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Comparison of Cancer Nursing. Interventions Recorded in Nursing Notes with Nursing Interventions Perceived by Nurses of an Oncology Unit - Patients with Terminal Cancer -  

Chai Ja-Yun (College of Nursing, Chonnam National University, Chonnam Research Institute of Nursing Science)
Jang Keum-Seang (College of Nursing. Chonnam National University, Chonnam Research Institute of Nursing Science)
Publication Information
Journal of Korean Academy of Nursing / v.35, no.3, 2005 , pp. 441-450 More about this Journal
Abstract
Purpose: The purposes of this study were to determine the core nursing interventions in nursing notes and the practice which was perceived by nurses of an oncology unit with patients with terminal cancer. Also, comparing interventions in nursing notes with interventions in perceived practice was done. Method: Subjects were 44 nursing records of patients with terminal cancer who had died from Jan. to Dec. 2002 at C University Hospital and 83 nurses who were working on an oncology unit for more than one year. Data was collected using a Nursing Interventions Classification and analyzed by means of mean and t-test. Results: The most frequent nursing intervention was 'nausea management' in the nursing note and was 'medication administration: oral' in perceived practice. The frequency of nursing interventions in the nursing record was lower than in perceived practice. Conclusion: This study finds that nurses actually practice nursing care, but they may omit records. To correct for omitted nursing records, development of a systematic nursing record system, continuous education and feedback is recommended.
Keywords
Interventions; Documentation; Perception; Terminal care; Cancer;
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1 Ehrenberg, A. (2001). Nurses' perceptioins concerning patient records in Swedish nursing home. Vard I Norden, 21, 9-14
2 Haugsdal, C. S., & Scherb, C. A. (2003). Using the nursing interventions classification to describe the work of the nurse practitioner. J Am Acad Nurse Pract, 15(2), 87-94   DOI   ScienceOn
3 Howse, E. & Bailey, J. (1992). Resistance to documentation a nursing research issue. Int J Nurs Stud, 29(4), 371-380   DOI   ScienceOn
4 Kim, B. H., Tak, Y. R., & Chon, M. Y. (1996). A study of the experience of patients with terminal cancer who are in an independent hospice center. J Korean Acad Adult Nurs, 26(3), 668-677
5 Tapp, R. A. (1990). Inhibitors and facilitators to documentation of nursing practice. Western J Nurs Res, 12(2), 229-240   DOI   PUBMED   ScienceOn
6 Yom, Y. H. (1995). Identification of Nursing Intervention in Korea. doctoral dissertation, The University of Iowa
7 Song, M., Kim, M., Lee, E., Hah, Y., Han, K., Ryu, S., Kang, H., Kim, K., & Cho, M. (2003). Comparison of nursing activities reflected in nursing notes and in-depth interviews of nurses in an acute hospital. J Korean Acad Nurs, 33(6), 802-811
8 Bjorvell, C., Wredling, R., & Thorell-Ekstrand, I. (2003). Prerequisites and consequences of nursing documentation in patient records as perceived by a group of registered nurses. J Clinical Nursing, 12, 206-214   DOI   ScienceOn
9 McCloskey, J C., & Bulechek, G. M. (2000). Nursing Interventions Classification (NIC) (3rd ed.). St. Louis: Mosby Year Book
10 Park, H. A., Kim, J. E., Cho, I. S., Choi, Y. H., Lee, H. Y., Kim, H. S., & Park, H. K. (1999). Standardization and Validity Study of Korean Nomenclature of NIC. J Korean Aead Adult Nurs, 11(1), 23-36
11 Hale, C. A., Thomas, L. H., Bond, S., & Todd, C. (1997). The nursing record as a research tool to identify nursing interventions. J Clin Nurs, 6, 207-214   DOI   ScienceOn
12 Oh, W.O., Suk, M. H., & Yoon, Y. M. (2001). A Survey of the Nursing Interventions Performed by Neonatal Nursing Unit Nurses Using the NIC. J Korean Aead Child Health Nurs, 7(2), 161-178
13 Brooks, J. T. (1998). A qualitative analysis of the nursing documentation of post-operative pain management, J Clin Nurs, 7(2), 155-163   DOI   ScienceOn
14 Yom, Y. H. (1999). Analysis of the nursing interventions performed by hospital nurses using NIC. J Korean Acad Nurs, 29(2), 346-360
15 Short, M. S. (1997). Charting by exception on a clinical pathway, J Nurs Manag, 28(8), 45-46   DOI   ScienceOn
16 Payne, J. (2000). The nursing interventions classification: a language to define nursing. Oneal Nurs Forum, 27(1), 99-103
17 Ro, Y. J., Han, S. S., Yong, J. S., Song, M. S., & Hong, J. U. (2002) A comparison of nursing interventions with terminal cancer patient in a hospice unit and general unit. J Korean Aead Adult Nurs, 14(4), 543-553
18 Son, H. M., Hwang, J. I., Kim, S. Y., Park, S. M., Suh, M. J., & Kim, K. S. (1998). A survey of the nursing interventions performed by hospital nurses using the NIC in Korea. Seoul J Nurs, 12(1), 1-14
19 Davis, B. D., Billings, J. R., & Ryland, R. K. (1994). Evaluation of nursing process documentation. J Adv Nurs, 19(5), 960-968   DOI   ScienceOn
20 Choi, J. Y., Park, M. S., & Kim, H. S. (2002). A survey on nursing interventions of psychiatric nursing unit using the 3th NIC. J Korean Acad Psychiatric Nurs, 11(2), 125-136
21 Heartfield, M. (1996). Nursing documentation and nursing practice. J Adv nurs, 22, 1006-10 11
22 Rhu, E. J., Choi, K. S., Kwon, Y. M., Joo, S. N., Yun, S. R., Choi, H. S., Kwon, S. B., Lee, J. H., Kiu, B. J., Kim, H. Y., Ahn, O. H., & Rho, E. S. (1998). Analysis of the Nursing Interventions Done by MlCU and SICU Nurses Using NIC. J Korea Acad Nurs, 28(2), 457-467