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nursing process in a Patient with Crohn’s Disease: Case Report

Open Journal of nursing 2021年第4期11卷 258-265页

作者： Jaqueline Ribeiro de Barros Giedre Soares Prates Herrerias Madhoor Ramdeen Rogerio Saad-Hossne Rubia Aguiar Alencar Ligia Yukie Sassaki Department of Internal Medicine S&#227 o Paulo State University (Unesp) Medical School Botucatu Brazil Department of Inflammatory Bowel Disease St. Mark’s Hospital London UK Department of Surgery S&#227 o Paulo State University (Unesp) Medical School Botucatu Brazil Department of nursing S&#227 o Paulo State University (Unesp) Medical School Botucatu Brazil

Background: Inflammatory Bowel Disease is a term that covers intestinal diseases, including ulcerative colitis and Crohn’s disease. Due to the condition of chronic and complex disease, the disease requires specialized nursing care and management in the context of a multi-disciplinary approach. As a guarantee of quality nursing care, it is essential to carry out the nursing process. Considering the commitment to assist the patient with Crohn’s disease, the nurse, through the nursing consultation, is able to diagnose the patient’s needs, proceed to the prescription of care and later evaluate the interventions, having the opportunity to develop work aimed at improving the quality of life of these patients. Objective: To describe the nursing process in a patient with Crohn’s disease. Methods: Exploratory case report study, carried out at the outpatient clinic for inflammatory bowel diseases of a public hospital in the countryside of the state of São Paulo, from June 2019 to October 2019. Data collection was performed through anamnesis, physical examination and analysis of medical records. Results: Female patient, 34 years old, diagnosed with Crohn’s disease. With the completion of the nursing process, it was possible to identify five nursing diagnoses and the elaboration of interventions and outcomes. The nursing evaluation was continuous and the patient adhered to the proposed interventions. Final considerations: The systematization and organization of the work of the nursing team proved to be essential for quality care, with efficiency and effectiveness, guaranteeing the patient comfort, general well-being and good rehabilitation.

关键词： nursing Care Crohn’s Disease nursing process

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Problem-Based Learning <i>in Situ</i>Applied to Students in the Assessment of nursing process

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Open Journal of nursing 2021年第5期11卷 378-389页

作者： Margarita Acevedo-Peñ a Rosa María Ostiguín-Meléndez José Luis Cadena-Anguiano Marcela Patricia Ibarra-Gonzalez Jesús Rigoberto Hernández-Hernández Rafael Villalobos-Molina Diana Cecilia Tapia-Pancardo Facultad de Estudios Superiores Iztacala Universidad Nacional Autónoma de México Mexico City Mexico Escuela Nacional de Enfermería y Obstetricia Universidad Nacional Autónoma de México Mexico City Mexico Facultad de Estudios Superiores Iztacala Universidad Nacional Autónoma de México Mexico City Mexico Colegio de Posgrado de la Ciudad de México city Mexico Unidad de Biomedicina Facultad de Estudios Superiores Iztacala Universidad Nacional Autónoma de México Mexico City Mexico

Background: nursing is considered a science in the making that recognizes the nursing process (NP) as the scientific and methodological tool to provide care. The NP is composed of five stages of which the assessment is the first and fundamental to identify the health problems of the people. This research aimed to evaluate a pedagogical didactic strategy that is based on situated constructivism, the Based-Problem Learning (BPL), in order to improve significant learning. Methods: Quantitative research with an explanatory scope, was transversal, and it was applied to 30 students of the first year of the nursing career at the Faculty of Higher Studies Iztacala, National Autonomous University of Mexico. The sample was chosen considering the inclusion criteria. Data were collected using a Likert-type instrument validated in a previous investigation. Results: The average value obtained from the Likert scale to evaluate the intervention was 103.4, the highest score was 135 and the lowest was 83, which reflects that it was evaluated as good and particularly good. The grade given to the teacher as an agent of the ZPD, was between agree and totally agree, the highest percentages scored at 93%, since it provoked challenge in their thinking, and favored interaction among classmates. Conclusions: The application of the in situ teaching strategy, BPL favored significant learning of the assessment stage, the students were able to carry out the assessment in the hospital, the experience contributed to generate significant learning when students face real scenarios, which showed the effectiveness of the method.

关键词： Learning Method nursing process Assessment

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The effects of applying an assessment form based on the health functional patterns on nursing student's attitude and skills in developing the nursing process

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International Journal of nursing Sciences 2019年第3期6卷 329-333页

作者： Mahnaz Khatiban Shahin Tohidi Maryam Shahdoust Mother&Child Care Research Center Hamadan University of Medical SciencesHamadanIran Department of Medical Surgical nursing Lorestan University of Medical SciencesKhorramabadIran Chronic Diseases(Home Care)Research Center Hamadan University of Medical SciencesHamadanIran Biostatistics Department School of Public HealthHamadan University of Medical SciencesHamadanIran

Objectives: Comprehensive nursing assessment,as the first step in the nursing process,involves the systematic and constant data gathering to facilitate the development of the patient-specific nursing *** aim of this study is to determine the effects of applying an assessment form based on the health functional patterns on nursing student's attitude and skills in developing nursing ***: A randomized controlling design was *** 84 undergraduate nursing students,42 students were allocated to the intervention or control *** clinical education,a patient assessment form based on Gordon's functional health patterns was applied to help students in the intervention group to develop nursing process,while the control group received traditional *** data were gathered using a demographic information questionnaire,skills in nursing process development checklist,and attitudes towards nursing process ***: The average scores for students' attitude and skills in developing nursing process in the intervention group were greater than those of the control ***: Applying nursing assessment using the patient assessment form based on Gordon's functional health patterns can improve the students' learning in developing nursing process.

