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Using and documenting nursing diagnosis in an ambulatory setting.

G Bru

    Journal of the Association of Pediatric Oncology Nurses
    |January 1, 1989
    PubMed
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    This study introduces a new documentation tool for ambulatory care settings. It enhances nursing diagnosis use and communication among nurses in outpatient departments.

    Area of Science:

    • Nursing
    • Healthcare Informatics

    Background:

    • Nursing documentation is crucial for efficient communication and resource utilization.
    • Ambulatory care settings present unique documentation challenges.
    • The effectiveness of nursing diagnosis in outpatient settings requires investigation.

    Purpose of the Study:

    • To explore nursing documentation practices in ambulatory care.
    • To assess the applicability of nursing diagnosis in outpatient settings.
    • To describe the development of a novel documentation tool for ambulatory nursing.

    Main Methods:

    • Development of a unique documentation tool tailored for ambulatory care.
    • Implementation of the tool within a healthcare agency.
    • Evaluation of the tool's impact on nursing diagnosis use and communication.

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    Main Results:

    • The developed tool facilitates and encourages the use of nursing diagnosis by various nursing roles.
    • Improved communication among nursing personnel was observed.
    • The tool demonstrated potential for effective nursing diagnosis application in ambulatory settings.

    Conclusions:

    • A specialized documentation tool can successfully integrate nursing diagnosis into ambulatory care.
    • Enhanced communication and resource utilization are potential benefits.
    • This approach supports nurses in clinic and day hospital settings.