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Healthc Inform Res > Volume 6(3); 2000 > Article
Journal of Korean Society of Medical Informatics 2000;6(3):31-38.
DOI: https://doi.org/10.4258/jksmi.2000.6.3.31    Published online September 30, 2000.
Standardization of Nursing Documents for Special Nursing Units
Hyeoun Ae Park, In Sook Cho, Keoung Duk Kim, Jung Sook Park, Keoung Soon Yoo, Soon Ja Yoon, Soon Ok Lee, Young Sun Lee, Yeoun Lee Jung, Woun Ja Choi, Eun Yeoun Choi, Kyeung Leuy Han
1College of Nursing Seoul National University, Korea.
2Seoul National University Hospital, Korea.
3Ajoo University Hospital, Korea.
4Seoul Joongang Hospital, Korea.
5Samsung Medical Center, Korea.
6St.Mary's Hospital The Catholic University of Korea, Korea.
7Ewha University Mokdong Hospital, Korea.

The purpose of this paper is to introduce standardization activities of nursing documentation for special nursing units following standardization efforts for general nursing units last year. Modified Delphi approach with expert panel was used to identify essential nursing documents and data set for each units. Expert panel was consisted of head nurses or charge nurses of each special nursing unit from 8 tertiary hospitals with more than 500 beds in Seoul. the secretary-general of Clinical Nurses Association and a faculty of College of Nursing. The exiting nursing forms of seven special nursing units, which include Emergency room, Intensive care unit, Operating room, Respiratory intensive care unit. Delivery floor. Nursery and Dialysis room, were analyzed and prototypes of the standard nursing forms and guidelines were developed. The clinical field test was done with the help of Clinical Nurses Association. At the field test 3.744 clinical staff nurses from 20 tertiary hospitals with more than 500 beds in Korea were involved and provided feedback. Finally public hearing was held and more than 600 nurses from 116 hospitals attended and provided feedback. Through these process consensus of nursing community was attained for standard documents and data items. The result is available at http://nursing.snu.ac.kr/standard/ through internet.

Key Words: Standardization, Nursing Information Standardization, Nursing Record Form, and Nursing Data


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