We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
NURSING RECORDS IN THE PERIOPERATIVE PERIOD.
- Authors
Klein, Aline Graziella Staub; Bitencourt, Julia Valéria de Oliveira Vargas; Dal Pai, Daiane; Wegner, Wiliam
- Abstract
Objective: to evaluate the records of nursing in the perioperative period from a hospital in Porto Alegre, Rio Grande do Sul. Method: a quantitative approach, with a descriptive, conducted with 110 records from January and February 2010, through a form with closed questions. Approved by the Ethics Committee of the Methodist University IPA (346/2009) and the Institution search (357/CEM/09). Results: 65,4% of records had no nursing records. Only 7,3% of the medical records were analyzed on the history of the patient's health and on their physical assessment. At surgery, the patient's position was the most frequent item of complete records (13,6%), whereas postoperatively were vital signs (57,3%). Conclusion: there is a shortage of perioperative nursing records, which compromises the nursing process. It is suggested that the institutionalization of a single instrument that enables systematic records of perioperative, thereby stimulating a flow of information about the surgical procedure - an event vital to human life. Descriptors: perioperative care; operating room nursing; nursing records; postoperatively.
- Subjects
BRAZIL; ANALYSIS of variance; COMPUTER software; RESEARCH methodology; NURSING; NURSING practice; NURSING records; OPERATING room nursing; PATIENTS; SCALE analysis (Psychology); SURGERY; DATA analysis; QUANTITATIVE research; CROSS-sectional method
- Publication
Journal of Nursing UFPE / Revista de Enfermagem UFPE, 2011, Vol 5, Issue 6, p1096
- ISSN
1981-8963
- Publication type
Article
- DOI
10.5205/reuol.1302-9310-2-LE.0505201103