Development of a Provisional Domain Model, Article Review Example

Development of a Provisional Domain Model for the Nursing Process for Use within the Health Level 7 Reference Information Model

The proper representation of nursing within clinical records has a considerable effect on patient outcomes that stems from the practices within the nursing profession. The article highlights this by the development of a model that ensures patient outcomes can be measured and effectively mapped from a particular domain to the Health Level 7 Reference Information Model.

I believe that the model created, though generic and in need of further development and expansion, is essential in the identification of different skill levels and assists with the effective use and re-use of nursing data to facilitate improvement in nursing knowledge. Standardization of nursing terminology is a nursing issue as opposed to a technical issue. Structured information, embodied in the model, is essential in the development of efficacy within electronic patient records.

The authors have effectively managed to highlight the need for standardized terminology and structured information, specifically delving into the potential underlying issues relating to both. Through the application of the provisional domain model within the Health 7 Reference Information Model, the authors have described the underlying value in capturing nursing concepts within electronic models. This considerably enhances the visibility and valuation of the nursing profession in a holistic manner.

The model is particularly important at a time when health care is a multi-disciplinary profession, supported by inter-agency relations. The complex system that is created from this situation is highlighted in the unsolved issue of the kind of domain materials that should be included in the terminology as well as within the information model.

The authors have also highlighted the limitations associated with the model developed. The development of focus on the nursing process (goals, intervention and outcomes) requires further research, particularly relating to its integration within the model.