Data Mining Nursing Care Plans of End-of-Life Patients: A Study to ImproveHealthcare Decision Making
Article first published online: 17 AUG 2012
DOI: 10.1111/j.2047-3095.2012.01217.x
© 2012, The Authors International Journal of Nursing Knowledge © 2012, NANDA International
Abstract
PURPOSE: To reveal hidden patterns and knowledge present in nursing care information documented with standardized nursing terminologies on end-of-life (EOL) hospitalized patients.
METHOD: 596 episodes of care that included pain as a problem on a patient's care plan were examined using statistical and data mining tools. The data were extracted from the Hands-On Automated Nursing Data System database of nursing care plan episodes (n = 40,747) coded with NANDA-I, Nursing Outcomes Classification, and Nursing Intervention Classification (NNN) terminologies. System episode data (episode = care plans updated at every hand-off on a patient while staying on a hospital unit) had been previously gathered in eight units located in four different healthcare facilities (total episodes = 40,747; EOL episodes = 1,425) over 2 years and anonymized prior to this analyses.
RESULTS: Results show multiple discoveries, including EOL patients with hospital stays (<72 hr) are less likely (p < .005) to meet the pain relief goals compared with EOL patients with longer hospital stays.
CONCLUSIONS: The study demonstrates some major benefits of systematically integrating NNN into electronic health records.
LINK TO onlinelibrary.wiley.com/full
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