RESUMO
A menu-driven, problem-focused neurological assessment system was constructed and implemented after concerns at a six-hospital teaching center about the quality of nursing assessments for patients with neurological diagnoses were validated. This system enables the physician to guide the nurse's assessment by ordering specific neurological tests for each patient. Extensive staff training took place to develop competence with this system. This new system has resulted in positive changes for this facility. Nurses acknowledge greater comfort with performing neurological assessment; documentation of assessment has improved; and the assessments are becoming more individualized for each patient. This system resulted in a higher quality of neurological care for patients.
Assuntos
Neoplasias Encefálicas/enfermagem , Exame Neurológico/métodos , Avaliação em Enfermagem/métodos , Especialidades de Enfermagem/métodos , Neoplasias Encefálicas/diagnóstico , Estudos de Avaliação como Assunto , Feminino , Humanos , Pessoa de Meia-Idade , Exame Neurológico/normas , Avaliação em Enfermagem/normas , Resolução de Problemas , Reprodutibilidade dos TestesRESUMO
Graduated compression stockings (GCS) have long been used to prevent deep venous thrombosis in hospitalized patients. The validation of published research findings regarding the use of GCS, and the implementation of practice changes pertinent to medical-surgical nursing are examined.