کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8570084 | 1563912 | 2017 | 6 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Accuracy of documentation in the nursing care plan in long-term institutional care
ترجمه فارسی عنوان
دقت اسناد در طرح مراقبت پرستاری در مراقبت بلند مدت درمانی
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کلمات کلیدی
برنامه ی مراقبتی، مراقبت بلند مدت، مستندات پرستاری، خانه پرستاری، پروسه پرستاری، مطالعه مقطعی،
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
طب سالمندان و علم پیری شناسی
چکیده انگلیسی
Nursing staff working in long-term institutional care attend to residents with an increasing number of severe physical and cognitive limitations. To exchange information about the health status of these residents, accurate nursing documentation is important to ensure the safety of residents. This study examined the accuracy of nursing documentation in 197 care plans of five long-term institutional care facilities. Based on the phases of the nursing process, the D-Catch instrument measures the accuracy of the content and coherence of documentation. Inadequacies were especially found in the description of residents' care needs and stated nursing diagnoses as well as in progress and outcome reports. In somatic and psycho-geriatric units, higher accuracy scores were determined compared with residential care units. Investments in resources (e.g., time), reasoning skills of nursing staff, and implementation of professional standards in accordance with legal requirements may be needed to enhance the quality of nursing documentation.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Geriatric Nursing - Volume 38, Issue 6, NovemberâDecember 2017, Pages 578-583
Journal: Geriatric Nursing - Volume 38, Issue 6, NovemberâDecember 2017, Pages 578-583
نویسندگان
Astrid MSc, RN, Mathieu H.G. PhD, Wim P. PhD, Wolter PhD, RN, Petrie F. PhD,