'Scraps': hidden nursing information and its influence on the delivery of care
'Scraps': hidden nursing information and its influence on the delivery of care
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DOI：
10.1046/j.1365-2648.2000.01443.x
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发表时间：
2000-07-01
影响因子：
3.8
通讯作者：
Coleman, P
中科院分区：
文献类型：
--
作者：
Hardey, M;Payne, S;Coleman, P
护士们通常所说的“碎片”被定义为个性化的信息记录，这些信息通常记录在任何可用的纸（因此是碎片）或小笔记本上。废料的使用在实践中很常见，并且在地球仪的研究中已经注意到。借鉴实证研究，有人认为，废料是一个独特的结合个人和专业知识，通知提供护理。这项研究的总体目标是发现护士如何定义和沟通有关病人的信息，以及在老年护理病房相互提供护理。还确定了信息构建的过程以及影响信息构建的组织结构和相互作用。研究设计是一个民族志的，涉及：观察正式的护理结束轮班报告（23个hundreds）和护士之间的非正式互动（146小时）;面试（n + 34）与注册护士，学生护士和护理辅助人员;和书面记录的分析。数据收集自英格兰南部一家地区综合医院的五个急性老年护理病房。一个接地的理论分析表明，废料可能有一个重要的作用，在信息的交流和提供护理。因此，在三个主要主题内对废料进行了分类。首先，分析揭示了废料的建造过程。其次，揭示了废料的内容和作用，影响提供护理。最后，认识到废料的潜在机密性以及随之而来的储存和处置问题。研究结果进行了讨论，建议的模式之间的相互关系文书工作，废料，beverers和提供护理。得出的结论是，废料在促进护理方面具有重要意义，并且应该在研究、教育和实践中认识到这一点。
What nurses commonly describe as 'scraps' are defined as the personalized recordings of information that is routinely made on any available piece of paper (hence scraps) or in small notebooks. The use of scraps is common in practice and has been noted in research from across the globe. Drawing on an empirical study it is argued that scraps are a unique combination of personal and professional knowledge that informs the delivery of care. The overall aim of the study was to discover how nurses define and communicate information about patients and the delivery of care to each other on an elderly care unit. The processes by which information was constructed and the organizational structure and interactions that influenced this were also identified. The research design was an ethnographic one that involved: observations of formal nursing end of shift reports (23 handovers) and informal interactions between nurses (146 hours); interviews (n + 34) with registered nurses, student nurses and nursing auxiliaries; and analysis of written records. Data were collected from five acute elderly care wards at a district general hospital in the south of England. A grounded theory analysis was undertaken which revealed that scraps may have a significant role in the communication of information and the delivery of care. Therefore a categorization of scraps within three main themes was undertaken. First, the analysis revealed the processes involved in the construction of scraps. Second, the content and role of scraps in influencing the delivery of care was exposed. Finally, the potentially confidential nature of scraps and consequent problems of storage and disposal was recognized. The findings are discussed in relation to a suggested model of the interrelationship between paperwork, scraps, handovers and the delivery of nursing care. It is concluded that scraps are significant in facilitating nursing care and that this should be recognized in research, education and practice.