scholarly journals Channelizing Nurses Regarding Learning Area Specific Nursing Diagnosis for Delivering Quality Care Through a Leadership Approach

2019 ◽  
Vol 4 (3) ◽  
Keyword(s):  
Best Practices ◽  
Quality Care ◽  
Holistic Approach ◽  
Fish Bone ◽  
Leadership Role ◽  
Nursing Process ◽  
Specific Patient ◽  
Care Plans ◽  
Florence Nightingale ◽  
Nursing Diagnosis

Nursing profession is diverse with variety of care and roles. Leadership is an effective role that nurses play in a professional and nonprofessional both capacities. To comply with quality protocols and best practices, the professional role of nurse is very evident. To examine and analyses this along with learning leadership role, the authors has identified area specific problems and brought interesting solutions of it. The designated leadership practice area was gastro-enterology and has variety of issues, from which one was prioritized for practice and improvement. Nursing diagnosis is very important part of nursing process which strengthens the process and helps to identify various care related issues of patients. This will also lead to better care plans and implementation of nursing process as guided by Florence nightingale. An effective identification and making of nursing diagnosis will support best practices of quality acre and will satisfy clients with holistic approach. The academic project was one of the best examples to implement this very interesting issues and also to learn the leadership roles and channelize nurses to work properly on nursing diagnosis and care plans as recommended. This also brought further opportunities of learning and research through various methods of assessing the nurses, evaluating their practices and educating them to improve further in their practice areas. In addition, the factors involved in not maintaining these activities during the specific patient care time, the fish bone diagram is used to highlight those factors as well.

scholarly journals Application of theoretical and methodological components of nursing care

2016 ◽  
Vol 13 (2) ◽  
pp. 107 ◽  
Author(s):  
Rosa Del Socorro Morales-Aguilar ◽  
Alba Cecilia Pardo-Vásquez
Keyword(s):  
Nursing Care ◽  
Nursing Intervention ◽  
Care Process ◽  
Nursing Process ◽  
Nursing Theory ◽  
Florence Nightingale ◽  
Nursing Diagnosis ◽  
Palabras Clave ◽  
El Sistema ◽  
Care Nursing

