Section: Healthcare Management
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Campo MA et al. Descriptores de resultados enfermeros en Atención Primaria. Metas de Enfermería dic 2000/ene 2004; 6(10): 18-22
1María Antonia Campo Osaba, 2Celia García Gutiérrez, 3José Luís del Val García, 4Esther Núñez Juárez, 4Guadalupe Figueiras Novelle, 1Dolors Gascón Segundo
1Enfermera, Institut Català de la Salut. 2Enfermera. Consorci Sanitari de Terrassa. 3Médico, Técnico de Salut. Institut Català de la Salut.4Enfermera. Responsable de procesos de Enfermería. Institut Català de la Salut.
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This article depicts the results of a coordinated research project conducted between 1999 and 2001 in the Primary Care setting of the region of Cataluña. The theoretical frame was constructed using the Virginia Henderson model, NANDA diagnostic taxonomy, and the nursing process.
Objective: to describe the results achieved as a result of implementing nursing interventions in Primary Care.
Methods: the descriptors mentioned were inductively constructed on the basis of the care provided by Primary Care nurses. Qualitative methodology was used, specifically an interpretative analysis of the contents of the following texts: Text registries of the nursing process in 280 cases followed over a 6 month period. Text of interviews with 6 healthcare nurses and a case discussion group.
Results: the following descriptors were obtained: 2.1. Acquires or increases knowledge level, 2.2. Develops skills, 2.3. Identifies weak or vulnerable points, 2.4. Identifies own resources and other additional available resources, 2.5. Makes decision in difficult situations, 2.6. Expresses feelings and emotions, 2.7 Follows or maintains a nursing care plan, 2.8. Follows a diet plan, 2.9. Follows a drug regimen, 2.10. Improvements or stabilisation of the disease, 2.12. Incorporation or modification of behavioural patterns, as well as health habits and life styles, 2.14. Interruption of behaviours and healthy habits and life styles, 2.15 Elimination or control of risk factors, 2.16 Improvement or stable maintenance of the emotional situation, 2.17 Difficulty to participate and to compromise in the care provided, 2.18 Support, family involvement, 2.19 Admissions due to a worsening of the symptoms, the disease and/or the development of complications, 2.20 External aide, 2.21 Admission to give the caretaker a rest, 2.22 Does not come to the scheduled appointment, 2.23 Loss or abandonment of nursing follow up.
Conclusions: according to the answers provided by the registered nurses, DREs compile the usual answers of people receiving nursing care and facilitate the registry of the date in the medical history. Descriptors must be considered as a starting point and require a more extensive validation to help us detect and incorporate any necessary modifications.
nursing care outcome; Primary Care; nursing methodology; In depth interviews; discussion groups; Virginia HendersonNANDA
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