Appl Clin Inform 2014; 05(02): 538-547
DOI: 10.4338/ACI-2014-04-RA-0027
Research Article – ehealth2014 special topic
Schattauer GmbH

A Proposal for an Austrian Nursing Minimum Data Set (NMDS)

A Delphi Study
R. Ranegger
1   Steiermärkische Krankenanstaltengesellschaft m.b.H., Management / Pflege, Austria
,
W.O. Hackl
2   Institute of Health Informatics, UMIT – University for Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria
,
E. Ammenwerth
2   Institute of Health Informatics, UMIT – University for Health Sciences, Medical Informatics and Technology, Hall in Tirol, Austria
› Author Affiliations
Further Information

Correspondence to:

Renate Ranegger
Steiermärkische Krankenanstaltenges.m.b.H.
Management / Pflege
Stiftingtalstraße 4–6
8010 Graz, Austria
Austria

Publication History

Received: 04 April 2014

Accepted: 30 April 2014

Publication Date:
21 December 2017 (online)

 

Summary

Objective: Nursing Minimum Data Sets can be used to compare nursing care across clinical populations, settings, geographical areas, and time. NMDS can support nursing research, nursing management, and nursing politics. However, in contrast to other countries, Austria does not have a unified NMDS. The objective of this study is to identify possible data elements for an Austrian NMDS.

Methods: A two-round Delphi survey was conducted, based on a review of available NMDS, 22 expert interviews, and a focus group discussion.

Results: After reaching consensus, the experts proposed the following 56 data elements for an NMDS: six data elements concerning patient demographics, four data elements concerning data of the healthcare institution, four data elements concerning patient’s medical condition, 20 data elements concerning patient problems (nursing assessment, nursing diagnoses, risk assessment), eight data elements concerning nursing outcomes, 14 data elements concerning nursing interventions, and no additional data elements concerning nursing intensity.

Conclusion: The proposed NMDS focuses on the long-term and acute care setting. It must now be implemented and tested in the nursing practice.

Citation: Ranegger R, Hackl WO, Ammenwerth E. A proposal for an austrian nursing minimum data set (NMDS): A Delphi study. Appl Clin Inf 2014; 5: 538–547 http://dx.doi.org/10.4338/ACI-2014-04-RA-0027


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Conflict of interest

The authors declare that they have no conflicts of interest in the research.

