Neurilene Batista de Oliveira

Avaliação de sistema eletrônico para documentação clínica de enfermagem

OBJETIVO: Presentar la evaluacion de un sistema electronico para la documentacion del proceso de enfermeria (PE) en la perspectiva de enfermeras usuarias. METODOS: Estudio exploratorio, descriptivo realizado con 16 enfermeras del Hospital Universitario de la Universidad de Sao Paulo. Las enfermeras evaluaron modulos y pantallas del Sistema de Documentacion Electronica del Proceso de Enfermeria de la Universidad de Sao Paulo - PROCEnf-USP, juzgando el confort visual, manipulacion, claridad y extension de la documentacion, objetividad de las informaciones y adecuacion del contenido al registro de enfermeria en unidades clinico-quirurgicas. RESULTADOS: La mayoria de las enfermeras evaluo las caracteristicas funcionales del PROCEnf-USP, como excelentes y muy buenas, destacando el soporte al raciocinio clinico al apoyar decisiones sobre diagnosticos, resultados e intervenciones de enfermeria. Todas tomaron posicion favorable respecto a la implementacion del PROCEnf-USP. CONCLUSION: Los resultados de la evaluaciones mostraron que las enfermeras estan estimuladas para adquirir nuevas habilidades tecnicas y tecnologicas, como la adopcion del PROCEnf-USP para la documentacion del PE en la realidad Institucional.Objective: To present the evaluation of an electronic system for documenting the nursing process (NP) from the perspective of nurse users. Methods: This exploratory, descriptive study was conducted with 16 nurses at the University Hospital at the University of Sao Paulo. The nurses assessed modules and system screens of the Electronic Documentation System of the Nursing Process of the University of Sao Paulo (PROCEnf –USP) judging visual comfort, handling, clarity and completeness of documentation, objectivity and adequacy of the information content of the nursing record in clinical and surgical units. Results: The majority of the nurses evaluated the functional characteristics of the PROCEnf-USP as excellent or very good, highlighting the clinical reasoning support for decisions about diagnoses, outcomes and nursing interventions. All positioned themselves favorably to the implementation of PROCEnf-USP. Conclusion: The results of the evaluations showed that the nurses are encouraged to acquire new technical skills and technology, with the adoption of PROCEnf-USP, for the documentation of the NP in the institutional reality.

Assessment of an electronic system for clinical nursing documentation

OBJETIVO: Presentar la evaluacion de un sistema electronico para la documentacion del proceso de enfermeria (PE) en la perspectiva de enfermeras usuarias. METODOS: Estudio exploratorio, descriptivo realizado con 16 enfermeras del Hospital Universitario de la Universidad de Sao Paulo. Las enfermeras evaluaron modulos y pantallas del Sistema de Documentacion Electronica del Proceso de Enfermeria de la Universidad de Sao Paulo - PROCEnf-USP, juzgando el confort visual, manipulacion, claridad y extension de la documentacion, objetividad de las informaciones y adecuacion del contenido al registro de enfermeria en unidades clinico-quirurgicas. RESULTADOS: La mayoria de las enfermeras evaluo las caracteristicas funcionales del PROCEnf-USP, como excelentes y muy buenas, destacando el soporte al raciocinio clinico al apoyar decisiones sobre diagnosticos, resultados e intervenciones de enfermeria. Todas tomaron posicion favorable respecto a la implementacion del PROCEnf-USP. CONCLUSION: Los resultados de la evaluaciones mostraron que las enfermeras estan estimuladas para adquirir nuevas habilidades tecnicas y tecnologicas, como la adopcion del PROCEnf-USP para la documentacion del PE en la realidad Institucional.Objective: To present the evaluation of an electronic system for documenting the nursing process (NP) from the perspective of nurse users. Methods: This exploratory, descriptive study was conducted with 16 nurses at the University Hospital at the University of Sao Paulo. The nurses assessed modules and system screens of the Electronic Documentation System of the Nursing Process of the University of Sao Paulo (PROCEnf –USP) judging visual comfort, handling, clarity and completeness of documentation, objectivity and adequacy of the information content of the nursing record in clinical and surgical units. Results: The majority of the nurses evaluated the functional characteristics of the PROCEnf-USP as excellent or very good, highlighting the clinical reasoning support for decisions about diagnoses, outcomes and nursing interventions. All positioned themselves favorably to the implementation of PROCEnf-USP. Conclusion: The results of the evaluations showed that the nurses are encouraged to acquire new technical skills and technology, with the adoption of PROCEnf-USP, for the documentation of the NP in the institutional reality.

