Applying artificial intelligence technology to support decision-making in nursing: A case study in Taiwan

This study applied artificial intelligence to help nurses address problems and receive instructions through information technology. Nurses make diagnoses according to professional knowledge, clinical experience, and even instinct. Without comprehensive knowledge and thinking, diagnostic accuracy can be compromised and decisions may be delayed. We used a back-propagation neural network and other tools for data mining and statistical analysis. We further compared the prediction accuracy of the previous methods with an adaptive-network-based fuzzy inference system and the back-propagation neural network, identifying differences in the questions and in nurse satisfaction levels before and after using the nursing information system. This study investigated the use of artificial intelligence to generate nursing diagnoses. The percentage of agreement between diagnoses suggested by the information system and those made by nurses was as much as 87 percent. When patients are hospitalized, we can calculate the probability of various nursing diagnoses based on certain characteristics.

[1]  Jyh-Shing Roger Jang,et al.  ANFIS: adaptive-network-based fuzzy inference system , 1993, IEEE Trans. Syst. Man Cybern..

[2]  InSook Cho,et al.  Nurses' Responses to Differing Amounts and Information Content in a Diagnostic Computer-Based Decision Support Application , 2010, Computers, informatics, nursing : CIN.

[3]  Giulio Iannello,et al.  A decision support system for Crithidia Luciliae image classification , 2011, Artif. Intell. Medicine.

[4]  Ying-Jui Chang,et al.  Assessing the Impact of User Interfaces to the Usability of a Clinical Decision Support System , 2003, AMIA.

[5]  B-M Gunnarsson,et al.  Factors influencing decision making among ambulance nurses in emergency care situations. , 2009, International emergency nursing.

[6]  M. MacPhee,et al.  Nurse staffing and patient safety. , 2006, The Canadian nurse.

[7]  張媚,et al.  台灣護理人力規劃研究 A STUDY OF NURSING MANPOWER PLANNING IN TAIWAN , 2005 .

[8]  J. Youngblut,et al.  Quality and the nursing workforce: APNs, patient outcomes and health care costs. , 2004, Nursing outlook.

[9]  Linda Phelps Dnp Rn Sparks and Taylor's Nursing Diagnosis Reference Manual , 2010 .

[10]  Gail E. Armstrong,et al.  Patient and Staff Safety: Voluntary Reporting , 2004, American journal of medical quality : the official journal of the American College of Medical Quality.

[11]  Albert Gatt,et al.  Automatic generation of natural language nursing shift summaries in neonatal intensive care: BT-Nurse , 2012, Artif. Intell. Medicine.

[12]  Ann Lyons,et al.  Clinical decision support in critical care nursing. , 2003, AACN clinical issues.

[13]  Yves A. Lussier,et al.  Partitioning knowledge bases between advanced notification and clinical decision support systems , 2007, Decis. Support Syst..

[14]  D. Poole The nursing process. , 1981, NATNews.

[15]  Vimla L. Patel,et al.  Assessing performance of an Electronic Health Record (EHR) using Cognitive Task Analysis , 2010, Int. J. Medical Informatics.

[16]  S. Kaur,et al.  Exploratory study on Nursing Manpower required for caring critically ill patients in Intensive Care Unit , 2010 .

[17]  Vipul Kashyap,et al.  Creating and sharing clinical decision support content with Web 2.0: Issues and examples , 2009, J. Biomed. Informatics.

[18]  J. Sandars,et al.  Knowledge transfer for the management of dementia: a cluster-randomised trial of blended learning in general practice , 2010, Implementation science : IS.

[19]  M. Blegen,et al.  Medication-Related Errors: A Literature Review of Incidence and Antecedents , 2006, Annual Review of Nursing Research.

[20]  R. Haynes,et al.  Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: Methods of a decision-maker-researcher partnership systematic review , 2010, Implementation science : IS.

[21]  Rebecca Randell,et al.  Nurses' use of computerised clinical decision support systems: a case site analysis. , 2009, Journal of clinical nursing.