ABSTRACTIntroduction: the theoretical and methodological components are the proper expertise in nursing, and it refers to models, theories, care process, taxonomy of nursing diagnoses, system of nursing intervention classification, and system of outcomes classification, which base nursing care into professional practice. Methodology: research was performed on Google Scholar, reviewing the databases of Scielo, Ciberindex, Index Enfermería, Dialnet, Redalyc, Medline, identifying 70 published articles between 2005-2015, and selecting 52 of them. The keywords used were: nurse care, nursing diagnostic, classification, nursing theory, in spanish and portuguese. Results: training students, receive knowledge in the nursing process, NANDA International, classification of the interventions, nurse results and theoretical components. The Dorothea Orem, Callista Roy, Nola Pender, Virginia Henderson, Florence Nightingale, and Betty Neuman theories are applied. The application of the nursing process is limited and low familiarity with the international taxonomy by nurse professionals in the assistance area is noticed. Conclusions: the challenge of nursing is to continue to solidify the scientific knowledge and to undo the gap between theory and practice.KEY WORDS: nursing care, nursing diagnosis, classification, nursing theory.Aplicación de los elementos teóricos y metodológicos del cuidado de enfermeríaRESUMENIntroducción: los elementos teóricos y metodológicos son conocimientos propios de enfermería y se refieren a modelos, teorías, proceso de atención, taxonomía de diagnósticos de enfermería, el sistema de clasificación de intervenciones de enfermería, y el sistema de clasificación de resultados, los cuales fundamentan el cuidado de enfermería en la práctica profesional. Metodología: se realizó búsqueda en Google Chrome,  revisando las bases de datos de Scielo, Ciberindex, Index Enfermería, Dialnet, Redalyc y Medline, identificando 70 artículos publicados entre 2005-2015, seleccionándose 52. Las palabras clave utilizadas fueron: cuidado de enfermería, diagnóstico de enfermería, clasificación, teoría de enfermería, , en idiomas español y portugués. Resultados: los estudiantes en formación reciben conocimientos en el proceso de enfermería, NANDA Internacional, clasificación de las intervenciones, resultados enfermeros y elementos teóricos. Las teóricas aplicadas fueron Dorotea Orem, Callista Roy, Nola Pender, Virginia Henderson, Florence Nigthingale y Betty Neuman. La aplicación del proceso de enfermería es limitada y hay escasa familiaridad con la taxonomía internacional por parte de los profesionales de enfermería en el área asistencial. Conclusiones: el reto de enfermería es continuar dando solidez al cuerpo de conocimiento científico y deshacer la brecha entre la teoría y la práctica. PALABRAS CLAVE: cuidado de enfermería, diagnóstico de enfermería, clasificación, teoría de enfermería. Aplicação de elementos teóricos e metodológicos dos cuidados de enfermagem RESUMOIntrodução: os elementos teóricos e metodológicos são os conhecimentos próprios em enfermagem, e se referem a modelos, teorias, processos de atendimento, taxonomia de diagnósticos de enfermagem, o sistema de classificação de intervenções de enfermagem, e o sistema de classificação de resultados, os quais fundamentam os cuidados de enfermagem na prática professional. Materiais e métodos: realizou-se busca em Google Acadêmico, revisando as bases de dados de Scielo, Ciberindex, Index Enfermagem, Dialnet, Redalyc, Medline, identificando 70 artigos publicados entre 2005-2015, selecionando-se 52. As palavras-chave utilizadas foram cuidados de enfermagem , diagnóstico de enfermagem , classificação, teoria de enfermagem, processo de atendimento, intervenção e resultados de enfermagem, nas línguas espanhol e português. Resultados: os estudantes em formação, recebem conhecimentos no processo de enfermagem, NANDA Internacional, classificação das intervenções, resultados enfermeiros e elementos teóricos. Se aplicam as teorias de Dorotea Orem, Callista Roy, Nola Pender, Virginia Henderson, Florence Nigthingale e Betty Neuman. A aplicação do processo de enfermagem é limitado e é percebida falta de familiaridade com a taxonomia internacional, principalmente pelos professionais de enfermagem na área assistencial. Conclusão: o desafio da enfermagem é de continuar a solidificar ao corpo de conhecimento científico e desfazer a lacuna entre a teoria e prática. PALAVRAS-CHAVE: cuidados de enfermagem , diagnóstico de enfermagem, classificação, teoria de enfermagem.

Relationship of Field Dependence-Independence to Documentation of Nursing-Process Components by Registered Nurses in a Clinical Setting

1986 ◽  
Vol 63 (1) ◽  
pp. 315-318
Author(s):  
Carol L. Rossel
Keyword(s):  
Test Scores ◽  
Work Experience ◽  
Associate Degree ◽  
Inverse Correlation ◽  
Nursing Process ◽  
Embedded Figures Test ◽  
Care Plans ◽  
Nursing Diagnosis ◽  
Embedded Figures ◽  
Baccalaureate Nurses

Scores on the Group Embedded Figures Test of 56 registered staff nurses were correlated with percentage of components of nursing process documented on care plans and progress notes. Education, age, and work experience were control variables. The mean embedded figures scores for associate degree, diploma, and baccalaureate nurses were 11.47, 9.47, and 12.83, respectively. Baccalaureate nurses had the most success in documenting components and diploma nurses had the least. A significant correlation was observed between test scores and percentage of nursing process chains completed by diploma nurses. For associate-degree nurses, a significant inverse correlation was observed between test scores and percentage of components used and percentage of chains with a nursing diagnosis.

scholarly journals Análise das evoluções de enfermagem contextualizadas no processo de enfermagem

2018 ◽  
Vol 12 (11) ◽  
pp. 2952
Author(s):  
Leticia Bottcher Dias ◽  
Erika Christiane Marocco Duran
Keyword(s):  
Quality Care ◽  
Care Plan ◽  
Nursing Process ◽  
Nursing Assessment ◽  
Nursing Diagnosis ◽  
Provide Quality Care ◽  
Terapia Intensiva ◽  
Nursing Diagnoses ◽  
Identifiable Data ◽  
Process Method

