Psychiatric treatment and record organized by objectives

Area of Science:

• Psychiatric nursing
• Healthcare informatics
• Clinical documentation

Background:

• The Weed system offers a structured approach to patient care, problem identification, and intervention documentation.
• Challenges exist in staff adoption of complex documentation systems within psychiatric settings.

Purpose of the Study:

• To modify the Weed system to enhance staff acceptance in a general hospital psychiatric unit.
• To introduce practical modifications while preserving essential components of problem-oriented records.

Main Methods:

• Development and implementation of the treatment organized by objectives (TOBO) system.
• Development and implementation of the companion record organized by objective (ROBO).
• Evaluation of staff acceptance and system usability in a psychiatric unit.

Main Results:

• The TOBO and ROBO systems were introduced as modifications to the Weed system.
• These systems aim to retain the core principles of problem-oriented documentation.
• The modifications are intended to increase staff acceptance and practical utility.

Conclusions:

• Treatment organized by objectives (TOBO) and record organized by objective (ROBO) offer practical modifications to the Weed system.
• These adapted systems may improve the integration of problem-oriented records in psychiatric care.
• Further evaluation is needed to confirm long-term staff acceptance and impact on patient care.