Abstract
This qualitative study aims to understand the meanings nurses at a university hospital attribute to the implementation process of the Nursing Diagnosis Classification System (DEn) as a phase in the Nursing Care System (NCS). Data were collected through interviews with eight nurses from the Medical Clinical Unit, who participated in the creation of an instrument to implement the DEn in the NCS. In their reports, the respondents expressed a positive change in their feelings, from initial discomfort and adverse perception of the change proposal. The stepwise appropriation of the process stages allowed them, besides the sharing of feelings, decisions and responsibilities for the results, to develop the belief that they would able to overcome the difficulties.
Highlights
Since 1981, the Nursing Department (ND) at the University Hospital of the University of São Paulo (HU-USP) has been implementing the Nursing Process, later called Nursing Care System (NCS), which consists of three phases: History, Evolution and Nursing Prescription
This research was carried out at the Medical Clinical unit (MC), which attended to this condition and, as it hospitalizes adult patients, its results could be replicated in other units of the institution
This is because the Nursing Care System allows nurses to manage their own work, and favors the development of the nursing profession’s economic aspect, as the system makes it possible to fix a price for its product - care - and to carry out research about the cost/benefit of nursing activities delivered to clients, families or communities in different scenarios(10)
Summary
Rev Latino-am Enfermagem 2006 setembro-outubro; 14(5):666 www.eerp.usp.br/rlae. MEANINGS OF THE NURSING DIAGNOSIS IMPLEMENTATION PROCESS FOR NURSES AT A UNIVERSITY HOSPITAL1. This qualitative study aims to understand the meanings nurses at a university hospital attribute to the implementation process of the Nursing Diagnosis Classification System (DEn) as a phase in the Nursing Care System (NCS). Data were collected through interviews with eight nurses from the Medical Clinical Unit, who participated in the creation of an instrument to implement the DEn in the NCS In their reports, the respondents expressed a positive change in their feelings, from initial discomfort and adverse perception of the change proposal. Este estudio cualitativo busca comprender los significados atribuidos por enfermeras de un hospital universitario al proceso de implementación del diagnóstico de enfermería (DEn) como etapa del Sistema de Atención de Enfermería (NCS).
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