Construction of core entries in the knowledge base of clinical nursing decision support system for stroke based on nursing procedures
10.3760/cma.j.cn211501-20231218-01329
- VernacularTitle:基于护理程序脑卒中临床护理决策支持系统知识库核心条目的构建
- Author:
Hainan LIU
1
;
Jihong LIU
;
Juan YU
;
Lingli ZHANG
Author Information
1. 北京中医药大学东直门医院医学影像科，北京 101121
- Keywords:
Stroke;
Delphi technique;
Knowledge base;
Decision support;
Nursing procedures
- From:
Chinese Journal of Practical Nursing
2024;40(26):2046-2052
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the core entries in the knowledge base of clinical nursing decision support system for stroke, and to provide theoretical basis for subsequent implantation of decision support system and offer decision guidance for nurses′clinical work.Methods:Based on nursing procedure and referred to the clinical nursing classification system, the core entries of the knowledge base were constructed using literature review, focus group method, case analysis and Delphi technique.Results:A total of 13 stroke nursing management, clinical nursing and nursing education experts were selected to complete 2 rounds of consultation, with 1 male, 12 female, 1 expert aged 25-35 years old, 6 experts aged 36-45 years old, 5 experts aged 46-55 years old, and 1 expert aged≥56 years old. The positive coefficients of the 2 rounds of consultation were 13/14 and 13/13, respectively. The expert judgment basis was 0.93, the degree of familiarity was 0.95, and the authority coefficient was 0.94. The importance scores of the entries in the 2 rounds were 4.15 - 5.00 and 4.45 - 5.00 respectively, all≥3.50 points. The coefficients of variation of each entry were 0.00 - 0.25 and 0.00 - 0.15. Kendall coordination coefficients were 0.837 and 0.835, respectively (both P<0.01). Finally, the core entries in the knowledge base of clinical nursing decision support system for stroke included 45 nursing assessments, 43 nursing diagnoses, 38 nursing goals, 215 nursing interventions, and 3 nursing evaluations. Conclusions:The construction of the core entries in the knowledge base of clinical nursing decision support system for stroke is evidence-based, scientifically and standardized, which can provide theoretical basis for embedding in computer information systems, comprehensively assess hospitalized stroke patients from physiological, psychological, and functional aspects, which is convenient and efficient to operate, and provides decision guidance for nurses, which meets the clinical application of stroke patients in China.
