J Neurosci Nurs. 2023 Apr 1;55(2):49-53. doi: 10.1097/JNN.0000000000000690.
The nursing care plan (NCP) was developed approximately 100 years ago as a teaching tool for nursing students. Our neuroscience intensive care unit (NSICU) uses a multidisciplinary rounding plan (MDRP) that may provide more relevant and up-to-date information than the standard NCP. METHODS: In this prospective single-blind randomized pilot study, we examined nurses' abilities to respond to 7 clinical scenarios common to the NSICU. The NCPs and MDRPs from 70 patients were randomly assigned to 14 nurses (10 per nurse) who answered each of the 7 questions using only data from an NCP or data from an MDR. RESULTS: The MDRP mean score of 4.51 (1.50) correct answers was statistically significantly higher than the NCP mean score of 0.31 (0.71) correct answer (P < .0001). CONCLUSION: The MDRP was designed to address the modern-day communication needs of NSICU staff by leveraging technological advances. Data from this study suggest that the MDRP may have advantages over the NCP in providing contextually relevant information. Additional research is warranted to develop the MDRP as a replacement for the NCP in the NSICU setting.
护理计划（NCP）大约在 100 年前作为护理学生的教学工具而开发。我们的神经科重症监护病房（NSICU）使用多学科查房计划（MDRP），它可能比标准的 NCP 提供更相关和最新的信息。
在这项前瞻性单盲随机试点研究中，我们检查了护士在 7 个常见的 NSICU 临床场景中做出反应的能力。从 70 名患者中随机抽取 NCP 和 MDRP，分配给 14 名护士（每名护士 10 份），他们使用 NCP 或 MDR 的数据来回答每个问题。
MDRP 的平均得分为 4.51（1.50）个正确答案，明显高于 NCP 的平均得分为 0.31（0.71）个正确答案（P <.0001）。
MDRP 旨在通过利用技术进步来满足 NSICU 工作人员的现代沟通需求。这项研究的数据表明，MDRP 在提供上下文相关信息方面可能优于 NCP。需要进一步研究来开发 MDRP 以替代 NSICU 中的 NCP。
