| Affiliation: | 1. Nurse Unit Manager, Ward 2F, Alfred Hospital, 55 Commercial Rd., Melbourne VIC 3004, Australia;2. Prof of Nursing and Practice-based Research, Swinburne University of Technology, Dept. Of Health Professions, Faculty of Health, Arts and Design, Australia;3. Visiting Prof, St. Vincent’s Private Hospital (Melbourne), Nursing Research Unit, Australia;4. Visiting Prof, Health and Human Sciences, University of Huddersfield, UK;5. PhD Student, Australian Catholic University, Fitzroy, VIC, 3065, Australia |
| Abstract: | BackgroundCare planning is an essential part of nursing practice. Formulating nursing care plans within the framework of standardised nursing language warrants further examination.AimThe aim of this systematic review was examine the available literature related to nursing documentation and care plans, in relation to the impacts of using standardised nursing language.MethodsThe electronic databases of Medline and Cumulative Index to Nursing and Allied Health Literature were searched using predetermined search strategy. A narrative synthesis was undertaken.FindingsOf the 198 articles identified 21 articles were included in the review.DiscussionThe examination of the available evidence suggests that a global and Australian difference in use of standardised nursing language in nursing care planning and documentation, including research related to nursing documentation exists.ConclusionThere are major benefits for systematically integrating nursing classification systems and standardised nursing language. Standardised nursing language is essential for the successful integration of nursing documentation into contemporary healthcare where electronic health care records will be the norm. |
