J Korean Soc Med Inform.  2009 Mar;15(1):71-81.

Development of a Nursing Care Decision Support SystemforHealth Problems of The Elementary and Secondary School Students

• Lee JH
• Park HA

Abstract

OBJECTIVE
The aim of this study was to develop a decision support system that helps school nurses manage health problems they encounter while caring for the elementary and secondary school students, and evaluate usability of it.
METHODS
Knowledge was aquired by literatures review and interviews with senior school nurses and was validated by another group of school nurses. The Omaha System was used as a standardized nursing terminology to describe nursing diagnoses and interventions. The system was developed under the Windows environment. C++ was used as a program language and MS Structured Query Language as a database. To investigate usability of the system, 30 school nurses in elementary and secondary schools were recruited and asked to apply it to nursing problems they encountered in actual students care setting.
RESULTS
The decision support system with seven major signs and symptoms was developed. It automatically makes a nursing diagnosis based on the input data, and also provides nursing interventions with evidence. It was proven that the system was very useful for school nurses to manage students` health problems.
CONCLUSION
The system will contribute to development of expert knowledge concerning student's health problems and improve the quality of school nursing and professionalism.

Keyword

Clinical Decision Support System; Expert System; Nursing Process; School Nursing

MeSH Terms

Expert Systems
Humans
Nursing
Nursing Care*
Nursing Diagnosis
Nursing Process
School Nursing

Figure

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  Figure 1 Use case diagram for the system

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  Figure 2 Activity diagram for the system

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  Figure 3 Login screen

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  Figure 4 Decision support wizard screen

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  Figure 5 Nursing diagnoses and interventions data input screen

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  Figure 6 Nursing outcome input screen

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  Figure 7 System management screen

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