Building Standard-based Nursing Information Systems

Book excerpt: The objective of this book is to provide them with a basic source of facts related to the use and implementation of standards in nursing clinical and administrative documentation. A compelling case is made about the importance of appropriately documenting nursing care, in order to facilitate analyses of nursing activities, the provision of quality and evidence-based direct patient care, and promotion of continuity of service. Standardized documentation is also required for communication nursing concepts, interventions, and outcomes to other nurses and health professionals working in different settings and countries.