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Lee and Park: Development of a Nursing Care Decision Support SystemforHealth Problems of The Elementary and Secondary School Students
Original Article
Journal of Korean Society of Medical Informatics

Journal of Korean Society of Medical Informatics 2009; 15(1): 71-81.

Published online: 31 March 2009

DOI: https://doi.org/10.4258/jksmi.2009.15.1.71

Development of a Nursing Care Decision Support SystemforHealth Problems of The Elementary and Secondary School Students

Ji Hyun Lee, Hyeoun Ae Park

College of Nursing, Seoul National University, Korea.

Corresponding Author (hapark@snu.ac.kr)

Copyright © 2009 The Korean Society of Medical Informatics

Abstract

Objective

The aim of this study was to develop a decision support system that helps school nurses manage health problems they encounter while caring for the elementary and secondary school students, and evaluate usability of it.

Methods

Knowledge was aquired by literatures review and interviews with senior school nurses and was validated by another group of school nurses. The Omaha System was used as a standardized nursing terminology to describe nursing diagnoses and interventions. The system was developed under the Windows environment. C++ was used as a program language and MS Structured Query Language as a database. To investigate usability of the system, 30 school nurses in elementary and secondary schools were recruited and asked to apply it to nursing problems they encountered in actual students care setting.

Results

The decision support system with seven major signs and symptoms was developed. It automatically makes a nursing diagnosis based on the input data, and also provides nursing interventions with evidence. It was proven that the system was very useful for school nurses to manage students' health problems.

Conclusion

The system will contribute to development of expert knowledge concerning student's health problems and improve the quality of school nursing and professionalism.

Keywords: Clinical Decision Support System, Expert System, Nursing Process, School Nursing

Figures and Tables

Figure 1
Use case diagram for the system
jksmi-15-71-g001
Figure 2
Activity diagram for the system
jksmi-15-71-g002
Figure 3
Login screen
jksmi-15-71-g003
Figure 4
Decision support wizard screen
jksmi-15-71-g004
Figure 5
Nursing diagnoses and interventions data input screen
jksmi-15-71-g005
Figure 6
Nursing outcome input screen
jksmi-15-71-g006
Figure 7
System management screen
jksmi-15-71-g007
Table 1
Satisfaction score of each algorithm
jksmi-15-71-i001
Table 2
Overall satisfaction and recommendation to others (n=30)
jksmi-15-71-i002

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