Nursing Information Systems

1
? 14 ?

• ??????
• Nursing Information Systems

2

• ????
• ???,???????,???????,2002
• J.H. van Bemmel, Handbook of Medical Informatics,
  Springer-Verlag Heidelberg

3
14-1 ??

• ???????????????????????,?????????????????,????????
  ????(Nursing Informatics),?????????????????

4
14-2 ?????

• ?????????????????????????,????????????????????????
  ??????,????????????????
• ?????(Nursing Informatics)???(Analying)????(Modeli
  ng)????(Formalizing)??????
• ????????
• ????????????
• ???????(knowledge-based)????
• ???????????????

5
14-2 ?????

• ?????????????
• ????????????
• ?????????????????????
• ?????????????????????
• ????????????????????

6
14-3 ???????

• ??????????????,???????????????????????????????????
  
• ???????????????,????,?????????????,???????????????
  
• ???????????(????)????(???)???,?? 14.1?
• ?????????????????,???????????????????????????????
  ???????

7
? 14.1
8
14-3 ???????

• ?????????????????????????,???????????????
• ????????
• ??(Assessment)
• ??(Diagnosis)
• ??(Planning)
• ??(Intervention)
• ??(Evaluation)

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14-3 ???????

• ?????,????(data),??(information),???(knowledge),??
  ????????????
• ???????(entities),????????????????????
• ??????????????????????
• ??????????????????,???????????(???
  14.1)?????,????????????????????,??????????????????
  ?,????????????,????,???????????

10
14-3 ???????

• ??????????
• ?????(domain knowledge)?????????????
• ?????(inferential knowledge)??????????????
• ?????(task knowledge)??????????,???????????
• ?????(strategic knowledge)??????,??????????
• ??????????????????????????(knowledge acquisition
  and design structuring,KADS)??????????

11
14-4 ??????

• ????????????????????????,?????????????
• ??,?????????????????????????
• ??????????????????,???????????????????????
• ????????,????????,?????????
• ???????????????? 14.2?

12
? 14.2
13
14-5 ?????????

• ? KADS ???????????,???????(computer-based patient
  record,CPR)??????????
• ?????????,??????????????????
• ??????????????????
• ????????????????,?????????????????????????????????
  ,?????????????????
• ????????????????,? 14.1 ????????????????,?? 14.3?

14
? 14.3
15
14-5 ?????????

• ???????????????????????
• ?????????????
• ?????,?????????????
• ????,??????????????
• ???????????????????????
• ?????(Deduction)???????
• ? 14.3 ??????????????????????????
• ????????????,??????????????????????

16
14-7 ?????????

• ????????????(??????),???????,???????,?????????????
  ??????
• ? 14.4,???????????,??????,????????????????????,???
  ????????????,??????????????

17
? 14.4
18
14-7.1 ???????

• ???????????????????????
• ???????????????????(NMDS)???,????????????????????
  ????????
• ????????????,?????????????????????????????????????
  ??????

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14-7.1 ???????

• ????????????????????????,??????????????,??????????
  ,????????????
• ???????????????????????????????
• ?????????????????????????,????????????
• ???????????????????????????????????????,??????????
  ?????

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14-7.1 ???????

• ????????????????????????????,?????????????????????
  ,?????????????
• ? 14.4 ????????????????????,???????????,??????????
  ?????,????????????????

21
14-7.2 ????

• ???????????????????????????
• ? 14.1 ????????????
• ???????(Omaha System)????????????????????????????
  ????

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? 14.1 ???????????
???? ???? ???? Omaha System ?????,??,????? ??
???? ??????? ??? ????? ??????????,??? ?
??? ???????????? ?? ???????? The
Automated ????????????? ???????? Community ?????
???????? ?????? Health Information
????,???????, System(ACHIS)
??????? ??????? ?????? The Hettinger ??????????
?????? and Brazile ?????,???????? System
?? ?H B ??? ??? ??????????? ?????
?????? ???????
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???? ???? ???? Rural Elder
Out- ??????????????????? ?????? reach Program
?????????????????? ??????? ??????????????????
??,???????,????,?? ??????????????????
?????????????????? ???????,???????????
?? ComputerLink ??????????????????? ?????? ?????
? ???? ????????????,?????
?,????????? CareMap ??????????????????? ??????
? ????? ???? ?? ?????????? ?????? ?
?????????????????? ???????? ??????????
24
14-7.3 ??????

• ??????????????????????????,?????(Read
  codes)??????????????,????????????????????????????
  ?????????
• ??????????(International Classification for
  Nursing Practice,ICNP)???????????????,???????????,
  ??????????

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14-7.4 ?????????

• ??????????????????,???????????????,???????????????
  
• ?????????????????,??????????????(??? 14.1)

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14-8 ??????

• ????????????????????(nursing informatics)?????,???
  ???????????????,???????????????????????
• ????????????,?????????

27
14-8.1 ????

• ?????????????
• ??????????
• ???????????,????????????
• ?????????????
• ?????????,?????????????????????????,?????????????

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14-8.2 ??????

• ????????????????????,????????
• ?????,?????????
• ??????
• ??????????????
• ?????????????
• ????????????????????????,?????????????

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14-8.2 ??????

• ? 14.1 ??????????????????????????
• ?????????????????,???????????????????????