Dokumentntion av psykojyeriatrisk omvårdnad En interventionsstudie

• Published in: Nordic journal of nursing research 1995-12, Vol.15 (4), p.20-25
• Main Authors: Furåker, Carina, Sandman, PO
• Format: Article
• Language: dan ; swe
• Subjects: Alzheimer's disease; Documentation; Nursing care
• ISSN: 0107-4083; 2057-1585; 1890-4238; 2057-1593
• DOI: 10.1177/010740839501500405

The aim of this study was to investigate in what way a certain intervention influenced the nurses documentation of psychogeriatric care. The intervention consisted of an educational program for the nurses at a seven ward clinic and an implementation of a new nursing record. The effects of the intervention were assessed by comparing the content of 35 randomly selected records pre and post intervention. The records were analysed according two dimensions, i. e. the content and the stucture. The proportion of notes describing nursing care increased in total with 83% after intervention According to the nursing process, most notes concerned descriptions of the patients needs/problems (83%) and evaluations of care given (9%) prior to the intervention. The same pattern was seen after the intervention was implemented. Descriptions of the patient's needs concerning sleep/rest and state of mind were most frequent before as well as after the intervention. Of interest was that there were no notes found describing spiritual needs and unexpected few notes describing care related to ADL and communication.