Document Type

Dissertation

Publication Date

Summer 7-27-1960

Abstract

The problem of this study was to determine if the recorded nursing care plans of a selected group of medical and surgical patients provided information upon which to base individualized nursing care. The purposes of this study were (1) to review the recorded nursing care plans of a selected group of medical and surgical patients to ascertain their content; (2) to determine if there was a relationship between the nursing needs identified and the age, sex, length of hospitalization or the clinical diagnosis of the individual patient; (3) to determine if the nursing care plans reviewed provided information upon which to base individualized nursing care; and (4) to use the findings of this study as the basis for recommendations regarding the use of recorded nursing care plans. The population consisted of one hundred and thirty-nine medical and surgical patients in a selected general hospital in the Rocky Mountain area. The normative-survey method of research and the documentary frequency technique were used to obtain the data for the study. Although each of the one hundred and thirty-nine nursing care plans reviewed provided information regarding the patient's age, sex, length of hospitalization and clinical diagnosis, only thirty-two or 23 per cent of the nursing care plans contained recorded nursing needs. There was a total of seventy-four nursing needs recorded of which sixty-one or 82 per cent were physical nursing needs and thirteen or 18 per cent were emotional nursing needs. There were no socio-economic nursing needs recorded. The most significant factor of those examined in relation to the recording of nursing needs appeared to be the length of hospitalization. Of some significance was the sex of the patient and of limited significance was the age of the patient. The clinical diagnosis appeared to bear the least relationship to the recording of nursing needs. It was concluded that the recorded nursing care plans of a selected group of medical and surgical patients did not provide information upon which to base individualized nursing care.

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