Patient-centered nursing documentation : A study on hip fracture patients at Kyllö Hospital
Vähämäki, Sari; Nazareno, Maarit; Päivärinta, Nina (2016)
Jyväskylän ammattikorkeakoulu
2016
All rights reserved
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-201605208996
https://urn.fi/URN:NBN:fi:amk-201605208996
Tiivistelmä
Hip fractures are acute injuries that affect patients on several dimensions of life. They are also subject to economic interest due to high treatment costs. Patient-centered care is a widely acknowledged nursing ideology to provide efficient, individually planned care. Patients are active participants of care whose feelings, opinions and resources are taken into account. A good tool to secure, verify, and study patient-centered care is the electronic nursing documentation as nurses are obliged to document all interventions.
The aim of the study was to identify how nursing documentation reflects patient-centered care. The material studied was the documentation of 10 hip fracture patients during their inpatient time. The purpose of the study was to raise awareness on the importance of patient-centered documentation in the client organization, ward 1 at Kyllö hospital in Jyväskylä. The topic emerged from the development goals of the client.
Inductive content analysis was used as a research method. Nine different categories indicating patient-centered care were formed and further grouped into themes called patient’s feelings, patient’s opinions and patient’s resources. The analysis indicated that some features of patient-centered care are more prevalent in the documentation than others. Patient’s physical feelings and opinions were among the more prevalent whereas family involvement, resources and larger life context were more rarely documented.
Based on the analysis, documentation style opening up more of the reasons and causes for patient’s behavior was suggested. Attention was also drawn on how the patient’s pain had been evaluated. The nursing process showed inconsistency on how the patient-centered care was visible at its different stages. Developing documentation practices was seen as one tool to enhance patient-centered care and provide economic efficiency.
The aim of the study was to identify how nursing documentation reflects patient-centered care. The material studied was the documentation of 10 hip fracture patients during their inpatient time. The purpose of the study was to raise awareness on the importance of patient-centered documentation in the client organization, ward 1 at Kyllö hospital in Jyväskylä. The topic emerged from the development goals of the client.
Inductive content analysis was used as a research method. Nine different categories indicating patient-centered care were formed and further grouped into themes called patient’s feelings, patient’s opinions and patient’s resources. The analysis indicated that some features of patient-centered care are more prevalent in the documentation than others. Patient’s physical feelings and opinions were among the more prevalent whereas family involvement, resources and larger life context were more rarely documented.
Based on the analysis, documentation style opening up more of the reasons and causes for patient’s behavior was suggested. Attention was also drawn on how the patient’s pain had been evaluated. The nursing process showed inconsistency on how the patient-centered care was visible at its different stages. Developing documentation practices was seen as one tool to enhance patient-centered care and provide economic efficiency.