Proceso enfermero con lenguaje estandarizado, en el segundo nivel de atención

Abstract

A quantitative and observational study with descriptive scope was conducted to evaluate the implementation of the nursing process with standardized language in second level of care hospitals. The research included 45 nurses who participated voluntarily and questionnaires validated by experts in the field were used. The results showed that most nurses use standardized methods and common terminology to identify health problems, develop individualized care plans, evaluate outcomes, and communicate in interdisciplinary settings. However, challenges were identified in the effective application of the knowledge acquired in daily practice, and the need for specific strategies to ensure the correct application of the nursing process with standardized language was identified. The data also revealed that there is room for improvement in the evaluation and follow-up of results and in the interdisciplinary communication of diagnoses. In conclusion, the nursing process with standardized language is a valuable tool for personalized and evidence-based comprehensive health surveillance, but its practical implementation requires concrete tactics to certify its proper execution on a day-to-day basis.