Nursing effort and the exchanging human response pattern.
Nursing effort and the exchanging human response pattern.
复制标题
护理努力和交流的人类反应模式。
DOI:
10.1111/j.1744-618x.1991.tb00353.x
复制
发表时间:
1991
期刊:
影响因子:
--
通讯作者:
Kerr,ME
中科院分区:
文献类型:
--
作者:
Happ,MB;Kerr,ME
This descriptive, comparative study was done to determine the nursing effort required to treat actual and potential nursing diagnoses from the Exchanging Human Response Pattern in two patient care specialties: acute medical–surgical and postpartum. Patterns of diagnosis identification are described for the two groups, and differences in allocation of nursing resources (nursing effort) are examined. The sample included 200 observations (hospital days) for 50 patients: 33 postpartum patients, and 17 medical–surgical patients. Data were collected daily during the study period by nurses who provided direct care to the selected patients using an investigator‐developed version of the Nurse–Patient Summary (NPS) nursing information and patient classification tool (Halloran. 1985). Potential nursing diagnoses received most of the nursing effort in the postpartum area (mean effort = 5.28), whereas actual nursing diagnoses in the Exchanging Human Response Pattern received a higher priority in the medical–surgical area (mean effort = 12.03). Statistically significant differences existed between groups in total nursing effort (t = ‐4.73, p < .0001) and in nursing effort required to treat actual (t = ‐7.42, p < .0001) and potential diagnoses (t = 3.99, p < .0001) in the Exchanging Human Response Pattern. This study provides unique information about how nurses allocate their lime to patients for the treatment of actual and potential nursing diagnoses, and outlines areas for further development in diagnosis‐based patient classification.