Use of machine learning to transform complex standardized nursing care plan data into meaningful research variables: a palliative care exemplar.
The aim of this article was to describe a novel methodology for transforming complex nursing care plan data into meaningful variables to assess the impact of nursing care. We extracted standardized care plan data for older adults from the electronic health records of 4 hospitals. We created a pallia...
| Publicado en: | Journal of the American Medical Informatics Association Vol. 28; no. 12; pp. 2695 - 2702 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Dec2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=153871879&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 153871879 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10675027 FZ9 jtl: Journal of the American Medical Informatics Association issn: 10675027 maglogo: N pubinfo: dt: Dec2021 vid: 28 iid: 12 pid: 622 pub: Oxford University Press / USA artinfo: ui: 153871879 153871879 NLM34569603 153871879 10.1093/jamia/ocab205 NLM34569603 153871879 ppf: 2695 ppct: 7 formats: tig: atl: Use of machine learning to transform complex standardized nursing care plan data into meaningful research variables: a palliative care exemplar. aug: au: Macieira, Tamara G R Yao, Yingwei Keenan, Gail M affil: Department of Family, Community and Health Systems Science, College of Nursing, University of Florida , Gainesville, Florida, USA sug: subj: Palliative Care Machine Learning Nursing Care Plans Aged Patient Care Plans Algorithms Human Funding Source Aged: 65+ years ab: The aim of this article was to describe a novel methodology for transforming complex nursing care plan data into meaningful variables to assess the impact of nursing care. We extracted standardized care plan data for older adults from the electronic health records of 4 hospitals. We created a palliative care framework with 8 categories. A subset of the data was manually classified under the framework, which was then used to train random forest machine learning algorithms that performed automated classification. Two expert raters achieved a 78% agreement rate. Random forest classifiers trained using the expert consensus achieved accuracy (agreement with consensus) between 77% and 89%. The best classifier was utilized for the automated classification of the remaining data. Utilizing machine learning reduces the cost of transforming raw data into representative constructs that can be used in research and practice to understand the essence of nursing specialty care, such as palliative care. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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