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eHealth and Nursing

Knowledge for Patient Care

Anita Øvre Dobloug, rådgiver og Helene Sundmoen Bjerkestrand, fagleder.

Klinisk dokumentasjon, sykepleie.

Avd. kvalitet og pasientsikkerhet, Stab Helse, Sykehuset Innlandet HF

Evidence-based care plans -Clinical documentation of nursing (KDS)

How we do it in Innlandet

Hospital Trust

(SIHF)

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Background

• In 2007, Innlandet Hopital Trust (IHT)

started using clininical documentation in

nursing (CDN)

• Evidence-based practice - one of the leading focus areas

• About 4000 nurses

• 9 hospitals

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AUTHORS

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Evidence-based practice

Norwegian Nurses Organisations: Evidence Based Nursing can be defined

as follows:

Taking nursing decisions based on

systematic obtained research-

based knowledge,

experience-based knowledge and

patient needs in the

given situation

Kilder: www.kunnsskapsbasertpraksis.no, Nortvedt, 2007

Plattform of knowledge Experience-based knowledge

• Experience from nursing practice

Patient participation • Patienten

• User representative

• User organization

Evidence-based knowledge • Latest date research

• Systematic literature from the library service

The AGREE-instrument

• An international tool used to develop and assess the quality of guidelines, but also our guiding careplans

• Provides information about the method used during the

preparation of guiding careplans

• Provide a methodological stratey througout the process of developing of the guiding careplans

6 Domains

• 1. Scope and Purpose

• 2. Stakeholder Involvement

• 3. Rigour of Development

• 4. Clarity of Presentation

• 5. Applicability

• 6. Editorial Independence

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Responsibilities and Process

Guiding careplans for nurses

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• Organized and administrated by sentral advisor

• Local advisor on clinical documentation of nursing-

supervisor

• Ekspert nurses from relevant diciplines

• Guiding careplans for nurses developed on one location is

valid for the entire hospital

• The guiding careplans for nursing is reviced every third

year

How to do….

• Ask a professional question

• PICO

• Systematisc search – Library service

• Search strategy dokumented- Library service

• Assessment findings- expert nurses/ adviseor/ Library service

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Samarbeid i SI

Cooperation between clinic and DQPS

THANK YOU FOR YOUR ATTENTION

Department of Quality and

Patient Safety Innlandet Hospital Trust

Anita.Ovre.Dobloug@sykehuset-innlandet.no Helene.Bjerkestrand@sykehuset-innlandet.no

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