The NNN Formalization: Review and Development of Guideline Specification
  in the Care Domain
  Due to an ageing society, it can be expected that less nursing personnel will
be responsible for an increasing number of patients in the future. One way to
address this challenge is to provide system-based support for nursing personnel
in creating, executing, and adapting patient care processes. In care practice,
these processes are following the general care process definition and
individually specified according to patient-specific data as well as diagnoses
and guidelines from the NANDA, NIC, and NOC (NNN) standards. In addition,
adaptations to running patient processes become necessary frequently and are to
be conducted by nursing personnel including NNN knowledge. In order to provide
semi-automatic support for design and adaption of care processes, a
formalization of NNN knowledge is indispensable. This technical report presents
the NNN formalization that is developed targeting at goals such as
completeness, flexibility, and later exploitation for creating and adapting
patient care processes. The formalization also takes into consideration an
extensive evaluation of existing formalization standards for clinical
guidelines. The NNN formalization as well as its usage are evaluated based on
case study FATIGUE.
