Evaluation of electronic documentation
of the nursing process based on the classification
of nursing diagnoses and the ICNP dictionary

Alicja Kamińska; Anna Majda; Joanna Zalewska-Puchała; Iwona Bodys-Cupak; Joanna Łatka

doi:10.5114/ppiel.2021.113783

eISSN: 2299-8284
ISSN: 1233-9989

Nursing Problems / Problemy Pielęgniarstwa

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abstract:

Original paper

Evaluation of electronic documentation of the nursing process based on the classification of nursing diagnoses and the ICNP dictionary

Alicja Kamińska

¹

,

Anna Majda

¹

,

Joanna Zalewska-Puchała

¹

,

Iwona Bodys-Cupak

¹

,

Joanna Łatka

¹

Laboratory of Theory and Fundamentals of Nursing, Faculty of Health Sciences, Jagiellonian University Medical College, Cracow, Poland

Nursing Problems 2021; 29 (2): 45-51

DOI: https://doi.org/10.5114/ppiel.2021.113783

Online publish date: 2022/03/06

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AMA

Kamińska A, Majda A, Zalewska-Puchała J, Bodys-Cupak I, Łatka J. Evaluation of electronic documentation
of the nursing process based on the classification
of nursing diagnoses and the ICNP dictionary. Nursing Problems / Problemy Pielęgniarstwa. 2021;29(2):45-51. doi:10.5114/ppiel.2021.113783.

APA

Kamińska, A., Majda, A., Zalewska-Puchała, J., Bodys-Cupak, I.,  & Łatka, J. (2021). Evaluation of electronic documentation
of the nursing process based on the classification
of nursing diagnoses and the ICNP dictionary. Nursing Problems / Problemy Pielęgniarstwa, 29(2), 45-51. https://doi.org/10.5114/ppiel.2021.113783

Chicago

Kamińska, Alicja, Anna Majda, Joanna Zalewska-Puchała, Iwona Bodys-Cupak,  and Joanna Łatka. 2021. "Evaluation of electronic documentation
of the nursing process based on the classification
of nursing diagnoses and the ICNP dictionary". Nursing Problems / Problemy Pielęgniarstwa 29 (2): 45-51. doi:10.5114/ppiel.2021.113783.

Harvard

Kamińska, A., Majda, A., Zalewska-Puchała, J., Bodys-Cupak, I.,  and Łatka, J. (2021). Evaluation of electronic documentation
of the nursing process based on the classification
of nursing diagnoses and the ICNP dictionary. Nursing Problems / Problemy Pielęgniarstwa, 29(2), pp.45-51. https://doi.org/10.5114/ppiel.2021.113783

MLA

Kamińska, Alicja et al. "Evaluation of electronic documentation
of the nursing process based on the classification
of nursing diagnoses and the ICNP dictionary." Nursing Problems / Problemy Pielęgniarstwa, vol. 29, no. 2, 2021, pp. 45-51. doi:10.5114/ppiel.2021.113783.

Vancouver

Kamińska A, Majda A, Zalewska-Puchała J, Bodys-Cupak I, Łatka J. Evaluation of electronic documentation
of the nursing process based on the classification
of nursing diagnoses and the ICNP dictionary. Nursing Problems / Problemy Pielęgniarstwa. 2021;29(2):45-51. doi:10.5114/ppiel.2021.113783.

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Introduction
In teaching nursing, new technologies are used as tools to support patient care and for the standardization of the nursing language, and as part of distance learning. At the Faculty of Health Sciences of the Jagiellonian University Medical College in Cracow, an attempt was made to implement electronic nursing medical documentation, based on the International Classification for Nursing Practice (ICNP®) dictionary, for teaching as part of the Fundamentals of Nursing subject, implemented during the first year of studies in the field of Nursing.

Aim of the study
To evaluate the electronic documentation of the nursing process using the ICNP® dictionary, and to show the importance of the electronic patient record in documenting nursing practice and teaching.

Material and methods
158 students of the first year of undergraduate studies in Nursing took part in the study. The study used an original questionnaire.

Results
The study proved that the technology used supports students in collecting data about patients, and to a lesser extent it facilitates the diagnosis of nurses and the development of care plans, as well as documenting their implementation, and ongoing and final evaluation. The difficulties can be explained by the lack of experience in patient care and only basic knowledge acquired during the first year of studies.

Conclusions
Students noticed the advantages and validity of keeping electronic documentation of the nursing process based on ICNP®, but its performance should be improved. Moreover, the students also pointed out some shortcomings of electronic patient records.

keywords:

Evaluation of electronic documentation of the nursing process based on the classification of nursing diagnoses and the ICNP dictionary

Alicja Kamińska 1 , Anna Majda 1 , Joanna Zalewska-Puchała 1 , Iwona Bodys-Cupak 1 , Joanna Łatka 1

nursing students, ICNP, electronic nursing records

Alicja Kamińska

¹

,

Anna Majda

¹

,

Joanna Zalewska-Puchała

¹

,

Iwona Bodys-Cupak

¹

,

Joanna Łatka

¹