School nurses manage an immense amount of student health information, making electronic documentation systems essential to provide effective care for students. This article describes the elements of and rationale for using an electronic documentation system, the use of standardized nursing languages, and strategies for successfully implementing an electronic documentation system.
AmatayakulM. K. (2009). Electronic healthcare records: A practical guide for professionals and organizations (4th ed.). Chicago: American Health Information Management Association.
2.
American Nurses Association & National Association of School Nurses. (2011). School nursing: Scope and standards of practice (2nd ed.). Silver Spring, MD: American Nurses Association.
3.
American School Health Association—National Task Force on Confidential Student Health Information. (2000). Guidelines for protecting confidential student health information. Kent, OH: American School Health Association.
4.
AustinG.KlaskoS.LeaverW. (2009). The art of IT transformation. Modern Healthcare, pp. 5-16.
5.
BergrenM. D. (2005). Electronic records and technology. In SchwabN. C.GelfmanM. C. (Eds.), Legal issues in school health services (pp. 317-334). New York, NY: Authors Choice Press.
6.
ChouD.SenguptaS. (2008). Infrastructure and security. In PayneT. H. (Ed.), Practical guide to clinical computing systems (pp. 37-78). Boston, MA: Academic Press.
7.
DouglasM. (2002). Strategic and tactical planning for health care information systems. In EnglebardtS. P.NelsonR. (Eds.), Health care informatics: An interdisciplinary approach (pp. 161-179). St. Louis, MO: Mosby.
8.
FowlerM. D. (Ed.). (2008). Guide to the code of ethics for nurses. Silver Spring, MD: American Nurses Association.
9.
GelfmanM. H.SchwabN. C. (2005). School health records and documentation. In SchwabN. C.GelfmanM. H. (Eds.), Legal issues in school health services (pp. 297-316). New York, NY: Authors Choice Press.
10.
HunterK. M. (2002). Electronic health records. In EnglebardtS. P.NelsonR. (Eds.), Health care informatics: An interdisciplinary approach (pp. 209-230). St. Louis, MO: Mosby.
11.
JohnsonK. H.BergrenM. D. (2010, December3). Meaningful use of school health records. Journal of School Nursing. doi:10.1177/105984051039126710.1177/1059840510391267
12.
MaughanE. (2009). Part 1—Factors associated with school nurse ratios: An analysis of state data. The Journal of School Nursing, 25(3), 214-221.
RogersE. M. (2003). Diffusion of innovation (5th ed.). New York, NY: Free Press.
16.
SchwabN. C.GelfmanM. H. (2005). Confidentiality: Principles and practice issues. In SchwabN. C.GelfmanM. H. (Eds.), Legal issues in school health services (pp. 261-295). New York, NY: Authors Choice Press.
17.
SchwabN. C.GelfmanM. H.CohnS. D. (2005). Fundamentals of U.S. law. In SchwabN. C.GelfmanM. H.CohnS. D. (Eds.), Legal issues in school health services (pp. 55-79). New York, NY: Authors Choice Press.
18.
SchwabN. C.RubinM.MaireJ. A.GelfmanM. H.BergrenM. D.MazyckD.HineB. (2005). Protecting and disclosing student health information: How to develop school district policies and procedures. Kent, OH: American School Health Association.
Shaw-KokotJ. R.McGrawK. A.MooreM. E. (2002). Computer, information, and health care informatics literacy. In EnglebardtS. P.NelsonR. (Eds.), Health care informatics: An interdisciplinary approach (pp. 29-53). St. Louis, MO: Mosby.
21.
StaggersN. (2002). Human-computer interaction in health care organizations. In EnglebardtS. P.NelsonR. (Eds.), Health care informatics: An interdisciplinary approach (pp. 321-345). St. Louis, MO: Mosby.
Von KroughB.DaleC.NadenD. (2005). A framework for integrating NANDA, NIC and NOC terminology in electronic patient records. Journal of Nursing Scholarship, 37(3), 275-281.