[Nurses, misunderstood and still indispensible].
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Biomedical subjects
Publications and source records attributed to Anne Berthou.
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How to develop a nursing minimum data set (NMDS) as a part of a nursing information system, which is itself a part of a health information system, this is the challenge presented in this paper and realized in Switzerland through the NURSING data project. The development of the CH-NMDS is not just a selection of data but a real conceptual work consisting in making the link between the information system and the terminology system and this for any level of aggregation. The building of a conceptual coherence between the collection of the data, their storage and their utilization for decision making was made by using the object modeling language, not for programming aims but statistical purposes. For example, the nursing phenomena and the nursing interventions are considered as classification concepts as well as sets of data.
PURPOSE: The objectives of this study were (1) to determine whether the ICF covers the goals of nursing interventions and (2) to identify the areas of functioning, disability and health most relevant to nursing practice of neurological patients with early post-acute rehabilitation needs. METHODS: This cross-sectional study on nursing interventions is part of a larger multicentric cross-sectional study describing functioning, disability and health. The nursing interventions were recorded by nurses in charge of the patient. According to established rules, the recorded nursing interventions were linked to the ICF. RESULTS: One hundred and eighteen different nursing interventions were documented by the nursing staff. The intervention goals were linked to 67 different second-level ICF categories. Thirty belong to the component Body Functions, 19 to the component Body Structures, 13 to the component Activities and Participation, and five to the component Environmental Factors. CONCLUSIONS: The fact that all nursing interventions in early post-acute rehabilitation facilities could be linked to ICF categories supports the usefulness of the ICF in nursing. Initial problems in adapting profession-specific terminology to the ICF framework can be overcome, as shown by our linking exercise. Further analyses will be needed to show if these theoretical findings are supported by empirical evidence.