Basic Nursing Care: Retrospective Evaluation of Communication and Psychosocial Interventions Documented by Nurses in the Acute Care Setting

Authors

  • Maria-Eulàlia Juvé-Udina PhD, MSN, RN,

    Corresponding author
    1. IDIBELL Institute of Research, Nurse coordinator, Catalan Institute of Health. Associate professor, University of Barcelona School of Nursing – Health Universitat de Barcelona Campus, Barcelona, Catalonia, Spain
    • Correspondence Dr. Maria-Eulàlia Juvé Udina, IDIBELL Institute of Research, Universitat de Barcelona, Campus de Bellvitge. Escola Universitària d'Infermeria, Departament d'Infermeria Fonamental i Medicoquirúrgica, Feixa Llarga s/n, 08907 Hospitalet de Llobregat, Barcelona, Spain. E-mail: ejuve@gencat.cat or ejuve@ub.edu

    Search for more papers by this author
  • Esperanza Zuriguel Pérez MSN, RN,

    1. VHIR Institute of Research, Vall d'Hebron University Hospital, Department of Nursing informatics and knowledge management, Barcelona, Catalonia, Spain
    Search for more papers by this author
  • Núria Fabrellas Padrés PhD, RN,

    1. IDIBELL Institute of Research, Lecturer, University of Barcelona School of Nursing – Health Universitat de Barcelona Campus, Barcelona, Catalonia, Spain
    Search for more papers by this author
  • Maribel Gonzalez Samartino MSN, RN,

    1. IDIBELL Institute of Research, Bellvitge University Hospital, Department of Nursing informatics and knowledge management, Associate professor, University of Barcelona School of Nursing – Health Universitat de Barcelona Campus, Barcelona, Catalonia, Spain
    Search for more papers by this author
  • Marta Romero García MSN, RN,

    1. Associate professor, University of Barcelona School of Nursing – Health Universitat de Barcelona Campus, Barcelona, Catalonia, Spain
    Search for more papers by this author
  • Mònica Castellà Creus MSN, RN,

    1. Germans Trias i Pujol University Hospital, Department of Nursing informatics and knowledge management, Badalona, Catalonia, Spain
    Search for more papers by this author
  • Núria Vila Batllori MSN, RN,

    1. Dr. Josep Trueta University Hospital, Department of Nursing informatics and knowledge management, Girona, Catalonia, Spain
    Search for more papers by this author
  • Cristina Matud Calvo RN

    1. IDIBELL Institute of Research, Bellvitge University Hospital, Department of Nursing informatics and knowledge management, Barcelona, Catalonia, Spain
    Search for more papers by this author

Abstract

Purpose

This study aimed to evaluate the frequency of psychosocial aspects of basic nursing care, as e-charted by nurses, when using an interface terminology.

Methods

An observational, multicentre study was conducted in acute wards. The main outcome measure was the frequency of use of the psychosocial interventions in the electronic nursing care plans, analysed over a 12 month retrospective review.

Findings

Overall, 150,494 electronic care plans were studied. Most of the intervention concepts from the interface terminology were used by registered nurses to illustrate the psychosocial aspects of fundamentals of care in the electronic care plans.

Conclusions and Implications

The results presented help to demonstrate that the interventions of this interface terminology may be useful to inform psychosocial aspects of basic and advanced nursing care.

Clinical relevance

The identification of psychosocial elements of basic nursing care in the nursing documentation may lead to obtain a deeper understanding of those caring interventions nurses consider essential to represent nurse-patient interactions. The frequency of psychosocial interventions may contribute to delineate basic and advanced nursing care.

Ancillary