Description of COVID-19 patients and mapping nursing data to ICNP 2021 reference set in SNOMED CT.
Asta Thoroddsen, Elva Rún Rúnarsdóttir, Brynja Örlygsdóttir
PMID 36580398WHAT IT FOUND
Nurses documented 62 problems and 79 interventions for 91 hospitalized COVID-19 patients, including breathing, infection, family and self-care needs; mapping to standard nursing language showed gaps, especially intensive-care terms.
Key findings
01Nurses used 62 nursing diagnoses and 79 interventions to document care for 91 adult patients admitted during the first wave.
02The ICNP 2021 reference set in SNOMED CT matched fewer nursing terms than SNOMED CT alone, and ten nursing diagnoses had no ICNP 2021 match.
03Complex intensive-care concepts, including ineffective perfusion to the heart and lungs and invasive hemodynamic monitoring, had no match in either ICNP version.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The sample was small: 91 adult patients from one hospital, and nine patients at the rural hospital were not included. The study described coded records and terminology mapping. It did not compare treatments or measure patient outcomes, so it cannot show which nursing care helped. Data came from electronic health records and a data warehouse. Nursing interventions were recorded for 83.5% of patients, ICU used a different system, and a data-transfer error made infection and sepsis appear as synonyms. Mapping was one-way and relied on translation from Icelandic. Agreement between raters was 69% to 88% for one stage or less, and some concepts were rated differently. The ICNP 2021 reference set in SNOMED CT did not match all nursing concepts, especially complex intensive-care terms.
Declared interests
The authors declared no conflicts of interest.
The easy way to misread this
Do not read the list of nursing diagnoses and interventions as proof that these treatments helped COVID-19 patients. The study describes what nurses coded and how terms mapped to ICNP and SNOMED CT. It did not compare patients or measure outcomes.