Implementation and Evaluation of the Nursing Process in Primary Health Care

Abstract

The nursing process can be used to identify nursing care issues and assess the capacity for resolution.

Findings From a Nursing Care Audit Based on the Nursing Process: A Descriptive Study

“…In the present study, nurses obtained a relatively high score for compliance with the nursing process indicators, especially in the domains of assessment, diagnosis, and evaluation. Our findings are consistent with those of Rivas et al, who investigated the implementation of the nursing process in primary healthcare and reported that using the nursing process can improve the quality of care and people’s health ( 12 ). Training nurses on the nursing process and encouraging them to implement it can significantly improve the quality of nursing care ( 5 , 13 ).…”

Establishing Technical Values for Nursing Diagnoses in Primary Healthcare

“…The assessment criteria were established through the following procedure: A panel of experts was formed with the 22 members of the QCC. An initial proposal of 5 criteria was prepared by the QCC coordinator, taking into account the reviewed literature (Gerencia de Atención Primaria Área 9, ; Pérez‐Rivas, Santamaría García, Minguet Arenas, Beamud Lagos, & García López, ): “Burden of care,” “Expectations of resolution,” “Self‐perceived health,” “Social impact,” and “Resources needed.” Two successive questionnaires were submitted to the panel of experts with the initial proposal of criteria in which they were asked about the relevance of including each criterion, the explanation of each criterion, and the measurement scale. The first questionnaire also offered the possibility of including new criteria, which were assessed by the experts in the second questionnaire. Consensus on the criteria (inclusion, name, and measurement scale) was established when at least 75% of the panelists concurred with the proposal put forward and voted in favor of the proposal put forward in the second submission. The final proposal was reached after two face‐to‐face meetings were held with the participation of all of the members of the commission. …”

“…An initial proposal of 5 criteria was prepared by the QCC coordinator, taking into account the reviewed literature (Gerencia de Atención Primaria Área 9, ; Pérez‐Rivas, Santamaría García, Minguet Arenas, Beamud Lagos, & García López, ): “Burden of care,” “Expectations of resolution,” “Self‐perceived health,” “Social impact,” and “Resources needed.”…”

Effectiveness of Nursing Process Use in Primary Care

“…To evaluate the use of the nursing process, a synthetic index of care was calculated, taking into account the frequency of nursing diagnoses made and the quality of the process (Pérez Rivas et al., ).…”

“…Over the past 10 years, Primary Care Area 11 of the Public Health System of Madrid has developed various strategies to systematize the use of the nursing process to improve the scope and quality of the nursing care provided (Pérez Rivas, Santamaría García, Minguet Arenas, Beamud Lagos, & García López, ).…”