"Avaliação dos aspectos éticos e legais dos registros de enfermagem na parada cardiorrespiratória em hospital escola do Paraná" / Assessment of the ethical and legal aspects in medical records on the cardiac arrest in a teaching-Hospital in Paraná.

AUTOR(ES)
DATA DE PUBLICAÇÃO

2005

RESUMO

The cardiopulmonary resuscitation in the hospital is a very complex event, requiring from its staff scientific knowledge as well as skills when attending on the event and when registering specific data on the medical chart. This study focuses on the evaluation of the ethical and legal aspects of the nursing record regarding the attendance on patients who went through a cardiorespiratory arrest and died within the year 2003 in a teaching – hospital in the countryside of Paraná. The methodology used was a descriptive, retrospective, transversal study with a quantitative approach of the nursing record ran by the nursing staff in the patient’s record. After analyses of 114 records it has been observed a lack of ethical and legal issues in the nursing records. Following the instructions given by Du Gás (1998), we have found 101 (88,60%) without functional category identification, 108 (94,74%) had inadequate staff’s data.103 (90,35%) lacked information regarding therapeutic measures taken, 108 (94,74%) did not have relevant observations on the general state of the patient and in 92 (80,7%) we have found no register of the results taken from the patient regarding the therapy and assistance recieved. .According to the theorical referential by Potter and Perry (2004) on concision and organization we have found 114 (100%) inadequate nursing record. Thus, it has been verified that there is deficiency in the elaboration of the nursing staff, which is nor not correct neither in ethical in legal aspects.

ASSUNTO(S)

heart arrest ética registros de enfermagem nursing parada cardíaca nursing records ethics enfermagem

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