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New Method of Realization of Nursing Diagnosis Based on 3N in an Electronic Medical Record System

机译：基于电子医疗系统3N的护理诊断实现新方法

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An electronic medical recording (EMR) system is enlightened as a solution for deciding which nursing diagnosis was selected on the basis of a computerized system; it can help collect and analyze lots of diverse data in an objective way. But there are few reports of successful electronic nursing diagnosis on EMR systems. This study was to develop the objective decision system prior to nursing diagnosis and to adopt it in the Severance EMR system. We adopt a new concept, situational variables, as the key elements of the nursing process, based on the items of nursing intervention. It enables appropriate nursing diagnosis through complex clinical objective data (laboratory results, vital signs, etc.). Through these elements between nursing intervention and nursing diagnosis, we can create reliable evidence-based nursing diagnoses successfully, and make possible fast settlement of nursing intervention in the various clinical fields.
机译：电子医用记录（EMR）系统被设计为决定在计算机化系统中选择哪种护理诊断的解决方案;它可以帮助以客观方式收集和分析大量不同的数据。但是关于EMR系统成功的电子护理诊断的报道很少。本研究是在护理诊断之前开发客观决策系统，并在遣散EMR系统中采用它。根据护理干预项目，我们采用了新的概念，情境变量作为护理过程的关键要素。它通过复杂的临床目的数据（实验室结果，生命体征等）来实现适当的护理诊断。通过护理干预和护理诊断之间的这些要素，我们可以成功创建可靠的证据护理诊断，并在各种临床领域开始快速解决护理干预。

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