Exploring Plan of Care Communication With a Multidisciplinary Rounding Plan to Nursing Care Plans.

IF 1.5 3区医学 Q4 CLINICAL NEUROLOGY

Journal of Neuroscience Nursing Pub Date : 2023-04-01 DOI:10.1097/JNN.0000000000000690

Anjali C Perera, Sonia Joseph, Jade L Marshall, DaiWai M Olson

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引用次数: 1

Abstract

Abstract: BACKGROUND: The nursing care plan (NCP) was developed approximately 100 years ago as a teaching tool for nursing students. Our neuroscience intensive care unit (NSICU) uses a multidisciplinary rounding plan (MDRP) that may provide more relevant and up-to-date information than the standard NCP. METHODS: In this prospective single-blind randomized pilot study, we examined nurses' abilities to respond to 7 clinical scenarios common to the NSICU. The NCPs and MDRPs from 70 patients were randomly assigned to 14 nurses (10 per nurse) who answered each of the 7 questions using only data from an NCP or data from an MDR. RESULTS: The MDRP mean score of 4.51 (1.50) correct answers was statistically significantly higher than the NCP mean score of 0.31 (0.71) correct answer (P < .0001). CONCLUSION: The MDRP was designed to address the modern-day communication needs of NSICU staff by leveraging technological advances. Data from this study suggest that the MDRP may have advantages over the NCP in providing contextually relevant information. Additional research is warranted to develop the MDRP as a replacement for the NCP in the NSICU setting.

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多学科围合计划对护理计划护理沟通计划的探索。

摘要:背景:护理计划(NCP)作为护理专业学生的教学工具，大约在100年前发展起来。我们的神经科学重症监护室(NSICU)使用多学科舍入计划(MDRP)，可以提供比标准NCP更相关和最新的信息。方法:在这项前瞻性单盲随机先导研究中，我们考察了护士应对NSICU常见的7种临床情景的能力。来自70名患者的NCP和mdrp被随机分配给14名护士(每名护士10名)，他们仅使用NCP或MDR的数据回答了7个问题中的每一个。结果:MDRP平均得分4.51(1.50)个正确答案高于NCP平均得分0.31(0.71)个正确答案(P < 0.0001)，差异有统计学意义。结论:MDRP旨在通过利用技术进步来解决NSICU工作人员的现代通信需求。本研究的数据表明，MDRP在提供上下文相关信息方面可能比NCP更有优势。有必要进行进一步的研究，以制定MDRP，作为NSICU环境中NCP的替代品。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Neuroscience Nursing CLINICAL NEUROLOGY-NURSING

CiteScore

3.10

自引率

30.40%

发文量

110

审稿时长

>12 weeks

期刊介绍： The Journal of Neuroscience Nursing (JNN), the official journal of the American Association of Neuroscience Nurses, contains original articles on advances in neurosurgical and neurological techniques as they affect nursing care, theory and research, as well as commentary on the roles of the neuroscience nurse in the health care team. The journal provides information to nurses and health care professionals working in diverse areas of neuroscience patient care such as multi-specialty and neuroscience intensive care units, general neuroscience units, combination units (neuro/ortho, neuromuscular/rehabilitation, neuropsychiatry, neurogerontology), rehabilitation units, medical-surgical units, pediatric units, emergency and trauma departments, and surgery. The information is applicable to professionals working in clinical, research, administrative, and educational settings.