Use of abbreviations in the nursing records of a teaching hospital
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 observatio...
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| Format: | Article |
| Language: | English |
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Universidade Federal do Ceará
2016-04-01
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| Series: | Rev Rene |
| Subjects: | |
| Online Access: | https://www.periodicos.ufc.br/rene/article/view/3000 |
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| _version_ | 1849225606512771072 |
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| author | Sylvia Miranda Carneiro Herica Silva Dutra Fernanda Mazzoni da Costa Simone Emerich Mendes Cristina Arreguy-Sena |
| author_facet | Sylvia Miranda Carneiro Herica Silva Dutra Fernanda Mazzoni da Costa Simone Emerich Mendes Cristina Arreguy-Sena |
| author_sort | Sylvia Miranda Carneiro |
| collection | DOAJ |
| 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. |
| format | Article |
| id | doaj-art-24bf3f9ccf894a42ba7c4f662dd14552 |
| institution | Kabale University |
| issn | 1517-3852 2175-6783 |
| language | English |
| publishDate | 2016-04-01 |
| publisher | Universidade Federal do Ceará |
| record_format | Article |
| series | Rev Rene |
| spelling | doaj-art-24bf3f9ccf894a42ba7c4f662dd145522025-08-24T12:50:51ZengUniversidade Federal do CearáRev Rene1517-38522175-67832016-04-01172Use of abbreviations in the nursing records of a teaching hospitalSylvia Miranda CarneiroHerica Silva DutraFernanda Mazzoni da CostaSimone Emerich MendesCristina Arreguy-SenaObjective: 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.https://www.periodicos.ufc.br/rene/article/view/3000Nursing RecordsAbbreviationsHealth CommunicationNursingTeam. |
| spellingShingle | Sylvia Miranda Carneiro Herica Silva Dutra Fernanda Mazzoni da Costa Simone Emerich Mendes Cristina Arreguy-Sena Use of abbreviations in the nursing records of a teaching hospital Rev Rene Nursing Records Abbreviations Health Communication Nursing Team. |
| title | 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_short | Use of abbreviations in the nursing records of a teaching hospital |
| title_sort | use of abbreviations in the nursing records of a teaching hospital |
| topic | Nursing Records Abbreviations Health Communication Nursing Team. |
| url | https://www.periodicos.ufc.br/rene/article/view/3000 |
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