leveraging the UMLS network and graph traversal algorithms, allows us to compare and contrast nursing and physician care on a single patient, enabling a more complete picture of patient care. We can differentiate professional contributions to patient outcomes and related and divergent concepts by each profession.
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Affiliation(s)
- Andrew D Boyd
- Department of Biomedical and Health Information Sciences, College of Applied Health Sciences, University of Illinois at Chicago, 1919 W Taylor St., Chicago, IL 60612, United States.
| | - Karen Dunn Lopez
- Department of Health System Science, College of Nursing, University of Illinois at Chicago, 845 South Damen Ave, Chicago, IL 60612, United States
| | - Camillo Lugaresi
- Department of Computer Science, College of Engineering, University of Illinois at Chicago, 851 South Morgan Street, Chicago, IL 60607, United States
| | - Tamara Macieira
- Department of Health System Science, College of Nursing, University of Illinois at Chicago, 845 South Damen Ave, Chicago, IL 60612, United States
| | - Vanessa Sousa
- Department of Health System Science, College of Nursing, University of Illinois at Chicago, 845 South Damen Ave, Chicago, IL 60612, United States
| | - Sabita Acharya
- Department of Computer Science, College of Engineering, University of Illinois at Chicago, 851 South Morgan Street, Chicago, IL 60607, United States
| | - Abhinaya Balasubramanian
- Department of Computer Science, College of Engineering, University of Illinois at Chicago, 851 South Morgan Street, Chicago, IL 60607, United States
| | - Khawllah Roussi
- Department of Biomedical and Health Information Sciences, College of Applied Health Sciences, University of Illinois at Chicago, 1919 W Taylor St., Chicago, IL 60612, United States
| | - Gail M Keenan
- Department of Health Care Environments and Systems, College of Nursing, University of Florida, PO Box 100187, Gainesville, FL 32610, United States
| | - Yves A Lussier
- Department of Medicine, College of Medicine, University of Arizona, 1501 N. Campbell Dr, Tucson, AZ 85724, United States; The University of Arizona Health Sciences Center, 1295 North Martin Ave, Tucson, AZ 85721, United States
| | - Jianrong 'John' Li
- Department of Medicine, College of Medicine, University of Arizona, 1501 N. Campbell Dr, Tucson, AZ 85724, United States; The University of Arizona Health Sciences Center, 1295 North Martin Ave, Tucson, AZ 85721, United States
| | - Michel Burton
- Department of Biomedical and Health Information Sciences, College of Applied Health Sciences, University of Illinois at Chicago, 1919 W Taylor St., Chicago, IL 60612, United States
| | - Barbara Di Eugenio
- Department of Computer Science, College of Engineering, University of Illinois at Chicago, 851 South Morgan Street, Chicago, IL 60607, United States
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Silva KDL, Évora YDM, Cintra CSJ. Software development to support decision making in the selection of nursing diagnoses and interventions for children and adolescents. Rev Lat Am Enfermagem 2017; 23:927-35. [PMID: 26487144 PMCID: PMC4660416 DOI: 10.1590/0104-1169.0302.2633] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2014] [Accepted: 04/26/2015] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to report the development of a software to support decision-making for the selection of nursing diagnoses and interventions for children and adolescents, based on the nomenclature of nursing diagnoses, outcomes and interventions of a university hospital in Paraiba. METHOD a methodological applied study based on software engineering, as proposed by Pressman, developed in three cycles, namely: flow chart construction, development of the navigation interface, and construction of functional expressions and programming development. RESULT the software consists of administrative and nursing process screens. The assessment is automatically selected according to age group, the nursing diagnoses are suggested by the system after information is inserted, and can be indicated by the nurse. The interventions for the chosen diagnosis are selected by structuring the care plan. CONCLUSION the development of this tool used to document the nursing actions will contribute to decision-making and quality of care.
