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Salud, Ciencia y Tecnología Metaverse Basic and Applied Research Data & Metadata Interdisciplinary Rehabilitation Salud, Ciencia y Tecnología - Serie de Conferencias Community and Interculturality in Dialogue Seminars in Medical Writing and Education Health Leadership and Quality of Life Gamification and Augmented Reality Southern perspective / Perspectiva austral
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Original
Published: 2022-12-12
DOI: https://doi.org/10.56294/dm202220

Quality of clinical nursing records in the rooming-in area

By
Judit Figueira-Teuly ,
Judit Figueira-Teuly

Universidad de Ciencias Empresariales y Sociales, Ciudad Autónoma de Buenos Aires, Argentina

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Carlos Jesús Canova-Barrios ,
Carlos Jesús Canova-Barrios

Universidad de Ciencias Empresariales y Sociales, Ciudad Autónoma de Buenos Aires, Argentina

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Marcelo Garrido ,
Marcelo Garrido

Hospital Materno Infantil Ramón Sardá, Ciudad Autónoma de Buenos Aires, Argentina

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Vivian Boyardi ,
Vivian Boyardi

Universidad de Ciencias Empresariales y Sociales, Ciudad Autónoma de Buenos Aires, Argentina

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Aldo Oviedo ,
Aldo Oviedo

Universidad de Ciencias Empresariales y Sociales, Ciudad Autónoma de Buenos Aires, Argentina

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Paola Corvalán ,
Paola Corvalán

Universidad de Ciencias Empresariales y Sociales, Ciudad Autónoma de Buenos Aires, Argentina

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Abstract

Introduction: Nursing clinical records represent an area of growing interest for the improvement of health care, given its impact on continuity of care and patient safety; however, despite its importance, few studies have been conducted to analyze the level of compliance with the quality characteristics of this in joint hospitalization services.
Objective: To evaluate the quality of nursing records in the joint hospitalization area (mother-child pair) of a public health institution in the Autonomous City of Buenos Aires, Argentina.
Method: Observational, descriptive, cross-sectional and quantitative study. 344 records selected by simple random sampling were evaluated. A comparison grid of 57 items grouped into six dimensions was implemented. The instrument has a Cronbach's alpha of 0.70.
Results: The records analyzed were mostly made by women, nursing technicians and in the late shift. The quality criteria were met by 58.13%, and the nursing record of the data of the postpartum women showed a higher level of compliance (64.81%) compared to that of the newborns (50.17%).
Conclusion: The global level of compliance with the quality criteria of the registry was found to be less than optimal, and the quality was associated with the professional's level of training and the shift in which it was completed. The recording of nursing diagnoses and the patients' reactions to the care provided proved to be the most important elements for their intervention.

Keywords:

Nursing Records,
Quality Management,
Nursing Process,
Newborn Infant,
Hospital Obstetrics and Gynecology Department,

How to Cite

1.
Figueira-Teuly J, Canova-Barrios CJ, Garrido M, Boyardi V, Oviedo A, Corvalán P. Quality of clinical nursing records in the rooming-in area. Data and Metadata [Internet]. 2022 Dec. 12 [cited 2024 Jul. 6];1:20. Available from: https://dm.saludcyt.ar/index.php/dm/article/view/20

Copyright Notice

The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.

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