Übereinstimmung des Advanced Nursing Process mit Beobachtungen, Interviews und Pflegedokumentationen im Akutspital

Leoni‐Scheiber, Claudia; Mayer, Hanna; Müller‐Staub, Maria

doi:10.1024/1012-5302/a000704

Cited by 6 publications

(3 citation statements)

References 17 publications

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“…Our results could be the consequence of a more accurate patient assessment and nursing diagnosis. Previous studies have demonstrated that using a problem‐oriented approach was one of the potential solutions to the lack of critical thinking and clinical reasoning (Leoni‐Scheiber et al, 2020; Paans et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the Primary Nursing Model on nursing documentation accuracy: A quasi‐experimental study

Cocchieri

Cesare

Anderson

et al. 2022

Journal of Clinical Nursing

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Aims and objectives:To analyse the Primary Nursing Model's effect on nursing documentation accuracy. Background:The Primary Nursing is widely implemented since it has been considered as the ideal model of care delivery based on the relationship between the nurse and patient. However, previous research has not examined the relationship between Primary Nursing and nursing documentation accuracy.Design: A pretest-posttest-follow-up design was used. Methods:The study was conducted from August 2018 to February 2020 in eight surgical and medical wards in an Italian university hospital. The Primary Nursing was implemented in four wards (study group), while in the other four, the Team Nursing was practised (control group). Nursing documentation accuracy was evaluated through the D-Catch instrument. From the eight wards, 120 nursing documentations were selected randomly for each time point (pre-test, post-test and follow-up) and in each group. Altogether, 720 nursing documents were assessed. The study adhered to the TREND checklist.Results: The Primary Nursing and Team Nursing Models exhibited significant differences in mean scores for documentation accuracy: assessment on admission, nursing diagnosis, nursing intervention and patient outcome accuracy. No differences between the two groups were found for record structure accuracy and legibility between the posttest and follow-up. Conclusion:Primary Nursing exerts an overall positive effect on nursing documentation accuracy and persists over time. Relevance to clinical practice:The benefits from Primary Nursing implementation included better-documented patient outcomes. The use of Primary Nursing linked with the use of the nursing process allowed for a more individualised and problem-solving approach. Nurse managers should consider the implementation of Primary Nursing to improve care quality.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of the Primary Nursing Model on nursing documentation accuracy: A quasi‐experimental study

Cocchieri

Cesare

Anderson

et al. 2022

Journal of Clinical Nursing

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“…Research about SNL and the related Advanced Nursing Process describes that interventions are effective when correctly formulated according to classification systems. This SNL makes interventions and patient-centred outcomes comparable and enables evaluation [44,45]. Since nutritional interventions affect several levels, three additional components of effective interventions were defined on a meta-level, according to a first analysis of the literature: staff training, multi-component measures and interprofessional food promoting culture [46,47].…”

Section: Synthesismentioning

confidence: 99%

Interventions to optimise nutrition in older people in hospitals and long‐term care: Umbrella review

Brunner

Mayer

Qin

et al. 2021

Scandinavian Caring Sciences

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Background Inpatients have a high need for protein‐energy intake because of increased physical stress metabolism due to illnesses. Protein‐energy undernutrition in older patients increases the risk of complications such as falls, pressure ulcers and even death. An overview of effective interventions addressing this complex issue of malnutrition in older people is missing. Aims To give an overview of effective interventions to optimise nutrition in older people in hospitals and long‐term care. Design An umbrella review, according to the Joanna Briggs Institute and PRISMA statement, was conducted in April 2020. Methods A systematic search of publications from 2010 until 2020 was conducted in CINAHL, PubMed and Cochrane Database. Included were studies reporting nutrition interventions that involved nurses or the interprofessional team in optimising older hospitalised people's nutrition. Excluded were studies investigating the effects of parenteral nutrition, certain food supplements or tube feeding and research from intensive, community or palliative care. Components of interventions were classified according to the intervention Nutrition management: Patients’ assistance, patients’ instruction, foodservice, environment for meals and nutrient‐dense snacks. Findings Included were 13 reviews from 19 countries of the continents Asia, Australia, Europe and North America from hospitals and long‐term care settings. An interprofessional food promoting culture, including staff training as part of a multi‐component measure, has shown to be a successful element in implementing activities of Nutrition Management. Conclusion Several studies synthesised that optimising nutrition in older people in hospitals and long‐term care is achievable. Interventions were effective if—on a meta‐level—staff training was addressed as part of a multi‐component measure to reach an interprofessional food promoting culture. Implications for practice Interventions to optimise older people's nutrition have to consider an interprofessional food promoting culture, including staff training about the importance of nutrition, patients’ assistance and an appropriate environment for meals.

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“…Although healthcare providers work in reputable surgical centers and position patients in order to prevent lesions, these events are more frequent than desired (Burlingame, 2017; Kimsey, 2019; Tallier et al., 2017). Pressure injuries are the most described event in the literature, with an incidence that varies between 10% and 77% (Buso et al., 2021).…”

Section: Introductionmentioning

confidence: 99%

Knowledge translation for nursing care for patients with Risk of perioperative positioning injury: A case report

Bjorklund-Lima

Müller‐Staub

Rabelo‐Silva

2022

Int J of Nursing Knowl

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PurposeThe aim was to apply the Advanced Nursing Process and demonstrating procedures of surgical positioning, as well as to show the participating the Nursing Outcomes Classification findings in order to translate the knowledge on specific preventive perioperative positioning into practice, the review of clinical protocols and nursing care plan.MethodsThe methods used include case report about knowledge translation by applying training modalities, review and adaptation of clinical protocols and examination of nursing care plans.FindingsOne hundred and nine healthcare providers attended the training, including nurses and nursing technicians working in the surgical center and the outpatient surgical center of the hospital chosen for this study. The surgical positioning protocols were revised based on the evidence described in the literature and the main surgical guidelines. The review of care registered in the institution's electronic system for the nursing prescription stage of the diagnosis Risk of perioperative positioning injury was based on the review on evidence on risk factors, the main guidelines in the area and the interventions suggested by Nursing Intervention Classification. The electronic system had registered 14 cares for this diagnosis, and after the review, one care was excluded and eight new cares were included, totaling 21 cares.ConclusionNursing teams play a prominent role in positioning patients for surgery, protecting them in a moment of extreme vulnerability, thus making knowledge about the fundamental elements of surgical positioning essential. This emphasizes the importance of training, and of reviewing protocols and records of procedures that promote safety to patients and care teams.Implication for nursing practiceThe translation of knowledge about the Advanced Nursing Process in the perioperative area contributes to the refinement of classifications and standardization of language in this scenario, subsidizing an evidence‐based clinical practice.

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Übereinstimmung des Advanced Nursing Process mit Beobachtungen, Interviews und Pflegedokumentationen im Akutspital

Cited by 6 publications

References 17 publications

Effectiveness of the Primary Nursing Model on nursing documentation accuracy: A quasi‐experimental study

Effectiveness of the Primary Nursing Model on nursing documentation accuracy: A quasi‐experimental study

Interventions to optimise nutrition in older people in hospitals and long‐term care: Umbrella review

Knowledge translation for nursing care for patients with Risk of perioperative positioning injury: A case report

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