Effects of the introduction of nursing diagnosis using a nursing support system

使用护理支持系统引入护理诊断的效果

• 批准号: 16592105
• 负责人: KURASHIMA Sachiko
• 金额: $ 2.18万
• 依托单位: Yamagata Prefectural University of Health Sciences (2005)Niigata University (2004)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2004
• 资助国家: 日本
• 起止时间: 2004 至 2005
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-16592105/
• 关键词: Nursing support system; Nursing Diagnosis; Accuracy evaluation; Ordinal Scale for Degrees of Accuracy; Randomized clinical test; 無作為化臨床試験

1.We evaluated the effects of the introduction of nursing diagnosis using a nursing support system in nurses in a university hospital, with respect to the accuracy of nursing diagnosis.1)Tests for the evaluation of the accuracy of nursing diagnosis : (1)Two case studies (Cases 1 and 2) were selected. (2)Forty-two nurses who gave consent to this study were randomly allocated to Groups A and B. Group A made a diagnosis of Case 1 using a nursing support system and that of Case 2 without using the system. Group B made a diagnosis of Case 1 without using the system and that of Case 2 using the system. (3)The nurses entered nursing diagnoses of the two cases and associated factors on the answer sheet, and the answer time was noted.2)The presence or absence of correct diagnoses was determined, and the accuracy of the descriptions of associated factors of nursing diagnosis was evaluated using the Lunney's Ordinal Scale for Degrees of Accuracy of a Nursing Diagnosis.3)The influences of backgrou … More nd factors such as the age, gender, department, years of experience, final school education, and nursing diagnosis learning on the answer time, accuracy, and correct answer rate were analyzed using SPSS14.OJ.4)Results : (1)The use of the nursing support system did not affect the correct diagnosis rate. However, its advantage was shortening of the answer time without influencing the accuracy of nursing diagnosis. (2)The accuracy of nursing diagnosis can be evaluated using Lunney's Ordinal Scale for Degrees of Accuracy. (3)Accuracy evaluation in clinical cases is necessary.2.The following conditions may be necessary for the improvement of the nursing support system. 1)Full-time members should be appointed for the production of a nursing diagnosis master, and they produce a master, selecting nursing diagnoses/common problems that are frequently used in the NANDA Nursing Diagnosis Classification. 2)Programs allowing the analysis/integration/checking of assessment and input of patients' results as well as the achievement period/observation plan/nursing treatment are necessary. Less

1.本研究以某大学医院护理人员为对象，探讨护理诊断导入后，对护理诊断正确性的影响。1）护理诊断正确性的评估：（1）选择两个个案研究（个案1和2）。（2）将42名同意参加本研究的护士随机分为A、B组。A组采用护理支持系统对病例1进行诊断，对病例2进行诊断。B组对病例1不使用该系统进行诊断，对病例2使用该系统进行诊断。（3）护士在答题卡上填写两例患者的护理诊断及相关因素，并记录答题时间;（2）判断有无正确诊断，并采用Lunney's护理诊断准确度排序量表评价护理诊断相关因素描述的准确性;（3）背景知识对护理诊断准确度的影响;（4）护理诊断准确度评分，并对护理诊断准确度评分。 ...更多信息 采用SPSS14.OJ统计软件分析年龄、性别、科室、工作年限、毕业学历、护理诊断学知识等因素对回答时间、正确率、正确率的影响。4）结果：（1）护理支持系统的使用不影响正确诊断率。但其优点是在不影响护理诊断准确性的前提下缩短了回答时间。（2）护理诊断的准确性可用Lunney's Ordinal Scale for Degrees of Accuracy进行评价。（3）临床病例的准确性评价是必要的。2.护理支持系统的完善可能需要以下条件。1）应指定全职成员生产护理诊断大师，他们生产大师，选择NANDA护理诊断分类中经常使用的护理诊断/常见问题。2)需要允许分析/整合/检查评估和输入患者结果以及实现期/观察计划/护理治疗的程序。少