Investigation about survey of state which was the terminology classification of nursing practice, and development of model which was constructed for nursing support system in computerized medical records

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In 2004, a total of 4,738 hospitals registered in Japan as June 2004 with 100 beds and more were examined to identify the rate of diffusion of computerized medical records (CMR) in a nursing department. As a result, the collected postcards totaled 2,127. Respondents failing to meet the population criteria were excluded from the 2,127, leaving 1,761 as subject hospital for this study. These 1,761 hospitals as subject hospital were identified about CMR implementations status. Also in 2004, 50 hospitals as subject hospital were examined to identify about nursing support system in CMR using interview-methods. In 2005, the plan of further study was discussed among our researchers. In 2006, a total of 303 nurses with 192 hospitals were examined to identify awareness of usefulness about CMR using our original measurements. As a result, subjects were aware of more useful on a part of nursing process in CMR than the paper-writing ways. But subjects were not aware of usefulness on use in CMR which thinking process of nurses was required. Thus, these thinking process of nurses was required to examine next study. So a total of 47 nurses with 18 hospitals were examined to identify their thinking process in CMR using interview-methods. As a result, four categories were founded out about thinking pattern of subjects on nursing process in CMR.Consequently, a part of nursing process in CMR was constructed to describe patients from viewing an holistic perspective and promote the thinking process of nurses. Recently, patients of hospitalization with acute period were increasing and period of hospitalization was shorting. We must construct CMR considering current medical situation actually.