Uso del formato SOAPIER en internos rotativos de la Carrera de Enfermería

Abstract

The format SOAPIER is a systematic structure used for recording and interpreting the problems and care that the patient deserves. Objective: Identify the use of the SOAPIER format in rotating interns of the Nursing Career of the Technical University of Ambato. Methods: The research has a cross-sectional quantitative-descriptive approach. The sample consisted of 78 rotating inmates; a modified questionnaire was applied and validated by experts, with a Cronbach's Alpha of 0.811, thus guaranteeing the reliability of the instrument. Results: The 75.6% apply the recording of subjective data, as do 79.5% apply the recording of objective data. 61.5% apply the recording of nursing diagnoses. 61.5% plan the nursing activities in th e nursing records. 56.4% make nursing notes by applying SOAPIER. 56.4% record the evaluation of nursing interventions based on the evolution of the patient's condition. 62.8% apply the recording of the re-evaluation of nursing interventions based on the evolution of the patient's condition. Conclusions: The use of the SOAPIER format is evident, which reflects that during the academic training the Nursing Care Process has been implemented and how to capture it through this record based on scientific evidence.