Suppr超能文献

护理记录质量评估:使用卡片、护理图表和传统医嘱的科室之间的比较。蒙扎护理研究小组

[The evaluation of the quality of nursing records: a comparison between departments that use the card, the nursing chart and the traditional order. The Nursing Research Group of Monza].

出版信息

Riv Inferm. 1991 Jan-Mar;10(1):20-5.

PMID:1853095
Abstract

Quality of symptoms registration on three different models of nursing records was reviewed to assess whether a more patient oriented nursing record could influence completedness and precision of symptoms registration. A group of nurses set minimum criteria for five symptoms (pain, emesis, diarrhea, fever and constipation), according to the nursing process: description of written registrations of 517 symptoms were assessed. No differences appear to exist among the three different models of records, except for evaluation of the results of the interventions, more reported in the patient oriented nursing records.

摘要

回顾了三种不同护理记录模式下症状记录的质量,以评估更以患者为导向的护理记录是否会影响症状记录的完整性和准确性。一组护士根据护理流程为五种症状(疼痛、呕吐、腹泻、发热和便秘)设定了最低标准:对517条症状的书面记录描述进行了评估。除了干预结果的评估在以患者为导向的护理记录中报告得更多外,三种不同的记录模式之间似乎没有差异。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验