Impact of Nursing Methodology Training Sessions on Completion of the Virginia Henderson Assessment Record.

Maria Lopez,Manuel Frutos-Martin,Belen Martin-Gil,Jose-Maria Jimenez,Maria-Jose Castro,Mercedes Fernández-Castro,Sara Garcia,Maria-Jose Cao

doi:10.3390/nursrep10020014

Maria Lopez, Manuel Frutos-Martin + Show 6 more

Open Access

https://doi.org/10.3390/nursrep10020014

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Abstract

The Virginia Henderson model, integrated in the computer application GACELA Care, helps to standardise the nursing assessment and establish precise and personalised nursing diagnoses. The aim was to determine the extent of completion of the initial patient assessment record after nurses following a training programme on nursing methodology. A quasi-experimental, retrospective, randomised, observational, single-group study was performed in two stages: pre-training and post-training. Voluntary training sessions were held for the nurses that work with GACELA Care. The completion of the initial patient assessment using the needs of Virginia Henderson and the Norton scale was evaluated before and after the training sessions. Completion of the needs of Virginia Henderson in the initial patient assessment increased from 94.2% to 100% (p = 0.014). Completion of “hygiene/skin” increased significantly from 83.3% to 95.8% (pre-training and post-training, respectively). The remaining needs did not show statistical significance. Recording of the Norton scale increased from 63.13% to 92.5% (p < 0.001). The training sessions on nursing methodology have improved the completion of records and inclusion of normal characteristics, defining characteristics and risk factors, and improving pressure ulcer risk assessment through the Norton scale.

Highlights

Correct application of the nursing process is understood as “an action full of meaning” that constitutes a professional challenge “in education and in practice” [1]
Completion of the needs of Virginia Henderson in the initial patient assessment increased from 94.2% to 100% (p = 0.014)
The training sessions on nursing methodology have improved the completion of records and inclusion of normal characteristics, defining characteristics and risk factors, and improving pressure ulcer risk assessment through the Norton scale

Summary

Introduction

Correct application of the nursing process is understood as “an action full of meaning” that constitutes a professional challenge “in education and in practice” [1]. Ongoing professional training is directly involved in the completion of nursing records by means of encouraging reflective practice that allows work to be performed with scientific evidence applied to healthcare [2]. Effective care guidance requires systematic and rational planning through an appropriate method, using the theoretical framework as a tool to aid recording of nursing activity and to reinforce this activity “as a discipline, science and profession that bases its practice on theories and on philosophical and ethical principles” [3]. Teresa Luis Rodrigo explained the need to work with a nursing model that can be used to specify the “nature of care” and that helps to “define the area of nursing competency”. One option is to use Virginia Henderson’s needs theory, one of the most well-known nursing models. By carrying out a reliable and comprehensive assessment based on observation and interviewing, nurses can establish precise and personalised nursing diagnoses as part of their care plan

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