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dc.contributor.authorMykkänen, Minna
dc.contributor.authorMiettinen, Merja
dc.contributor.authorSaranto, Kaija
dc.date.accessioned2018-08-29T12:47:21Z
dc.date.available2018-08-29T12:47:21Z
dc.date.issued2018
dc.identifier.urihttps://erepo.uef.fi/handle/123456789/6872
dc.description.abstractThe aim of this study was to evaluate how the data structure of a national nursing discharge summary and the contents of nursing records of a transferring patient were followed within nursing discharge summaries. In this study, we described the overlapping data structures of nursing discharge summaries that had been compiled by both nurses and doctors. In addition, we described what other data structures were used. The data (N=87) were collected from the electronic patient record system in electronic format from nine inpatient wards of the research organization. The data were analyzed by calculating the frequencies and percentages of the use of data structures. The link between the different headings of the data was tested with the chi-square test and the odds rations were calculated to describe the strength of association between headings. According to the results, although the national data structure of the nursing discharge summary was used well, its use was not systematic within the same summary, and regional content titles were only partially used. Overlapping data structures were used in both nursing discharge summaries and medical summaries. Non-structured designs, which do not belong to the national structure, were also used. Therefore, health care electronic data structures must be further developed to ensure uniform completion per the determined data structure. In addition, health care professionals must be thoroughly trained to use the determined data structures; patients require uniform summaries that contain clear and usable information to support their own treatment.
dc.language.isosuomi
dc.publisherFinnish Journal of eHealth and eWelfare
dc.relation.ispartofseriesFinnish Journal of eHealth and eWelfare
dc.relation.urihttp://dx.doi.org/10.23996/fjhw.68899
dc.rightsCC BY-NC-ND https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subjectnursing discharge summary
dc.subjectnursing records
dc.subjectelectronic health records
dc.subjectpatient data repository
dc.titleTietorakenteet potilaan hoitotietojen kirjaamisessa : Case hoitotyön yhteenveto
dc.description.versionpublished version
dc.contributor.departmentSosiaali- ja terveysjohtamisen laitos / Toiminta
uef.solecris.id55785692en
dc.type.publicationTieteelliset aikakauslehtiartikkelit
dc.rights.accessrights© Authors
dc.relation.doi10.23996/fjhw.68899
dc.description.reviewstatuspeerReviewed
dc.format.pagerange251-263
dc.publisher.countrySuomi
dc.relation.issue2-3
dc.relation.volume10
dc.rights.accesslevelopenAccess
dc.type.okmA1
uef.solecris.openaccessOpen access -julkaisukanavassa ilmestynyt julkaisu


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