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

护理实践术语分类状况调查及计算机病历护理支持系统构建模型的开发

• 批准号: 16390630
• 负责人: KURODA Yuko
• 金额: $ 3.9万
• 依托单位: Kitasato University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B)
• 财政年份: 2004
• 资助国家: 日本
• 起止时间: 2004 至 2006
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-16390630/
• 关键词: Computerized Medical Records; CMR implementations status; nurse's thinking process; postcard survey; nursing support system; usefulness of CMR; 看護実践用語分類; NANDA看護診断分類法; 看護成果分類法; 看護介入分類法; 看護学; 看護診断; 看護記録; NANDA看護診断; 看護成果分類; 看護介入分類; ヒアリング調査 /

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.

2004年，对截至2004年6月在日本注册的床位数在100张以上的4，738家医院进行了调查，以确定护理部门的计算机化医疗记录（CMR）的普及率。结果，收集到的明信片共计2127张。不符合人群标准的受访者被排除在2，127人之外，留下1，761人作为本研究的主题医院。这1，761家医院作为主题医院被确定为CMR实施状态。并于2004年以50家医院为研究对象，以访谈法探讨CMR中的护理支援系统。2005年，我们的研究人员讨论了进一步研究的计划。在2006年，共有303名护士与192家医院进行了检查，以确定意识的有用性CMR使用我们的原始测量。结果显示，被试对护理流程中的一部份较书面书写方式更为了解。但受试者并未意识到CMR使用的有用性，这需要护士的思维过程。因此，这些护理人员的思维过程需要在下一步的研究中加以检验。本研究采用访谈法对18所医院的47名护士进行了CMR思维过程的调查。结果发现，CMR中护理过程主体的思维模式可分为4类，从而构建CMR中护理过程的一部分，从整体的角度描述患者，促进护士的思维过程。近年来，急性期住院患者增多，住院时间缩短.我们必须结合当前的实际情况来构建CMR。

项目成果

A nationalwide investigation of the status of the introduction of a computer-based nursing record system in nursing departments in hospital

全国医院护理科导入计算机护理档案系统现状调查

• 期刊: Japan Journal of Nursing Science
• 影响因子: 1.7
• 作者: 棚橋泰之;黒田裕子;Yuko KURODA et al.
• 通讯作者: Yuko KURODA et al.

NANDA-NOC-NICの理解-看護記録の電子カルテ化に向けて(新訂版)-

了解 NANDA-NOC-NIC - 将护理记录转换为电子病历（新版）-

• 发表时间: 2004
• 作者: Yuko KURODA;et al.;黒田裕子;黒田 裕子
• 通讯作者: 黒田 裕子

看護支援システムの稼働状況-予備的研究としての半構成的面接調査報告

护理支持系统运行现状——半结构化访谈调查报告初探

• 发表时间: 2006
• 期刊: 看護診断 11・1
• 作者: 山勢博彰;他;黒田裕子;相良かおる他
• 通讯作者: 相良かおる他

わが国の看護記録に見るNANDA看護診断"感染リスク状態"の看護成果と看護介入の分析

日本护理记录中NANDA护理诊断“感染风险状态”的护理结果及护理干预分析

• 发表时间: 2005
• 期刊: 看護診断 10巻1号
• 作者: 棚橋泰之;黒田裕子;小田正枝他
• 通讯作者: 小田正枝他

電子カルテシステムの有用性に関する臨床看護師の認識

临床护士对电子病历系统有用性的看法

• 发表时间: 2007
• 期刊: 看護診断 12・1
• 作者: Yoshiko Kajiyama;Masayo Uchida;Michiko Kadokura;et. al.;平成16-19年度科学研究費基盤研究(B)「小児がんをもつ子どもと家族の看護ケアガイドラインの開発と検討」研究班;平成16-19年度科学研究費基盤研究(B)「小児がんをもつ子どもと家族の看護ケアガイドラインの開発と検討」研究班;平成16-19年度科学研究費基盤研究(B)「小児がんをもつ子どもと家族の看護ケアガイドラインの開発と検討」研究班;平成16-19年度科学研究費基盤研究(B)「小児がんをもつ子どもと家族の看護ケアガイドラインの開発と検討」研究班;山勢博彰 他
• 通讯作者: 山勢博彰 他