Elaboration of a nursing record standard for an Emergency Care Unit
| Autor: | Dilzilene Cunha Sivirino Farias, Eliane de Fátima Almeida Lima, Karla de Melo Batista, Marcia Regina Cubas, Júlia Valéria de Oliveira Vargas Bitencourt, Cândida Caniçali Primo |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Revista da Escola de Enfermagem da USP. 57 |
| ISSN: | 1980-220X 0080-6234 |
| Popis: | Objective: To develop a registration standard with diagnoses, outcomes and nursing interventions for an Emergency Care Unit. Method: This is applied research of technological development developed in three steps: elaboration of diagnoses/outcomes and interventions statements following the International Classification for Nursing Practice; assessment of diagnosis/outcome relevance; organization of diagnosis/outcome and interventions statements according to health needs described in TIPESC. Results: A total of 185 diagnoses were prepared, of which 124 (67%) were constant in the classification, and 61 had no correspondence. Of the 185 diagnoses, 143 (77%) were rated as relevant by 32 experienced emergency room nurses, and 495 nursing interventions were correlated to diagnoses/outcomes. Conclusion: It was possible to build a record standard for the Emergency Care Unit following standardized terminology, containing diagnostic statements/outcomes and relevant interventions for nursing practice assessed by nurses with practice in emergency. |
| Databáze: | OpenAIRE |
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