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Practice applications of research. Refining clinical terminology for expert system development: an application in the neonatal intensive care unit.

PURPOSE: To clarify terms surrounding the clinical problem of initiating oral feeding in premature infants cared for in the neonatal intensive care unit (NICU). Understanding terminology at the outset of expert system (ES) development forms the crucial foundation needed to build a system that is acc...

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Published in:Pediatric Nursing Vol. 28; no. 5; pp. 519 - 525
Main Author: Panniers TL
Format: glossary research tables/charts Journal Article
Published: Jannetti Publications, Inc. Sep/Oct2002
Online Access:View this record in EBSCOhost
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      dt: Sep/Oct2002
      vid: 28
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      pub: Jannetti Publications, Inc.
      place: Pitman, New Jersey
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        atl: Practice applications of research. Refining clinical terminology for expert system development: an application in the neonatal intensive care unit.
      aug:
        au: Panniers TL
        affil: Associate Professor, Division of Nursing, Steinhardt School of Education, New York University, New York, NY
      sug:
        subj:
          Expert Systems
          Infant Feeding
          Intensive Care Units, Neonatal
          Neonatal Nurse Practitioners
          Nomenclature
          Audiorecording
          Decision Making, Clinical
          Ethnographic Research
          Infant, Newborn
          Infant, Premature
          Interviews
          Mid Atlantic Region
          Multidisciplinary Care Team
          Neonatology
          Participant Observation
          Funding Source
          Human
          Infant, Newborn: birth-1 month
      ab: PURPOSE: To clarify terms surrounding the clinical problem of initiating oral feeding in premature infants cared for in the neonatal intensive care unit (NICU). Understanding terminology at the outset of expert system (ES) development forms the crucial foundation needed to build a system that is accurate, relevant, and useful for assisting clinicians. METHOD: Ethnographic methods were used. In phase 1 participant observation with an interdisciplinary neonatology team was used to study oral feeding for premature infants. In phase 2 in-depth interviews were conducted with a neonatal nurse practitioner (NNP) to explore feeding terms and the description and understanding of these terms. FINDINGS: Results showed that oral feeding was a complex term that encompassed several feeding options; specifically nipple, breast, gavage, and transpyloric feeding. CONCLUSIONS: Each of the terms had a specific meaning within the context of the NICU.
      pubtype: Academic Journal
      doctype:
        glossary
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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