[Application and evalauation of care plan for patients admitted to Intensive Care Units].
OBJECTIVE
Assess whether the use of the nursing care plans improves outcomes of nursing care to patients admitted to the intensive care unit (ICU).


METHODS
The study was conducted in a University Hospital of Barcelona in Spain, using a pre- and post-study design. A total of 61 patient records were analysed in the pre-intervention group. A care plan was applied to 55 patients in the post-intervention group. Specific quality indicators in a medical intensive care unit to assess the clinical practice of nursing were used. Fisher's exact test was used to compare the degree of association between quality indicators in the two groups.


RESULTS
A total of 116 records of 121 patients were evaluated: 61 pre-intervention and 55 post-intervention. Fisher test: The filling of nursing records, p=.0003. Checking cardiorespiratory arrest equipment, p <.001. Central vascular catheter related bacteraemia (B-CVC) p=.622. Ventilator associated pneumonia (VAP) p=.1000. Elevation of the head of the bed more than 30° p=.049, and the pain management in non-sedated patients p=.082.


CONCLUSIONS
The implementation of nursing care plans in patients admitted to the intensive care area may contribute to improvement in the outcomes of nursing care.
Diplomada en Enfermería, Máster Oficial Enfermo Crítico y Emergencias, Área de Vigilancia Intensiva, Hospital Clínic de Barcelona, Barcelona, España. Electronic address: ccuzco@clinic.ub.es.
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Cuzco Cabellos
Coordinadora Asistencial de Enfermería, Máster Oficial Enfermo Crítico y Emergencias, Área de Vigilancia Intensiva Hospital Clínic de Barcelona, Barcelona, España.
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Guasch Pomés
D003422:Critical Care; D006801:Humans; D007362:Intensive Care Units; D007902:Length of Stay; D010347:Patient Care Planning; D053717:Pneumonia, Ventilator-Associated; D013030:Spain
Calidad de los cuidados; Indicadores de calidad; Intensive care unit; Nursing care plans; Planes de cuidados; Quality indicators; Quality of care; Unidad de cuidados intensivos