Development and validation of an instrument for initial nursing assessment

Authors

  • Cayetano Fernández-Sola Universidad de Almería; Departamento de Enfermería y Fisioterapia
  • José Granero-Molina Universidad de Almería; Departamento de Enfermería y Fisioterapia
  • Judith Mollinedo-Mallea Universidad Autónoma Gabriel René Moreno; Facultad de Ciencias de la Salud Humana
  • María Hilda Peredo de Gonzales Universidad Autónoma Gabriel René Moreno; Facultad de Ciencias de la Salud Humana
  • Gabriel Aguilera-Manrique Universidad de Almería; Departamento de Enfermería y Fisioterapia
  • Mara Luna Ponce Universidad Autónoma Gabriel René Moreno; Facultad de Ciencias de la Salud Humana

DOI:

https://doi.org/10.1590/S0080-62342012000600019

Keywords:

Nursing process, Nursing assessment, Nursing records

Abstract

The objective of this study, conducted in Bolivia from April toJuly of 2008, is the design and validation of an initial nursing assessment instrument to be used in clinical and educational environments in Santa Cruz (Bolivia). Twelve Bolivian nurses participated; both document analysis as well as consensus techniques were used to determine the categories and criteria to be assessed. Categories included in the nursing assessment instrument are a physical assessment and the eleven Gordon's Functional Health Patterns. The nursing assessment instrument stands out as being concise, easy to complete and utilizing a nursing approach. It does not include items for advanced nursing assessment. However, it incorporates items regarding lifestyle and the patient's autonomy. The nursing assessment instrument contributes to improving the quality of clinical records, supports the nursing diagnosis and implementation of the nursing process, promotes the nurse's role and helps to standardize practice.

Downloads

Download data is not yet available.

Published

2012-12-01

Issue

Section

Original Article

How to Cite

Development and validation of an instrument for initial nursing assessment . (2012). Revista Da Escola De Enfermagem Da USP, 46(6), 1415-1422. https://doi.org/10.1590/S0080-62342012000600019