Knowledge Discovery in Nursing Minimum Data Set Using Data Mining

  • Published : 2006.06.01

Abstract

Purpose. The purposes of this study were to apply data mining tool to nursing specific knowledge discovery process and to identify the utilization of data mining skill for clinical decision making. Methods. Data mining based on rough set model was conducted on a large clinical data set containing NMDS elements. Randomized 1000 patient data were selected from year 1998 database which had at least one of the five most frequently used nursing diagnoses. Patient characteristics and care service characteristics including nursing diagnoses, interventions and outcomes were analyzed to derive the meaningful decision rules. Results. Number of comorbidity, marital status, nursing diagnosis related to risk for infection and nursing intervention related to infection protection, and discharge status were the predictors that could determine the length of stay. Four variables (age, impaired skin integrity, pain, and discharge status) were identified as valuable predictors for nursing outcome, relived pain. Five variables (age, pain, potential for infection, marital status, and primary disease) were identified as important predictors for mortality. Conclusions. This study demonstrated the utilization of data mining method through a large data set with stan dardized language format to identify the contribution of nursing care to patient's health.

Keywords

References

  1. Alberts, M.J., Bertels, C., & Dawson, D.V. (1990). An analysis of time of presentation after stroke. JAMA, 263(1), 65-68 https://doi.org/10.1001/jama.263.1.65
  2. Barsan, W.G., Brott, T.G., Broderick, J.P., Haley, E.C. Jr, Levy, D.E., & Marler, J.R. (1994). Urgent therapy for acute stroke. Effects of a stroke trial on untreated patients. Stroke, 25(11), 2132-2137 https://doi.org/10.1161/01.STR.25.11.2132
  3. Bohannon, R.W., Silverman, I.E., & Ahlquist, M. (2003). Time to emergency department arrival and its determinants in patients with acute ischemic stroke. Conn Med, 67(3), 145-148
  4. Broadley, S.A., & Thompson, P.D. (2003). Time to hospital admission for acute stroke: an observational study. Med J Aust, 178(7), 329-331
  5. Byun, Y.S. (2000). Pathway of stroke patients seeking medical care. J Korean Fund Nurs, 7(2),149-163
  6. Chang, K.C., Tseng, M.C., & Tan, T.Y. (2004). Prehospital delay after acute stroke in Kaohsiung, Taiwan. Stroke, 35(3), 700-704 https://doi.org/10.1161/01.STR.0000117236.90827.17
  7. Cho, Y.J. (1996). Factors related to hospital arrival time of acute stroke patients who visited a university hospital in Seoul. Department of Medicine, Seoul National University Graduate School, Master's thesis
  8. Choi, S.M., Kim, Y.H., & Cho, E.S. (1991). Survey on rehabilitation status and need of out-patients with stroke in rural area. J Korean Acad Rehabil Med, 15(2), 67-73
  9. Derex, L., Adeleine, P., Nighoghossian, N., Honnorat, J., & Trouillas, P. (2002). Factors influencing early admission in a French stroke unit. Stroke, 33(1), 153-159 https://doi.org/10.1161/hs0102.100533
  10. Fieschi, C., Argentino, C., Lenzi, G.L., Fantozzi, L., Sacchetti, M.L., Pace, A., Rasura, M., Bastianello, S., Bozzao, L., & Zanette, E., et al. (1988). Therapeutic window for pharmacological treatment in acute focal cerebral ischemia. Ann NY Acad Sci, 522, 662-666 https://doi.org/10.1111/j.1749-6632.1988.tb33411.x
  11. Gladwin, C.H. (1989). Ethnographic decision tree modeling: qualitative research methods, series 19. Newbury Park, CA: Sage
