Brazilian Nursing Communication Symposium
SIBRACEN

Abstract

SPERANDIO, Dircelene Jussara and MARTINEZ EVORA, Yolanda Dora. Proposal for implementation of the nursing process in semi-intensive therapy. In Proceedings of the 8. Brazilian Nursing Communication Symposium, 2002, San Pablo (SP, Brazil) [online]. 2002 [cited 25 April 2024]. Available from: <http://www.proceedings.scielo.br/scielo.php?script=sci_arttext&pid=MSC0000000052002000100010&lng=en&nrm=iso> .

The nursing care system is a way for the nurses to apply their technical-scientific knowledge, characterizing the professional practice. The nurses have been overloaded with bureaucratic activities, spending up to 50% of their time collecting, administering and documenting information. The professional practice becomes more difficult when the relation between nurse/occupied beds is deficient in hospitals, causing the challenge of administering their time, accomplishing tasks with quality. This study took place in the Semi-intensive Therapy Unit in a philanthropic hospital of the state of São Paulo. Its purpose was to elaborate an instrument for data collection and nursing prescription, providing manual registration in an efficient, fast and individualized way. The methodology developed in two stages. First, an instrument was elaborated using a database of signs and symptoms. The nurse should underline the detected/observed data. In the second stage, a list of multiple choices was built (checklist) with nursing interventions, making it possible to mark the necessary items for the prescription to be executed, and to indicate the appropriate schedule. The instrument reduced 5he time to elaborate the nursing prescription by 50% and it was easy to use, guaranteeing the elaboration of the Nursing Process in conformity with the quality/reduction binomial in the record time. This instrument aims at the future development of software to implement the Nursing Care System.

Keywords : nursing; nursing process; informatization.