RESUMO
PURPOSE: To evaluate if nursing diagnoses, interventions, and outcomes, as recorded by nurses in Italian hospitals, were semantically equivalent to the NANDA-I, NIC, and NOC (NNN) terminology. METHODS: A cross-mapping study using a multicenter design. Terms indicating nursing diagnoses, interventions, and outcomes were collected using the D-Catch instrument. Cross-mapping of these terms with NNN terminology was performed. FINDINGS: A sample of 137 nursing documentations was included. Over 80% of nursing diagnostic terms, interventions, and outcomes were cross-mapped into NNN terminology. CONCLUSIONS: The study showed that most of the natural terms used by nurses were semantically equivalent to the standardized terms of NNN terminology. IMPLICATIONS FOR NURSING PRACTICE: In Italy, the use of NNN terminology is recommended; however, further development of this terminology is needed.
Assuntos
Hospitais Públicos/organização & administração , Registros de Enfermagem , Terminologia Padronizada em Enfermagem , Humanos , Itália , Diagnóstico de EnfermagemRESUMO
Managing quality in health care whilst ensuring equity is a fundamental aspect of the provision of services by healthcare organizations. Measuring perceived quality of care is an important tool for evaluating the quality of healthcare delivery in that it allows the implementation of corrective actions to meet the healthcare needs of patients. The Rome B (ASL RMB) local health authority adopted the UNI EN 10006:2006 norms as a management tool, therefore introducing the evaluation of customer satisfaction as an opportunity to involve users in the creation of quality healthcare services with and for the citizens. This paper presents the activities implemented and the results achieved with regards to shared and integrated continuous improvement of services.
Assuntos
Comportamento do Consumidor , Satisfação Pessoal , Atenção à Saúde , Serviços de Saúde , Humanos , Satisfação do Paciente , Garantia da Qualidade dos Cuidados de Saúde , Qualidade da Assistência à SaúdeRESUMO
In this article times and spaces of care offer the opportunity to reflect on nursing moving from an hermeneutic perspective. Our focus has been placed on what always undergo the tie that exists between every doing and the con-text in which it happens, rather that on the differences of practices in the various places and times of nursing activities - home care, hospital, the outpatients' department, and so on. According to the hermeneutic perspective, the outcome of nursing relation is not exclusively the re-solution of the nursing problem of the patient, but also - together with all of that - the possible experience of identity new construction (and re-birth) that every experience of disease represents.