  • References

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  • 2 Sermeus W, van den Heede K, Michiels D, Delesie L, Thonon O, Van Boven C, Codognotto J, Gillet P. Revising the Belgian Nursing Minimum Dataset: from concept to implementation. Int J of Med Inform 2005; 74 11–12 946-951. PubMed PMID: 16153887.
  • 3 Werley HH, Devine EC, Zorn CR, Ryan P, Westra BL. The Nursing Minimum Data Set: abstraction tool for standardized, comparable, essential data. Am J Public Health 1991; 81 (Suppl. 04) 421-426. PubMed PMID: 2003618.
  • 4 Sermeus W, Goossen WT. A nursing minimum data sets. In: Mantas J, Hasman A. editors. Textbook in health informatics. Amsterdam: IOS Press; 2002. p. 98-109
  • 5 Goossen WT, Epping PJ, Feuth T, Dassen TW, Hasman A, van den Heuvel WJ. A comparison of nursing minimal data sets. J Am Med Inform Assoc 1998; 5 (Suppl. 02) 152-163. PubMed PMID: 9524348.
  • 6 Goossen WT, Epping PJ, Van den Heuvel WJ, Feuth T, Frederiks CM, Hasman A. Development of the Nursing Minimum Data Set for the Netherlands (NMDSN): identification of categories and items. J Adv Nurs 2000; 31 (Suppl. 03) 536-547. PubMed PMID: 10718872.
  • 7 Ranegger R, Ammenwerth E. Nursing Minimum Data Sets (NMDS) –eine Literaturübersicht bezüglich Zielsetzungen und Datenelemente. Pflege. In press 2014. German.
  • 8 University of Minnesota [Internet].. Minneapolis: i-NMDS (International Nursing Minimum Data Set) [updated 2013 Aug 12; cited 2014 Mar 13]. Regents of the University of Minnesota. Available from: http://www.nursing.umn.edu/icnp/i-nmds
  • 9 Mac Neela P, Scott PA, Treacy MP, Hyde A. Nursing minimum data sets: a conceptual analysis and review. Nurs Inq 2006; 13 (Suppl. 01) 44-51 PubMed PMID: 16494666.
  • 10 Kleib M, Sales A, Doran D, Mallette C, White D. Nursing Minimum Data Sets. In: Doran DM, editors. Nursing outcomes: The state of the science. 2ned ed. Sudbury: Jones & Bartlett; 2011. p. 487-511
  • 11 Häder M. Delphi-Befragungen. Ein Arbeitsbuch. 2nd ed. Wiesbaden: Verlag für Sozialwissenschaften; 2009
  • 12 Mayer HO. Interview und schriftliche Befragung. Grundlagen und Methode empirischer Sozialforschung. 6th ed. München: Oldenbourg Verlag; 2012
  • 13 Meuser M, Nagel U. ExpertInneninterviews –vielfach erprobt, wenig bedacht: ein Beitrag zur qualitativen Methodendiskussion. In: Garz D, Kraimer K, editors. Qualitativ-empirische Sozialforschung: Konzepte, Methoden, Analysen. Opladen: Westdeutscher Verlag; 1991. p. 441-471
  • 14 Meuser M, Nagel U. Das Experteninterview –konzeptionelle Grundlagen und methodische Anlage. In: Pickel S, Pickel G, Lauth HJ, Jahn D, editiors. Methoden der vergleichenden Politik- und Sozialwissenschaft. Wiesbaden: Verlag für Sozialwissenschaften; 2009. p. 465-479
  • 15 Kuckartz U, Dresing T, Rädiker S, Stefer C. Qualitative Evaluation –Der Einstieg in die Praxis. 2nd ed. Wiesbaden: Verlag für Sozialwissenschaften; 2008
  • 16 Mayring P. Qualitative Inhaltsanalyse. Grundlagen und Techniken, 11st ed. Weinheim/Basel: Beltz Verlag; 2010
  • 17 maxqda.de [Internet]. Berlin: MAXQDA –The Art of Data Analysis; c1995–2014 [cited 2013 Nov 26]. Available from: http://www.maxqda.de
  • 18 Buber R, Holzmüller HH. Qualitative Marktforschung. Konzepte –Methoden –Analysen. 2nd ed. Wies-baden: Gabler Verlag; 2009
