My actual knowledge of care plans and nursing models was non-existent until my conversion course to RGN in 1989. I found it difficult to grasp and at times a paper exercise. A care plan should be used as a link between the outpatient's nurse and ward nurses involved with the patient's primary care and the personnel in theatre responsible for the patient. The purpose of nursing documentation is to show that care has been planned for each individual patient; to inform nursing staff and others involved in delivering care; to record changes in the patient's condition or care; to maintain continuity of care.
直到1989年我转为注册护士的转换课程之前,我对护理计划和护理模式实际上一无所知。我发现它很难掌握,有时感觉像是纸上谈兵。护理计划应用作负责患者初级护理的门诊护士与病房护士以及手术室负责该患者的人员之间的纽带。护理记录的目的是表明已为每个患者制定了护理计划;告知护理人员和其他参与提供护理的人员;记录患者病情或护理的变化;保持护理的连续性。