摘要
目的对南京医科大学第一附属医院护理决策支持系统(NDSS)知识库的构建过程和结果进行介绍,旨在为护理知识库的发展提供参考。方法于2018年7月—2020年3月,基于"知识开发过程"模型,通过文献回顾、专家会议和专家咨询法构建涵盖护理全过程的NDSS知识库。结果2轮专家咨询的权威系数分别为0.875和0.925,肯德尔协调系数分别为0.464和0.534。最终构建的NDSS知识库包括护理评估模块、护理问题模块、护理目标模块、护理措施模块、护理活动模块以及匹配规则模块。目前知识库共梳理完成2213项护理评估、46项护理问题、67项护理目标、233项护理目标衡量指标、183项护理措施、4783项护理活动以及3332条匹配规则。结论NDSS知识库的构建过程有章可循,内容能够涵盖护理程序的全过程,侧重护理评估和护理目标的量化分级以及护理措施的个性化和针对性,能够为护理知识库的发展提供借鉴。
Objective To introduce the construction process and results of the knowledge base in Nursing Decision Support System(NDSS)of the First Affiliated Hospital with Nanjing Medical University,in order to provide references for the development of nursing knowledge base.Methods From July 2018 to March 2020,based on the"Knowledge Development Process"model,a knowledge base of NDSS covering the entire nursing process was constructed through literature review,expert meetings,and expert consultation methods.Results The authority coefficients of two rounds of expert consultation were 0.875 and 0.925,and Kendall coordination coefficients were 0.464 and 0.534.The final built knowledge base includes nursing assessment module,nursing problem module,nursing goal module,nursing measure module,nursing activity module and matching rule module.Up to now,the knowledge sorted out 2213 nursing assessments,46 nursing questions,67 nursing goals,233 nursing goal measurement indexes,183 nursing measures,4783 nursing activities and 3332 matching rules.Conclusions The construction process of the NDSS knowledge base has rules to follow and the content can cover the whole process of the nursing procedure.It focuses on the quantitative classification of nursing evaluation and nursing goals,as well as the individualization and pertinence of nursing measures,which can provide references for the development of clinical nursing knowledge base.
作者
邢双双
王荣
顾则娟
林征
周元
王草源
杨蕾
曹小彤
陈柯宇
夏丽霞
Xing Shuangshuang;Wang Rong;Gu Zejuan;Lin Zheng;Zhou Yuan;Wang Caoyuan;Yang Lei;Cao Xiaotong;Chen Keyu;Xia Lixia(Nursing Department,the First Affiliated Hospital with Nanjing Medical University,Nanjing 210029,China)
出处
《中华现代护理杂志》
2021年第5期592-597,共6页
Chinese Journal of Modern Nursing
基金
江苏省医学创新团队项目(CXTDA2017019)。
关键词
决策支持系统
临床
知识库
护理信息学
护理决策支持系统
"知识开发过程"模型
Decision support systems,clinical
Knowledge base
Nursing informatics
Nursing Decision Support System
"Knowledge development process"model
