Investigating the Role of Clinical Dashboards in Improving Nursing Care: A Systematic Review

Introduction: Advances and increasing technology adoption in the field of health have made it possible to implement tools such as clinical dashboards to assist nursing staff in providing better, more effective and safer care. The aim of this study was to investigate the role of clinical dashboards in providing nursing care.Material and Methods: This was a review study. For this purpose, the keywords Nursing, Nursing care, Clinical Dashboard, Health Dashboard, Evaluation were searched in the database of PubMed, Google Scholar, science direct. Criteria for inclusion in this study were studies that examined the role of clinical dashboards in the field of nursing and were published between 1990 and 2020. The necessary information was extracted using a researcher-made checklist and analyzed and reported in a descriptive manner.Results: A total of 2749 articles were retrieved. After reviewing by title, abstract and keywords, 7 studies that had appropriate content validity were selected for the present study. The intensive care unit had the highest frequency of dashboard use in nursing processes (n=3, 42%). The findings of this study showed that improving the quality of care, reducing medical errors and increasing patient safety are the most important benefits of using clinical dashboards in the field of nursing. Improving nurses' awareness of important patient issues and supporting clinical decisions were next in line.Conclusion: Clinical dashboards in the field of nursing care can reduce errors and possible negligence in the treatment by integration patient information and providing a comprehensive visual view of important patient information and as a suitable tool for evidence-based clinical and nursing decision support.

Sistematização da assistência de enfermagem à criança vítima de queimadura

Relatar a experiência durante a sistematização da assistência de enfermagem (SAE) a criança vítima de queimadura de primeiro e segundo grau. Estudo descritivo, com abordagem qualitativa do tipo relato de experiência. O estudo foi desenvolvido em cinco momentos específicos baseados nos processos de enfermagem. Foram realizados todos os cuidados de enfermagem disponíveis e possíveis, proporcionando aprendizado significativo dos formandos, mas acima de tudo com o intuito de demonstrar respeito e interesse profissional pela condução do caso e pelo cumprimento da SAE para a cliente. Um dos diagnósticos de enfermagem obtidos refere-se a integridade da pele prejudicada caracterizado por tecido destruído relacionado à queimadura. E quando tratada a lesão notou-se o uso Sulfadiazina de Prata, porém a literatura demonstrou que o uso interfere no manejo efetivo de pacientes queimados. A SAE enquanto tecnologia assistencial propicia a realização de um cuidado sistematizado, planejado e adequado. Descritores: Queimaduras, Cuidados de Enfermagem, Criança Hospitalizada. Systematization of nursing care to child victims of burnAbstract: To report the experience during the systematization of nursing care for children suffering from first and second degree burns. It is a descriptive study, with a qualitative approach of the experience report type. The study was developed in fives pecific moments based on the nursing processes. All available and possible nursing care was provided, providing meaning full earning to the trainees, but above all with the aim of showing respect and professional interest in the handling of the case and compliance with the SAE for the client. One of the nursing diagnoses obtain refers to the integrity of the damaged skin, characterized by destroyed tissue related to the burn. And when the lesion was treated, the use of Silver Sulfadiazine was noted, but the literature demonstrated that the use interferes with the effective management of burn patients. SAE as assistive technology allows for systematic, planned and adequate care.Descriptors: Burns, Nursing Care, Child Hospitalized. Sistematización de la atención de enfermería a niños víctimas de quemadurasResumen: Informar la experiencia durante la sistematización del cuidado de enfermería (AAS) al niño víctima de una quemadura de primer y segundo grado. Estudio descriptivo, con abordaje cualitativo del tipo relato de experiencia. El estudio se desarrolló en cinco momentos específicos basados en los procesos de enfermería. Se brindó toda la atención de enfermería disponible y posible, proporcionando un aprendizaje significativo a los aprendices, pero sobre todo con el objetivo de mostrar respeto e interés profesional en el manejo del caso y cumplimiento de la SAE por parte del cliente. Uno de los diagnósticos de enfermería obtenidos se refiere a la integridad de la piel dañada, caracterizada por tejido destruido relacionado con la quemadura. Y cuando se trató la lesión, se observó el uso de sulfadiazina de plata, pero la literatura demostró que el uso interfiere con el manejo efectivo de los pacientes quemados. SAE como tecnología asistencial permite una atención sistemática, planificada y adecuada.Descriptores: Quemaduras, Atención de Enfermería, Niño Hospitalizado.

Rehabilitation Therapy For Mental Patients

Rehabilitation is a process that allows individuals to return to the highest possible level of function. Usually aims to restore the level of function that is the same or higher than the level of function before the illness. Nurses in implementing mental nursing care use scientific methods in the form of nursing processes, interacting with clients, both individuals, families, and communities to achieve client independence. One of the nursing services in independent clients is a rehabilitation program in accordance with the definition of mental patient rehabilitation formulated in the National Working Meeting of Mental Health

Management of the nursing processes of internal students in the confrontation of the COVID-19

Nursing plays a key role in the management of services and care to guarantee the safety of patients and their professionals. This includes a diversity of care practices and initiatives arising from the new pandemic. The objective of the research was to describe the determining role of comprehensive student training for the correct management of nursing processes in the community boarding school, based on health education in the face of the current pandemic. A qualitative study was carried out, which describes the perception of four nursing interns in their rotation through the Health Center. Individual and group interviews were developed. It was evidenced that the students, during their training, have acquired abilities, skills, knowledge, attitudes, and values, in terms of biosafety measures, nursing management, and nursing care process, which allowed them to carry out the management of community nursing processes and the confrontation and combat of the pandemic caused by the SARS-CoV2 coronavirus, based on health education for the population.

