{"id":"https://openalex.org/W2988959730","doi":"https://doi.org/10.3233/shti190298","title":"Transforming Nursing Documentation","display_name":"Transforming Nursing Documentation","publication_year":2019,"publication_date":"2019-01-01","ids":{"openalex":"https://openalex.org/W2988959730","doi":"https://doi.org/10.3233/shti190298","mag":"2988959730","pmid":"https://pubmed.ncbi.nlm.nih.gov/31437999"},"language":"en","primary_location":{"id":"doi:10.3233/shti190298","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti190298","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.3233/shti190298","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5015696499","display_name":"Melinda Jenkins","orcid":"https://orcid.org/0000-0001-9820-2855"},"institutions":[{"id":"https://openalex.org/I102322142","display_name":"Rutgers, The State University of New Jersey","ror":"https://ror.org/05vt9qd57","country_code":"US","type":"education","lineage":["https://openalex.org/I102322142"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Jenkins Melinda L.","raw_affiliation_strings":["Division of Advanced Practice Nursing, School of Nursing, Rutgers University, Newark NJ, USA"],"affiliations":[{"raw_affiliation_string":"Division of Advanced Practice Nursing, School of Nursing, Rutgers University, Newark NJ, USA","institution_ids":["https://openalex.org/I102322142"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5036418308","display_name":"Avaretta Davis","orcid":null},"institutions":[{"id":"https://openalex.org/I102322142","display_name":"Rutgers, The State University of New Jersey","ror":"https://ror.org/05vt9qd57","country_code":"US","type":"education","lineage":["https://openalex.org/I102322142"]},{"id":"https://openalex.org/I1323485962","display_name":"Occupational Safety & Health Administration","ror":"https://ror.org/03mm5qn83","country_code":"US","type":"government","lineage":["https://openalex.org/I1312264882","https://openalex.org/I1323485962"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Davis Avaretta","raw_affiliation_strings":["Division of Advanced Practice Nursing, School of Nursing, Rutgers University, Newark NJ, USA","Veteran's Health Administration, Washington DC, USA"],"affiliations":[{"raw_affiliation_string":"Division of Advanced Practice Nursing, School of Nursing, Rutgers University, Newark NJ, USA","institution_ids":["https://openalex.org/I102322142"]},{"raw_affiliation_string":"Veteran's Health Administration, Washington DC, USA","institution_ids":["https://openalex.org/I1323485962"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5015696499"],"corresponding_institution_ids":["https://openalex.org/I102322142"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.25316456,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"264","issue":null,"first_page":"625","last_page":"628"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12790","display_name":"Nursing Diagnosis and Documentation","score":0.9979000091552734,"subfield":{"id":"https://openalex.org/subfields/2910","display_name":"Issues, ethics and legal aspects"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12790","display_name":"Nursing Diagnosis and Documentation","score":0.9979000091552734,"subfield":{"id":"https://openalex.org/subfields/2910","display_name":"Issues, ethics and legal aspects"},"field":{"id":"https://openalex.org/fields/29","display_name":"Nursing"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10350","display_name":"Electronic Health Records Systems","score":0.960099995136261,"subfield":{"id":"https://openalex.org/subfields/3605","display_name":"Health Information Management"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11710","display_name":"Biomedical Text Mining and Ontologies","score":0.9241999983787537,"subfield":{"id":"https://openalex.org/subfields/1312","display_name":"Molecular Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/documentation","display_name":"Documentation","score":0.770548403263092},{"id":"https://openalex.org/keywords/terminology","display_name":"Terminology","score":0.7254123687744141},{"id":"https://openalex.org/keywords/nursing-outcomes-classification","display_name":"Nursing Outcomes Classification","score":0.5819734930992126},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.554239809513092},{"id":"https://openalex.org/keywords/nursing-interventions-classification","display_name":"Nursing Interventions Classification","score":0.4838225245475769},{"id":"https://openalex.org/keywords/guideline","display_name":"Guideline","score":0.47074517607688904},{"id":"https://openalex.org/keywords/quality","display_name":"Quality (philosophy)","score":0.46863341331481934},{"id":"https://openalex.org/keywords/nursing-documentation","display_name":"Nursing documentation","score":0.4595332443714142},{"id":"https://openalex.org/keywords/payment","display_name":"Payment","score":0.4270072281360626},{"id":"https://openalex.org/keywords/quality-management","display_name":"Quality management","score":0.41785943508148193},{"id":"https://openalex.org/keywords/psychological-intervention","display_name":"Psychological intervention","score":0.4122348129749298},{"id":"https://openalex.org/keywords/nurse-education","display_name":"Nurse education","score":0.39849215745925903},{"id":"https://openalex.org/keywords/nursing-care","display_name":"Nursing care","score":0.3910929560661316},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.3821234405040741},{"id":"https://openalex.org/keywords/medical-education","display_name":"Medical education","score":0.32846590876579285},{"id":"https://openalex.org/keywords/computer-science","display_name":"Computer science","score":0.25408709049224854},{"id":"https://openalex.org/keywords/primary-nursing","display_name":"Primary nursing","score":0.23638314008712769},{"id":"https://openalex.org/keywords/world-wide-web","display_name":"World Wide Web","score":0.07907459139823914}],"concepts":[{"id":"https://openalex.org/C56666940","wikidata":"https://www.wikidata.org/wiki/Q788790","display_name":"Documentation","level":2,"score":0.770548403263092},{"id":"https://openalex.org/C547195049","wikidata":"https://www.wikidata.org/wiki/Q1725664","display_name":"Terminology","level":2,"score":0.7254123687744141},{"id":"https://openalex.org/C126397004","wikidata":"https://www.wikidata.org/wiki/Q2005404","display_name":"Nursing Outcomes