  12. Goldstein, L.B., Edwards, M.G., & Wood, D.P. (2001). Delay between stroke onset and emergency department evaluation. Neuraepidemiology, 20(3), 196-200 https://doi.org/10.1159/000054787
  13. Harraf, F., Sharma, A.K, Brown, M.M., Lees, KR., Vass, R.I., & Kalra, L. (2002). A multicentre observational study of presentation and early assessment of acute stroke. BMJ, 325(7354), 17 https://doi.org/10.1136/bmj.325.7354.17
  14. Hickenbottom, S.L., & Barsan, W.G. (2000). Acute ischemic stroke therapy. Neural Clin, 18(2), 379-397 https://doi.org/10.1016/S0733-8619(05)70198-5
  15. Jung, K.Y. (1995). Variables associated with delayed hospital arrival of stroke patients living in Taejon and its suburban areas. Department of Medicine, Chungnam National University Graduate School, Master's thesis
  16. Kim, Y.H. (1989). Survey on status in patients with motor impairment and residents' attitude in rural community. Yonsei University Graduate School, Master's thesis
  17. Kimchi, J., Polivka, B., & Stevenson, J.S. (1991). Triangulation: operational definitions. Nurs Res, 40(6), 364-366
  18. Lacy, C.R., Suh, D.C., Bueno, M., & Kostis, J.B. (2001). Delay in presentation and evaluation for acute stroke: Stroke Time Registry for Outcomes Knowledge and Epidemiology (S.T.R.O.K.E.). Stroke, 32(1), 63-69 https://doi.org/10.1161/01.STR.32.1.63
  19. Morris, D.L., Rosamond, W., Madden, K, Schultz, C., & Hamilton, S. (2000). Prehospital and emergency department delays after acute stroke: the Genentech Stroke Presentation Survey. Stroke, 31(11), 2585-2590 https://doi.org/10.1161/01.STR.31.11.2585
  20. NINDS (1995). Tissue plasminogen activator for acute ischemic stroke. National Institute of Neurological Disorders and Stroke rt-PA Stroke Study Group. N Engl J Med, 333(24), 1581-1587 https://doi.org/10.1056/NEJM199512143332401
  21. National Statistical Office (2002). Annual report on the cause of death statistics: based on vital registration. Seoul: National Statistical Office
  22. Rosamond, W.D., Gorton, R.A., Hinn, A.R., Hohenhaus, S.M., & Morris, D.L. (1998). Rapid response to stroke symptoms: the Delay in Accessing Stroke Healthcare DASH) study. Acad Emerg Med, 5(1), 45-51 https://doi.org/10.1111/j.1553-2712.1998.tb02574.x
  23. Smith, M.A., Doliszny, K.M., Shahar, E., McGovern, P.G., Arnett, D.K., & Luepker, R.V. (1998). Delayed hospital arrival for acute stroke: the Minnesota Stroke Survey. Ann Intern Med, 129(3),190-196 https://doi.org/10.7326/0003-4819-129-3-199808010-00005
  24. Spradley, J.P. (1979). The ethnographic interview. Toronto: Holt, Rinehart and Winston
  25. Spradley, J.P. (1980). Participation observation. New York: Holt, Rinehart, and Winston
  26. Tan, T.Y., Chang, K.C., & Liou, C.W. (2002). Factors delaying hospital arrival after acute stroke in southern Taiwan. Chang Gung Med J , 25(7), 458-463
  27. Wang, S., Niu, S., Wang, Y., & Zhang, G. (2002). Evaluation of the factors leading to delay from stroke to arrival at hospital. Zhonghua Nei Ke Za Zhi, 41(11), 728-731
  28. Wester, P., Ra dberg, J., Lundgren, B., & Peltonen, M. (1999). Factors associated with delayed admission to hospital and inhospital delays in acute stroke and TIA: a prospective, multicenter study.Seek- Medical-Attention-in- Time Study Group. Stroke, 30(1), 40-48 https://doi.org/10.1161/01.STR.30.1.40
  29. Williams, L.S., Bruno, A., Rouch, D., & Marriott, D.J. (1997). Stroke patients'knowledge of stroke. Influence on time to presentation. Stroke, 28(5), 912-915 https://doi.org/10.1161/01.STR.28.5.912