Evaluation of the functional performance and technical quality of an Electronic Documentation System of the Nursing Process

Objective: To evaluate the functional performance and the technical quality of the Electronic Documentation System of the Nursing Process of the Teaching Hospital of the University of Sao Paulo. Method: exploratory-descriptive study. The Quality Model of regulatory standard 25010 and the Evaluation Process defined under regulatory standard 25040, both of the International Organization for Standardization/International Electrotechnical Commission. The quality characteristics evaluated were: functional suitability, reliability, usability, performance efficiency, compatibility, security, maintainability and portability. The sample was made up of 37 evaluators. Results: in the evaluation of the specialists in information technology, only the characteristic of usability obtained a rate of positive responses of less than 70%. For the nurse lecturers, all the quality characteristics obtained a rate of positive responses of over 70%. The staff nurses of the medical and surgical clinics with experience in using the system) and staff nurses from other units of the hospital and from other health institutions (without experience in using the system) obtained rates of positive responses of more than 70% referent to the functional suitability, usability, and security. However, performance efficiency, reliability and compatibility all obtained rates below the parameter established. Conclusion: the software achieved rates of positive responses of over 70% for the majority of the quality characteristics evaluated.Objective: To evaluate the functional performance and the technical quality of the Electronic Documentation System of the Nursing Process of the Teaching Hospital of the University of São Paulo. Method: exploratory-descriptive study. The Quality Model of regulatory standard 25010 and the Evaluation Process defined under regulatory standard 25040, both of the International Organization for Standardization/International Electrotechnical Commission. The quality characteristics evaluated were: functional suitability, reliability, usability, performance efficiency, compatibility, security, maintainability and portability. The sample was made up of 37 evaluators. Results: in the evaluation of the specialists in information technology, only the characteristic of usability obtained a rate of positive responses of less than 70%. For the nurse lecturers, all the quality characteristics obtained a rate of positive responses of over 70%. The staff nurses of the medical and surgical clinics with experience in using the system) and staff nurses from other units of the hospital and from other health institutions (without experience in using the system) obtained rates of positive responses of more than 70% referent to the functional suitability, usability, and security. However, performance efficiency, reliability and compatibility all obtained rates below the parameter established. Conclusion: the software achieved rates of positive responses of over 70% for the majority of the quality characteristics evaluated.

REGISTRO DO PROCESSO DE ENFERMAGEM: REVISÃO INTEGRATIVA SOBRE AS CONTRIBUIÇÕES DA INFORMÁTICA

Objetivos: Buscar as melhores evidencias das contribuicoes da informatica para o apoio aos registros do Processo de Enfermagem. Metodos: Adotou-se a revisao integrativa da literatura e a pergunta de pesquisa foi: “Quais sao as principais contribuicoes da informatica para apoiar os registros do Processo de Enfermagem? “. As bases de dados selecionadas foram a LILACS, PubMed/Medline, CINHAL, ISI Web of Science e EMBASE/ Medline, sendo analisados 11 estudos. Resutados: Monstraram que, os sistemas informatizados que utilizam linguagem padronizadas de enfermagem proporcionam melhor qualidade e menor tempo de registro clinico e gerencial, garantem melhor seguranca dos dados, bem como apoiam o raciocinio clinico e o planejamento do cuidado para o paciente e as suas familias. Conclusoes: Que a informatica proporciona excelente apoio para os registros do Processo de Enfermagem.

