The importance of nursing notes in hospitalized patient readers according to the nursing team.: The importance of nursing notes in hospitalized patient readers according to the nursing team.

• Autor(a) principal: Macedo, Leonardo de Andrade
• Data de Publicação: 2020
• Outros Autores: Lovadini, Vinicius de Lima, Sakamoto, Sabrina Ramires
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Enfermagem Atual In Derme
• Texto Completo: https://revistaenfermagematual.com/index.php/revista/article/view/689
• topic: Enfermagem; Registros de Enfermagem; Cuidados de enfermagem; Equipe de enfermagem; Quali-dade da assistência à saúde.; Nursing; Nursing Records; Nursing Care; Nursing staff; Quality of health care.

Introduction: Introduction: Nursing annotation is an indicator that assists the quality of care provided, when there is the presence of a low rate of complete completion, it is able to represent the continuity of care and the legitimacy of nursing team work. Objective: To understand and describe the importance of nursing in the hospitalized patient's medical records according to the reports of the nursing staff. Methods: This is a qualitative, non-experimental, descriptive cross-sectional exploratory study conducted through semi-structured interviews with nursing professionals from a hospital in the interior of São Paulo. Data collection was performed through an interview organized by the Content Analysis technique, according to Bardin. Results: Fifteen nursing professionals participated in the study. Interview analysis in three categories: Care notes as care for the nursing staff about patient care and evolution; Moments to take as nursing notes; Difficulty making nursing notes. Conclusion: The research consisted of the presence of nursing notes in medical records of hospitalized patients after the nursing dispensation.