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Basic nursing care: Retrospective evaluation of communication and psychosocial interventions documented by nurses in the acute care setting

机译:基本护理:对急性护理环境中护士记录的沟通和社会心理干预的回顾性评估

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Purpose: This study aimed to evaluate the frequency of psychosocial aspects of basic nursing care, as e-charted by nurses, when using an interface terminology. Methods: An observational, multicentre study was conducted in acute wards. The main outcome measure was the frequency of use of the psychosocial interventions in the electronic nursing care plans, analysed over a 12 month retrospective review. Findings: Overall, 150,494 electronic care plans were studied. Most of the intervention concepts from the interface terminology were used by registered nurses to illustrate the psychosocial aspects of fundamentals of care in the electronic care plans. Conclusions and Implications: The results presented help to demonstrate that the interventions of this interface terminology may be useful to inform psychosocial aspects of basic and advanced nursing care. Clinical relevance: The identification of psychosocial elements of basic nursing care in the nursing documentation may lead to obtain a deeper understanding of those caring interventions nurses consider essential to represent nurse-patient interactions. The frequency of psychosocial interventions may contribute to delineate basic and advanced nursing care.
机译:目的:本研究旨在评估当使用界面术语时,护士通过电子方式绘制的基本护理心理社会方面的频率。方法:在急性病房进行了一项观察性,多中心研究。主要结局指标是在12个月的回顾性分析中分析了在电子护理计划中使用社会心理干预措施的频率。结果:总共研究了150,494个电子护理计划。注册护士使用界面术语中的大多数干预概念来说明电子护理计划中护理基本原理的社会心理方面。结论和启示:所提供的结果有助于证明该界面术语的干预措施可能对基础和高级护理的社会心理信息有用。临床意义:在护理文档中识别基本护理的社会心理因素可能会导致人们对护士认为代表护士与患者互动必不可少的那些护理措施有更深入的了解。社会心理干预的频率可能有助于描述基本和高级护理。

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