ANÁLISE DAS ANOTAÇÕES DO ENFERMEIRO EM UMA UNIDADE DE TERAPIA INTENSIVA

This is a retrospective study of the nurse's notes taken when patients are admitted to the Intensive Therapy Unit of a teaching hospital in the state of Paraná. As secondary database, we used the files of patients hospitalized in the second semester of 2002. Among the 241 collected files, 187...

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Bibliographic Details
Main Authors: MARIA CRISTINA FERREIRA FONTES (Author), ISABEL AMÉLIA COSTA MENDES (Author), MIYEKO HAYASHIDA (Author), MARIA CELIA BARCELLOS DALRI (Author)
Format: Book
Published: Universidade Federal do Ceará, 2006-01-01T00:00:00Z.
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Summary:This is a retrospective study of the nurse's notes taken when patients are admitted to the Intensive Therapy Unit of a teaching hospital in the state of Paraná. As secondary database, we used the files of patients hospitalized in the second semester of 2002. Among the 241 collected files, 187 (77.6%) contained the printed version of the nurse's notes. Most notes were identified by the nurse's rubrics (50.3%) or name (38.0%). From the qualitative analysis of the 187 nurse's notes, we extracted 515 contents, recorded with objective writing (56.6%), readable and clear handwriting (56.6%), correct abbreviations (67.0%), free from errors (95.2%) and shortenings (50.7%). Although most analyzed contents were classified as adequate, we observed flaws in some of the examined characteristics. Such features suggest the need for reflection and further investigation.
Item Description:1517-3852
2175-6783