Use of abbreviations in the nursing records of a teaching hospital

Detalhes bibliográficos
Autor(a) principal: Carneiro, Sylvia Miranda
Data de Publicação: 2016
Outros Autores: Dutra, Herica Silva, Costa, Fernanda Mazzoni da, Mendes, Simone Emerich, Arreguy-Sena, Cristina
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Rev Rene (Online)
Texto Completo: http://periodicos.ufc.br/rene/article/view/3000
Resumo: Objective: to evaluate the use of abbreviations in nursing records of a teaching hospital and describing their profile in different sectors, work shifts and professional nursing categories.Methods: documentary study that analyzed 627 nursing records in 24 patient charts using a systematic observation script. Results: we identified 1,792 abbreviations, and 35.8% were nonstandard. The incidence of abbreviations was higher in the Intensive Care Unit, used by nurses and in the night shift. Conclusion: abbreviations are part of the day-to-day of nursing records. The use of nonstandard abbreviations make difficult to understand the note content, can generate misinterpretations, put at risk the users’ safety and impair the continuity of labor work.
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spelling Use of abbreviations in the nursing records of a teaching hospitalNursing RecordsAbbreviationsHealth CommunicationNursingTeam.Objective: to evaluate the use of abbreviations in nursing records of a teaching hospital and describing their profile in different sectors, work shifts and professional nursing categories.Methods: documentary study that analyzed 627 nursing records in 24 patient charts using a systematic observation script. Results: we identified 1,792 abbreviations, and 35.8% were nonstandard. The incidence of abbreviations was higher in the Intensive Care Unit, used by nurses and in the night shift. Conclusion: abbreviations are part of the day-to-day of nursing records. The use of nonstandard abbreviations make difficult to understand the note content, can generate misinterpretations, put at risk the users’ safety and impair the continuity of labor work.Universidade Federal do Ceará2016-04-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://periodicos.ufc.br/rene/article/view/300010.15253/2175-6783.2016000200008Rev Rene; Vol 17 No 2 (2016); 208-216Rev Rene; v. 17 n. 2 (2016); 208-2162175-67831517-3852reponame:Rev Rene (Online)instname:Universidade Federal do Ceará (UFC)instacron:UFCenghttp://periodicos.ufc.br/rene/article/view/3000/2315Copyright (c) 2016 Northeast Network Nursing Journalinfo:eu-repo/semantics/openAccessCarneiro, Sylvia MirandaDutra, Herica SilvaCosta, Fernanda Mazzoni daMendes, Simone EmerichArreguy-Sena, Cristina2018-12-04T15:17:46Zoai:periodicos.ufc:article/3000Revistahttp://periodicos.ufc.br/renePUBhttp://periodicos.ufc.br/rene/oairene@ufc.br||2175-67831517-3852opendoar:2018-12-04T15:17:46Rev Rene (Online) - Universidade Federal do Ceará (UFC)false
dc.title.none.fl_str_mv Use of abbreviations in the nursing records of a teaching hospital
title Use of abbreviations in the nursing records of a teaching hospital
spellingShingle Use of abbreviations in the nursing records of a teaching hospital
Carneiro, Sylvia Miranda
Nursing Records
Abbreviations
Health Communication
Nursing
Team.
title_short Use of abbreviations in the nursing records of a teaching hospital
title_full Use of abbreviations in the nursing records of a teaching hospital
title_fullStr Use of abbreviations in the nursing records of a teaching hospital
title_full_unstemmed Use of abbreviations in the nursing records of a teaching hospital
title_sort Use of abbreviations in the nursing records of a teaching hospital
author Carneiro, Sylvia Miranda
author_facet Carneiro, Sylvia Miranda
Dutra, Herica Silva
Costa, Fernanda Mazzoni da
Mendes, Simone Emerich
Arreguy-Sena, Cristina
author_role author
author2 Dutra, Herica Silva
Costa, Fernanda Mazzoni da
Mendes, Simone Emerich
Arreguy-Sena, Cristina
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Carneiro, Sylvia Miranda
Dutra, Herica Silva
Costa, Fernanda Mazzoni da
Mendes, Simone Emerich
Arreguy-Sena, Cristina
dc.subject.por.fl_str_mv Nursing Records
Abbreviations
Health Communication
Nursing
Team.
topic Nursing Records
Abbreviations
Health Communication
Nursing
Team.
description Objective: to evaluate the use of abbreviations in nursing records of a teaching hospital and describing their profile in different sectors, work shifts and professional nursing categories.Methods: documentary study that analyzed 627 nursing records in 24 patient charts using a systematic observation script. Results: we identified 1,792 abbreviations, and 35.8% were nonstandard. The incidence of abbreviations was higher in the Intensive Care Unit, used by nurses and in the night shift. Conclusion: abbreviations are part of the day-to-day of nursing records. The use of nonstandard abbreviations make difficult to understand the note content, can generate misinterpretations, put at risk the users’ safety and impair the continuity of labor work.
publishDate 2016
dc.date.none.fl_str_mv 2016-04-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://periodicos.ufc.br/rene/article/view/3000
10.15253/2175-6783.2016000200008
url http://periodicos.ufc.br/rene/article/view/3000
identifier_str_mv 10.15253/2175-6783.2016000200008
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv http://periodicos.ufc.br/rene/article/view/3000/2315
dc.rights.driver.fl_str_mv Copyright (c) 2016 Northeast Network Nursing Journal
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2016 Northeast Network Nursing Journal
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Federal do Ceará
publisher.none.fl_str_mv Universidade Federal do Ceará
dc.source.none.fl_str_mv Rev Rene; Vol 17 No 2 (2016); 208-216
Rev Rene; v. 17 n. 2 (2016); 208-216
2175-6783
1517-3852
reponame:Rev Rene (Online)
instname:Universidade Federal do Ceará (UFC)
instacron:UFC
instname_str Universidade Federal do Ceará (UFC)
instacron_str UFC
institution UFC
reponame_str Rev Rene (Online)
collection Rev Rene (Online)
repository.name.fl_str_mv Rev Rene (Online) - Universidade Federal do Ceará (UFC)
repository.mail.fl_str_mv rene@ufc.br||
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