[Documentation in the nursing process].
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To enhance the quality of orally communicated patient care data, use of the patient's problem list and subjective objective assessment plan (SOAP) format for organizing intershift report is described. This reporting structure requires use of the nursing process, with nursing diagnosis being the focus in reporting nursing care management.
This paper summarizes the research study carried out in 1979 as part of an MSc. The study has two purposes: to analyse, in sociological terms, the nursing process development and to understand whether it can make a practical contribution to nursing. The concept of the nursing process emerged in the United States during the 1960s. Its content was shaped by the American context. It was transferred subsequently to the United Kingdom in a limited form, modified to accommodate a different context; thus, it is not just a theoretical concept but an ideology in the technical sense as well. As a method of practice, the study shows that the nursing process is not fully implemented either in the US or in the UK. However, it does represent an important step forward in nursing in that it has made real analytical gains. The findings of the study serve to identify some of the problems that must be tackled if the theory is to be turned into practice.
This ethnographic study aimed at understanding the cultural meaning that nursing professionals working at a Burns Unit attribute to the nursing process as well as at identifying the factors affecting the implementation of this methodology. Data were collected through participant observation and semi-structured interviews. The findings indicate that, to the nurses from the investigated unit, the nursing process seems to be identified as bureaucratic management. Some factors determining this perception are: the way in which the nursing process has been taught and interpreted, routine as a guideline for nursing activity, and knowledge and power in the life-world of the Burns Unit.
Nurses working in wound care must do more than rely on favoured wound care dressings. The nursing process can help them implement a structured care plan around the needs of individual patients, and facilitate patient understanding.
The authors describe their experiences in implementing primary nursing on a pilot unit in a 350-bed acute care VA hospital. The change from team/functional nursing to primary nursing was organized and implemented using a project nurse and the nursing process steps of assessment, planning, implementation, and evaluation.
PURPOSE: The purpose of this study was to develop and to apply the NANDA, NOC, and NIC (NNN) linkages into a computerized nursing process program using the classification systems of nursing diagnoses, nursing outcomes and nursing interventions. METHOD: The program was developed with planning, analysis, design and performance stages. The program was applied to 117 patients who were admitted to orthopedic surgery nursing units from January to February, 2004. RESULTS: Thirty-five of fifty-three nursing diagnoses were identified. Five nursing diagnoses in order of frequency were: Acute pain (28.4%), Impaired physical mobility (15.6%), Impaired walking (8.7%), Chronic pain (5.5%) and Risk for disuse syndrome (5.0%). The nursing outcomes of the 'Acute pain' nursing diagnosis tended to have higher frequencies (cumulative) in order of Pain management (95.2%), Comfort level (35.5%) and Pain level (17.7%). The nursing interventions of the 'Acute pain' nursing diagnosis tended to have higher frequencies (cumulative) in order of Pain management (71.0%), Splinting (24.2%) and Analgesic administration (17.7%). In comparison of outcome indicator scores between before and after the intervention according to the 61 nursing outcomes, the mean scores of 52 outcome indicators after the intervention were significantly higher than before the intervention. CONCLUSION: It is expected that this program will help nurses perform their nursing processes more efficiently.
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Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
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The goal of our service is to systematize the nursing care provided to the clients with gynecological and mammary cancer who underwent radiation therapy, using the nursing process, the North American Nursing Diagnosis Association (NANDA) taxonomy and collaborative problems in the diagnoses phase. Therefore, we created a record card in which we briefly reported the relevant data to nursing care, containing: anamnesis, general explanations about treatment, main collaborative problems, nursing diagnoses, interventions, outcomes and evolution. This card was tested in service and evaluated by the group that had created it regarding content and design, enabling the elaboration of its last version that is presented in the article.
The present study aims at elaborating and applying an education plan for nurses in an Unit for Burnt Patients, with the proposal of analysing and reformulating the practice of the nursing process in this service. The framework proposed by Charles MAGUEREZ, was employed as a guideline, which led to the selection and application of the teaching and learning strategies implemented in this plan. We concluded that the framework proposed by MANGUEREZ made possible a substantial improvement in the nursing process in this service, and that this new reality claims for further studies.
The focus of this paper is an exploration of the implications for curriculum planning of adopting the nursing process; which, it is suggested, represents the most far-reaching innovation in British nursing of recent years. An examination of the abilities required by nurses in order for them to deliver care in this way shows that to encompass the philosophy of the nursing process, fundamental changes need to be made in the way nurses are prepared in schools of nursing. In particular, to those elements of the curriculum dealing with content and teaching methods.
The development of the nursing care attention process guided through the PDCA. (plan, do, check, act), provides a continuous improvement of our actual context. The meaning of PDCA is translated as VIDA for: view, implementation, discernment, at just. For its application it takes in view the change theory of Kurt Lewin. This paper provides the results of the Implementation stage using different approaches as technical care, education, administration and research. These strategies show that people did not express their feelings, beliefs and their own expectations and autonomy in nursing care. They even do not develop their citizenship, right of living and being able to grow.
The work relates the implantation and development of the nursing process in school-hospital, analyzed by a point of changing in the nursing department organization. Assuming an innovating nature, the proposal demands an adaptative behavior of the nurse, the nursing and multi-professional staffs, so that implementation of the assistance, in this perspective, can be effective and come to a high quality level. The work still points out, the establishing of the training program and up-to-date nurses program in order to make them cut out for accomplishment of their roles as coordinator of nursing assistance.