Nursing notes from the perspective of nursing assistants

Revista de Enfermagem da Universidade Federal de Santa Maria

Andréia Bendine Gastaldi¹  Juliana Helena Montezeli¹  Maria Cristina Cescatto Bobroff¹  Ana Paula Hey¹  Daiane Da Silva De Farias¹  Cristiano Caveião² 

[1] ;Faculdades Integradas do Brasil;

关键词: enfermagem;    registros de enfermagem;    gestão de qualidade;    terminologia;    cuidados de enfermagem.;   

DOI  :  10.5902/2179769210720

来源: DOAJ

【 摘 要 】

Doi: 10.5902/2179769210720 Aims: to identify the perception of nursing assistants working in a mixed unit about nursing notes. Method: qualitative study in a mixed unit of urgency and emergency in the south of Brazil. The technique of Bardin content analysis was employed for data analysis. Results: after the analysis, the following category emerged: nursing notes: communication among the nursing staff and its technical and legal aspects. As well as the subcategories: nursing notes as communication links among the multidisciplinary team, legal and scientific aspects of nursing notes, technical aspects related to the nursing annotation. Final considerations: it was concluded that there is awareness of the importance of nursing notes. However, this practice faces challenges that hinder effective records, mainly when the written formalization of the work is forgotten.

【 授权许可】

Unknown