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Implementation of a documentation model comprising nursing terminologies – theoretical and methodological issues
Author(s) -
VON KROGH GUNN,
NÅDEN DAGFINN
Publication year - 2008
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/j.1365-2834.2007.00796.x
Subject(s) - documentation , nursing , nursing outcomes classification , nursing management , test (biology) , nursing process , nursing care , intervention (counseling) , medicine , nursing diagnosis , medical diagnosis , process (computing) , nurse education , psychology , primary nursing , computer science , paleontology , pathology , biology , programming language , operating system
Aims To describe and discuss theoretical and methodological issues of implementation of a nursing services documentation model comprising NANDA nursing diagnoses, Nursing Intervention Classification and Nursing Outcome Classification terminologies. Background The model is developed for electronic patient record and was implemented in a psychiatric hospital on an organizational level and on five test wards in 2001–2005. Methods The theory of Rogers guided the process of innovation, whereas the implementation procedure of McCloskey and Bulecheck combined with adult learning principals guided the test site implementation. Results The test wards managed in different degrees to adopt the model. Two wards succeeded fully, including a ward with high percentage of staff with interdisciplinary background. Conclusions Better planning regarding the impact of the organization’s innovative aptitude, the innovation strategies and the use of differentiated methods regarding the clinician’s individual premises for learning nursing terminologies might have enhanced the adoption to the model. Implications for nursing management To better understand the nature of barriers and the importance of careful planning regarding the implementation of electronic patient record elements in nursing care services, focusing on nursing terminologies. Further to indicate how a theory and specific procedure can be used to guide the process of implementation throughout the different levels of management.