  • 19 Mayring P. Kombination und Integration qualitativer und quantitativer Analyse. Qualitative Social Research. 2001 [cited 2013 Nov 26];2(1):[about 1 p.]. Available from: http://www.qualitative-research.net index.php/fqs/article/download/967/2111
  • 20 Mayring P. Qualitative Inhaltsanalyse. Qualitative Social Research. 2000 [cited 2013 Nov 30];1(2):[about 1 p.]. Available from: http://www.qualitative-research.net/index.php/fqs/article/view/1089/2383
  • 21 Krueger R, Casey M. Focus Groups. A Practical Guide for Applied Research. 4th ed. Thousand Oaks: SAGE Publication; 2009
  • 22 Lamnek S. Qualitative Sozialforschung. 4th ed. Weinheim/Basel: Beltz Verlag; 2005
  • 23 Kitzinger J. Qualitative Research: Introducing focus groups. BMJ 1995; 311 7000 299-302. PubMed PMID: 7633241; PubMed Central PMCID: PMC2550365.
  • 24 American Nurses Association [Internet].. ANA Indicator History [cited 2013 Dec 30]. Available from: http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/PatientSafetyQuality/Research-Measurement/The-National-Database/Nursing-Sensitive-Indicators_1/ANA-Indicator-History
  • 25 Maeder C, Bamert U, Baumberger D, Dubach A, Kühne G. editors. Kurzbeschreibung der Methode LEP®. St. Gallen: LEP; 2006 [cited 2013 Dec 30]. Available from: http://www.lep.ch/de/produkte.html
  • 26 Mac Neela P, Scott PA, Treacy MP, Hyde A. Nursing minimum data sets: a conceptual analysis and review. Nurs Inq 2006; 13 (Suppl. 01) 44-51. PubMed PMID: 16494666.
  • 27 Eberl I, Bartholomeyczik S. Die Übertragung des Belgischen Nursing Minimum Data Set II (B-NMDS II) auf bundesdeutsche Krankenhäuser. Ergebnisse der ersten Untersuchungsphase zum Übersetzungs- und Adaptionsprozess des Instruments, Pflege 2010; 23 (Suppl. 05) 309-319.
  • 28 Butler M, Treacy M, Scott A, Hyde A, Mac Neela P, Irving K, Byrne A, Drennan J. Towards a nursing minimum data set for Ireland: making Irish nursing visible. J Adv Nurs 2006; 55 (Suppl. 03) 364-75. PubMed PMID: 16866831.
  • 29 University of Minnesota.. Minneapolis: USA NMDS (USA Nursing Minimum Data Set) [updated 2013 Aug 13; cited 2014 Jan 4]. Regents of the University of Minnesota. Available from: http://www.nursing. umn.edu/icnp/usa-nmds
  • 30 Van Boven C, Thonon O, Codognotto J, Gillet P, Sermeus W, Van den Heede K, Michels D, Delesie L. Criterion-related validity of the revised Belgian Minimum Dataset (B-NMDS) through the actual B-NMDS. In: Oud N, Sermeus W, Ehnfors M, editors. ACENDIO 2005: Proceedings of the fifth biennial European Conference of the Association for Common European Nursing Diagnoses, Interventions and Outcomes 2005. Apr 7–9 Bled, Slovenia. Bern: Hans Huber Verlag; 2005. p. 217-228
  • 31 Kim TY, Coenen A, Hardiker N. Semantic mappings and locality of nursing diagnostic concepts in UMLS. J Biomed Inform 2012; 45 (Suppl. 01) 93-100. PubMed PMID: 21951759; PubMed Central PMCID: PMC 3272126.
  • 32 Hyun S, Park HA. Cross-Mapping the ICNP with NANDA, HHCC, Omaha System and NIC for unified nursing language system development. Int Nurs Rev 2002; 49 (Suppl. 02) 99-110 PubMed PMID: 12094837.
  • 33 Sermeus W, Van den Heede K, Michiels D, Delesie L, Thonon O, Van Boven C, Codognotto J, Gillet P. A nation-wide project for the revision of the Belgian nursing minimum dataset: from concept to implementation. Stud Health Technol Inform 2004; 110: 21-26. PubMed PMID: 15853247.

