依NANDA、NOC、NIC標準建置護理過程知識基礎決策支援系統－以國內精神衛生為例

The nursing informatics system has been developed in medical and surgical nursing and other similar departments since 1992 in Taiwan. The care system of the psychiatric mental health nursing is very different from others. If nurses use the existing system, patients will not be able to access the appropriate care, and clinical nurses can’t demonstrate their unique nursing professional abilities. Today the nursing profession has made an agreement on the frame of nursing process; however, its content is unclear and varies by different institutes/ hospitals. This phenomenon has become a major obstacle in caring patients and information development. The purpose of the study was to focus on using the inference and computing ability of computer and professional opinions as a reference to build a knowledge-based model which met the standard of “North American Nursing Diagnosis Association Nursing Diagnosis Handbook”, ”Nursing Outcomes Classification”, “Nursing Interventions Classification”. The guideless of clinical competencies for mental health nursing assessments developed by the Psychiatric Mental Health Nurses Association was allowed to assist making decision process in assuring the clinical diagnosis validity executed properly. The results indicated that, nurse staff was satisfied with the interface of the system and took proper actions to save twelve minutes. Within this system, the decision making ability of nurse staff also showed the increased sensitivity and specificity beyond ninety percent. Consequently, this informatics system of psychiatric mental health could assist nurses making nursing process to improve the quality of nursing care.