QUALIDADE TÉCNICA E DESEMPENHO FUNCIONAL DE UM SISTEMA DE DOCUMENTAÇÃO ELETRÔNICA DO PROCESSO DE ENFERMAGEM

Introdução: O Hospital Universitário da Universidade de São Paulo em parceria com a Escola de Enfermagem da Universidade de São Paulo, desenvolveu um sistema de documentação eletrônica denominado PROCEnf–USP para que pudesse ser utilizado para a automação das informações do Processo de Enfermagem. O sistema está organizado segundo a Taxonomia NNN da prática de enfermagem, seguindo a hierarquia de domínios, classes e diagnósticos, proposta pela unificação das estruturas da North American Nursing Diagnosis Association–International (NANDA-I), Nursing Interventions Classification (NIC) e Nursing Outcomes Classification (NOC). A garantia da qualidade deste sistema é uma importante meta e o desenvolvimento deste estudo tem como propósito a avaliação da qualidade do PROCEnf-USP como ferramenta computacional para a documentação do Processo de Enfermagem. Objetivo: avaliar o desempenho funcional e a qualidade técnica do Sistema de Documentação Eletrônica do Processo de Enfermagem do Hospital Universitário da Universidade de São Paulo. Método: estudo exploratório-descritivo. Utilizou-se o Modelo de Qualidade da norma ISO/IEC 25010 e o Processo de Avaliação definido na norma ISO/IEC 25040. As características de qualidade avaliadas foram: adequação funcional, confiabilidade, usabilidade, eficiência de desempenho, compatibilidade, segurança, manutenibilidade e portabilidade. A amostra foi constituída por 37 avaliadores. Resultados: na avaliação dos especialistas em informática, apenas a característica usabilidade obteve menos de 70% de respostas positivas. Para os enfermeiros docentes, todas as características de qualidade obtiveram acima de 70% de respostas positivas. Os enfermeiros assistenciais das clínicas médica e cirúrgica (com experiência no uso do sistema) e enfermeiros assistenciais de outras unidades do hospital e de outras instituições de saúde (sem experiência no uso do sistema) atribuíram mais de 70% de respostas positivas para as características adequação funcional, usabilidade e segurança. Entretanto, eficiência de desempenho, confiabilidade e compatibilidade obtiveram índices abaixo do parâmetro estabelecido.

Avaliação do desempenho funcional e qualidade técnica de um Sistema de Documentação Eletrônica do Processo de Enfermagem

Objective: To evaluate the functional performance and the technical quality of the Electronic Documentation System of the Nursing Process of the Teaching Hospital of the University of Sao Paulo. Method: exploratory-descriptive study. The Quality Model of regulatory standard 25010 and the Evaluation Process defined under regulatory standard 25040, both of the International Organization for Standardization/International Electrotechnical Commission. The quality characteristics evaluated were: functional suitability, reliability, usability, performance efficiency, compatibility, security, maintainability and portability. The sample was made up of 37 evaluators. Results: in the evaluation of the specialists in information technology, only the characteristic of usability obtained a rate of positive responses of less than 70%. For the nurse lecturers, all the quality characteristics obtained a rate of positive responses of over 70%. The staff nurses of the medical and surgical clinics with experience in using the system) and staff nurses from other units of the hospital and from other health institutions (without experience in using the system) obtained rates of positive responses of more than 70% referent to the functional suitability, usability, and security. However, performance efficiency, reliability and compatibility all obtained rates below the parameter established. Conclusion: the software achieved rates of positive responses of over 70% for the majority of the quality characteristics evaluated.Objective: To evaluate the functional performance and the technical quality of the Electronic Documentation System of the Nursing Process of the Teaching Hospital of the University of São Paulo. Method: exploratory-descriptive study. The Quality Model of regulatory standard 25010 and the Evaluation Process defined under regulatory standard 25040, both of the International Organization for Standardization/International Electrotechnical Commission. The quality characteristics evaluated were: functional suitability, reliability, usability, performance efficiency, compatibility, security, maintainability and portability. The sample was made up of 37 evaluators. Results: in the evaluation of the specialists in information technology, only the characteristic of usability obtained a rate of positive responses of less than 70%. For the nurse lecturers, all the quality characteristics obtained a rate of positive responses of over 70%. The staff nurses of the medical and surgical clinics with experience in using the system) and staff nurses from other units of the hospital and from other health institutions (without experience in using the system) obtained rates of positive responses of more than 70% referent to the functional suitability, usability, and security. However, performance efficiency, reliability and compatibility all obtained rates below the parameter established. Conclusion: the software achieved rates of positive responses of over 70% for the majority of the quality characteristics evaluated.