Classification","level":4,"score":0.5819734930992126},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.554239809513092},{"id":"https://openalex.org/C140117577","wikidata":"https://www.wikidata.org/wiki/Q260842","display_name":"Nursing Interventions Classification","level":3,"score":0.4838225245475769},{"id":"https://openalex.org/C2780182762","wikidata":"https://www.wikidata.org/wiki/Q1630279","display_name":"Guideline","level":2,"score":0.47074517607688904},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.46863341331481934},{"id":"https://openalex.org/C2778815017","wikidata":"https://www.wikidata.org/wiki/Q30315129","display_name":"Nursing documentation","level":3,"score":0.4595332443714142},{"id":"https://openalex.org/C145097563","wikidata":"https://www.wikidata.org/wiki/Q1148747","display_name":"Payment","level":2,"score":0.4270072281360626},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.41785943508148193},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.4122348129749298},{"id":"https://openalex.org/C113616995","wikidata":"https://www.wikidata.org/wiki/Q13378080","display_name":"Nurse education","level":2,"score":0.39849215745925903},{"id":"https://openalex.org/C2984889486","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing care","level":2,"score":0.3910929560661316},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3821234405040741},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.32846590876579285},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.25408709049224854},{"id":"https://openalex.org/C105913360","wikidata":"https://www.wikidata.org/wiki/Q7243152","display_name":"Primary nursing","level":3,"score":0.23638314008712769},{"id":"https://openalex.org/C136764020","wikidata":"https://www.wikidata.org/wiki/Q466","display_name":"World Wide Web","level":1,"score":0.07907459139823914},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C199360897","wikidata":"https://www.wikidata.org/wiki/Q9143","display_name":"Programming language","level":1,"score":0.0},{"id":"https://openalex.org/C198783460","wikidata":"https://www.wikidata.org/wiki/Q629173","display_name":"Management system","level":2,"score":0.0},{"id":"https://openalex.org/C111472728","wikidata":"https://www.wikidata.org/wiki/Q9471","display_name":"Epistemology","level":1,"score":0.0},{"id":"https://openalex.org/C187736073","wikidata":"https://www.wikidata.org/wiki/Q2920921","display_name":"Management","level":1,"score":0.0},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004282","descriptor_name":"Documentation","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D004511","descriptor_name":"Education, Nursing, Graduate","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004511","descriptor_name":"Education, Nursing, Graduate","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004511","descriptor_name":"Education, Nursing, Graduate","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007858","descriptor_name":"Learning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007858","descriptor_name":"Learning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007858","descriptor_name":"Learning","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013334","descriptor_name":"Students","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013334","descriptor_name":"Students","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013334","descriptor_name":"Students","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013338","descriptor_name":"Students, Nursing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013338","descriptor_name":"Students, Nursing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D013338","descriptor_name":"Students, Nursing","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.3233/shti190298","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti190298","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:31437999","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31437999","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":null}],"best_oa_location":{"id":"doi:10.3233/shti190298","is_oa":true,"landing_page_url":"https://doi.org/10.3233/shti190298","pdf_url":null,"source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W1564344703","https://openalex.org/W2990687764","https://openalex.org/W161210677","https://openalex.org/W2411648914","https://openalex.org/W2561750916","https://openalex.org/W4244796922","https://openalex.org/W1257384054","https://openalex.org/W2156655522","https://openalex.org/W47841482","https://openalex.org/W2467778515"],"abstract_inverted_index":{"Graduate":[0],"nursing":[1,7,15,31],"education":[2],"is":[3,33,131],"positioned":[4],"to":[5,21,27,89,107],"transform":[6],"documentation":[8,140],"so":[9],"that":[10,105],"it":[11],"more":[12],"fully":[13],"describes":[14],"assessments,":[16],"diagnoses,":[17],"interventions,":[18],"and":[19,62,101,141,144],"outcomes":[20],"measure":[22],"improvements":[23],"in":[24,51,123,139],"care.":[25],"Learning":[26],"document":[28],"with":[29,60],"structured":[30],"terminology":[32,63],"an":[34],"integral":[35],"part":[36],"of":[37,55,74],"\"Information":[38],"Technology":[39],"for":[40,65],"Evidence-Based":[41],"Practice\",":[42],"a":[43,69,91,102],"required":[44,64],"online":[45],"course":[46,130],"taken":[47],"by":[48],"all":[49],"students":[50,67,86,135],"the":[52,75,124],"Rutgers":[53],"Doctor":[54],"Nursing":[56,76],"Practice":[57],"program.":[58],"Beginning":[59],"SOAP":[61],"billing,":[66],"create":[68],"clinical":[70,93,97],"note":[71],"adding":[72],"elements":[73],"Minimum":[77],"Data":[78],"Set,":[79],"using":[80],"Clinical":[81],"Care":[82],"Classification":[83],"terms.":[84],"Next,":[85],"are":[87],"asked":[88],"select":[90],"nursing-related":[92],"practice":[94],"guideline,":[95],"electronic":[96,142],"quality":[98],"improvement":[99,121],"measure,":[100],"screening":[103],"tool":[104],"applies":[106],"their":[108],"encounter":[109],"note.":[110],"Then,":[111],"they":[112],"identify":[113],"Patient":[114],"Reported":[115],"Outcome":[116],"Measures":[117],"as":[118,120],"well":[119],"activities":[122],"CMS":[125],"Quality":[126],"Payment":[127],"Program.":[128],"The":[129],"well-received;":[132],"many":[133],"graduate":[134],"now":[136],"face":[137],"changes":[138],"tools":[143],"can":[145],"predict":[146],"future":[147],"evolution.":[148]},"counts_by_year":[],"updated_date":"2026-02-25T21:11:00.739837","created_date":"2025-10-10T00:00:00"}
