Kontakt 2013, 15(4):396-405 | DOI: 10.32725/kont.2013.047

Model of clinical balance in nursing process (pre-research)Nursing

Jana Marečková^1,*, Soňa Bocková², Petra Stefanová¹, Lenka Mazalová¹, Radka Matějková¹, Jana Zapletalová¹

¹ Univerzita Palackého v Olomouci, Fakulta zdravotnických věd, Centrum VaV, Olomouc

² Ostravská univerzita v Ostravě, Lékařská fakulta, Ústav ošetřovatelství a porodní asistence, Ostrava-Zábřeh

The aim of this contribution is to present pilot research of accuracy of clinical balance in teaching students the particular steps of nursing process. The pilot study includes set of 15 full-time students of the Bachelor study branch General Nurse. For each step of the nursing process were prepared sets of records whose content and structure were motivated by principles OPT model of clinical balance of the authors Pesut and Herman. The protocols were used to record defining characteristics, relating or risk factors NANDA International, which were concluded by students from the patient's description (case interpretation). Further to recorded diagnostic conclusion students recorded chosen NOC areas for evaluating the patient and chosen NIC of nursing intervention. As a supporting instrument they obtained files of NOC areas for evaluating the patient and NIC interventions in Czech language. In total, there were prepared four sets of files following different patient description. Set of protocols following the description of the same patient was included at the beginning and at the end of practice. This set was marked as testing one. In testing protocols the accuracy of records was monitored. In order to put the rate of accuracy was used the evaluating instrument OPT model which was modified by the authors of the research. The reliability of this instrument was assessed by Coeficient Cronbach alfa. To judge test-retest reliability was used Spearman correlation coefficient. Obtained data were analysed by Student pair t-test and Wilcoxon pair test level of significance 0.05. It is interesting that in contrast to foreign studies conducted by the authors Kautz, Barlett or Bland the significant difference between the students' results before and after exercise block was proved only in one evaluating area.

Keywords: nursing process; OPT model; clinical balance; NANDA International; classification NIC; classification NOC

Received: May 27, 2013; Accepted: October 23, 2013; Published: December 20, 2013  Show citation