Developing Classifications of Psychiatric Nursing Problems and Interventions for Electronic Nursing Records

近年来，随着电子护理记录的引入，护士需要有共同的语言来描述护理工作。考虑到这些需求，本研究旨在开发NANDA （NANDA护理诊断）和NIC（护理干预分类）在精神科护理中的应用链接，以便在电子护理记录中使用。研究分4个阶段进行。第一阶段，通过查阅文献形成[NANDA与NIC在精神科护理中的关联（原提案）]。第二阶段，由专家护士评估原方案对精神科护理实践的适应性。在第三阶段，最初的建议被修改为[NANDA和NIC在精神病学护理中的联系]，包括“精神分裂症版本”，“情绪障碍版本”，“酒精依赖版本”，“饮食失调版本”，“边缘型人格障碍版本”和“痴呆症版本”。目前，[NANDA与NIC在精神科护理中的关联]正在实地试验中。

Recent years, with introduction the electronic nursing records into nursing practice, nurses need to have common languages that describe nursing practice. Considering these needs, this research aimed at developing applicable linkage between NANDA (NANDA Nursing Diagnosis) and NIC (Nursing Interventions Classification) in psychiatric nursing, in purpose of using in the electronic nursing records.Research was conducted in 4 phrases. In the first phrase, [The linkage between NANDA and NIC in psychiatric nursing (Original proposal)] was formed by reviewing literatures. In the second phrase, the original proposal was evaluated by expert nurses in terms of adaptability to psychiatric nursing practice. In the third phase, the original proposal was modified to [The linkage between NANDA and NIC in psychiatric nursing], which include ‘the version for schizophrenia', ‘the version for mood disorder', ‘the version for alcohol dependence', ‘the version for eating disorder', ‘the version for borderline personality disorder', and ‘the version for dementia'. In present, [The linkage between NANDA and NIC in psychiatric nursing] is under field trial.