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[Implementation on the operating level of the nursing process].

N A Villalobos1

  • 1Escuela de Enfermería de la Universidad de Costa Rica.

Revista Latino-Americana De Enfermagem
|March 29, 2000
PubMed
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[Viability of a proposal of change for the continuous improvement of a complex organization: the nursing department].

Revista latino-americana de enfermagem·1996
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This study applied the Plan-Do-Check-Act (PDCA) cycle, adapted as VIDA, to improve nursing care. The implementation phase revealed that patients did not fully express their needs or develop autonomy and citizenship.

Area of Science:

  • Nursing Care
  • Healthcare Management
  • Quality Improvement

Background:

  • The study explores the application of the Plan-Do-Check-Act (PDCA) cycle, translated as VIDA (view, implementation, discernment, at just), to enhance nursing care processes.
  • It integrates Kurt Lewin's change theory to guide the implementation of quality improvement strategies in healthcare settings.

Observation:

  • The implementation stage utilized diverse approaches including technical care, education, administration, and research.
  • Patient and family engagement in expressing feelings, beliefs, expectations, and autonomy within the nursing care process was observed.

Findings:

  • The application of the VIDA (PDCA) cycle highlighted a gap in patient self-expression and autonomy.
  • Patients demonstrated limited development in expressing personal expectations and asserting their rights within the nursing care context.

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Implications:

  • Findings suggest a need for enhanced patient-centered communication strategies in nursing.
  • Further research is needed to explore methods for fostering patient autonomy, citizenship, and personal growth within healthcare.