ArticleRevista latino-americana de enfermagem2021
Quality of the documentation of the Nursing process in clinical decision support systems.
Article in Revista latino-americana de enfermagem, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Article
- Capabilities of computerized decision support systems supporting the nursing process in hospital settings: a scoping review.BMC nursing · 2025Article
- Nurses' understanding of quality documentation: A qualitative study in a Mental Health Institution.Curationis · 2025Article
- A clinical reasoning skills development plan for coronary care nurse: an action research.BMC nursing · 2025Article
- Digitization in nursing processes and the use of clinical decision support systems: do they improve perinatal indicators?BMC pregnancy and childbirth · 2025Article
- Applicability of electronic health records in the hospital Nursing Process: a scoping review.Revista brasileira de enfermagem · 2025Article
- Perioperative Effect of Nursing Model Based on Nursing Quality Evaluation System in Otorhinolaryngology Patients.Iranian journal of public health · 2024Article
- Diagnostic concordance among nursing clinical decision support system users: a pilot study.Journal of the American Medical Informatics Association : JAMIA · 2023Article
- Article
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2 authors.
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Abstract
objectiveto compare the quality of the Nursing process documentation in two versions of a clinical decision support system.
methoda quantitative and quasi-experimental study of the before-and-after type. The instrument used to measure the quality of the records was the Brazilian version of the Quality of Diagnoses, Interventions and Outcomes, which has four domains and a maximum score of 58 points. A total of 81 records were evaluated in version I (pre-intervention), as well as 58 records in version II (post-intervention), and the scores obtained in the two applications were compared. The interventions consisted of planning, pilot implementation of version II of the system, training and monitoring of users. The data were analyzed in the R software, using descriptive and inferential statistics.
resultsthe mean obtained at the pre-intervention moment was 38.24 and, after the intervention, 46.35 points. There was evidence of statistical difference between the means of the pre- and post-intervention groups, since the p-value was below 0.001 in the four domains evaluated.
conclusionthe quality of the documentation of the Nursing process in version II of the system was superior to version I. The efficacy of the system and the effectiveness of the interventions were verified. This study can contribute to the quality of documentation, care management, visibility of nursing actions and patient safety.
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