ABSTRACT
OBJECTIVES: (a) to determine the effectiveness of a nursing document which integrates nursing diagnoses, nursing treatments/actions (NIC), and results (NOC); (b) to verify the application of the aforementioned document in a hospitalization unit. MATERIALS AND METHODS: A descriptive, transversal and observational study. MATERIALS: Nursing documents (NANDA, NIC and NOC taxonomies). PHASES: 1st: analysis of the content in the nursing documentation for 23 pneumonic patients: Selection of nursing diagnoses and the most frequent interdependent problems. 2nd: Selection of results and nursing treatment/actions. 3rd: Elaboration of the document and a description of the Likert scales to define the state of the indicators for each result. 4th: A pilot study of the document applied to 12 patients. CONCLUSIONS: the application of the document permits one to identify the real status of a patient; to establish specific objectives; to improve the recording of data; to observe the effectiveness of treatment; to include educational activities; to give greater continuity and quality to a treatment plan.
Subject(s)
Nursing Diagnosis , Nursing/standards , Cross-Sectional Studies , Humans , Pilot Projects , Societies, NursingABSTRACT
Objetivos: a) determinar la eficacia de un documento de enfermería que integre diagnósticos de Enfermería (DE), intervenciones (NIC) y resultados (NOC); b) comprobar la aplicación de dicho documento en una unidad de hospitalización. Material y métodos: estudio descriptivo, transversal y observacional. Material: documento de enfermería (taxonomías NANDA, NIC y NOC). Fases: I: análisis de contenido de la documentación de enfermería de 23 pacientes neumológicos: selección de diagnósticos de enfermería y problemas interdependientes más frecuentes. II: selección de resultados e intervenciones. III: elaboración del documento y descripción de las escalas de Likert para definir el estado de los indicadores de cada resultado. IV: estudio piloto del documento aplicándolo a 12 pacientes. Conclusiones: la aplicación del documento permite identificar el estado real del paciente; establecer objetivos específicos; mejorar el registro de datos; evidenciar la eficacia de las intervenciones; incluir actividades educativas; dar mayor continuidad y calidad al plan de cuidados
Objectives: a) to determine the effectiveness of a nursing document which integrates nursing diagnoses, nursing treatments/actions (N/C), and results(NOC); b) to verify the application of the a forementioned document in a hospitalization unit. Materials and Methods: A descriptive, transversal and observational study. Materials: nursing documents (NANOA, NIC and NOC taxonomies). Phases: 1st: analysis of the content in the nursing documentation for 23 pneumonic patients: Selection of nursing diagnoses and the most frequent interdependent problems. 2nd: Selection of results and nursing treatment/actions. 3rd: Elaboration of the document and a description of the Likert sea les to define the state of the indicators for each result. 4th: A pilot study of the document applied to 12 patients. Conclusions: the application of the document permits one to identify the real status of a patient; to establish specific objectives; to improve the recording of data; to observe the effectiveness of treatment; to include educational activities; to give greater continuity and quality to a treatment plan
