Basic Nursing Care: Retrospective Evaluation of Communication and Psychosocial Interventions Documented by Nurses in the Acute Care Setting

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 psychosoci...

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Veröffentlicht in:Journal of nursing scholarship 2014-01, Vol.46 (1), p.65-72
Hauptverfasser: Juvé-Udina, Maria-Eulàlia, Pérez, Esperanza Zuriguel, Padrés, Núria Fabrellas, Samartino, Maribel Gonzalez, García, Marta Romero, Creus, Mònica Castellà, Batllori, Núria Vila, Calvo, Cristina Matud
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container_issue 1
container_start_page 65
container_title Journal of nursing scholarship
container_volume 46
creator Juvé-Udina, Maria-Eulàlia
Pérez, Esperanza Zuriguel
Padrés, Núria Fabrellas
Samartino, Maribel Gonzalez
García, Marta Romero
Creus, Mònica Castellà
Batllori, Núria Vila
Calvo, Cristina Matud
description 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.
doi_str_mv 10.1111/jnu.12062
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subjects ATIC terminology
Basic nursing care
Care plans
Communication
Critical Care Nursing
Electronic Health Records
Fundamentals of care
Humans
Intervention
Nurses
Nursing
Nursing care
Nursing Evaluation Research
Nursing interventions
Nursing language systems
Nursing Records - statistics & numerical data
Patient Care Planning
Patients
Psychosocial care
Psychosocial factors
Psychosocial intervention
Psychotherapy - statistics & numerical data
Retrospective Studies
Terminology
title Basic Nursing Care: Retrospective Evaluation of Communication and Psychosocial Interventions Documented by Nurses in the Acute Care Setting
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