Use of abbreviations in the nursing records of a teaching hospital
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , |
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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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|| |
_version_ |
1797174726134595584 |