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Article
Written and computerized care plans. Organizational processes and effect on patient outcomes
Journal of gerontological nursing
  • J. M. Daly
  • Kathleen C. Buckwalter, University of Iowa
  • Meridean Maas, University of Iowa
Document Type
Article
Peer Reviewed
1
Publication Date
9-1-2002
NLM Title Abbreviation
J Gerontol Nurs
PubMed ID
12240516
Abstract
The purpose of this study was to determine how use of a standardized nomenclature for nursing diagnosis and intervention statements on the computerized nursing care plan in a long-term care (LTC) facility would affect patient outcomes, as well as organizational processes and outcomes. An experimental design was used to compare the effects of two methods of documentation: Computer care plan and paper care plan. Twenty participants (10 in each group) were randomly assigned to either group. No statistically significant differences were found by group for demographic data. Repeated measures ANOVA was computed for each of the study variables with type of care plan, written or computerized, as the independent variable. There were no statistically significant differences between participants, group (care plan), within subjects (across time), or interaction (group and time) effects for the dependent variables: Level of care, activities of daily living, perception of pain, cognitive abilities, number of medications, number of bowel medications, number of constipation episodes, weight, percent of meals eaten, and incidence of alteration in skin integrity. There were significantly more nursing interventions and activities on the computerized care plan, although this care plan took longer to develop at each of the three time periods. Results from this study suggest that use of a computerized plan of care increases the number of documented nursing activities and interventions, but further research is warranted to determine if this potential advantage can be translated into improved patient and organizational outcomes in the long-term care setting.
Keywords
  • Aged,
  • Humans,
  • Medical Records Systems,
  • Computerized/organization & administration,
  • Outcome Assessment (Health Care),
  • Patient Care Planning/organization & administration
Published Article/Book Citation
Journal of gerontological nursing, 28:9 (2002) pp.14-23.
Disciplines
Citation Information
J. M. Daly, Kathleen C. Buckwalter and Meridean Maas. "Written and computerized care plans. Organizational processes and effect on patient outcomes" Journal of gerontological nursing Vol. 28 Iss. 9 (2002) p. 14 - 23 ISSN: 0098-9134
Available at: http://works.bepress.com/meridean_maas/16/