Phelan C, Finnell M D, Mottla K A
Rehabil Nurs. 1989 Mar-Apr;14(2):81-7. doi: 10.1002/j.2048-7940.1989.tb01425.x.
A patient self-assessment tool was designed, tested, and implemented to promote cardiac-specific data collection, based on Gordon's Functional Health Patterns, to maximize patient/family involvement in determining a plan of care, and to streamline primary nurses' documentation requirements. Retrospective and concurrent chart reviews provided data for quality assurance monitoring. The results of the monitoring demonstrated that the self-assessment tool markedly improved the patient-specific data base.
设计、测试并实施了一种患者自我评估工具,以促进基于戈登功能健康模式的心脏特异性数据收集,最大限度地提高患者/家属参与确定护理计划的程度,并简化初级护士的文档记录要求。回顾性和同步病历审查为质量保证监测提供了数据。监测结果表明,该自我评估工具显著改善了患者特异性数据库。