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The influence of the use of diagnostic resources on nurses' communication with simulated patients during admission interviews.诊断资源的使用对护士在入院访谈期间与模拟患者沟通的影响。
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3
Impact of an educational program on the use of standardized nursing languages for nursing documentation among public health nurses in Nigeria.一项教育计划对尼日利亚公共卫生护士使用标准化护理语言进行护理记录的影响。
Int J Nurs Knowl. 2013 Jun;24(2):108-112. doi: 10.1111/j.2047-3095.2013.01239.x. Epub 2013 Apr 5.
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Assessing the use of the NANDA-International nursing diagnoses at the Obafemi Awolowo University Teaching Hospitals Complex, Ile Ife, Nigeria.评估尼日利亚伊费奥巴费米·阿沃洛沃大学教学医院综合院区对国际护理诊断协会（NANDA）护理诊断的使用情况。
Int J Nurs Terminol Classif. 2011 Oct-Dec;22(4):157-61. doi: 10.1111/j.1744-618X.2011.01190.x. Epub 2011 Jun 20.
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Invited paper: teaching nursing diagnosis to increase utilization after graduation.
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Case study: home nursing care for a 62-year-old woman with multiple health problems.案例研究：为一名患有多种健康问题的62岁女性提供家庭护理。
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8
Implementation of a documentation model comprising nursing terminologies--theoretical and methodological issues.包含护理术语的文档模型的实施——理论与方法问题
J Nurs Manag. 2008 Apr;16(3):275-83. doi: 10.1111/j.1365-2834.2007.00796.x.
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Putting policy into practice: pre- and posttests of implementing standardized languages for nursing documentation.将政策付诸实践：实施护理文件标准化语言的前后测试
J Clin Nurs. 2007 Oct;16(10):1826-38. doi: 10.1111/j.1365-2702.2007.01836.x.
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Dangerous abbreviations: "U" can make a difference!危险的缩写：“U”可能会造成差异！
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标准化护理语言继续教育项目对伊巴丹大学学院医院护士护理记录的影响。

Effect of standardized nursing language continuing education programme on nurses' documentation of care at University College Hospital, Ibadan.

作者信息

Adubi Iyanuoluwa O, Olaogun Adenike A, Adejumo Prisca O

机构信息

Clinical Nursing Department University College Hospital Ibadan Nigeria.

Department of Nursing Science Obafemi Awolowo University Ile-Ife Nigeria.

出版信息

Nurs Open. 2017 Nov 27;5(1):37-44. doi: 10.1002/nop2.108. eCollection 2018 Jan.

DOI:10.1002/nop2.108
PMID:29344393
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5762716/
Abstract

AIM

The study assessed the documentation of nursing care before, during and after the Standardized Nursing Language Continuing Education Programme (SNLCEP). It evaluates the differences in documentation of nursing care in different nursing specialty areas and assessed the influence of work experience on the quality of documentation of nursing care with a view to provide information on documentation of nursing care. The instrument used was an adapted scoring guide for nursing diagnosis, nursing intervention and nursing outcome (Q-DIO).

DESIGN

Retrospective record reviews design was used.

METHODS

A total of 270 nursing process booklets formed the sample size. From each ward, 90 booklets were selected in this order: 30 booklets before the SNLCEP, 30 booklets during SNLCEP and 30 booklets after SNLCEP.

RESULTS

Overall, the study concluded that the SNLCEP had a significant effect on the quality of documentation of nursing care using Standardized Nursing Languages.

摘要

目的

本研究评估了标准化护理语言继续教育项目（SNLCEP）实施前、实施期间及实施后的护理记录情况。它评估了不同护理专业领域护理记录的差异，并评估了工作经验对护理记录质量的影响，以期提供有关护理记录的信息。所使用的工具是一份经过改编的护理诊断、护理干预及护理结果评分指南（Q-DIO）。

设计

采用回顾性记录审查设计。

方法

总共270本护理流程手册构成样本量。从每个病房按此顺序选取90本手册：SNLCEP实施前30本手册、SNLCEP实施期间30本手册以及SNLCEP实施后30本手册。

结果

总体而言，该研究得出结论，SNLCEP对使用标准化护理语言的护理记录质量有显著影响。