Application of clinical nursing classification system based on empirical research literature in 2003-2018
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摘要:
目的分析临床护理分类系统（CCC）应用现状，为CCC在我国的应用推广提供依据。 方法计算机检索PubMed、CINAHL、Wed of Science、万方、知网、维普等22个数据库中关于CCC的文献，对符合纳入标准的实证研究型文献进行分析。 结果共纳入15篇文献，关于CCC的文献研究主要围绕CCC与其他标准化护理术语体系的兼容性、CCC在临床护理中的应用、在护理管理中的应用、在护理教育中的应用4个主题展开。 结论基于已发表文献，CCC在不同人群、不同环境中的适用性已经得到验证，并能与其他标准化术语相协调，在计算护理服务成本、帮助护生提高临床决策能力方面，也有显著作用。但目前的研究均围绕CCC本身展开，未见利用CCC产生临床证据、支持临床实践的研究。国内学者应当验证CCC在国内的适用性，并利用CCC收集临床数据，产生临床证据，推动护理质量的持续改进和我国护理信息化进程。 Abstract:ObjectiveTo explore the status of the clinical care classification(CCC) system and provide the basis for the promotion of the CCC application in China. MethodsThe literatures of CCC system were retrieved from PubMed, CINAHL,the Cochrane library,WangFang database, CBM,CNKI and other databases. The research literature conformed to the requirements were analyzed. ResultsA total of 507 records were identified and 38 full‐texts assessed. Fifteen studies were reviewed. The literature research on CCC mainly focused on the compatibility between CCC and other standardized nursing terminology systems, the application of CCC in clinical nursing, the application of CCC in nursing management and the application of CCC in nursing education. ConclusionBased on the published literatures, the CCC system appears to be well developed for various populations, settings. It harmonizes with other nursing terminology systems. But no studies used the system to generate information about the outcomes of nursing practice. We should verify the applicability of CCC in China, use CCC to collect clinical data and produce clinical evidence. It can promote the continuous improvement of nursing quality and the process of nursing informatization in China -
表 1 文献的基本情况
序号 作者 发表时间（年） 发表期刊 来源国家 目的 1 Saba V K[17] 2005 AMIA Annual Symposium proceedings / AMIA Symposium. AMIA Symposium 美国 开发和评价基于个人电脑（PC）的CCC软件对提高学生护理质量的效果 2 Feeg V D[18] 2008 Cin Computers Informatics Nursing 美国 对照PC-CCC组和单纯文本输入系统组，护生护理记录的质量、学生评价及完成时间 3 Matney S A[5] 2008 J Am Med Inform Assoc 美国 将CCC的182个护理诊断与ICNP的护理现象分类进行了映射，分析匹配度 4 Kaija S[13] 2010 Studies in Health Technology & Informatics 芬兰 使用CCC分析电子病历，确定药物健康教育方式和是否需要添加相应的条目来描述药物健康教育。 5 Moss J[15] 2011 Comput Inform Nurs. 美国 将CCC和相对价值单位相结合，探索CCC用于护理服务成本计算的可行性 6 Mannino J E[16] 2011 Journal of Healthcare Engineering 美国 培训、观察护生使用PC-CCC后护理过程的理解能力、护理质量是否提高 7 Dykes P C[17] 2012 AMIA Annual Symposium proceedings / AMIA Symposium. AMIA Symposium 美国 探讨应用CCC建立可靠的护理服务成本核算体系的可行性 8 Dykes P C[6] 2012 11th International Congress on Nursing Informatics （NI2012） 美国 将CCC的182个护理诊断与ICNP的护理现象分类进行映射，研究两者条目相匹配的程度 9 Gülbahar Korkmaz A[10] 2013 .Cin Computers Informatics Nursing 土耳其 评价CCC在老年居家护理中的适用性 10 Rung-Chuang F[12] 2013 Computer Methods & Programs in Biomedicine 中国台湾 从护理记录资料中提取护理计划短语，映射到CCC，分析CCC在临床护理中的适用性 11 Varzeshnezhad M[8] 2014 Computers Informatics Nursing 伊朗 通过内容分析法从新生儿ICU的所有纸质护理文件提取护理诊断和护理措施相关短语，与CCC条目相匹配，分析匹配程度 12 Rung-Chuang F[14] 2015 Computers Informatics Nursing 中国台湾 使用CCC分析各专业的护理记录资料，分析是否需要添加新的护理诊断到CCC当中 13 Jansen K[7] 2016 Studies in Health Technology & Informatics 美国 使用CCC的21个照护要素作为概念框架对ICNP条目进行分类，观察在护理诊断电子文书记录使用和互用中的促进作用 14 Whittenburg L[11] 2016 Studies in Health Technology & Informatics 美国 观察应用CCC软件后，护理记录的完整性是否得到提高 15 Heidarizadeh K[9] 2017 Electronic Physician 伊朗 观察基于CCC的护理记录软件能否提高护理记录的质量 
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