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Survey about Computer-Based Nursing Records Which Were Used Now or Were Planned to Be Used Further at Clinical Nursing Setting in Japan: Focus on Analysis of Terminology about Nursing Practice Yuko Kuroda 1 , Yasuyuki Tanahashi 2 , Masae Oda 3 , Takao Nakaki 4 , Tokiko Kikuchi 5 1Kitasato University School of Nursing 2Tokyo Rinkai Hospital 3Seinan Jogakuin University 4Japanese Red Cross College of Nursing 5Miyagi University Keyword: 電子カルテ , 看護実践用語 , 全国実態調査 , NANDA看護診断 , Computer-Based Nursing Record (CBNR) , Terminology about Nursing Practice , Survey about CBNR in Japan , NANDA Nursing Diagnosis pp.88-94
Published Date 2005/3/15
DOI https://doi.org/10.11477/mf.7004100197
  • Abstract
  • Reference

 The Computer-Based Nursing Records (CBNR) which were used now or were planned to be used further at clinical nursing setting in Japan were investigated. This investigations were focus on analysis of terminology about nursing practice. The questionnaires were sent to 734 hospitals which had more than 400 beds, then 322 hospitals were completed. 192 hospitals's questionnaires of those were analyzed. As a result, CBNR were introduced from 2003 to 2006 mainly. 50%of CBNR were shared as a part of the Integrated Medical Information System. Most of CBNR were Nursing Process Support System. Then nursing practice became to be computerized. The framework of both NANDA and Gordon was used at 70%of CBNR, but the nursing diagnosis label of NANDA were only used at seventy percentages of CBNR. Input methods of CBNR were used both the template method and the free-text method. So thinking process of nurses was viewed as an important. By this investigation, it was supposed that CBNR had very difficult and complex problems.


Copyright © 2005, Japan Society of Nursing Diagnosis. All rights reserved.

基本情報

電子版ISSN 2758-643X 印刷版ISSN 1341-3007 日本看護診断学会

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