Use of clinical care classification terminology in the nursing field: A scoping review

Abstract

Background: Clinical Care Classification terminology, a category of standardized nursing terminologies, has a clear hierarchical structure, well-defined processes, and a scientifically grounded coding system. In the era of information technology, reviewing the progress of Clinical Care Classification terminology in the field of nursing is crucial for the future selection and standardization of nursing terminology.

Objective: This review aims to examine the application and impact of Clinical Care Classification terminology in the nursing field.

Methods: This study was reported by the preferred reporting items for systematic reviews and meta-analyses extension for scoping reviews checklist.

Results: We searched six databases and ultimately included 60 studies in our review. We assessed the use of Clinical Care Classification terminology across eight aspects: nursing practice, nursing management, nursing education, nursing research, electronic health records documentation, terminology mapping, cross-cultural translation, and systematic integration.

Conclusions: The value of Clinical Care Classification terminology in the nursing field has been demonstrated. However, due to the specialties of different departments, timely updates and additions to the coding are necessary. Meanwhile, it is important to emphasize the significance of nursing students and nurses learning the theory of terminology and its coding. The cross-cultural translation of Clinical Care Classification terminology and its mapping to other terminologies also play a crucial role in the continuity and comparability of nursing care.

Registration: https://doi.org/10.17605/OSF.IO/637SW.

Keywords: Clinical care classification; Nursing care; Nursing terminology; Scoping review; Standardized nursing terminology.

Fig. 1

Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) flowchart of literature search and selection.