[Help through the nursing process. The organic structure of the nursing process].
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A new teaching strategy is required in nursing education in Japan. A multimedia CAI (Computer Assisted Instruction) program entitled "Introduction to Nursing Process." was developed. The aim of this study was to examine whether CAI could assist students' knowledge acquisition, and increase their motivation and readiness to learn clinical nursing practice. This study involved the process of developing CAI and a pilot study for measuring and evaluating the CAI program. Results demonstrate that CAI can increase students' understanding about the nursing process, enhance their motivation to learn, and provide realistic situations describing the concept of nursing the process.
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The nursing process is a formalized, systematic approach to providing and documenting nursing care and is an integral component of any documentation. This article discusses the nursing process and its relation to ambulatory surgery documentation, as well as the impact of standards of health care organizations on the documentation process for the perioperative patient in the ambulatory surgery setting.
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Every nurse should be prepared to meet a person with HIV-infection. Nursing care of people with AIDS is a challenge because it is a holistic nursing process of a person. After diagnosing a HIV-infection a person will be in a crisis. If a nurse is familiar with the process of a crisis, he/she can better understand and support the person. With empathy, therapeutic attitude and by recognizing own reactions a nurse will be able to meet the needs of the patients. The nursing plan helps a nurse to plan, to see the problems, to implement and to evaluate the nursing process of the patient with AIDS. The aim of the nursing process is to react to the unique needs of the patient with the HIV-infection. To be able to grow as a human being and as a professional nurse, one needs education about HIV-infection and its specific areas. During discussions and consultations, nurses are able to share their feelings and reactions caused by HIV-infection.
This study analyzed what nurses wrote in narrative nursing notes for cardiac-surgery patients. The nursing notes of 46 patients were analyzed based on the nursing process. Eight patterns were extracted according to different combinations of nursing process components, of which an assessment alone was the most frequent nursing phrase (45.8%), followed by assessment or diagnosis-intervention-outcome (25.9%). The content of the nursing notes was also classified into 15 categories, of which nursing outcomes were recorded more frequently in nursing care driven mainly by physician's order such as disease-related symptom management, insomnia care, respiratory care, and pain control, than in independent nursing care such as education and emotional care. A survey on the attitudes of nurses toward the nursing record revealed that they do not document nursing outcomes as much as they think they do. The main reasons for this discrepancy were insufficient time for recording and lack of knowledge about why, how, and what to evaluate. Even though there is room for improvement, nursing notes represent a useful resource for determining nursing contributions to patient outcomes.
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