|
|
The Application of the Virginia Henderson{\crq}s Model in Retirement Home Nursing Care.
KADEŘÁBKOVÁ, Věra
The Application of the Virginia Henderson{\crq}s Model in Retirement Home Nursing Care. Basic unit of the V. Henderson{\crq}s model is the clients{\crq} independence when satisfying their needs. The client is seen as an individual with the needs of assistance when trying to reach health, independence, and peaceful death. The lack of strength, will and knowledge are seen as the source of troubles. The needs the client is not able to satisfy and is in need of assistance are by V. Henderson called as the focus point intervention. The nurse assists to substitute, complete, support or increase the patient{\crq}s strength, will and knowledge. The outcome is the unaided performance in satisfying personal needs or peaceful death. The information about the needs is not documented in the uniform way and that is why every single ward and institution creates its own documentation system, according to its own specifics. The nursing documentation is always inseparable part of the nursing process. This model is determined by its specifics to be used appropriately in elderly people. The goal of this work was to find out all possibilities in using the Virginia Henderson{\crq}s model when caring of clients in the retirement home. There were placed three main questions of the research: 1.To what extents are satisfied the needs of client in the house for elderly people when using nursing documentation compiled according to V. Henderson? 2. Is there any influence of using V. Henderson{\crq}s model of nursing documentation on nursing practice in the retirement home? To what extent are nurses comfortable with the V. Henderson{\crq}s nursing documentation system? The collecting of data was done by the qualitative research investigation, the technique of the direct observation of nurses{\crq} caretaking of the clients, and by detailed interview with the nurses. The research had been done at Retirement Home at Strakonice from April to June 2009. There was created nursing documentation according to V. Henderson{\crq}s system. This documentation was filled out by a nurse and client and followed by searching for the needs of the client and their satisfaction. The nursing planned out specific care of a particular client using nursing process after filling out particular documentation. There has been led direct observation of caretaking provided under new nursing documentation. To assess the care, there was developed the point scale for evaluation of the client needs satisfaction (1-Satisfied, 2-Rather Satisfied, 3-Rather Unsatisfied,4-Unsatisfied). As a next we have been evaluating client{\crq}s level of strength, will and knowledge to be able to satisfy his/her needs (he/she is independent, partly independent, and dependent). The observation outcomes demonstrated that nurses were able to satisfy all of the 14 clients{\crq} needs in most. There were done case reports out of the observations and the results were processed into comprehensible charts. The nurses had been working with the nursery documentation for months followed by detailed interview aimed to inspect the usage of this documentation in nursing of elderly people. All of the five nurses agreed on the applicability of the documentation in nursing practice and that was why the documentation was modified under nurses{\crq} notes and has been applied in practice since. The research goal was accomplished. The nursing documentation has always been integral part of nurse{\crq}s work.It provides all needed information concerning the patient. It can be considered as the prove of ``lege artis{\crq}q practice of the work done. The documentation also serves as the record which is being used for health insurance billing.
|
guest ::
