护理领域临床护理分类术语的使用：范围回顾

IF 3.1 Q1 NURSING

International Journal of Nursing Studies Advances Pub Date : 2025-05-02 DOI:10.1016/j.ijnsa.2025.100340

Xin Xie , Yifei Li , Shuyu Han , Jingxian Hu , Lili Zhang , Lina Jia , Yuan Gao , Huimin Guo , Xiaolan Wang , Jianing Han

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引用次数: 0

摘要

临床护理分类术语是一种标准化的护理术语，具有清晰的层次结构、明确的流程和科学的编码体系。在信息技术时代，回顾临床护理分类术语在护理领域的进展，对今后护理术语的选择和规范至关重要。目的探讨临床护理分类术语在护理领域的应用及影响。方法采用系统评价和荟萃分析首选报告项目，扩展范围评价清单。结果我们检索了6个数据库，最终纳入了60项研究。我们从八个方面评估了临床护理分类术语的使用情况：护理实践、护理管理、护理教育、护理研究、电子健康记录文件、术语制图、跨文化翻译和系统整合。结论临床护理分类术语在护理领域的应用价值得到了验证。但是，由于不同部门的特殊性，需要对编码进行及时的更新和补充。同时，强调护生和护士学习术语理论及其编码的重要性。临床护理分类术语的跨文化翻译及其与其他术语的映射在护理护理的连续性和可比性方面也起着至关重要的作用

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Use of clinical care classification terminology in the nursing field: A scoping review

Background

Clinical Care Classification terminology, a category of standardized nursing terminologies, has a clear hierarchical structure, well-defined processes, and a scientifically grounded coding system. In the era of information technology, reviewing the progress of Clinical Care Classification terminology in the field of nursing is crucial for the future selection and standardization of nursing terminology.

Objective

This review aims to examine the application and impact of Clinical Care Classification terminology in the nursing field.

Methods

This study was reported by the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews checklist.

Results

We searched six databases and ultimately included 60 studies in our review. We assessed the use of Clinical Care Classification terminology across eight aspects: nursing practice, nursing management, nursing education, nursing research, electronic health records documentation, terminology mapping, cross-cultural translation, and systematic integration.

Conclusions

The value of Clinical Care Classification terminology in the nursing field has been demonstrated. However, due to the specialties of different departments, timely updates and additions to the coding are necessary. Meanwhile, it is important to emphasize the significance of nursing students and nurses learning the theory of terminology and its coding. The cross-cultural translation of Clinical Care Classification terminology and its mapping to other terminologies also play a crucial role in the continuity and comparability of nursing care.