Structuring methodology of the Computerized Nursing Process in Emergency Care Units

被引:6
作者
Paese, Fernanda [1 ]
Marcon Dal Sasso, Grace Teresinha [1 ]
Colla, Gabriela Winter [1 ]
机构
[1] Univ Fed Santa Catarina, Florianopolis, SC, Brazil
关键词
Emergency Medical Services; Electronic Health Records; Nursing Diagnosis; Patient Safety; Terminology;
D O I
10.1590/0034-7167-2016-0619
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objective: To structure the Computerized Nursing Process using the International Classification for Nursing Practice (ICNP (R)) version 2.0 to emergency care units in a computerized structure. Method: This is a methodological and technological research that followed the stages: (1) establishment of the development team and resources; (2) adequacy of clinical situations, diagnoses and nursing interventions for the emergency area; (3) association of diagnoses and interventions based on ICNP (R); (4) organization and codification of clinical evaluation, diagnoses and nursing interventions; (5) transfer of data to the a computerized platform. Results: Readjustment and construction of 1,445 possibilities of clinical evaluations associated with 961 different diagnoses and their corresponding interventions to the most frequent situations in emergency services. Conclusion: ICNP (R) has a strong and solid form for the development of the computerized nursing process able to support nurses in safe decision-making to improve the quality of health care.
引用
收藏
页码:1079 / 1084
页数:6
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