Evaluación del desempeño funcional y calidad técnica de un Sistema de Documentación Electrónica del Proceso de Enfermería

Objective: To evaluate the functional performance and the technical quality of the Electronic Documentation System of the Nursing Process of the Teaching Hospital of the University of Sao Paulo. Method: exploratory-descriptive study. The Quality Model of regulatory standard 25010 and the Evaluation Process defined under regulatory standard 25040, both of the International Organization for Standardization/International Electrotechnical Commission. The quality characteristics evaluated were: functional suitability, reliability, usability, performance efficiency, compatibility, security, maintainability and portability. The sample was made up of 37 evaluators. Results: in the evaluation of the specialists in information technology, only the characteristic of usability obtained a rate of positive responses of less than 70%. For the nurse lecturers, all the quality characteristics obtained a rate of positive responses of over 70%. The staff nurses of the medical and surgical clinics with experience in using the system) and staff nurses from other units of the hospital and from other health institutions (without experience in using the system) obtained rates of positive responses of more than 70% referent to the functional suitability, usability, and security. However, performance efficiency, reliability and compatibility all obtained rates below the parameter established. Conclusion: the software achieved rates of positive responses of over 70% for the majority of the quality characteristics evaluated.Objective: To evaluate the functional performance and the technical quality of the Electronic Documentation System of the Nursing Process of the Teaching Hospital of the University of São Paulo. Method: exploratory-descriptive study. The Quality Model of regulatory standard 25010 and the Evaluation Process defined under regulatory standard 25040, both of the International Organization for Standardization/International Electrotechnical Commission. The quality characteristics evaluated were: functional suitability, reliability, usability, performance efficiency, compatibility, security, maintainability and portability. The sample was made up of 37 evaluators. Results: in the evaluation of the specialists in information technology, only the characteristic of usability obtained a rate of positive responses of less than 70%. For the nurse lecturers, all the quality characteristics obtained a rate of positive responses of over 70%. The staff nurses of the medical and surgical clinics with experience in using the system) and staff nurses from other units of the hospital and from other health institutions (without experience in using the system) obtained rates of positive responses of more than 70% referent to the functional suitability, usability, and security. However, performance efficiency, reliability and compatibility all obtained rates below the parameter established. Conclusion: the software achieved rates of positive responses of over 70% for the majority of the quality characteristics evaluated.

Evaluación de un sistema electrónico para la documentación clínica de enfermería

OBJETIVO: Presentar la evaluacion de un sistema electronico para la documentacion del proceso de enfermeria (PE) en la perspectiva de enfermeras usuarias. METODOS: Estudio exploratorio, descriptivo realizado con 16 enfermeras del Hospital Universitario de la Universidad de Sao Paulo. Las enfermeras evaluaron modulos y pantallas del Sistema de Documentacion Electronica del Proceso de Enfermeria de la Universidad de Sao Paulo - PROCEnf-USP, juzgando el confort visual, manipulacion, claridad y extension de la documentacion, objetividad de las informaciones y adecuacion del contenido al registro de enfermeria en unidades clinico-quirurgicas. RESULTADOS: La mayoria de las enfermeras evaluo las caracteristicas funcionales del PROCEnf-USP, como excelentes y muy buenas, destacando el soporte al raciocinio clinico al apoyar decisiones sobre diagnosticos, resultados e intervenciones de enfermeria. Todas tomaron posicion favorable respecto a la implementacion del PROCEnf-USP. CONCLUSION: Los resultados de la evaluaciones mostraron que las enfermeras estan estimuladas para adquirir nuevas habilidades tecnicas y tecnologicas, como la adopcion del PROCEnf-USP para la documentacion del PE en la realidad Institucional.Objective: To present the evaluation of an electronic system for documenting the nursing process (NP) from the perspective of nurse users. Methods: This exploratory, descriptive study was conducted with 16 nurses at the University Hospital at the University of Sao Paulo. The nurses assessed modules and system screens of the Electronic Documentation System of the Nursing Process of the University of Sao Paulo (PROCEnf –USP) judging visual comfort, handling, clarity and completeness of documentation, objectivity and adequacy of the information content of the nursing record in clinical and surgical units. Results: The majority of the nurses evaluated the functional characteristics of the PROCEnf-USP as excellent or very good, highlighting the clinical reasoning support for decisions about diagnoses, outcomes and nursing interventions. All positioned themselves favorably to the implementation of PROCEnf-USP. Conclusion: The results of the evaluations showed that the nurses are encouraged to acquire new technical skills and technology, with the adoption of PROCEnf-USP, for the documentation of the NP in the institutional reality.