Table 2 Administrative and Nursing assessment information
From: Development and evaluation of an electronic nursing documentation system
Administrative information | |||||||||
|---|---|---|---|---|---|---|---|---|---|
patient demographic information | Round 1 | Round 2 | Final Decision | ||||||
Agree N (%) | Dis agree N (%) | Unsure N (%) | Agree N (%) | Dis agree N (%) | Unsure N (%) | ||||
Patient name, age, gender, educational level, Marital Status, Employment status, admitted date, admitted time, admitting nurse, Admitting physician | 100 | 0 | 0 | Â | Â | Â | kept | ||
Physician, Ward, Bed, Hospital name, Phone, Insurance, Source of history | 100 | 0 | 0 | Â | Â | Â | kept | ||
Past medical history | 85.62% | 8.4% | 5.98% | Â | Â | Â | kept | ||
Items related to the nursing assessment | |||||||||
Body systems | Item numbers (total) | Item numbers | Round 1 | Round 2 | Final Decision | ||||
Agree N (%) | Dis agree N (%) | Unsure N (%) | Agree N (%) | Dis agree N (%) | Unsure N (%) | ||||
Cardiovascular system | 140 | 1–60 | 95.63% | 2.4% | 1.97% |  |  |  | kept |
61–100 | 89.87% | 6% | 4.13% |  |  |  | kept | ||
101–130 | 88.6% | 10.7% | 0.7% |  |  |  | kept | ||
131–140 | 69.43% | 29.11% | 1.46% | 85.46% | 14.54% | 0 | kept | ||
Muscle and Skeletal system | 80 | 1–40 | 98.32% | 0 | 1.68% |  |  |  | kept |
41–68 | 92.87% | 7.13% | 0 |  |  |  | kept | ||
69–78 | 90.56% | 7.4% | 2.04% |  |  |  | kept | ||
79–80 | 62% | 36% | 2% | 65.36% | 34.64% | 0 | remove | ||
GU system | 85 | 1–30 | 98.1% | 0 | 1.9% |  |  |  | kept |
31–56 | 96.23% | 0 | 3.77% |  |  |  | kept | ||
57–82 | 97% | 0 | 3% |  |  |  | kept | ||
83–85 | 70.25% | 29.75% | 0 | 65.66% | 34.34% | 0 | remove | ||
Renal system | 50 | 1–36 | 89% | 10% | 1% |  |  |  | kept |
37–45 | 90.39% | 0 | 9.61% |  |  |  | kept | ||
46–50 | 98.85% | 0 | 1.15% |  |  |  | kept | ||
Neurological system | 110 | 1–48 | 99% | 0.5% | 0.5% |  |  |  | kept |
49–88 | 91.41% | 2.36% | 6.23% |  |  |  | kept | ||
89–100 | 95% | 4% | 1% |  |  |  | kept | ||
101–108 | 88.64% | 11.36% | 0 |  |  |  | kept | ||
109–110 | 67% | 30% | 3% | 69.75% | 30.25% | 0 | remove | ||
Psychological and social | 65 | 1–42 | 98.12% | 1.88% | 0 |  |  |  | kept |
43–58 | 96.55% | 2.32% | 1.13% |  |  |  | Kept | ||
59–65 | 100% | 0 | 0 |  |  |  | Kept | ||
Skin system | 55 | 1–49 | 100% | 0 | 0 |  |  |  | kept |
50–55 | 96% | 0 | 4% |  |  |  | kept | ||
General appearance | 150 | 1–36 | 100% | 0 | 0 |  |  |  | kept |
37–88 | 94.96% | 5.04% | 0 |  |  |  | kept | ||
89–95 | 98% | 2% | 0 |  |  |  | kept | ||
96–106 | 96% | 3% | 1% |  |  |  | kept | ||
107–120 | 86.76% | 0 | 13.24% |  |  |  | kept | ||
121–134 | 79.23% | 20.77% | 0 |  |  |  | kept | ||
135–145 | 89% | 11% | 0 |  |  |  | kept | ||
146–150 | 88% | 12% | 0 |  |  |  | kept | ||
Respiratory system | 140 | 1–55 | 89.51% | 9.39% | 1.1% |  |  |  | kept |
56–78 | 98.23% | 1.77% | 0 |  |  |  | Kept | ||
79–100 | 96.37% | 3.2% | 0.43% |  |  |  | Kept | ||
101–125 | 95% | 0 | 5% |  |  |  | Kept | ||
126–140 | 70.26% | 21.36% | 8.38% | 79.80% | 20.2% | 0 | kept | ||
35–40 | 89% | 10% | 1% |  |  |  | kept | ||