유방암 환자의 간호문제 아키타입 개발과 타당성 검증
Development and Validation of Archetypes for Nursing Problems in Breast Cancer Patients
2
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objective: Archetypes as structured models of clinical content are considered to be the key broker between the reference models and terminology. This study developed and validated archetypes for nursing problems with breast cancer patients. Methods: Archetypes were developed with the focuses and characterizing categories to describe the nursing problems identified from the perioperative nursing records of breast cancer patients, a literature review and experts’ survey. The archetypes were validated by experts and applied to the clinical cases. Results: Forty seven focuses and 22 characterizing categories of nursing problems were identified. Forty five archetypes, except for the symptoms of URI and vital signs, could be grouped into 16 different types. The symptoms of URI and vital signs were modeled by a combination of other archetypes. The experts’ evaluation and application to clinical cases demonstrated the validity of the archetypes developed. Conclusion: Archetypes for nursing problems developed in this study can ensure interoperability and contribute to the exchange and sharing of the high quality structured data and information.
Abstract
Objective: Archetypes as structured models of clinical content are considered to be the key broker between the reference models and terminology. This study developed and validated archetypes for nursing problems with breast cancer patients. Methods: Archetypes were developed with the focuses and characterizing categories to describe the nursing problems identified from the perioperative nursing records of breast cancer patients, a literature review and experts’ survey. The archetypes were validated by experts and applied to the clinical cases. Results: Forty seven focuses and 22 characterizing categories of nursing problems were identified. Forty five archetypes, except for the symptoms of URI and vital signs, could be grouped into 16 different types. The symptoms of URI and vital signs were modeled by a combination of other archetypes. The experts’ evaluation and application to clinical cases demonstrated the validity of the archetypes developed. Conclusion: Archetypes for nursing problems developed in this study can ensure interoperability and contribute to the exchange and sharing of the high quality structured data and information.
참고문헌 (32)
- Mead CN, "Data interchange standards in healthcare IT-computable semantic interoperability: now possible but still difficult, do we really need a better mousetrap?", J Healthc Inf Manag, 20(1), pp.71~78 (2006)
- Kalra D, "Semantic interoperability deployment and research roadmap", EU Workshops in Brussels (2007)
- 박현애, "Clinical Terminologies: A Solution for Semantic Interoperability", Healthcare Informatics Research, 15(1), pp.1~11 (2009), 대한의료정보학회
- "ISO", TC215. Health informatics - Integration of a reference terminology model for nursing. ISO 18104. Geneva, Switzerland, 2003
- Garde S, "Towards semantic interoperability for electronic health records: Domain knowledge governance for openEHR archetypes", Methods Inf Med, 46(3), pp.332~343 (2007)
- Garde S, "Archetypes in electronic health records: making the case and showing the path for domain knowledge governance", 13th Australian Health Informatics Conference. (2005)
- Sordo M, "Clinical decision support; the road ahead. in: Grouped knowledge elements" (2006), Academic Press
- Oniki T, "Clinical Element Models at Intermountain Healthcare", Paper presents at the EHR Symposium in Seoul (2008)
- Integrated Medical Terminology Development, "R&D Center for Interoperable EHR", ~ (2007)
- Beale T, "Archetypes: constraint-based domain models for future-proof information systems", OOPSLA 2002 workshop on behavioural semantics (2002)
- "The openEHR archetype definitions and principles"[URL]
- "The openEHR architecture overview"[URL]
- Hovenga E, "Nursing constraint models for electronic health records: a vision for domain knowledge governance", Int J Med Inform, 74(11), pp.886~898 (2005)
- "Ocean informatics. Ocean archetype editor"[URL]
- Caine RM, "Nursing care planning guides for adults" (1987), Williams & Wilkins
- Ignatavicius DD, "Medical surgical nursing: a nursing process approach. 2nd ed" (1995), W.B. Saunders Company
- Carpenito-Moyet LJ, "Nursing care plans & documentation: nursing diagnoses and collaborative problems" (2004), Lippincott
- Suh MJ, "Adult nursing" (2000), Sumoon
- Kim KS, "Physical assessment" (1996), Seoul National University Press
- Jarvis C, "Physical examination and health assessment. 4th ed" (2004), Saunders
- Nettina SM, "The Lippincott Manual of nursing practice. 8th ed" (2006), Lippincott Williams & Wilkins
- Lee EO, "Nursing diagnosis and intervention" (1992), Seoul National University Press
- Park HA, "Nursing diagnosis.intervention.outcome classification" (2000), Seoul National University Press
- Seoul National University Hospital Nursing Department, "Standardized nursing statements based clinical nursing process" (2007), Hyunmoon
- Report on nursing vocabulary standardization, "Standardization committee on academic and research vocabulary", ~ (2006)
- "Standardization committee on academic and research vocabulary. Nursing vocabulary", ~ (2006)
- "ICN. ICNP browser version 1.1"[URL]
- Newman ML, "Lymphedema complicated by pain and psychological distress: a case with complex treatment needs", J Pain and Symptom Manage, 12(6), pp.376~379 (1996)
- Sharp K, "Atypical fatigue", Clin J Oncol Nurs, 11(5), pp.628~630 (2007)
- Dell DD, "Deep vein thrombosis in the patient with cancer", Clin J Oncol Nurs, 6(1), pp.43~46 (2002)
- "ISO", TC215. Health informatics-conceptual framework for patient findings and problems in terminologies. DTS 22789, 2007
- "openEHR clinical archetypes"[URL]