{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,17]],"date-time":"2025-05-17T04:04:24Z","timestamp":1747454664692,"version":"3.40.5"},"reference-count":0,"publisher":"IOS Press","isbn-type":[{"value":"9781643685960","type":"electronic"}],"license":[{"start":{"date-parts":[[2025,5,15]],"date-time":"2025-05-15T00:00:00Z","timestamp":1747267200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,15]]},"abstract":"<jats:p>The Nursing Process (NP) is a multi-step, structured framework, that enables nurses to integrate scientific knowledge and optimize patient care. Establishing a Nursing Diagnosis (ND) is a fundamental step of this process, enabling the selection of appropriate interventions. This study presents the development of VIGIL Care, a clinical decision support system designed to enhance NP in intensive care units (ICUs). Using a Delphi method, 13 experts reviewed the 277 nursing diagnoses (NDs) from the latest NANDA-I taxonomy (2024\u20132026) and selected 32 as relevant for ICU care, and with high criticality or high prevalence. In a second step, a panel of three nursing experts and one internal medicine physician refined the diagnostic indicators associated to the 32 NDs as described in NANDA-I, selecting those deemed highly or moderately relevant. VIGIL Care integrates patient data and employs logical rules to propose patient-specific NDs, while offering an explainable user interface allowing for nursing decisional autonomy preservation. The assessment of 10 NDs across 20 randomly-selected patient cases demonstrated that VlGIL Care achieved 86% sensitivity and 78% specificity, outperforming traditional nursing assessments, especially under time constraints. However, the limited sample size highlights the need for further validation to confirm the system\u2019s effectiveness.<\/jats:p>","DOI":"10.3233\/shti250299","type":"book-chapter","created":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T08:53:15Z","timestamp":1747385595000},"source":"Crossref","is-referenced-by-count":0,"title":["Optimizing ICU Care: Advancing Nursing Diagnoses with a Decision Support System"],"prefix":"10.3233","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9112-628X","authenticated-orcid":false,"given":"Cynthia","family":"Abi Khalil","sequence":"first","affiliation":[{"name":"Sorbonne Universit\u00e9, INSERM, Universit\u00e9 Sorbonne Paris Nord, Limics 75006 Paris, France"},{"name":"Nursing Administration, Lebanese Hospital Geitaoui\u2013UMC, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0673-0875","authenticated-orcid":false,"given":"Antoine","family":"Saab","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, INSERM, Universit\u00e9 Sorbonne Paris Nord, Limics 75006 Paris, France"},{"name":"Quality and Safety Department, Lebanese Hospital Geitaoui\u2013UMC, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akram","family":"Redjdal","sequence":"additional","affiliation":[{"name":"Laboratoire de Biom\u00e9canique Appliqu\u00e9e-Universit\u00e9 Gustave-Eiffel, Aix-Marseille Universit\u00e9, Marseille, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jihane","family":"Rahme","sequence":"additional","affiliation":[{"name":"Quality and Safety Department, Lebanese Hospital Geitaoui\u2013UMC, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mouin","family":"Jammal","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Lebanese Hospital Geitaoui\u2013UMC, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7676-2832","authenticated-orcid":false,"given":"Brigitte","family":"Seroussi","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, AP-HP, Tenon Hospital, Public Health Department, INSERM, Universit\u00e9 Sorbonne Paris Nord, Limics 75006 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"7437","container-title":["Studies in Health Technology and Informatics","Intelligent Health Systems \u2013 From Technology to Data and Knowledge"],"original-title":[],"link":[{"URL":"https:\/\/ebooks.iospress.nl\/pdf\/doi\/10.3233\/SHTI250299","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,16]],"date-time":"2025-05-16T08:53:15Z","timestamp":1747385595000},"score":1,"resource":{"primary":{"URL":"https:\/\/ebooks.iospress.nl\/doi\/10.3233\/SHTI250299"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,15]]},"ISBN":["9781643685960"],"references-count":0,"URL":"https:\/\/doi.org\/10.3233\/shti250299","relation":{},"ISSN":["0926-9630","1879-8365"],"issn-type":[{"value":"0926-9630","type":"print"},{"value":"1879-8365","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,15]]}}}