Journal List > J Korean Soc Med Inform > v.15(4) > 1035546

Min and Park: Development and Validation of Archetypes for Nursing Problems in Breast Cancer Patients

Abstract

Objective

Archetypes as structured models of clinical content are considered to be the key broker between the reference models and terminology. This study developed and validated archetypes for nursing problems with breast cancer patients.

Methods

Archetypes were developed with the focuses and characterizing categories to describe the nursing problems identified from the perioperative nursing records of breast cancer patients, a literature review and experts' survey. The archetypes were validated by experts and applied to the clinical cases.

Results

Forty seven focuses and 22 characterizing categories of nursing problems were identified. Forty five archetypes, except for the symptoms of URI and vital signs, could be grouped into 16 different types. The symptoms of URI and vital signs were modeled by a combination of other archetypes. The experts' evaluation and application to clinical cases demonstrated the validity of the archetypes developed.

Conclusion

Archetypes for nursing problems developed in this study can ensure interoperability and contribute to the exchange and sharing of the high quality structured data and information.

Figures and Tables

Figure 1
Mindmap of pain archetype
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Figure 2
ADL of pain archetype by Ocean Archetype Editor
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Table 1
Characteristics of the patients (n=74)
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Table 2
Characterizing categories of nursing problems
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Table 3
Types of archetype
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Table 4
Characterizing categories by the types of archetype
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Table 5
Components of pain archetype
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Table 6
Validation of pain archetype
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*From Newman, Brennan, & Passik (1996)

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