Nursing classification and care planning

This chapter discusses how using an electronic health record can facilitate care planning. It shows that how using a personal health record can promote care coordination between nurses and service users. The chapter explains how to define interoperability and why this is important to health care providers and service users. It explores why standardized nursing terminologies are needed for interoperability of health data and information. The chapter provides examples of how to implement standardized terminology in a care plan. It explores the potential benefits that Information and communication technology (ICT) can bring to mental health nursing. ICT covers a broad range of communication devices such as computers and telephones and their supporting infrastructure such as software and networks. Health information systems, such as the electronic health record (EHR), are the norm in many health care settings, for use by health care professionals, service users and family members. Nurses can maximize the potential of the EHR to improve service user outcomes.