Correspondence to:

Renate Ranegger
Steiermärkische Krankenanstaltenges.m.b.H.
Management / Pflege
Stiftingtalstraße 4–6
8010 Graz, Austria
Austria

  • References

  • 1 Leiner F, Gaus W, Haux R, Knaup-Gregori P, Pfeiffer KP, Wagner J. Medizinische Dokumentation, Grundlagen einer qualitätsgesicherten integrierten Krankenversorgung. 6th ed. Kempten/Allgäu: Schattauer; 2011
  • 2 Sermeus W, van den Heede K, Michiels D, Delesie L, Thonon O, Van Boven C, Codognotto J, Gillet P. Revising the Belgian Nursing Minimum Dataset: from concept to implementation. Int J of Med Inform 2005; 74 11–12 946-951. PubMed PMID: 16153887.
  • 3 Werley HH, Devine EC, Zorn CR, Ryan P, Westra BL. The Nursing Minimum Data Set: abstraction tool for standardized, comparable, essential data. Am J Public Health 1991; 81 (Suppl. 04) 421-426. PubMed PMID: 2003618.
  • 4 Sermeus W, Goossen WT. A nursing minimum data sets. In: Mantas J, Hasman A. editors. Textbook in health informatics. Amsterdam: IOS Press; 2002. p. 98-109
  • 5 Goossen WT, Epping PJ, Feuth T, Dassen TW, Hasman A, van den Heuvel WJ. A comparison of nursing minimal data sets. J Am Med Inform Assoc 1998; 5 (Suppl. 02) 152-163. PubMed PMID: 9524348.
  • 6 Goossen WT, Epping PJ, Van den Heuvel WJ, Feuth T, Frederiks CM, Hasman A. Development of the Nursing Minimum Data Set for the Netherlands (NMDSN): identification of categories and items. J Adv Nurs 2000; 31 (Suppl. 03) 536-547. PubMed PMID: 10718872.
  • 7 Ranegger R, Ammenwerth E. Nursing Minimum Data Sets (NMDS) –eine Literaturübersicht bezüglich Zielsetzungen und Datenelemente. Pflege. In press 2014. German.
  • 8 University of Minnesota [Internet].. Minneapolis: i-NMDS (International Nursing Minimum Data Set) [updated 2013 Aug 12; cited 2014 Mar 13]. Regents of the University of Minnesota. Available from: http://www.nursing.umn.edu/icnp/i-nmds
  • 9 Mac Neela P, Scott PA, Treacy MP, Hyde A. Nursing minimum data sets: a conceptual analysis and review. Nurs Inq 2006; 13 (Suppl. 01) 44-51 PubMed PMID: 16494666.
  • 10 Kleib M, Sales A, Doran D, Mallette C, White D. Nursing Minimum Data Sets. In: Doran DM, editors. Nursing outcomes: The state of the science. 2ned ed. Sudbury: Jones & Bartlett; 2011. p. 487-511
  • 11 Häder M. Delphi-Befragungen. Ein Arbeitsbuch. 2nd ed. Wiesbaden: Verlag für Sozialwissenschaften; 2009
  • 12 Mayer HO. Interview und schriftliche Befragung. Grundlagen und Methode empirischer Sozialforschung. 6th ed. München: Oldenbourg Verlag; 2012
  • 13 Meuser M, Nagel U. ExpertInneninterviews –vielfach erprobt, wenig bedacht: ein Beitrag zur qualitativen Methodendiskussion. In: Garz D, Kraimer K, editors. Qualitativ-empirische Sozialforschung: Konzepte, Methoden, Analysen. Opladen: Westdeutscher Verlag; 1991. p. 441-471
  • 14 Meuser M, Nagel U. Das Experteninterview –konzeptionelle Grundlagen und methodische Anlage. In: Pickel S, Pickel G, Lauth HJ, Jahn D, editiors. Methoden der vergleichenden Politik- und Sozialwissenschaft. Wiesbaden: Verlag für Sozialwissenschaften; 2009. p. 465-479
  • 15 Kuckartz U, Dresing T, Rädiker S, Stefer C. Qualitative Evaluation –Der Einstieg in die Praxis. 2nd ed. Wiesbaden: Verlag für Sozialwissenschaften; 2008
  • 16 Mayring P. Qualitative Inhaltsanalyse. Grundlagen und Techniken, 11st ed. Weinheim/Basel: Beltz Verlag; 2010
  • 17 maxqda.de [Internet]. Berlin: MAXQDA –The Art of Data Analysis; c1995–2014 [cited 2013 Nov 26]. Available from: http://www.maxqda.de
