Evaluation of the nursing process used at a Brazilian teaching hospital

International Journal of Nursing Terminologies and Classifications : the Official Journal of NANDA International
Maria Helena Baena de Moraes LopesFátima Filomena Mafra Christóforo

Abstract

To evaluate how the nursing process has been registered at a Brazilian teaching hospital. Descriptive and retrospective study of 68 medical records. The data collection of history was more frequent on the admission day. The documentation of physical exam was prioritized. Sometimes there were records of nursing interventions but not of nursing diagnoses. It was found some failures in the record of some steps of the nursing process. Although all steps had been used, they were not carried out consistently. Some aspects deserve to be considered to improve the use and registration of all steps of the nursing process as to develop specific protocols, redesign the formulary of data record with careful and equal consideration of all steps, and empower all members of the nursing staff to implement the nursing process more effectively.

References

Jul 1, 1997·Nursing Forum·L J Carpenito
Mar 5, 1998·Revista latino-americana de enfermagem·R A LopesM H Lopes
May 10, 2002·Revista latino-americana de enfermagem·L A Rossi, L D Casagrande
Apr 21, 2005·Journal of Clinical Nursing·Ting-Ting Lee
May 24, 2005·Quality Management in Health Care·Caron Langowski
Dec 13, 2005·Revista brasileira de enfermagem·Joseilze Santos de Andrade, Maria Jésia Vieira
Dec 13, 2005·Revista brasileira de enfermagem·Maria Angela Reppetto, Mariana Fernandes de Souza
Apr 15, 2006·Revista brasileira de enfermagem·Sandra Maria Botelho da Cunha, Alba Lúcia Botura Leite Barros
May 25, 2006·Revista da Escola de Enfermagem da U S P·Antônio Fernandes Costa Lima, Paulina Kurcgant
Nov 23, 2006·Revista latino-americana de enfermagem·Antônio Fernandes Costa Lima, Paulina Kurcgant
Jun 26, 2007·Revista brasileira de enfermagem·Maria Célia de FreitasJacy Aurelio Vieira de Souza
Sep 21, 2007·Journal of Clinical Nursing·Asta Thoroddsen, Margareta Ehnfors
May 3, 2008·Revista da Escola de Enfermagem da U S P·Priscila Oliveira Rezende, Raquel Rapone Gaizinski
Jan 9, 2009·International Journal of Nursing Terminologies and Classifications : the Official Journal of NANDA International·Angelita PaganinEneida Rejane Rabelo
Feb 12, 2009·International Journal of Nursing Terminologies and Classifications : the Official Journal of NANDA International·Maria Müller-Staub

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Citations

Nov 18, 2015·Nursing and Midwifery Studies·Sarieh PoortaghiFarzaneh Maleki
Aug 11, 2015·Iranian Journal of Nursing and Midwifery Research·Vahid ZamanzadehMojghan Lotfi
Dec 25, 2019·Nursing Open·Mojgan LotfiMohammad Amin Khalilzad

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