Evaluation of patient records as part of developing a nursing care classification

被引：17

作者：

Karkkainen, O

Eriksson, K

机构：

[1] Univ Helsinki, Cent Hosp, FIN-00029 Helsinki, Finland

[2] Abo Akad Univ, Dept Caring Sci, Vaasa, Finland

[3] Helsinki Univ Cent Hosp, Helsinki, Finland

来源：

JOURNAL OF CLINICAL NURSING | 2003年 / 12卷 / 02期

关键词：

evaluation; nursing care classification; patient records;

D O I：

10.1046/j.1365-2702.2003.00727.x

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

The aim of the study was to evaluate the content of nursing care records and the usefulness of the instrument used for their evaluation. The evaluation involved 70 patient records from seven acute special care inpatient units. The evaluation instrument used was based on Phaneuf's Nursing Audit as further developed by Lukander. The nursing records in all the care units evaluated was very good or good. However, some deficiencies were found, for instance, regarding patient teaching and recording patients' own opinions. The method proved adequate for evaluating the content of patient records.

引用

页码：198 / 205

页数：8

共 29 条

[1] Reflections on caring as a virtue ethic within an evidence-based culture [J].