Standardization of care through nursing plans (with the classification system NIC and NANDA) is a materialization of these ambitions. The use of such plans is closely aligned with the health authorities’ ambition of quality assurance and cost control. Standardized care plans serve as a complex workflow system across departmental, institutional, and professional boundaries. Common nursing plans may ensure that information about chronic patients’ conditions may be easily shared between homecare services, nursing homes, and hospitals.
Dips ASA is on the threshold of redesigning its nursing module. The goal is to develop a completely new Dips nursing module based on a new architecture. The new module will serve as the stepping-stone for Dips ASA’s effort to internationalize its portfolio of clinical information systems. For Dips ASA it is therefore important to improve the understanding of which role these plans play in daily practice and how they can be integrated with other information sources.
As these plans are used for managing chronically illnesses, findings in this area will also contribute to TTL as the scope of these plans may be extended to people’s homes and home care services. Knowledge about how nursing plans may support old and chronic patients will also provide insight into how other TLL-generated technologies (such as medical sensors and decision support systems) should be implemented and exploited in a complex clinical practice.
As research questions, we ask how the new Dips nursing plan should be designed in order to:
• Improve workflow between the care staff (nurses, assistant nurses, etc)
• Improve workflow across professional boundaries (nurses, physicians, etc.)
• Improve workflow between different institutions?
• Improve predictability and standardized planning of care?
• Be a foundation for resource management and research?
• Improve the performance of nurses’ work?
• Incorporate information from external sources (such as sensor data and other systems)
The research method will be founded on an interpretive approach, basically including interviews and participant observation of the implementation and use of the Dips nursing plan. Three different psychiatric hospitals wards will serve as research cites: Åsgård hospital in Tromsø, one other Norwegian hospital and one hospital in United Kingdom. The candidates will be part of the Dips development team, thus enabling design guidelines to the system developers.
Gunnar Ellingsen, UiT
• PhD Torbjørg Meum (funded from UiT) – supervisor: Gunnar Ellingsen
• PhD Rune Pedersen (funded by Dips ASA) – supervisor: Gunnar Ellingsen
Gunnar Ellingsen, UiT
Signe Vikkelsø - Copenhagen Business School, Denmark
Jesper Simonsen - Roskilde University, Denmark
Brit Ross Winthereik – Technical University of Denmark
June 2007 – June 2011
As these plans are used for managing chronically illnesses, findings in this area will also contribute to TTL as the scope of these plans may be extended to people’s homes and home care services. Knowledge about how nursing plans may support old and chronic patients will also provide insight into how other TTL-generated technologies (such as medical sensors and decision support systems) should be implemented and exploited in a complex clinical practice.
The project will contribute to sustainability and scalability of nursing care plans.
e-mail: Gunnar Ellingsen, mobile phone: +47 911 65 215