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Affiliation(s)
- Kenya de Lima Silva
- Centro de Ciências da Saúde, Universidade Federal da Paraíba, João Pessoa, PB, Brazil
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Strudwick G, Hardiker NR. Understanding the use of standardized nursing terminology and classification systems in published research: A case study using the International Classification for Nursing Practice(®). Int J Med Inform 2016; 94:215-21. [PMID: 27573329 DOI: 10.1016/j.ijmedinf.2016.06.012] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2016] [Revised: 05/04/2016] [Accepted: 06/21/2016] [Indexed: 10/21/2022]
Abstract
BACKGROUND In the era of evidenced based healthcare, nursing is required to demonstrate that care provided by nurses is associated with optimal patient outcomes, and a high degree of quality and safety. The use of standardized nursing terminologies and classification systems are a way that nursing documentation can be leveraged to generate evidence related to nursing practice. Several widely-reported nursing specific terminologies and classifications systems currently exist including the Clinical Care Classification System, International Classification for Nursing Practice(®), Nursing Intervention Classification, Nursing Outcome Classification, Omaha System, Perioperative Nursing Data Set and NANDA International. However, the influence of these systems on demonstrating the value of nursing and the professions' impact on quality, safety and patient outcomes in published research is relatively unknown. PURPOSE This paper seeks to understand the use of standardized nursing terminology and classification systems in published research, using the International Classification for Nursing Practice(®) as a case study. METHODS A systematic review of international published empirical studies on, or using, the International Classification for Nursing Practice(®) were completed using Medline and the Cumulative Index for Nursing and Allied Health Literature. RESULTS Since 2006, 38 studies have been published on the International Classification for Nursing Practice(®). The main objectives of the published studies have been to validate the appropriateness of the classification system for particular care areas or populations, further develop the classification system, or utilize it to support the generation of new nursing knowledge. To date, most studies have focused on the classification system itself, and a lesser number of studies have used the system to generate information about the outcomes of nursing practice. CONCLUSIONS Based on the published literature that features the International Classification for Nursing Practice, standardized nursing terminology and classification systems appear to be well developed for various populations, settings and to harmonize with other health-related terminology systems. However, the use of the systems to generate new nursing knowledge, and to validate nursing practice is still in its infancy. There is an opportunity now to utilize the well-developed systems in their current state to further what is know about nursing practice, and how best to demonstrate improvements in patient outcomes through nursing care.
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Affiliation(s)
- Gillian Strudwick
- Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, Canada.
| | - Nicholas R Hardiker
- School of Nursing, Midwifery, Social Work & Social Science, University of Salford, Salford, United Kingdom.
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AL-Rawajfah OM, Aloush S, Hewitt JB. Use of Electronic Health-Related Datasets in Nursing and Health-Related Research. West J Nurs Res 2014; 37:952-83. [DOI: 10.1177/0193945914558426] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Datasets of gigabyte size are common in medical sciences. There is increasing consensus that significant untapped knowledge lies hidden in these large datasets. This review article aims to discuss Electronic Health-Related Datasets (EHRDs) in terms of types, features, advantages, limitations, and possible use in nursing and health-related research. Major scientific databases, MEDLINE, ScienceDirect, and Scopus, were searched for studies or review articles regarding using EHRDs in research. A total number of 442 articles were located. After application of study inclusion criteria, 113 articles were included in the final review. EHRDs were categorized into Electronic Administrative Health-Related Datasets and Electronic Clinical Health-Related Datasets. Subcategories of each major category were identified. EHRDs are invaluable assets for nursing the health-related research. Advanced research skills such as using analytical softwares, advanced statistical procedures, dealing with missing data and missing variables will maximize the efficient utilization of EHRDs in research.
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Gao J, Li SL, Wu SY, Zhao GJ. Health education improves quality of life outside the hospital in patients after total gastrectomy. Shijie Huaren Xiaohua Zazhi 2014; 22:3470-3474. [DOI: 10.11569/wcjd.v22.i23.3470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
AIM: To explore the significance of health education in the patients outside the hospital to improve the quality of life after total gastrectomy.
METHODS: One hundred patients who were diagnosed with gastric cancer and underwent total gastrectomy at our hospital between April 2013 and April 2014 were randomly divided into either a study group or a control group, with 50 patients in each group. The study group was given continued health education outside the hospital, while the control group received routine care. The quality of life score and blood tests of the two groups were recorded.
