Jove
Visualize
联系我们
JoVE
x logofacebook logolinkedin logoyoutube logo
关于 JoVE
概览领导团队博客JoVE 帮助中心
作者
出版流程编辑委员会范围与政策同行评审常见问题投稿
图书馆员
用户评价订阅访问资源图书馆顾问委员会常见问题
研究
JoVE JournalMethods CollectionsJoVE Encyclopedia of Experiments存档
教育
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab Manual教师资源中心教师网站
使用条款与条件
隐私政策
政策

相关概念视频

Guidelines for Nursing Documentation I01:30

Guidelines for Nursing Documentation I

1.0K
Quality documentation and reporting share essential characteristics that ensure they are practical and valuable resources for those who use them. These characteristics are:
Factual:  
The following points emphasize the significance of upholding accurate and unbiased documentation in healthcare.
1.0K
Documentation of Nursing Diagnosis01:10

Documentation of Nursing Diagnosis

1.2K
The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a plan of care or entered into the electronic health record.
In some settings, data-driven computerized decision support systems are in place, allowing for more accurate nursing diagnoses. The database within one of these systems includes diagnostic labels defining characteristics, activities, and indicators for nursing. A nurse enters...
1.2K
Role of Communication in the Nursing Process III: Evaluation and Documentation01:08

Role of Communication in the Nursing Process III: Evaluation and Documentation

1.2K
A successful patient outcome depends mainly on the evaluation stage of the nursing process. Evaluation determines effectiveness by reviewing what was done previously after the completion of nursing interventions. Every time a healthcare professional steps in or administers treatment, they must reassess or evaluate the action to ensure the intended result. During the evaluation phase, there are three probable patient outcomes:
1.2K
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

866
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
866
Guidelines for Nursing Documentation II01:26

Guidelines for Nursing Documentation II

1.0K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
1.0K
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation01:20

Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation

1.6K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
1.6K

您也可能阅读

相关文章

通过共同作者、期刊和引用图与本文相关的文章。

排序
Same author

Clinical and Histopathological Profile of Adults with Celiac Disease at Diagnosis and on a Gluten-Free Diet: A Cross-Sectional Observational Study.

Clinics and practice·2026
Same author

Large-Scale Data Analytics of the Romanian National Inpatient Database: Prevalence, Incidence, and Mortality of Chronic Wounds, 2017-2022.

Medicina (Kaunas, Lithuania)·2026
Same author

Effectiveness of Robotic Systems with Dynamic Body Weight Support in Post-Traumatic Lower Limb Rehabilitation: A Systematic Review.

Medicina (Kaunas, Lithuania)·2026
Same author

The Relationship Between Clinical Profiles, Glycemic Parameters, and Hypoglycemia in Pediatric Patients with Type 1 Diabetes.

Journal of clinical medicine·2026
Same author

The Impact of Post-Stroke Disability on Rehabilitation Costs in Romania.

Journal of clinical medicine·2025
Same author

Utilization and psychometric properties of Quality of documentation of Nursing Diagnoses, Interventions, and Outcomes (Q-DIO): A scoping review.

International journal of nursing knowledge·2024

相关实验视频

Updated: May 23, 2025

Using Learning Outcome Measures to assess Doctoral Nursing Education
10:07

Using Learning Outcome Measures to assess Doctoral Nursing Education

Published on: June 21, 2010

18.9K

使用Q-DIO调查护理文档质量:多层次回归分析

Laura Elena Gligor1, Horațiu Rusu2, Carmen Daniela Domnariu3

  • 1Nursing Department, Faculty of Law and Social Science, "1 Decembrie 1918" University of Alba Iulia, Alba Iulia, Romania.

International journal of nursing knowledge
|May 22, 2025
PubMed
概括

罗马尼亚的护理文档质量受到护理过程的彻底性和组织因素的影响,如护士人员和医院专业. 解决所有记录阶段是改善患者治疗结果的关键.

关键词:
在 Q-DIO 仪器中使用 Q-DIO 仪器.先进的护理过程是先进的护理过程.多层次的物流回归分析.护理过程护理过程.基于纸质的护理文档护理文档.

更多相关视频

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

9.6K
Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques
13:44

Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques

Published on: December 9, 2022

3.4K

相关实验视频

Last Updated: May 23, 2025

Using Learning Outcome Measures to assess Doctoral Nursing Education
10:07

Using Learning Outcome Measures to assess Doctoral Nursing Education

Published on: June 21, 2010

18.9K
Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
06:52

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit

Published on: September 30, 2020

9.6K
Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques
13:44

Project-Based Learning Guidelines for Health Sciences Students: An Analysis with Data Mining and Qualitative Techniques

Published on: December 9, 2022

3.4K

科学领域:

  • 护理研究 护理研究
  • 医疗信息学 医疗信息学
  • 提高质量 提高质量

背景情况:

  • 有效的护理文档 (NDoc) 对于患者护理的连续性和结果至关重要.
  • 了解影响NDoc完成质量的因素对于改善医疗保健标准至关重要.
  • 罗马尼亚的医疗保健系统背景要求对NDoc实践进行具体调查.

研究的目的:

  • 调查影响罗马尼亚护理文档 (NDoc) 完成质量的因素.
  • 使用多级建模来分析NDoc质量决定因素.
  • 确定护理过程中的关键要素和影响NDoc.的外部因素.

主要方法:

  • 使用了回顾性描述性研究设计.
  • 使用混合效应物流回归分析来确定影响因素.
  • 总共有395个NDocs使用Q-DIO仪器和概率抽样进行了分析.

主要成果:

  • 在Q-DIO子概念之间发现了显著的相关性,包括"护理诊断作为过程"与"护理诊断作为产品"以及"护理敏感患者结果".
  • "护理诊断作为产品"与"护理干预"相关.
  • 提高护士参与文件的数量对"护理诊断产品"和"护理干预"的完整性产生了积极的影响;医院专业也影响了质量,但停留时间没有.

结论:

  • Q-DIO子概念的相互联系强调了需要解决护理过程的所有阶段,以改善护理敏感患者的结果.
  • 组织因素,如护士人员和医院专业,显著影响NDoc完成质量.
  • 系统的数据收集,培训和对组织方面的考虑对于提高NDoc的准确性和完整性至关重要.