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Biomedical subjects

Denise Tolfo Silveira

Publications and source records attributed to Denise Tolfo Silveira.

4 recordsLinked to original sources

Computerized nursing process in critical care unit using the ICNP--Beta2.

The process of nursing is an assertive solving problem approach to the identification and care of patients' problems as well as an instrument of education in Nursing. At the CCU, due to the complexity of care, constant changes in the clinical situation of patients and the elevated amount of information, the informatics is seen as a way to the development of the nursing process and consequently improvement of the quality of care. Therefore, this methodological study and technological production was developed with 05 nurses of the CCU aiming describing the development of the nursing computerized process in the CCU from the ICNP Beta 2 and demonstrating the contributions to the improvement of nursing care. The ethical principals of the resolution 196/96 of CNS were followed and constituted 03 production phases: planning, development and production of the B version. The evaluation process interposed the system production phases and made it possible necessary modifications to be done. The evaluations make noteworthy that a new conception of nursing care practice is established; the process of nursing informatics makes the care more notorious, organized and permits the early mistake detection; the program allows a continuous learning and explicit clinical decision making of the nurse. Therefore, information systems and related technology are necessary in order to create, democratize, and apply knowledge in nursing.

Brazil↗

Nursing documentation in occupational health.

PURPOSE: Traditionally, nursing documentation has been consistent with hospital standards and legal definitions of clinical nursing practice. Identify data and information nurses need to be recorded in order to maintain the continuity and quality of nursing care and the efficiency of nursing performance is a research question that is moving professionals around the world. This study objective is to describe the analysis of nursing documentation in the patient records. METHODS: It is a retrospective study. The study was conducted in the ambulatory occupational health nursing; it was selected 111 patient records. Of these, in 106 we identified a total of 775 nursing records. The nursing records comprise the following dimension: identification, job history, health state, health and safety, psychological e socio- cultural, medical history, physical examination and nursing assessment. RESULTS: In the data set elements found as documented in the subjective data and objective data, there was higher frequency of data elements related to the following nursing dimensions: health state, health and safety, physical examination and nursing assessment. The dimension of job history we found that 25% of the nursing records did not documented information about the current work status of the patient. In addition, the current job activity 20.77% of the records), working day 9.03% of the records), job process 8.13% of the records), worksite exposure 8.0% of the records), environmental works 6.19% of the records), occupation 5.81% of the records), job time 4.39% of the records), before job activity 4.13 % of the records), and work location 3.23% of the records) were not also documented. CONCLUSION: In conclusion, the present study was an attempt to highlight the importance of data to be documented and organized in the existing information systems in the specific area of occupational health care. The adequate data collected can provide the right information to improve nursing care in this care setting and enhance health population.

Documentation↗

[The use of virtual learning environment in teaching basic and advanced life support].

The present paper is the result of an experiment conducted as part of the Nursing: basic and advanced life support course, which was offered as a semi-online course using the virtual learning environment called Learning Space. The virtual learning environment optimizes classroom dynamics, since in the classroom setting, practical activities may be privileged; besides, learning is customized as students may access the environment whenever and wherever they wish.

Computer-Assisted Instruction↗

[Nursing minimum data set: identifying of categories and items for the nursing practice in ambulatory occupational health].

This article describes the categorization of the elements identified from the nursing check-up in ambulatory occupational health. This is a retrospective descriptive study that was conducted in the Nursing Ambulatory Center at Hospital de Clínicas de Porto Alegre. The data sources were the nursing records used in outpatient unit and from the records of the institution's database, collected from August 1998 to August 2003. Of the 106 patient records used, 777 records were identified as first-time encounter and nursing return appointments. The initial results of this study suggest that the demographic elements of the patient/client, nursing care elements, service elements, and occupational health elements comprise a nursing essential data set in the area of occupational health.

Nursing Records↗