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At least 433 records · Page 24Linked to original sources
PubMed1994

Testing a modified Swedish version of the Rush Medicus Nursing Process Quality Monitoring Instrument in short-term care.

A modified Swedish version of the Rush Medicus Nursing Process Quality Monitoring Instrument (RMI-MSV) has been tested within surgical, medical and orthopedic units in a county hospital. Three units, one from each area, were randomized as experimental (E) units and three units as control (C) units. Two measurements, comprising 20 patients and five registered nurses in each unit, were carried out with an interval of 6 months. All the E units received feedback on the first measurement and one unit received special intervention concerning the main objective dealing with documentation. The E units tended to show greater improvements than the C units concerning most of the six main objectives included in the instrument. However, the objective dealing with documentation was the only one presenting a statistically significant greater improvement in E units compared with C units (p = 0.045). The effects obtained supported the evidence for validity of the RMI-MSV. The RMI-MSV was found to be sensitive to changes and appropriate for quality assessment. Further research is needed to develop non-situation-related factors which influence the quality of nursing care.

Adolescent↗
PubMed1999

[Application of the nursing process based on Orem's theory: a case study with a pregnant adolescent].

This is a descriptive study with a qualitative approach that aimed at applying the nursing process based in Orem Self-Care Theory, through a case study with a pregnant adolescent in order to identify the nursing diagnosis in the above mentioned clients, based on NANDA'S nursing diagnoses. Results obtained identified three nursing diagnoses: prejudiced adaptation, sleep disturb and familiar change process. The application of the nursing process based in Orem and the importance of the diagnosis identified for clients nursing care were evidenced.

Adaptation, Psychological↗
PubMed1990

The development of a postanesthesia record incorporating the nursing process.

The professional practice of nursing is a comprehensive discipline involving assessment, planning, implementation, and evaluation in its approach to both daily practice and problem solving. An integral part of this process is the development of nursing diagnoses, setting of goals, and evaluation of progress towards meeting those goals. In order to further professional practice in the PACU, the PACU staff at St Francis Hospital in Greenville, SC, developed a new record that incorporates nursing diagnosis, goal setting, and evaluation along with the documentation of appropriate nursing interventions to meet stated goals. The staff believed that such a record would advance their professional practice, meet the ASPAN standards of nursing practice, and meet the Joint Commission for Accreditation of Healthcare Organizations requirements that documentation in the PACU show a nursing plan of care. The need for such a record was shown in the literature search and the record was developed, tested over a 30-day period, and implemented in September 1988. Staff response to the record has been very positive with nurses indicating that the record not only improved documentation, but also increased individual accountability for initiating nursing measures to meet stated goals.

Evaluation Studies as Topic↗
PubMed1997

The nursing process--a method of collecting evidence?

This paper questions whether or not the nursing process can be a valid method of collecting evidence on which to base nursing care. The author asserts that it can, but only if the service user is involved in the entire process.

Data Collection↗
PubMedDate not supplied

Integrating forensic science into nursing processes in the ICU.

The critical care nurse is in an ideal position to assume responsibilities related to the identification of forensic cases and the preservation of associated evidence. Victims of child and elder abuse and neglect, individuals involved in vehicular or industrial accidents, substance abusers, and incarcerated populations are among the several types of patients that are likely to managed in the intensive care unit (ICU). Hospitals and their personnel assume considerable liability in such cases for detecting, collecting, and preserving evidence, as well as for reporting and referring the cases to appropriate law enforcement or judicial authorities. The Joint Commission for the Accreditation of Healthcare Organizations has published specific regulatory guidance to ensure that all healthcare personnel are properly educated to assume certain forensic responsibilities. The orientation and in-service programs of the ICU nurse should include specific guidance regarding forensic principles, practices, and procedures.

Adult↗
PubMed1992

Utilizing the nursing process in the ophthalmic operating room documentation.

Nursing documentation has always been regarded not only as time consuming but a nursing activity that is problematic when it comes to compliance. Somehow nurses must find the balance between documentation of significant events and observations versus duplication or repetition of routine patient activities. This paper describes how these problems were met by one institution.

Humans↗
PubMed1994

Health assessment and the nursing process: a means to an end?

