Evaluation of the completeness of the nursing process for patients having gastrectomy using electronic nursing records.

The purpose of this study was to evaluate recording completeness of the nursing process. We compared nursing statements documented at the time when the Electronic Nursing Record (ENR) system, based on the ICNP, was implemented in 2004 with those documented in 2007. The ENRs for 35 gastrectomy patients in each year were selected for evaluation.

A content analysis of the nursing records pre- and post-implementation of an electronic nursing record system.

After the application of an EMR system in 2004, we could find the meaningful differences in the content of nursing records in a tertiary teaching hospital, Seoul, Korea.

Mapping nursing statements with the ICNP and its practical use in electronic nursing records.

This study analyzed the usage of nursing statements and the frequencies of mapped nursing statements using the ICNP in electronic nursing records. A total of 9,200 statements were analyzed, comprising 5,135 related to nursing assessments, 215 related to nursing diagnoses, and 3,850 related to nursing interventions. Nurses used 3,744 (72.

Nurses' perceptions of and attitudes toward an electronic medical record system at Seoul National University Hospital.

In an effort to investigate nurses' perceptions of and attitudes toward the use of electronic medical record (EMR) systems, 904 nurses in a university hospital were surveyed for demographic data and their perceptions of and attitudes toward an EMR system 6 months after its implementation. The questionnaire consisted of demographic information, perception statements relating to the effect of an EMR system, and attitude statements toward an EMR system (assessed on 4-point Likert scales, Cronbach's alpha = 0.979).

Classification of nursing statements based on the ICNP, the HHCC, and the nursing process for use in electronic nursing records.

The purposes of this study were to identify nursing-phenomena-related statements and nursing-action- related statements for use in nursing records, to link nursing statements for the nursing process, to develop integrated nursing terms using the ICNP, to identify new terms for inclusion, and to group statements using the HHCC in a user interface. We extracted 5,133 nursing-phenomena-related statements and 3,844 nursing-action-related statements, with the former including 233 nursing diagnoses. A total of 2791 nursing terms were mapped and 287 new terms were developed.

Comparison of direct and indirect nursing-care times between physician order entry system and electronic medical records.

This study compared the amount of time spent by nursing personnel on direct and indirect nursing care between a physician order entry (POE) system and an electronic medical record (EMR) system. Nursing-care time was measured by direct observation or a self-reporting method, both using a stopwatch. Nursing activities were categorized according to modified versions of the tools reported by Park.