Clinical Nurse Evaluation
Antonio Arribas Cachá
DOI:
https://doi.org/10.60108/ce.82Abstract
That research implies the systematized deepening in the knowledge of a certain aspect of a subject that allows obtaining safe and reliable results and conclusions, is a generally known and accepted fact.
That this is the reason why research must follow the principles established in the scientific method, incorporating the necessary seriousness and rigor required in the development of all the steps, is also a reality embodied:
"Research is an orderly, coherent search for knowledge, of analytical reflection and continuous confrontation of empirical data and abstract thought, in order to explain the phenomena of nature" (Rojas Soriano).
This deepening of existing knowledge at a given moment is what explains that research work can be established to know something that is unknown, to confirm what has been known up to that moment or to deepen what has been known up to that moment.
On the other hand, the specific field of knowledge in which the reason for the study is established is what makes it possible to catalogue the type of research that is being developed, and in which new knowledge will be generated.
Thus, research that is established in the field of care and generates nursing knowledge is called nursing research:
"It is the systematic investigation of Nursing practice and the effect of its practice on patient, family or community care" (Notler and Hott).
"Nursing research focuses primarily on the development of knowledge about nursing and its practice, including the care of the healthy and sick. It is directed toward understanding the fundamental mechanisms that affect the ability of individuals and families to maintain or increase optimal activity and to minimize the negative effects of illness" (C.I.E.).
This is a basic and fundamental aspect that all nursing researchers and research groups should consider as a starting point when designing their studies: the formulation of the research problem should be a nursing one.
It seems obvious, but in practice it is more frequent than desired to find research work developed by nursing professionals who generate knowledge from other disciplines.
Nursing clinical assessment is one of the many results that nursing research is capable of generating.
The CENES research group has been working for more than 10 years on the development of nursing knowledge within the framework of care, having focused its work in recent years on generating answers to some of the main questions raised in the field of nursing assessment.
In 2006, she developed the first classification of standardized variables of care, and now she has defined the concept of clinical nursing assessment in response to the need to focus her work on her own field of action: care.
This need has been detected and expressed in numerous scientific forums of the profession, and was already expressed by NANDA-I in its publication, stating:
"Nurses need to assess patients from the point of view of the nursing discipline in order to accurately diagnose and provide effective care" (NANDA-I. 2015-2017.
The results of the development of this concept of "nursing clinical assessment" were already presented at the last ICN international congress in Barcelona, defining it as "the specific assessment performed by the nursing professional, expressly focused on care and its application through the professional nursing model (nursing methodology)".
The nursing clinical assessment is part of the logical reasoning process defined for the application of professional care through nursing methodology, and its objective is to know the effectiveness of the care of the person, family or community at a given time.
The development of this concept, together with the provision of a taxonomy of standardized nursing variables, places nursing in a position to have standardized assessment protocols that inform of the degree of diagnostic reliability of the clinical judgment issued (nursing diagnosis), which is a major achievement in patient safety that only nursing is currently in a position to develop.
We hope that this project can have the necessary continuity and support to make this great advance a reality.
Antonio Arribas Cachá
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