Læknablaðið : fylgirit - 01.05.2002, Page 47

POSTERS / 3 3RD SNC & 2ND SCNN
P30 - Quality assesment of nursing dokumentation
Hvid K, Fatum H
Frederiksberg Hospital H:S, Frederiksberg, Denmark
Objectives: The nursing documentation in the Stroke Clinic was not
systematic making it very hard to perform audits, choice of nursing
procedures was typically up to the individual person, the procedures
did not guide the personnel properly. Objectives: To develop a
documentation procedure enabling a systematic data collection /
ongoing documentation audits the personnel to be guided in good
nursing skills.
Method: The method we have used is the quality circel “Plan Do
Check Act”.
Step 1. Implementation of one' printed clinical nursing plan.
Step 2. The implementation process.
Step 3. Making and implement a new complete nursing
documentation procedures.
Results/Conclusion:
1. The printed clinical nursing plan highly complied with the
objectives made, but implementation was incomplete.
2. The personnel’s level of knowledge both in relation to the special
nursing and in relation to using the printed clinical nursing plan
was of high importance. Equally, it was essential to have a co-
ordinator. A Clinical nurse Educator has been employed as a
facilitator and to educate the personnel both theoretically and
bedside.
3. Making printed clinical nursing plans covering essential areas of
the stroke patient nursing and implement them in the clinic.
Making a number of clinical guidelines for each clinical nursing
plan. To date the project has aschieved the following results:
Implementation of seven printed clinical nursing plans (nutrition,
urine excretion, faeces excretion, mobilisation, communication,
cognitive state, personal hygiene). Preparation of matching
clinical guidelines. Training of the personnel both theoretically
and bedside.
P31 - Developing Patient Education of Patients with Parkinson’s
Disease in the Clinic of Neurology, Oulu University Hospital
Toljamo M', Hentinen M', Jámsa P, RN, Heikkinen T, Hiltunen Az, Járvimáki Lz
'Department of Nursing and Health Administrationl and 'Department of Neurology,
University of Oulu, Finland
Objective: During 1996-2001, we conducted a project to develop PD
patients’ education in the Clinic of Neurology at Oulu University
Hospital. The main objective was to unify the educational practice in
the clinic by gathering data from patients, updating the educational
material, and finally, creating a new educational model.
Method: We applied a modified action research method. Our project
arose from the nursing practice, then we conducted a research, and
after that we moved back to the nursing practice to develop patient
education.
Findings: The patients thought that their education was too medicine-
oriented, and the nurses did not have enough time to discuss with
them. The traditional education emphasized acute problems, pharma-
ceutical treatment and the care provided by different specialists. The
goals of this education were to give information and to make the
patients compliant. Based on these findings, we developed a model of
empowerment-oriented education. Along with the developed model,
nurses spend more time with every patient than before, discuss the
patient’s background, earlier knowledge about PD, well-being and
social support network. The model has been planned to be an
individual and comprehensive way to care for a patient. The goals are
a good quality of life, to find a balance in everyday life with changing
symptoms and to have a sense of control over the symptoms.
Conclusion: Empowerment-oriented education is suitable for the
care of chronically ill patients. The strengths and weaknesses of the
action research method will be discussed.
Key words: patient education, developing process, empowerment, Parkinson Disease
P32 - Implementation of new documentation procedures for the
nursing in the Stroke Clinic of Frederiksberg Hospital. - An
ongoing assesment projekt focusing on both the clinical quality
as well as documentation
Hvid K, Fatum H
Frederiksberg Hospital H:S, Frederiksberg, Denmark
Objectives: The nursing documentation in the Stroke Clinic was not
systematic making it very hard to perform audits, choice of nursing
procedures was typically up to the individual person, the proce-
dures did not guide the personnel properly. Objectives: To develop
a documentation procedure enabling: A systematic data collection
/ongoing documentation. Audits. The personnel to be guided in
good nursing skills.
Method: The method we have used is the quality circel “Plan Do
Check Act”.
Step 1. Implementation of one' printed clinical nursing plan.
Step 2. The implementation process.
Step 3. Making and implement a new complete nursing
documentation procedures.
Results / Conclusion:
1. The printed clinical nursing plan highly complied with the
objectives made, but implementation was incomplete.
2. The personnel’s level of knowledge both in relation to the special
nursing and in relation to using the printed clinical nursing plan was
of high importance. Equally, it was essential to have a co-ordinator.
A Clinical nurse Educator has been employed as a facilitator and to
educate the personnel both theoretically and bedside.
3. Making printed clinical nursing plans covering essential areas of
the stroke patient nursing and implement them in the clinic.
Making a number of clinical guidelines for each clinical nursing
plan. To date the project has aschieved the following results:
Implementation of seven printed clinical nursing plans
(nutrition, urine excretion, faeces excretion, mobilisation,
communication, cognitive state, personal hygiene). Preparation
of matching clinical guidelines. Training of the personnel both
theoretically and bedside.
P33 - Quality of life before and after stroke. The Copenhagen
Stroke Study
Mosegaard D, Houth JG, Jorgensen HS
Department of Neurology, Gentofte Hospital, Copenhagen, Denmark
Purpose: To assess quality of life (QoL) before and after stroke and
Læknablaðið/Fylgirit 43 2002/88 47