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The nursing guidance process of a patient with pneumonia in a pulmonary ward in Meilahti hospital

Enemark, Anna (2011)

 
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Enemark, Anna
Laurea-ammattikorkeakoulu
2011
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2011061011735
Tiivistelmä
Laurea University of Applied Sciences Abstract
Laurea, Otaniemi
Degree Programme in Nursing




Anna Enemark

The nursing guidance process of a patient with pneumonia in a pulmonary ward in Meilahti hospital

Year 2011 Pages 44

The purpose of this thesis was to describe the nursing guidance process of a pneumonia patient in Meilahti hospital using the QPR Processguide program. The aim was to describe
the professionals involved and their cooperation throughout the guidance process. This thesis is a part of the Triangle Hospital development project, a joint collaboration of the Hospital district of Helsinki and Uusimaa (HUS) and Laurea University of Applied Sciences.

The qualitative research method was used in this thesis. The data was collected by a theme interview which was performed as a focus group interview with four specialist nurses from pulmonary wards 81, 82, and 122 in Meilahti hospital. The collected data was analysed using content analysis with an inductive approach. Three of the specialist nurses were later asked to openly comment on the categories and contents of nursing guidance and interventions table that was preliminarily created on the basis of the first interview. The contents were altered according to the views expressed in this second focus group interview.

The nursing guidance process of the pneumonia patient is divided into three chronological categories, i.e. initiation of nursing care, nursing guidance and interventions on the ward, and nursing guidance and interventions when going home. These are the higher categories of guidance. Each of these categories is composed of subcategories which are composed of the contents of the guidance including the methods used.

The professionals providing guidance include a nurse, a physician, a physiotherapist, and a practical nurse. A social worker and hospital pastor are also available if needed. An additional group of professionals mentioned are the laboratory nurses, x-ray staff, and the ward’s kitchen staff. The cooperation between professional groups was said to be strong and working well. The nurses’ role in providing guidance was emphasized in the process description.

Written guidance about pneumonia as an illness, its treatment, and home care instruction is given to pneumonia patients in all but one of the pulmonary wards, where the information is rather provided orally.

The completed process description serves as a tool for analysing the current nursing guidance process of pneumonia patients in the pulmonary wards. It provides a method of assessing the contents of patient guidance and a basis for future development of the process. The process guide may also serve by providing a possible orientation method for new employees and nursing students.




Key words: Nursing guidance, process description, pneumonia
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