Night duty: the nursing process in dimmed lights.
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This paper makes the point that for psychiatric patients the nursing process based on a systems approach may be more useful than that based on problem-solving or activities of daily living. Some of the key concepts used in this approach are (1) listing component parts of a system, (2) defining the inside and outside of systems, the outside being described as environment, (3) changing the boundaries or the interface of various systems, as appropriate, (4) observing the impact of the environment and especially of the nurse herself as a part of the system or the environment, (5) tracing input, output and throughput, and (6) drawing distinctions between open and closed systems and accounting for a steady state in the system.
This paper aimed to identify the nurses opinion about the nursing process in the Intensive Care Unit (ICU), and the knowledge they had about this such assistance methodology. The method of investigation used had an qualitative approach, of the descriptive and exploratory kind, applying semi structured interviews to five nurses of ICU at a General Hospital of the south area of Rio Grande do Sul. It was verified that: the nurses interviewed had little knowledge about the subject, some referred using daily evolution and nursing prescription. Mostly, all recognize the importance of this assistance methodology, but consider essential that all the nursing staff should be trained and prepared to elaborate and execute it.
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Student nurses are often intimidated by the research process. They also frequently have negative attitudes about working with the elderly, especially in long-term care settings. This article describes a clinical project designed to help students improve their attitudes, knowledge, and skills toward research and care of the elderly by connecting the research process and the nursing process. Students implement research-based clinical practice in a long-term care setting. Student evaluations indicate that project goals are achieved. Nursing staff evaluation data indicate that they find student projects interesting and useful in updating resident care plans.
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