The content and process of teaching health assessment coupled with the nursing process gathers momentum because it is consistent with health policy based on the principles of economic rationalism, and it covertly perpetuates positivist medical discourse while overtly postulating the emancipatory nature of adopting such practices.

Holistic Health↗
PubMed1984

Infection control and the nursing process--making the best use of resources.

The approach to infection control is often 'bugs and drugs' (which organisms are controlled by which drugs), or 'rules, routines and rituals'. But the only fully effective way is the 'hands and human beings' approach, since it is their activities which make other approaches effective or ineffective. The nursing process is an aid to providing the nursing care needed by a person (or people) in their particular health situation. Through systematic assessment of relevant factors and the person's needs for nursing care, planning, implementation and then evaluation of care, available resources are used to the best advantage. Involvement of the patient throughout the process makes care activities more likely to be successful and reduces the stress which might lower resistance to infection. All nurses should include an infection control perspective in their practice. Patient factors such as resistance to infection, daily living activities and self-care abilities (physical and non-physical), cultural, religious or alternative health care practices, communication, dependence/independence tendencies, and environmental factors may all be relevant to infection control. Infection control requires planned good use of the resources of all those concerned-nurses, patients, other staff, visitors. Nurses can use the nursing process to help to achieve this.

Cross Infection↗
PubMedDate not supplied

[Use of the computer as a tool for the implementation of the nursing process].

This text article has as its objective to analyze the use of the computer as a tool in the work process of the nursing professional. There are many evidences that informatics has revolutionized work processes in different service structures such as health care, education and management. Therefore, informatics is conducting Nursing to a systematic and organized practice that has propitiated individualized care to the patient. The authors describe software that gives support to the planning of Nursing Assistance and make some considerations aiming at the development and modernization of the Brazilian Nursing practice.

Brazil↗
PubMed2004

Development of a provisional domain model for the nursing process for use within the Health Level 7 reference information model.

OBJECTIVE: Since 1999, the Nursing Terminology Summits have promoted the development, evaluation, and use of reference terminology for nursing and its integration into comprehensive health care data standards. The use of such standards to represent nursing knowledge, terminology, processes, and information in electronic health records will enhance continuity of care, decision support, and the exchange of comparable patient information. As part of this activity, working groups at the 2001, 2002, and 2003 Summit Conferences examined how to represent nursing information in the Health Level 7 (HL7) Reference Information Model (RIM). DESIGN: The working groups represented the nursing process as a dynamic sequence of phases, each containing information specific to the activities of the phase. They used Universal Modeling Language (UML) to represent this domain knowledge in models. An Activity Diagram was used to create a dynamic model of the nursing process. After creating a structural model of the information used at each stage of the nursing process, the working groups mapped that information to the HL7 RIM. They used a hierarchical structure for the organization of nursing knowledge as the basis for a hierarchical model for "Findings about the patient." The modeling and mapping reported here were exploratory and preliminary, not exhaustive or definitive. The intent was to evaluate the feasibility of representing some types of nursing information consistently with HL7 standards. MEASUREMENTS: The working groups conducted a small-scale validation by testing examples of nursing terminology against the HL7 RIM class "Observation." RESULTS: It was feasible to map patient information from the proposed models to the RIM class "Observation." Examples illustrate the models and the mapping of nursing terminology to the HL7 RIM. CONCLUSION: It is possible to model and map nursing information into the comprehensive health care information model, the HL7 RIM. These models must evolve and undergo further validation by clinicians. The integration of nursing information, terminology, and processes in information models is a first step toward rendering nursing information machine-readable in electronic patient records and messages. An eventual practical result, after much more development, would be to create computable, structured information for nursing documentation.

Feasibility Studies↗
PubMedDate not supplied

Patient education and the nursing process: meeting the patient's needs.

The ultimate goal of patient educational programs is to achieve long-lasting changes in behavior by providing patients with the knowledge to allow them to make autonomous decisions to take ownership of their care as much as possible and improve their own outcomes. Patient education is an integral part of the nursing process, and nephrology nurses can use this process to assess, plan, implement, and evaluate an effective and individualized patient education program.

Attitude to Health↗