RESUMOObjetivo: avaliar os registros das evoluções de Enfermagem da unidade de internação em Cardiologia e Unidade de Terapia Intensiva Coronariana contextualizadas no processo de Enfermagem. Método: trata-se de estudo quantitativo, exploratório e descritivo, por meio de uma leitura sistematizada de prontuários. Leram-se 150 evoluções de Enfermagem utilizando-se roteiro digital para a tabulação, e posterior análise estatística dos dados. Apresentaram-se os dados por meio de estatística descritiva Resultados: ressalta-se que, dentre os diagnósticos de Enfermagem identificados, 42,45% não foram apresentados sob a forma de dados identificáveis nas evoluções de Enfermagem; a evolução do diagnóstico de Enfermagem manteve-se inalterada em 87,83% dos casos e o diagnóstico mais utilizado foi o de risco de infecção. Conclusão: conclui-se que as evoluções de Enfermagem não têm sido realizadas de maneira coerente com a escolha e a evolução do diagnóstico de Enfermagem e o plano de cuidados. Considera-se que os enfermeiros devem se apropriar dos diagnósticos de Enfermagem utilizando-os, em sua prática, a fim de proporcionar a assistência de qualidade e não apenas cumprir a legislação. Descritores: Pesquisa em Enfermagem; Processo de Enfermagem; Avaliação em Enfermagem; Diagnóstico de Enfermagem; Registros de Enfermagem; Cuidados de Enfermagem. ABSTRACT Objective: to evaluate the records of the Nursing evolutions of the hospitalization unit in Cardiology and Coronary Intensive Care Unit contextualized in the Nursing process. Method: this is a quantitative, exploratory and descriptive study, through a systematized reading of medical records. 150 Nursing evolutions were read using a digital script for tabulation, and later statistical analysis of the data. The data were presented through descriptive statistics. Results: it is noteworthy that among the Nursing diagnoses identified, 42.45% were not presented as identifiable data in Nursing evolutions; the evolution of the nursing diagnosis remained unchanged in 87.83% of the cases and the most used diagnosis was the risk of infection. Conclusion: it is concluded that the Nursing evolutions have not been carried out in a manner consistent with the choice and evolution of the Nursing diagnosis and the care plan. It is considered that nurses should appropriate nursing diagnoses using them in their practice in order to provide quality care and not just comply with legislation. Descritores: Nursing Research; Nursing Process; Nursing Assessment; Nursing Diagnosis; Nursing Records; Nursing Care.RESUMEN Objetivo: evaluar los registros de las evoluciones de Enfermería de la unidad de internación en Cardiología y Unidad de Terapia Intensiva Coronaria contextualizadas en el proceso de Enfermería. Método: se trata de estudio cuantitativo, exploratorio y descriptivo, por medio de una lectura sistematizada de prontuarios. Se le dieron 150 evoluciones de Enfermería utilizando guion digital para la tabulación, y posterior análisis estadístico de los datos. Se presentaron los datos por medio de estadística descriptiva. Resultados: se resalta que, entre los diagnósticos de Enfermería identificados, el 42,45% no fueron presentados bajo la forma de datos identificables en las evoluciones de Enfermería; la evolución del diagnóstico de Enfermería se mantuvo inalterada en el 87,83% de los casos y el diagnóstico más utilizado fue el de riesgo de infección. Conclusión: se concluye que las evoluciones de Enfermería no se han realizado de manera coherente con la elección y la evolución del diagnóstico de Enfermería y el plan de cuidados. Se considera que los enfermeros deben apropiarse de los diagnósticos de enfermería utilizando en su práctica, a fin de proporcionar la asistencia de calidad y no sólo cumplir la legislación. Descritores: Investigación en Enfermería; Proceso de Enfermería; Evaluación en Enfermería; Diagnóstico de Enfermería; Registros de Enfermería; Atención de Enfermería.                                                              

Evaluation and cost estimation of laboratory tests overuse through a CCDSS in a university hospital

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Vallone ◽  
A Tamburrano ◽  
C Carrozza ◽  
A Urbani ◽  
A Cambieri ◽  
...  
Keyword(s):  
Cost Estimation ◽  
Laboratory Tests ◽  
Quality Care ◽  
Clinical Decision Support Systems ◽  
Patient Characteristics ◽  
Clinical Decision ◽  
University Hospital ◽  
Specific Patient ◽  
Global Rate ◽  
Common Laboratory

