Skip to main content

Nursing Aspects of Health Information Systems

  • Chapter
Introduction to Nursing Informatics

Abstract

Motivation for the development and implementation of computerized hospital information systems has been financial and administrative, i.e., driven by the need to capture charges and document patient care for legal reasons The majority of systems marketed today have been motivated by those two factors. Historically, such systems have required a major investment in hardware (typically a mainframe), and, even though they have demonstrated significant improvement in hospital communications (with a corresponding reduction in paper flow), they have been characteristically weak in supporting professional nursing practice. These factors have prevented the level of acceptance by nurses that was originally foreseen. Only recently have developers and vendors begun to consider the nature of modern nursing practice and its information processing requirements (see Figure 6.1).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Abdellah, F.G. Future directions: Refining, implementing, testing, and evaluating the Nursing Minimum Data Set. In: Werley, H.H., and Lang, N.M. (eds.) Identification of the Nursing Minimum Data Set. New York: Springer, 1988:416426.

    Google Scholar 

  • Bulechek, G.M., McCloskey, J., Titler, M., and Demehey, J. Nursing interventions used in practice. American Journal of Nursing 1994; 94 (10): 59–63.

    PubMed  CAS  Google Scholar 

  • Canadian Institute for Health Information (CIHI). Controlled Clinical Vocabularies: Background Document. Ottawa, Canada: Canadian Institute for Health Information, 1997.

    Google Scholar 

  • Campbell, C. Nursing Diagnosis and Nursing Intervention. New York: John Wiley and Sons, 1978.

    Google Scholar 

  • Carpenito, L.J. Nursing Diagnosis. In: Arherican Nurses’ Association, Classification systems for describing nursing practice. Working Papers (pp. 13–19). Kansas City, Mo.: American Nurses’ Association, 1989.

    Google Scholar 

  • Clark, J. The international classification for nursing practice: a progress report. Nursing Informatics. In: Gerdin, U., Tallberg, M., and Wainwright, P. (eds.) The Impact of Nursing Knowledge on Health Care Informatics. Amsterdam: IOS Press, 1997:62–68.

    Google Scholar 

  • Clark, J., and Lang, N. Nursing’s next advance: An international classification for nursing practice. International Journal of Nursing 1992;39(4):102–112, 128.

    Google Scholar 

  • Eddy, D.M. Practice policies: Where do they come from. In: Clinical decision making: From theory to practice (series). DAMA (Journal of the American Medical Association) 1990;263:1265–1275.

    Google Scholar 

  • Johnson, M., Maas, M., and Moorhead, S. Nursing Outcomes Classification (NOC). St. Louis: Mosby, 1997.

    Google Scholar 

  • Langton, K.B., Johnston, M.E., Haynes, R.B., and Mathieu, A. A critical appraisal of the literature on the effects of computer-based clinical decision support systems on clinician performance and patient outcomes. Proceedings of the Annual Symposium on Computer Applications in Medical Care (SCAMC) 1992:626–630.

    Google Scholar 

  • Martin K.S., and Scheet, N.J. The Omaha System: Applications for Community Health Nursing. Philadelphia: W.B. Saunders, 1992.

    Google Scholar 

  • McCloskey, J.C., and Bulechek, G.M. Nursing Interventions Classification (NIC), 2nd Ed. St. Louis: Mosby Year Book, 1996.

    Google Scholar 

  • McCormick, K.A., Lang, N., Zielstorff, R., Milholland, D.K., Saba, V., and Jacox, A. Toward standard classification schemes for nursing language: Recommendations of the American Nurses Association Steering Committee on databases to support clinical nursing practice. Journal of the American Medical Informatics Association. 1994; 1 (6): 421–427.

    Article  PubMed  CAS  Google Scholar 

  • Murnaghan, J.H., and White, K.L. Hospital Discharge Data: Report of the conference on hospital discharge abstracts systems. Medical Care (Suppl.) 1970; 8: 1215.

    Google Scholar 

  • National Center for Health Statistics, Uniform hospital discharge data: Minimum data set. DHEW Publication No. PHS 80–1157. Hyattsville, 1980.

    Google Scholar 

  • National Health Service/Department of Health and Social Security Steering Group on Health Services Information. Steering group on health services information: First report to the secretary of state. London, 1982.