关键词： Checklist nursing assessment nursing education nursing process nursing students

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Clinical Utilization of nursing process in Improving Patient’s Outcome and Its Associated Factors: A Cross-Sectional Study among Nurses and Midwives Working at Njombe Regional Referral Hospital, Tanzania

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Open Journal of nursing 2023年第8期13卷 537-550页

作者： Evaristus P. Makota Winfred P. Kyambile Vinogelaki Seif Ashery Mwalukolo Emmanuel Ulomi Njombe Regional Referral Hospital Njombe Tanzania

Background: Improvement of patient care in any hospital depends primarily on the quality of nursing care. nursing care is enhanced by the nursing process, which outlines the nursing activities to be provided for a patient. Methods and Materials: A cross sectional design employing quantitative methods was conducted in Njombe RRH in December 2021. Quantitative data were collected from nurses and midwives from all wards by simple random sampling techniques using a sample-size calculator. SPSS version 26.0 was used to analyse data whereby a p-value of 0.05 was considered a decision mark for the significance of the result;Chi-square and Logistic regression respectively were used to find out the association and its strength between variables. Result: Majority of the respondents, 41 (85.4%), had inadequate knowledge and 33 (68.8%) found them people with a negative attitude to the nursing process. Significantly, there is an association between knowledge and clinical utilization (AOR 2.24;95% CI: 1.6 - 2.5;P 0.04), attitude and clinical utilization (AOR 4.32;95% CI: 1.8 - 3.7;P Conclusion: A knowledge gap in relation to the utilization of the nursing process and a negative attitude were noted to be associated significantly with the utilization of the nursing process among nurses and midwives. It is recommended on-job training, supportive supervision, and Value Clarification and Attitude Transformation (VCAT) are the best interventions to address the knowledge gap and negative attitudes respectively.

关键词： Clinical Utilization Knowledge Attitude Patient’s Outcome nursing process

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nursing decision support system:application in electronic health records

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Frontiers of nursing 2020年第3期7卷 185-190页

作者： Mi-Zhi Wu Hong-Ying Pan Zhen Wang School of nursing Sciences Huzhou UniversityHuzhouZhejiang 313000China nursing Department of Sir Run Run Shaw Hospital Medical School Zhejiang UniversityHangzhouZhejiang 310017China School of Medicine East Campus of Huzhou UniversityHuzhouZhejiang 313000China

The clinical decision support system makes electronic health records(EHRs)structured,intelligent,and *** nursing decision support system(NDSS)is based on clinical nursing guidelines and nursing process to provide intelligent suggestions and *** impact on nurses’work is mainly in shortening the recording time,improving the quality of nursing diagnosis,reducing the incidence of nursing risk events,and so ***,there is no authoritative standard for the NDSS at home and *** review introduces development and challenges of EHRs and recommends the application of the NDSS in EHRs,namely the nursing assessment decision support system,the nursing diagnostic decision support system,and the nursing care planning decision support system(including nursing intervene),hoping to provide a new thought and method to structure impeccable EHRs.

关键词： electronic health records decision support systems clinical nursing process review

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Prevalence of the nursing Diagnosis Lack of Adherence in People Living with AIDS

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Open Journal of nursing 2016年第5期6卷 386-395页

作者： Richardson Augusto Rosendo da Silva Emilaine Rebouças Fernandes Vinicius Lino de Souza Neto Iellen Dantas Campos Verdes Rodrigues Itaisa Fernandes Cardoso de Andrade Bﾨﾢrbara Coeli Oliveira da Silva Francisca Marta de Lima Costa Cintia Capistrano Teixeira Rocha Olga Priscilla Gonçalves Department of nursing Health Science Center Federal University of Rio Grande do Norte (UFRN) Central Campus Natal Brazil Federal University of Rio Grande do Norte/UFRN Natal Brazil Graduate Program in nursing Federal University of Rio Grande do Norte/UFRN Natal Brazil Federal University of Piauí (UFPI) Teresina Brazil Doctor’s Health Strategy Japi Family/RN Natal Brazil

Introduction: In the 1990s, the development of highly active combination antiretroviral therapy in the treatment of AIDS was highlighted. The great benefit generated by the use of this treatment was the prolongation of survival of the people who got this disease, since it is no longer considered fatal, becoming a chronic condition. Objective: To identify the prevalence of the nursing diagnosis Lack of Adherence, its defining characteristics and related factors in people living with AIDS, to investigate the association between them and the prevalence rates. Methods: Cross-sectional study with 113 patients in a hospital in northeastern Brazil. For data analysis, the test of Pearson chi-square and Fisher’s exact test were used, and also calculated the prevalence rates. Results: Lack of Adherence diagnosis was present in 69% of the sample investigated. The defining characteristics and related factors that are statistically associated with that diagnosis were: lack of adherence behavior, missing scheduled appointments, complications related to development, insufficient skills to implement the system and complex treatment system. The first two characteristics had the highest chances for the development of this diagnosis. Conclusion: The study showed that the diagnostic studied was prevalent in these patients and 3 characteristics and 2 factors showed significant association.

关键词： nursing Diagnosis nursing process nursing Care HIV Acquired Immunodeficiency Syndrome

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