Ehrenberg A, Ehnfors M, Thorell-Ekstrand I
Department of Social Medicine, Uppsala University, Sweden.
J Adv Nurs. 1996 Oct;24(4):853-67. doi: 10.1046/j.1365-2648.1996.26325.x.
The VIPS model for the documentation of nursing care in patient records was scientifically developed and published in 1991, with the aim of supporting the systematic documentation of nursing care and promoting individualized care. As the model seemed to be accepted and used in many parts of Sweden, a study was conducted in order to gather further information on the validity of the model, to describe the clinical and educational experience of its use and to refine it. Experience of the use of the model was gathered from a review of the scientific papers and other reports on it, from questionnaires addressed to nurses (n = 514), from comments by key informants, and from interviews with faculty members at all the nursing schools in the country. The findings showed that an intense process of change and development was occurring regarding nursing documentation. However, there were limitations in the use of the entire nursing process, especially in the specification of patient problems and the formulation of nursing diagnoses and nursing interventions. The keywords (Swedish spelling) of the VIPS model had good content validity in different areas of nursing care. The findings also indicated the need for further elaboration and revision of some of the keywords. A revised version of the VIPS model based on these findings is presented.
用于在患者记录中记录护理情况的VIPS模型于1991年经科学开发并发表，目的是支持护理记录的系统化并促进个性化护理。由于该模型似乎在瑞典许多地区得到接受和使用，因此开展了一项研究，以收集有关该模型有效性的更多信息，描述其使用的临床和教育经验并对其进行完善。通过查阅关于该模型的科学论文和其他报告、向护士发放问卷（n = 514）、关键信息提供者的评论以及对该国所有护理学校的教员进行访谈，收集了使用该模型的经验。研究结果表明，护理记录方面正在发生激烈的变革和发展过程。然而，整个护理过程的使用存在局限性，尤其是在确定患者问题以及制定护理诊断和护理干预措施方面。VIPS模型的关键词（瑞典语拼写）在不同护理领域具有良好的内容效度。研究结果还表明需要对一些关键词进行进一步阐述和修订。本文给出了基于这些研究结果的VIPS模型修订版。
