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Analysis of Narrative Nursing Records in a Long-Term Care Facility Using Natural Language Processing and the Omaha System

  • Journal of The Korea Society of Computer and Information
  • Abbr : JKSCI
  • 2026, 31(9), pp.163~172
  • Publisher : The Korean Society Of Computer And Information
  • Research Area : Engineering > Computer Science
  • Received : July 13, 2026
  • Accepted : August 19, 2026
  • Published : September 30, 2026

Se Young Kim ORD ID 1,  Yul Ha Min ORD ID 2,  Mi Kyung Kim 3,  Eunsim Kim 1

1국립창원대학교
2강원대학교
3새론케어

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ABSTRACT

This study aimed to identify major nursing problems and interventions documented in narrative nursing records from a long-term care facility using natural language processing and the Omaha System. A total of 30,010 daily nursing records from 92 residents at a single facility were analyzed for major keywords and keyword co-occurrence patterns. Records related to frequently documented nursing activities were then mapped to the Omaha System Problem Classification Scheme and Intervention Scheme. Keyword and co-occurrence network analyses showed that the records primarily reflected fall prevention and management, maintenance of physical activity, hygiene management, environmental and infection control, support for dietary intake and activities of daily living, coordination with medical care and symptom management, and vital-sign monitoring. In the Omaha System mapping, the Health-related Behaviors, Environmental, and Physiological domains accounted for most mappings. At the problem level, residence, medication regimen, cognition, nutrition, sanitation, and physical activity were frequently identified. Treatments and Procedures and Surveillance were the most common intervention categories. These findings suggest that electronic nursing record systems in long-term care facilities should support the structured documentation of major nursing problems and interventions using standardized nursing terminology, while also allowing narrative documentation to capture clinical context.

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