    Google Scholar 

  • National Health Service/Department of Health and Social Security Steering Group on Health Services Information, Steering group on health services information: Second report to the secretary of state. London, 1984a.

    Google Scholar 

  • National Health Service/Department of Health and Social Security Steering Group on Health Services Information. Steering group on health services information: Third report to the secretary of state. London, 1984b.

    Google Scholar 

  • National Health Service/Department of Health and Social Security Steering Group on Health Services Information. Steering group on health services information: Fourth report to the secretary of state. London, 1984c.

    Google Scholar 

  • National Health Service/Department of Health and Social Security Steering Group on Health Services Information. Steering group on health services information: Fifth report to the secretary of state. London, 1984d.

    Google Scholar 

  • National Health Service/Department of Health and Social Security Steering Group on Health Services Information. Steering group on health services information: Sixth report to the secretary of state. London, 1984e.

    Google Scholar 

  • Pearce, N.D. Uniform minimum health data sets: Concept, development, testing, recognition for federal health use, and current status. In: Werley, H.H., and Lang, N.M. (eds.) Identification of the Nursing Minimum Data Set. New York: Springer, 1988: 122–132.

    Google Scholar 

  • Pryor, T.A. Development of decision support systems. In: Shabot, M.M., and Gardner, R.M. (eds.) Decision Support Systems in Critical Care. New York: Springer-Verlag, pp. 61–72.

    Google Scholar 

  • Cited in Braden, B.J., Corritore, C., and McNees, P. Computerized decision support systems: Implications for practice. In: Gerdin, U., Tallberg, M., and Wainwright, P. (eds.) The Impact of Nursing Knowledge on Health Care Informatics. Amsterdam: IOS Press, 1994: 300–304.

    Google Scholar 

  • Saba, V.K. Diagnosis and interventions. Caring 1992; 11 (3): 50–57.

    PubMed  CAS  Google Scholar 

  • Saba, V.K. Nursing diagnosis schemes. In: Canadian Nurses Association. Papers from the nursing minimum data set conference. Ottawa, 1993: 54–63.

    Google Scholar 

  • Werley, H.H. Introduction to the Nursing Minimum Data Set and its development. In: Werley, H.H., and Lang, N.M. (eds.) Identification of the Nursing Minimum Data Set. New York: Springer, 1988: 1–15.

    Google Scholar 

  • Wheeler, M. Nurses do count. Nursing Times 1991; 87 (16): 64–65.

    Google Scholar 

  • Yensen, J. Telenursing, virtual nursing and beyond. Computers in Nursing 1996; 14 (4): 213–214.

    Article  PubMed  CAS  Google Scholar 

Additional Resources

  • Clark, J., and Lang, N. The International Classification for Nursing Practice (ICNP): Nursing Outcomes. International Nursing Review 1997; 44 (4): 121–124.

    PubMed  CAS  Google Scholar 

  • Urden, L.D. Development of a nurse executive decision support database: A model for outcomes evaluation. Journal of Nursing Administration 1996; 26 (10): 15–21.

    Article  PubMed  CAS  Google Scholar 

  • Youngblut, R. Hospital Medical Records Institute (HMRI). National Health Information Council 1991; 2 (1): 10.

    Google Scholar 

  • Zielstorff, R.D., Estey, G., Vickery, A., Hamilton, G., Fitzmaurice, J.B., and Barnett, G.O. Evaluation of a decision support system for pressure ulcer prevention and management: Preliminary findings. Journal of the American Medical Informatics Association, Symposium Supplement. Nashville: Hanley & Belfus, 1997: 248–252.

    Google Scholar 

  • An overview of Healthcare Information Standards: http://www.cpri.org/docs/overview

  • NANDA home page: http://www.mcis.duke.edu:80/standards/HL7/termcode/nanda.html

  • UMLS home page:

    Google Scholar 

  • http://www.nim.nih.gov/research/umls

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 1999 Springer Science+Business Media New York

About this chapter

Cite this chapter

Hannah, K.J., Ball, M.J., Edwards, M.J.A. (1999). Nursing Aspects of Health Information Systems. In: Introduction to Nursing Informatics. Health Informatics. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-3095-1_6

Download citation

  • DOI: https://doi.org/10.1007/978-1-4757-3095-1_6

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4757-3097-5

  • Online ISBN: 978-1-4757-3095-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics