Assessment of nursing care using indicators generated by software

Revista Latino-Americana de Enfermagem

Ana Paula Souza Lima¹  Tânia Couto Machado Chianca¹  Meire Chucre Tannure¹ 

关键词: Nursing Process;    Intensive Care Units;    Quality Indicators;    Health Care;    Software Validation;    Processos de Enfermagem;    Unidades de Terapia Intensiva;    Indicadores de Qualidade em Assistência à Saúde;    Validação de Programas de Computador;    Procesos de Enfermería;    Unidades de Cuidados Intensivos;    Indicadores de Calidad de la Atención de Salud;    Validación de Programas de Computación;   

DOI  :  10.1590/0104-1169.0177.2547

来源: SciELO

【 摘 要 】

OBJECTIVE: to analyze the efficacy of the Nursing Process in an Intensive Care Unit using indicators generated by software. METHOD: cross-sectional study using data collected for four months. RNs and students daily registered patients, took history (at admission), performed physical assessments, and established nursing diagnoses, nursing plans/prescriptions, and assessed care delivered to 17 patients using software. Indicators concerning the incidence and prevalence of nursing diagnoses, rate of effectiveness, risk diagnoses, and rate of effective prevention of complications were computed. RESULTS: the Risk for imbalanced body temperature was the most frequent diagnosis (23.53%), while the least frequent was Risk for constipation (0%). The Risk for Impaired skin integrity was prevalent in 100% of the patients, while Risk for acute confusion was the least prevalent (11.76%). Risk for constipation and Risk for impaired skin integrity obtained a rate of risk diagnostic effectiveness of 100%. The rate of effective prevention of acute confusion and falls was 100%. CONCLUSION: the efficacy of the Nursing Process using indicators was analyzed because these indicators reveal how nurses have identified patients' risks and conditions, and planned care in a systematized manner.

【 授权许可】

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