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Obtaining foundation for nursing care at the time of patient admission: a grounded theory study.

Jansson, Inger ; Pilhammar-Andersson, Eva and Forsberg, Anna LU (2009) In Open Nursing Journal 31(3). p.56-64
Abstract
The nursing process can be viewed as a problem-solving model, but we do not know whether use of the whole process including care plans with interventions based on nursing diagnoses improves nurses' ability to carry out assessments. Therefore, the aim of this study was to illuminate and describe the assessment and decision-making process performed by nurses who formulated individual care plans including nursing diagnosis, goals and interventions or who used standardized care plans when a patient was admitted to their ward for care, and those who did not. Data collection and analysis were carried out by means of Grounded theory. Nurses were observed while assessing patients, after which they were interviewed. The main concern of all nurses... (More)
The nursing process can be viewed as a problem-solving model, but we do not know whether use of the whole process including care plans with interventions based on nursing diagnoses improves nurses' ability to carry out assessments. Therefore, the aim of this study was to illuminate and describe the assessment and decision-making process performed by nurses who formulated individual care plans including nursing diagnosis, goals and interventions or who used standardized care plans when a patient was admitted to their ward for care, and those who did not. Data collection and analysis were carried out by means of Grounded theory. Nurses were observed while assessing patients, after which they were interviewed. The main concern of all nurses was to obtain a foundation for nursing care based on four strategies; building pre-understanding, creating a caring environment, collecting information on symptoms and signs and performing an analysis from different perspectives. It appeared that the most important aspect for nurses who did not employ care plans was the medical reason for the patient's admission. The nurses who employed care plans discussed their decisions in terms of nursing problems, needs and risks. The results indicate that nurses who formulated care plans were more aware of their professional role. (Less)
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author
; and
publishing date
type
Contribution to journal
publication status
published
subject
in
Open Nursing Journal
volume
31
issue
3
pages
56 - 64
publisher
Bentham Science Publishers
ISSN
1874-4346
DOI
10.2174/1874434600903010056
language
English
LU publication?
no
id
4ea92918-662f-48c2-bdf8-a2b1a8c77f3f
date added to LUP
2019-06-01 21:05:15
date last changed
2019-08-14 11:53:12
@article{4ea92918-662f-48c2-bdf8-a2b1a8c77f3f,
  abstract     = {{The nursing process can be viewed as a problem-solving model, but we do not know whether use of the whole process including care plans with interventions based on nursing diagnoses improves nurses' ability to carry out assessments. Therefore, the aim of this study was to illuminate and describe the assessment and decision-making process performed by nurses who formulated individual care plans including nursing diagnosis, goals and interventions or who used standardized care plans when a patient was admitted to their ward for care, and those who did not. Data collection and analysis were carried out by means of Grounded theory. Nurses were observed while assessing patients, after which they were interviewed. The main concern of all nurses was to obtain a foundation for nursing care based on four strategies; building pre-understanding, creating a caring environment, collecting information on symptoms and signs and performing an analysis from different perspectives. It appeared that the most important aspect for nurses who did not employ care plans was the medical reason for the patient's admission. The nurses who employed care plans discussed their decisions in terms of nursing problems, needs and risks. The results indicate that nurses who formulated care plans were more aware of their professional role.}},
  author       = {{Jansson, Inger and Pilhammar-Andersson, Eva and Forsberg, Anna}},
  issn         = {{1874-4346}},
  language     = {{eng}},
  number       = {{3}},
  pages        = {{56--64}},
  publisher    = {{Bentham Science Publishers}},
  series       = {{Open Nursing Journal}},
  title        = {{Obtaining foundation for nursing care at the time of patient admission: a grounded theory study.}},
  url          = {{http://dx.doi.org/10.2174/1874434600903010056}},
  doi          = {{10.2174/1874434600903010056}},
  volume       = {{31}},
  year         = {{2009}},
}