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PubMedDate not supplied

Utilization of reinforcement contracts to increase written evidence of the nursing assessment.

This study investigated if nursing personnel would increase written evidence of the nursing process if favorable consequences were arranged. The charting of 23 nurses was observed and tabulated for a three-week period. These base-line data were averaged and shared with each nurse, at which time each nurse set a goal (relative to increased charting) and chose a reward contingent upon achieving that goal. During the next three weeks the nurses were again observed, at the end of which results were tabulated and rewards given. The two periods were repeated. Results showed a sharp increase in charting during each reinforcement phase and a fall off during the second base-line period that was lower than the first base-line. The target behavior, therefore, was found to be increased by systematic reinforcement.

Behavior Therapy↗
PubMedDate not supplied

Nursing assessment and care plan statements.

Scope, specificity, and interrelatedness of patient problem and nursing intervention statements on nursing care plans were studied in relation to the introduction into the nursing assessment process of an objective observation checklist and a nursing history form. Ninety nursing care plans from six inpatient units in a Veterans Administration hospital were studied over an 11-month period. Results indicated that significant increases in the numbers of both types of care plan statements occurred only following the introduction of the nursing history, as did the numbers of nursing interventions related to the identified patient problems. The degree of specificity among the problem statements increased, but nursing interventions tended to become less explicit. The scope of focus of both types of statements continued to be primarily physical in orientation. The findings also suggested that, since the care plans reflected less than half the patient problems identified on the nursing histories, care plan studies alone might not be appropriate for evaluating the breadth of nursing care planning.

California↗
PubMed1976

Nursing assessment in industry.

In order to be able to offer nursing service to industry, a community health agency must have some knowledge of the industry and the daily problesm faced by both management and worker. The nursing process can serve as a framework for the gathering of necessary information and planning of sound care. The five-step nursing process, which includes assessment, diagnosis, planning, implementation and evaluation, is discussed and annotated model Assessment Guide for Nursing in Industry is given (Appendix A). The six areas from which information should be gathered when assessing an industry are the following: I. The community in which the industry is located: II. The industry, its historical development, policies, and projections; III. The plant or physical structure; IV. The working population; V. The industrial process of the plant; VII. The existing health program. Once the assessment is completed and a diagnosis formulated, services can be offered based on specific, defined needs.

Humans↗