Developing the structured knowledge model to navigate the nurses' thinking process in their professional judgment and action
Tsuru, S.; Wako, F.; Omori, M.; Watanabe, C.; Nakanishi, M.; Kawamura, S.
Studies in Health Technology and Informatics 201: 188-195
2014
ISSN/ISBN: 1879-8365 PMID: 24943543 Document Number: 674460
Authors have defined the function of the nursing observation as "monitoring the onset and course of health problems" and that of nursing action as "preventing health problems". We have also identified three foci of the nursing observation and nursing action respectively. The foci of nursing observation are: "signs and symptoms related to the diseases", "complications related to the invasive medical procedures such as surgery" and "adverse effects related to the pharmacotherapy". Those of nursing action are: "nursing care to fulfill the needs arising from the diseases and the medical interventions", "nursing care to prevent the complications", and "nursing care to prevent the adverse effects". Finally, we have categorized hospitalized patients' conditions into "pre-surgery", "post-surgery" and "rehabilitative phase" for the surgical patients and "severe", "moderate" and "mild" for non-surgical ones. Using these frameworks, we have developed the structured knowledge model for a number of diseases and medical interventions.