Assessment of the nursing computerized system to the nurse and its application at the point of patient care / Avaliação da contribuição do sistema informatizado em enfermagem para o enfermeiro e sua aplicabilidade no ponto de cuidado do paciente

AUTOR(ES)

Jurema da Silva Herbas Palomo

DATA DE PUBLICAÇÃO

2010

RESUMO

The application of information technology in health has given support to the patient care with more quality and provides more linear, efficient and safe processes. This thesis presents the development and evaluation of a module called Systematization of Nursing Care (SAE Module) that when incorporated into the Hospital Information System of the Heart Institute of the University of Sao Paulo Medical School is able to automate the actions involved in Nursing Process. The identification of the benefits and limitations resulting from the adoption of an information system are also described. The methodology was developed in two stages: the first involved the development and deployment of the SAE Module, and the second involved the assessment of the nursing computerized system to the nurse and its application at the point of patient care (PCP). The first step included the organization of the nursing process in the SAE Module. As a result, a set of features, structured or free texts were defined and comprised: collection of patient data and physical examination, nursing diagnosis and evolution, nursing interventions and prescription. The use of SAE Module was done in parallel with the SAE handwritten during 6 months and approved by 28 nurses. After this stage, 50 other nurses were trained and used it in their daily work for 15 months, finalizing the first step with 78 trained nurses. The second step involved the evaluation of nurses who replied two forms to evaluate SAE Module usage through two different ways of access, one using a fixed computer in the nursing counter and the other using a mobile computer, developed in the hospital in order to bring the system to the PCP. In order to obtain the best results from the evaluation, personal characteristics of these nurses were reviewed and compared. Fortytwo nurses were selected according to the homogeneity of the results, out of which 25 participated in the evaluation. The analytical and statistical results lead to the conclusion that the SAE Module incorporated into SIH contributed to the nurse to get more readability and security from patient electronic records for both fixed and mobile access. The comparison between the two forms of access to the formulation of nursing diagnosis and prescription has shown positive results despite statiscally significant differences (nonparametric Wilcoxon test). In addition, it was observed that the patient electronic record (fixed 84% and 60%) allowed an increase of the nurse´s time in the direct patient care. Regarding the use of a mobile computer in the PCP, the positive responses (84%) indicated a reduction in the time spent to update the nursing prescription.

ASSUNTO(S)

nursing process registros de enfermagem informática em enfermagem ponto de cuidado do paciente nursing records nursing informatics point of care systems point of patient care sistemas automatizados de assistência junto ao leito processos de enfermagem

Documentos Relacionados

• Avaliação do Sistema Informatizado de Educação Continuada em Enfermagem
• Absenteísmo e sua relação com o ambiente de trabalho e sua interferência no cuidado de Enfermagem
• Eletrocirurgia: evidências para o cuidado de enfermagem
• SIGNIFICADO DO CUIDADO DE ENFERMAGEM PARA ENFERMEIRAS NO CONTEXTO HOSPITALAR: UMA VISÃO INTERACIONISTA
• Surveillance Sanitary: a perspective of care at nursing.