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Incorporating Standardized Nursing Languages Into an Electronic Nursing Documentation System in Korea: A Pilot Study

Hyejin Park, Eunjoo Lee · International Journal of Nursing Knowledge · 2015

Purpose The purposes of this study were to (a) develop and implement a standardized nursing languages-based electronic nursing documentation system in Korea, and (b) explore nurses' experience with NANDA-I, Nursing Interventions Classification, and Nursing Outcomes Classification languages in relation to nursing workflow. Methods The system was developed by the research team and implemented in a tertiary hospital in Korea. Ten nurses used the system and interviews were conducted to explore nurses' experiences with the standardized nursing languages. Findings The most frequently used NANDA-I, Nursing Interventions Classification, and Nursing Outcomes Classification were identified. Nurses' experiences with standardized nursing languages and how they impact nursing workflow were analyzed. Conclusions and Implications Obtaining valid and comparable data from this system will be critical in improving patient safety,

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