Abstract Computerized Clinical Decision Support Systems (CCDSS) are information technology-based systems that use specific patient characteristics and combine them with rule-based algorithms. The aim of this study is to conduct a survey to measure and assess the over-utilization rates of laboratory requests and to estimate the monthly cost of inappropriate requests in inpatients of the “Fondazione Policlinico Universitario A. Gemelli IRCCS” Care Units. This observational study is based on the count of rules violations for 43 different types of laboratory tests requested by the Hospital physicians, for a total of 5,716,370 requests, over a continuous period of 20 months (from 1 July 2016 to 28 February 2018). Requests from all the hospital internal departments (except for Emergency, Intensive Care Units and Urgent requests) were monitored. The software intercepted and counted, in silent mode for the operator, all requests and violations for each laboratory test among those identified. During the observation period a mean of 285,819 requests per month were analyzed and 40,462 violations were counted. The global rate of overuse was 15.2% ± 3.0%. The overall difference among sub-groups was significant (p < 0.001). The most inappropriate exams were Alpha Fetoprotein (85.8% ± 30.5%), Chlamydia trachomatis PCR (48.7% ± 8.8%) and Alkaline Phosphatase (20.3% ± 6.5%). All the exams, globally considered, generated an estimated avoidable cost of 1,719,337€ (85,967€ per month) for the hospital. This study reports rates (15.2%) similar to other works. The real impact of inappropriateness is difficult to assess, but the generated costs for patients, hospitals and health systems are certainly high and not negligible. Key messages It would be desirable for international medical communities to produce a complete panel of prescriptive rules for all the most common laboratory exam. That is useful not only to reduce costs, but also to ensure standardization and high-quality care.

scholarly journals ІНФОРМАЦІЙНІ МОДЕЛІ ЗАГАЛЬНОГО ДОГЛЯДУ ЗА ХВОРИМИ З ПІДТРИМКОЮ АЛГОРИТМІВ ПРИЙНЯТТЯ РІШЕНЬ НА ОСНОВІ КЛАСИФІКАТОРА ICNP

2018 ◽  
Author(s):  
V. P. Matrtseniuk ◽  
I. Ye. Andrushchak ◽  
I. V. Tsikorska
Keyword(s):  
Decision Trees ◽  
Nursing Care ◽  
Care Plan ◽  
Care Planning ◽  
Nursing Process ◽  
Plan Implementation ◽  
Physical Assessment ◽  
Nursing Diagnosis ◽  
Information Models

The paper presents information models of the nursing process through a conceptual presentation, including assessments of the patient's overall condition (nursing interviews, physical assessment, measurement, documentation analysis), nursing diagnosis, nursing care planning, determination of expected results, nursing manipulation, care plan implementation and care results evaluation. Particular attention is drawn to the possibility of using international terminology in describing nursing practices. Analysis of solutions is carried out using the terminology of decision trees.

Health Literacy and Patient -Reported Outcomes

2018 ◽  
pp. 109-123 ◽  
Author(s):  
Maria Irene Bellini ◽  
Andre Kubler
Keyword(s):  
Patient Reported Outcomes ◽  
Assessment Tool ◽  
Quality Care ◽  
Care Quality ◽  
Negative Effects ◽  
Patient Centered ◽  
Subjective Data ◽  
Care Plans ◽  
Patient Reported ◽  
Satisfaction Rates

Modern healthcare needs to identify parameters for high-quality care. Quality improvement is the key for advancing in healthcare, and the new assessment tool shifts from a disease-centered outcome to a patient-centered outcome. Clinical outcome such as morbidity and mortality are directly connected and interdependent from patient-reported outcomes: well-informed patients who decide with their healthcare provider what treatment is best for them have better outcomes and higher patient satisfaction rates. These subjective data collected by rigorous, meaningful, and scientific methods and presented in a utilizable format can be used to create care objectives towards which both the surgeon and their patient can travel. Time has come to carry patient-centered outcomes from research into decision making and daily care plans. This chapter outlines a focus beyond life-prolonging therapy, aiming to minimize the negative effects of treatment, optimize quality of life, and align medical decisions with patient expectations.

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