PURPOSE. To describe the development of a Web-based clinical database that incorporates the standardized nursing languages (SNLs) used by nurse practitioner students, describe outcomes relative to the SNLs, and discuss economic aspects of outcome data.
METHODS. A mix of retrospective and prospective data of all outcomes for several cohorts (95 students, 17,193 records) comprised the data set.
FINDINGS. There is wide variation in use of SNLs as well as terminologies from other disciplines. The economic impact of patient encounters could be substantial.
CONCLUSIONS. A Web-based clinical log provides an opportunity for NP students to collect and analyze data on clinical encounters. Considerable resources must be invested in order to expand the use and sophistication of eClinicaLog.
BUT. Décrire le développement d'une base de données cliniques sur la toile, comprenant les langages normalisés (LN) utilisés par les infirmières inscrites à la formation de praticienne avancée, décrire les résultats en lien avec ces LN et discuter des aspects économiques des résultats.
MÉTHODES. Un ensemble de données rétrospectives et prospectives des résultats de plusieurs cohortes (95 étudiantes, 17,193 dossiers) fut étudié.
RÉSULTATS. Il y a de grandes disparités dans l'utilisation des LN et de celle des autres disciplines. L'impact économique des consultations infirmières pourrait être substantiel.
CONCLUSIONS. Une base de données cliniques électronique fournit la possibilité aux étudiantes avancées de collecter et analyser les données concernant leurs consultations. La pratique devient visible quand les LN sont utilisés. Des ressources considérables devraient être investies afin d'augmenter l'utilisation et la sophistication d'un “eClinicaLog.”
OBJETIVOS. Descrever o desenvolvimento de uma base de dados clínicos baseada na Internet, que incorpore as linguagens padronizadas de enfermagem (LPEs) da NANDA, NIC e NOC utilizadas por alunos do curso de Prática Avançada em Enfermagem (PAE); descrever os resultados relativos às LPEs; e discutir aspectos econômicos dos dados referentes aos resultados.
MÉTODO. O conjunto de dados compreendeu um “mix” de dados retrospectivos e prospectivos referentes a todos os resultados de vários coortes (95 estudantes e 17.193 registros).
ACHADOS. Há uma ampla variação no uso das LPEs, bem com de terminologias de outras disciplinas. O impacto econômico das consultas dos pacientes pode ser substancial.
CONCLUSÕES. Um registro (log) clínico baseado na Internet oferece aos alunos de PAE uma oportunidade de coletar e analisar dados referentes a consultas de pacientes. A prática de enfermagem torna-se visível quando as LPEs são utilizadas. Recursos consideráveis devem ser investidos a fim de expandir o uso e o aperfeiçoamento de um registro clínico eletrônico (eClinicalLog).
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