  • 18 Buber R, Holzmüller HH. Qualitative Marktforschung. Konzepte –Methoden –Analysen. 2nd ed. Wies-baden: Gabler Verlag; 2009
  • 19 Mayring P. Kombination und Integration qualitativer und quantitativer Analyse. Qualitative Social Research. 2001 [cited 2013 Nov 26];2(1):[about 1 p.]. Available from: http://www.qualitative-research.net index.php/fqs/article/download/967/2111
  • 20 Mayring P. Qualitative Inhaltsanalyse. Qualitative Social Research. 2000 [cited 2013 Nov 30];1(2):[about 1 p.]. Available from: http://www.qualitative-research.net/index.php/fqs/article/view/1089/2383
  • 21 Krueger R, Casey M. Focus Groups. A Practical Guide for Applied Research. 4th ed. Thousand Oaks: SAGE Publication; 2009
  • 22 Lamnek S. Qualitative Sozialforschung. 4th ed. Weinheim/Basel: Beltz Verlag; 2005
  • 23 Kitzinger J. Qualitative Research: Introducing focus groups. BMJ 1995; 311 7000 299-302. PubMed PMID: 7633241; PubMed Central PMCID: PMC2550365.
  • 24 American Nurses Association [Internet].. ANA Indicator History [cited 2013 Dec 30]. Available from: http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/PatientSafetyQuality/Research-Measurement/The-National-Database/Nursing-Sensitive-Indicators_1/ANA-Indicator-History
  • 25 Maeder C, Bamert U, Baumberger D, Dubach A, Kühne G. editors. Kurzbeschreibung der Methode LEP®. St. Gallen: LEP; 2006 [cited 2013 Dec 30]. Available from: http://www.lep.ch/de/produkte.html
  • 26 Mac Neela P, Scott PA, Treacy MP, Hyde A. Nursing minimum data sets: a conceptual analysis and review. Nurs Inq 2006; 13 (Suppl. 01) 44-51. PubMed PMID: 16494666.
  • 27 Eberl I, Bartholomeyczik S. Die Übertragung des Belgischen Nursing Minimum Data Set II (B-NMDS II) auf bundesdeutsche Krankenhäuser. Ergebnisse der ersten Untersuchungsphase zum Übersetzungs- und Adaptionsprozess des Instruments, Pflege 2010; 23 (Suppl. 05) 309-319.
  • 28 Butler M, Treacy M, Scott A, Hyde A, Mac Neela P, Irving K, Byrne A, Drennan J. Towards a nursing minimum data set for Ireland: making Irish nursing visible. J Adv Nurs 2006; 55 (Suppl. 03) 364-75. PubMed PMID: 16866831.
  • 29 University of Minnesota.. Minneapolis: USA NMDS (USA Nursing Minimum Data Set) [updated 2013 Aug 13; cited 2014 Jan 4]. Regents of the University of Minnesota. Available from: http://www.nursing. umn.edu/icnp/usa-nmds
  • 30 Van Boven C, Thonon O, Codognotto J, Gillet P, Sermeus W, Van den Heede K, Michels D, Delesie L. Criterion-related validity of the revised Belgian Minimum Dataset (B-NMDS) through the actual B-NMDS. In: Oud N, Sermeus W, Ehnfors M, editors. ACENDIO 2005: Proceedings of the fifth biennial European Conference of the Association for Common European Nursing Diagnoses, Interventions and Outcomes 2005. Apr 7–9 Bled, Slovenia. Bern: Hans Huber Verlag; 2005. p. 217-228
  • 31 Kim TY, Coenen A, Hardiker N. Semantic mappings and locality of nursing diagnostic concepts in UMLS. J Biomed Inform 2012; 45 (Suppl. 01) 93-100. PubMed PMID: 21951759; PubMed Central PMCID: PMC 3272126.
  • 32 Hyun S, Park HA. Cross-Mapping the ICNP with NANDA, HHCC, Omaha System and NIC for unified nursing language system development. Int Nurs Rev 2002; 49 (Suppl. 02) 99-110 PubMed PMID: 12094837.
  • 33 Sermeus W, Van den Heede K, Michiels D, Delesie L, Thonon O, Van Boven C, Codognotto J, Gillet P. A nation-wide project for the revision of the Belgian nursing minimum dataset: from concept to implementation. Stud Health Technol Inform 2004; 110: 21-26. PubMed PMID: 15853247.