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전자간호기록에 사용된 표준간호진술문 활용실태와 시스템 사용자 만족도
Analysis of Standard Nursing Statements Recorded in

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Authors
정주희; 명근희; 강경현; 박은희
Issue Date
2012-12
Publisher
서울대학교 간호과학연구소
Citation
Perspectives in Nursing Science, Vol.9 No.2 , pp. 146-153
Keywords
Electronic nursing record systemStandard nursing statementsUser satisfaction전자간호기록시스템표준간호진술문사용자만족도
Abstract
Purpose: The aims of this study were to analyze the frequency of standard nursing statements used in the Electronic Nursing Record (ENR) and to evaluate the degree of satisfaction by users of the ENR system. Methods: We retrospectively reviewed the ENR of 1914 patients who were admitted to our center between 1 May 2011 and 31 May 2011. Additionally, we collected questionnaires from 100 doctors and 300 nurses to evaluate the satisfaction of the users. Results: The frequency of use for the following standard nursing statements was investigated: standard nursing assessment statements (43.6%), standard nursing diagnosis statements (61.8%), standard nursing plan statements (46.7%), standard nursing intervention statements (56.9%), and standard nursing evaluation statements (41.7%). The mean satisfaction score was 3.03 out of 5 in the nurses group, and 3.11 in the doctors group. The nurses said the advantages of the ENR system were as follows: easy to access, informative, and standardized terms. However 75.7% of the nurse answered that they cannot express actual nursing situations exactly with the currently limited standard nursing statements. Conclusion: Development of various standard nursing statements is needed to meet the demands of the users. As a result, the use of the ENR system would become easier and more efficient for its users.
ISSN
2288-2898
Language
Korean
URI
https://hdl.handle.net/10371/86566
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College of Nursing (간호대학)The Research Institute of Nursing Science (간호과학연구소)Perspectives in Nursing Science (간호학의 지평)Perspectives In Nursing Science (간호학의 지평) Volume 09 Number 1-2(2012)
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