Dal Sasso Grace T M, Peres Heloísa Ciqueteo, Silveira Denise Tolfo
Nursing Departament, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.
Stud Health Technol Inform. 2006;122:1021-3.
The process of nursing is an assertive solving problem approach to the identification and care of patients' problems as well as an instrument of education in Nursing. At the CCU, due to the complexity of care, constant changes in the clinical situation of patients and the elevated amount of information, the informatics is seen as a way to the development of the nursing process and consequently improvement of the quality of care. Therefore, this methodological study and technological production was developed with 05 nurses of the CCU aiming describing the development of the nursing computerized process in the CCU from the ICNP Beta 2 and demonstrating the contributions to the improvement of nursing care. The ethical principals of the resolution 196/96 of CNS were followed and constituted 03 production phases: planning, development and production of the B version. The evaluation process interposed the system production phases and made it possible necessary modifications to be done. The evaluations make noteworthy that a new conception of nursing care practice is established; the process of nursing informatics makes the care more notorious, organized and permits the early mistake detection; the program allows a continuous learning and explicit clinical decision making of the nurse. Therefore, information systems and related technology are necessary in order to create, democratize, and apply knowledge in nursing.
护理过程是一种积极解决问题的方法,用于识别和护理患者的问题,也是护理教育的一种手段。在冠心病监护病房(CCU),由于护理的复杂性、患者临床状况的不断变化以及信息量的增加,信息学被视为推动护理过程发展并进而提高护理质量的一种方式。因此,本方法学研究和技术成果是与CCU的5名护士共同开展的,旨在描述基于国际护理实践分类法(ICNP)Beta 2版本的CCU护理计算机化过程的发展,并展示其对改善护理的贡献。遵循了国家卫生委员会第196/96号决议的伦理原则,并构成了三个成果阶段:规划、开发和B版制作。评估过程穿插于系统制作阶段,使得进行必要的修改成为可能。评估结果表明,一种新的护理实践理念得以确立;护理信息学过程使护理更加显著、有条理,并能早期发现错误;该程序允许护士进行持续学习并做出明确的临床决策。因此,为了在护理中创造、普及和应用知识,信息系统及相关技术是必要的。