Nursing process: from literature to practice. What are we actually doing?

@article{Pokorski2009NursingPF,
  title={Nursing process: from literature to practice. What are we actually doing?},
  author={Simoni Pokorski and Maria Antonieta Moraes and R. Chiarelli and Angelita Paganin Costanzi and Eneida Rejane Rabelo},
  journal={Revista latino-americana de enfermagem},
  year={2009},
  volume={17 3},
  pages={
          302-7
        }
}
OBJECTIVES To describe the steps of the nursing process as prescribed in the literature and to investigate the process as actually applied in the daily routine of a general hospital. METHODS Cross-sectional retrospective study (May/June 2005), performed in a hospital in Porto Alegre, RS. Medical records of adult patients admitted to a surgical, clinical or intensive care unit were reviewed to identify the nursing process steps accomplished during the first 48 h after admission. The form for… 

Figures and Tables from this paper

Nursing interventions in the clinical practice of an intensive care unit.
TLDR
The conclusion is that the interventions/NIC used in the clinical practice of this intensive care unit reflects the level of complexity of nursing care, which is mainly directed at the regulation of the body's physical and homeostatic functioning.
Implementation and factors affecting the nursing process among nurses working in selected government hospital in southwest Ethiopia
TLDR
The implementation of nursing process was good where; nearly seven in every ten nurses implemented the nursing process, and low educational qualification, lack of training, and non-supportive hospital administration were predictors of the Nursing process implementation.
Application of the Nursing Process: A Phenomenological Study of Registered Nurses Experiences at a District Hospital in Ghana
TLDR
The finding of the study indicates that participants perceive the nursing process as a scientific process and a tool useful to the work of nurses.
Determinants towards Implementation of Nursing Process
TLDR
The study has identified lack of facility from organizational factors, economic status of the patient to collect material for nursing care, early discharge, lack of cooperation and complicated problems from patient related factors and level of knowledge were among those factors highly affecting nursing process implementation.
Nursing Students' Opinions Regarding the Nursing Process
TLDR
The result of this study suggests that students who find the nursing process useful for both the patient and themselves and who have difficulty in all phases of the Nursing process should apply the nursing Process on more cases.
Strategies to develop the nursing process and nursing care plans in the health system in Bolivia.
BACKGROUND Care plans provide guidelines to offer all patients the same quality assistance. Care plans constitute a base where every stage of the nursing process can be recorded, which will save time
Determinants of Nursing Process Implementation in North East Ethiopia: Cross-Sectional Study
TLDR
Nursing process was poorly implemented in Afar region mainly due to lack of knowledge and absence of in service training, so giving emphasis for cognitive parts of students about nursing process during their school time and refreshing nurse staffs with continuous training will definitively improve level of nursing process implementation.
The Practice of Nursing Process and Associated Factors Among Nurses Working in Public Hospitals of Harari People National Regional State, Eastern Ethiopia: A Cross Sectional Study
TLDR
The practice of nursing process in the two facilities studied was suboptimal and nurses’ patient care knowledge in nursing process practice need to be evaluated and monitored periodically in order to provide on service training.
[Development and validation of an instrument for initial nursing assessment].
TLDR
The nursing assessment instrument contributes to improving the quality of clinical records, supports the nursing diagnosis and implementation of the nursing process, promotes the nurse's role and helps to standardize practice.
...
...

References

SHOWING 1-10 OF 26 REFERENCES
Nursing documentation in patient records: experience of the use of the VIPS model.
TLDR
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.
Evaluation of nursing process documentation.
TLDR
The findings indicated that, generally, the assessment phase of the process was poorly documented and that many psychological and social problems were not addressed as well as others.
The nursing record as a research tool to identify nursing interventions.
This paper describes a study which was designed to test the feasibility of using retrospective case note abstraction of data from nursing records to identify the nursing interventions given to two
Nursing diagnoses in a Brazilian intensive care unit.
TLDR
The nursing diagnoses identified seemed to be common to the clinical practice of nursing and their fundamental related/risk factors to precise clinical judgment, thus providing a basis for interventions for a desired outcome.
O processo de implementação do diagnóstico de enfermagem no Hospital Universitário da Universidade de São Paulo
TLDR
The present study aims at sharing with other nurses this experience on the implementation process of the Nursing Diagnosis as a second step of the NCS.
Environmental elements affecting the decision-making process in nursing practice.
TLDR
It was concluded that environmental elements have to be well considered before knowledge can be reached about decision-making in practice, and interpersonal and technological interruptions were features highlighted in the study, features which could jeopardize the decision- making outcome.
Factors associated with nursing diagnosis utilization in Canada.
  • K. Higuchi, C. Dulberg, V. Duff
  • Medicine
    Nursing diagnosis : ND : the official journal of the North American Nursing Diagnosis Association
  • 1999
TLDR
Nurses have a greater tendency to document nursing diagnoses when institutions have formal educational programs and computer-generated care plans, and nurses employed in hospitals without nursing diagnosis implementation programs.
Nursing Process Outcome Linkage Research: Issues, Current Status, and Health Policy Implications
TLDR
Nursing process outcome research is reviewed, issues inherent in nursing effectiveness research are clarified, and implications for nursing and health policy are discussed.
“Vigilance: The Essence of Nursing”
TLDR
The profession, as a whole, and language developers, in particular, need to expand standardized nursing diagnosis terminology so that the contribution of nurses' vigilance to patient safety may be effectively communicated and documented.
Nursing diagnosis and classification systems: a position paper.
TLDR
It is suggested that nursing diagnosis has a great deal to offer British nurses in their efforts to improve the quality of care and to provide data in this area for both practice and research.
...
...