Análise sobre estudos de validação de intervenções de enfermagem

Objetivo: analisar a produção científica sobre a validação de intervenções de enfermagem. Método: trata-se de um estudo bibliográfico, descritivo, tipo revisão integrativa de literatura, no recorte temporal de 2007 a 2016, na MEDLINE, CINAHL e Bibliotecas Virtual de Saúde e COCHRANE. Organizaram-se os estudos, categorizando-os e os analisando de modo descritivo. Resultados: encontraram-se 147 artigos e, após a leitura dos resumos e dos textos na íntegra, foram incluídos oito artigos. Conclusão: identificou-se, por meio da revisão integrativa, a produção científica referente à validação de intervenções de enfermagem na literatura, evidenciando um aumento da produção desses estudos, o que contribui para a prática de Enfermagem no Brasil. Descritores: Cuidados de Enfermagem; Estudos de Validação; Processo de Enfermagem; Diagnóstico de Enfermagem; Classificação; Enfermagem.AbstractObjective: to analyze the scientific production on the validation of nursing interventions. Method: this is a bibliographic, descriptive, integrative literature review, in the time frame from 2007 to 2016, in MEDLINE, CINAHL and Virtual Health Libraries and COCHRANE. The studies were organized, categorized, and analyzed in a perspective descriptive. Results: 147 articles were researched and, after reading the abstracts and texts in full, eight articles were included. Conclusion: it was identified, through the integrative review, the scientific production referring to the validation of nursing interventions in the literature, showing an increase in the production of these studies, which contributes to the practice of Nursing in Brazil. Descriptors: Nursing Care; Validation Studies; Nursing Processes; Nursing Diagnosis; Classification; Nursing.ResumenObjetivo: analizar la producción científica sobre la validación de las intervenciones de enfermería. Método: se trata de una revisión bibliográfica, descriptiva, integradora de la literatura, en el período de 2007 a 2016, en MEDLINE, CINAHL y Bibliotecas Virtuales de Salud y COCHRANE. Se organizaron los estudios, categorizándolos y analizándolos de manera descriptiva. Resultados: se encontraron 147 artículos y, después de leer los resúmenes y textos completos, se incluyeron ocho artículos. Conclusión: a través de la revisión integradora, se identificó la producción científica relacionada con la validación de las intervenciones de enfermería en la literatura, mostrando un aumento en la producción de estos estudios, lo que contribuye a la práctica de Enfermería en Brasil. Descriptores: Atención de Enfermería; Estudios de Validación; Proceso de Enfermería; Diagnóstico de Enfermería; Clasificación; Enfermería.

Nursing processes analysis in district hospital in Lithuania

Background The aim of the study - to evaluate the time devoted to the activities of therapeutic profile nursing and wastes in the nursing processes. Methods Time-and-motion study was applied for investigation of clinical workflow in nursing at district hospital in neurology and internal medicine departments. A total of four nurses, two nurses from each department, were observed. Duration of observation was 2 940 minutes (49 hrs). Results Nurses devote most of their time to administering medicines. It has been noted that there are many additional, unnecessary actions in this process. Likewise nursing staff devotes a lot of time to documentation management work: refills the same dossier when the information is recorded in paper forms, and then transfer it to the computers. For communication with patients, nursing staff spend a very small part of their working time and it is due to insufficient staff and stress and fatigue of the nurses. It is observed that the nurses of neurology and internal medicine departments spent 50.3 percent of their working time for a direct patient care, 19.3 percent of time - for indirect patient care, 22.3 percent for personal time and 8.0 percent for unit-related functions. According to the Lean methodology waste of overproduction, waiting, defects, bureaucracy, transportation, motion and human potential were identified in these departments. Conclusions Nurses of neurology and internal medicine departments spend most of their time for direct patient care and the least of their time for unit-related duties. Seven out of eight types of waste prevails in therapeutic departments of the district hospital. Key messages Adaptation of the Lean methodology of ’Visual Management’ may aid for optimizing the process of medication administration and diminishing the paper work of nurses. The manifestation of the stress and fatigue of the nurses could be reduced if the workloads of nurses were adjusted and adequately distributed.

Metode Pendokumentasian Elektronik dalam Meningkatkan Kualitas Pelayanan Keperawatan

Nursing documentation is one of the most important functions for nurses in providing nursing care. The nursing process in the modern era is now a demand from various aspects for nurses. The current development is that nurses must carry out nursing processes based on nursing care standards. The use of electronic nursing documentation can always evolve in line with technological developments, this can increase client life expectancy and reduce errors in intervening with clients. This IT-based documentation system will help in meeting documentation standards, can improve the quality of documentation, facilitate decision making and provide information that is easy to access, can minimize the potential for loss or damage to development records, improve information exchange and coordination between nurses or other health teams, documentation can be easily audited, help improve the accuracy of client data, can access the progress of client health development and reduce maintenance costs so that it can improve the quality of care services.