RESULTS: There were no significant differences in age, gender, tumor stage (TNM stage) and cardiovascular or respiratory diseases between the two groups (P > 0.05). There were also no significant differences between the two groups in physical function, role function, emotional function, cognitive function, social function, negative symptoms and other aspects one month after surgery (t = 0.829, 0.227, 0.446, 0.357, 0.295, 1.223, 1.112, 1.287, 0.111, 0.329, 1.980, 0.229, 0.723, 0.567, P > 0.05). However, three months after surgery, the physical features, such as quality of life, were significantly improved in the study group compared with the control group. The levels of negative symptoms in terms of overall health were also significantly better in the study group than in the control group (t = 2.345, 2.172, 2.118, 1.978, 1.885, 2.547, 3.779, 1.569, 2.509, 2.160, 2.980, 2.511, 2.151, P < 0.05). After three months, the weight, total protein and albumin were significantly better in the study group than in the control group (t = 2.673, 3.547, 3.981; P < 0.05), although blood hemoglobin showed no significant difference (t = 0.045, P > 0.05) between the two groups.
CONCLUSION: Continued health education can improve the quality of life outside the hospital in patients after total gastrectomy.
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Saranto K, Kinnunen U, Kivekäs E, Lappalainen A, Liljamo P, Rajalahti E, Hyppönen H. Impacts of structuring nursing records: a systematic review. Scand J Caring Sci 2013; 28:629-47. [DOI: 10.1111/scs.12094] [Citation(s) in RCA: 65] [Impact Index Per Article: 5.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2013] [Accepted: 09/27/2013] [Indexed: 11/29/2022]
Affiliation(s)
- Kaija Saranto
- Department of Health and Social Management University of Eastern Finland Kuopio Finland
| | - Ulla‐Mari Kinnunen
- Department of Health and Social Management University of Eastern Finland Kuopio Finland
| | - Eija Kivekäs
- Department of Health and Social Management University of Eastern Finland Kuopio Finland
| | - Anna‐Mari Lappalainen
- Department of Health and Social Management University of Eastern Finland Kuopio Finland
| | - Pia Liljamo
- Department of Health and Social Management University of Eastern Finland Kuopio Finland
| | - Elina Rajalahti
- Department of Health and Social Management University of Eastern Finland Kuopio Finland
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Juvé Udina ME, Gonzalez Samartino M, Matud Calvo C. Mapping the Diagnosis Axis of an Interface Terminology to the NANDA International Taxonomy. ISRN NURSING 2012; 2012:676905. [PMID: 22830046 PMCID: PMC3399394 DOI: 10.5402/2012/676905] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 03/11/2012] [Accepted: 05/08/2012] [Indexed: 11/23/2022]
Abstract
Background. Nursing terminologies are designed to support nursing practice but, as with any other clinical tool, they should be evaluated. Cross-mapping is a formal method for examining the validity of the existing controlled vocabularies. Objectives. The study aims to assess the inclusiveness and expressiveness of the nursing diagnosis axis of a newly implemented interface terminology by cross-mapping with the NANDA-I taxonomy. Design/Methods. The study applied a descriptive design, using a cross-sectional, bidirectional mapping strategy. The sample included 728 concepts from both vocabularies. Concept cross-mapping was carried out to identify one-to-one, negative, and hierarchical connections. The analysis was conducted using descriptive statistics. Results. Agreement of the raters' mapping achieved 97%. More than 60% of the nursing diagnosis concepts in the NANDA-I taxonomy were mapped to concepts in the diagnosis axis of the new interface terminology; 71.1% were reversely mapped. Conclusions. Main results for outcome measures suggest that the diagnosis axis of this interface terminology meets the validity criterion of cross-mapping when mapped from and to the NANDA-I taxonomy.
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Affiliation(s)
- Maria-Eulàlia Juvé Udina
- School of Nursing, University of Barcelona, Campus of Bellvitge, Feixa Llarga s/n, 08907 Hospitalet de Llobregat, Spain
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