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Related Concept Videos

Planning Nursing Care I01:21

Planning Nursing Care I

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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Nursing Interventions II: Selecting and Classifying the Nursing Interventions01:29

Nursing Interventions II: Selecting and Classifying the Nursing Interventions

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Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
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Endotracheal Intubation II: Nursing Management01:17

Endotracheal Intubation II: Nursing Management

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Endotracheal intubation is a critical procedure that can be lifesaving for many patients with respiratory distress or failure. The role of nursing in managing endotracheal tubes is pivotal, as it involves pre-intubation preparation, assisting during the procedure, and post-extubation care.
1. Nursing Care of Patients Before Intubation
Before the endotracheal intubation procedure, nurses play an essential role in ensuring the process goes smoothly. The nurses must be familiar with intubation...
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Nursing Clinical Information System01:27

Nursing Clinical Information System

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Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
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Nursing Interventions I: Taxonomy of Nursing Interventions01:03

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Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
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Types of Records I: Unit and Nurses Records01:27

Types of Records I: Unit and Nurses Records

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 Unit records in healthcare settings document the patient's treatment history, including interventions, medications, diagnostic and laboratory results, progress notes, personal care needs, vital signs, and other medical information. They are crucial for managing patient care, aiding healthcare professionals in providing quality treatment and informed decision-making.
Unit records can be divided into two main types: administrative records and clinical records.
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Related Experiment Video

Updated: Jun 13, 2025

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
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Primary nursing in the intensive care unit.

Lars Krüger1,2, Thomas Mannebach3, Franziska Wefer4,5

  • 1Project and Knowledge Management/Care Development intensive care, Care Directorate, Heart and Diabetes Center NRW, University Hospital of the Ruhr University Bochum, Bad Oeynhausen, Germany.

Pflege
|September 12, 2024
PubMed
Summary
This summary is machine-generated.

Primary nursing (Process Responsible Nursing; PRN) improved communication and patient-centered care in an ICU, especially involving relatives. However, challenges in handover and documentation require further optimization for successful PRN implementation.

Keywords:
Change ManagementIntensivstationPflegeplanungProzessverantwortliche PflegeQualitative Inhaltsanalysechange managementintensive care unitpatient care planningprimary nursingqualitative research

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Area of Science:

  • Nursing Science
  • Healthcare Management
  • Qualitative Research Methods

Background:

  • Primary nursing (Process Responsible Nursing; PRN) is a model for organizing nursing care.
  • Implementation of PRN in intensive care units (ICUs) presents significant challenges.
  • This study analyzes the development and implementation of PRN in a German university hospital ICU.

Purpose of the Study:

  • To assess nurses' perceptions of changes in nursing practice following PRN implementation.
  • To gather insights into the implementation process of PRN.
  • To identify areas for further optimization of PRN.

Main Methods:

  • A qualitative process analysis was conducted.
  • Data collection involved focus group interviews and ward process analyses (participant observation) at three time points: pre-implementation, 6 months post-implementation, and 12 months post-implementation.
  • Analysis utilized Kuckartz's content-structuring qualitative content analysis.

Main Results:

  • Key categories identified included communication, care planning, and patient/relative integration.
  • Positive impacts of PRN were observed, particularly in the involvement of relatives.
  • Areas identified for optimization included handover procedures, appointment scheduling, documentation systems, and visiting hours.

Conclusions:

  • The qualitative analysis demonstrated changes in nursing practice, such as improved communication and care planning, during PRN implementation.
  • Challenges related to visit appointments and the documentation system were also highlighted.
  • Further optimization is needed to address identified challenges and enhance PRN effectiveness.