Objective: To verify the effect of an educational program on the quality of nursing process recording. Method: Quasi-experimental study comparing the quality of records in medical charts according to the version adapted for use in Brazil of the instrument Quality of Nursing Diagnoses, Interventions and Outcomes. The instrument was applied before and after four educational meetings with nurses of the clinic units of a hospital, conducted between 2015 and 2016. The intervention was based on the use of an instrument with standardized language systems for diagnoses, interventions and outcomes, discussed based on real clinical situations. The data were organized and analyzed using the software Statistical Package for Social Science (SPSS), version 20.0, considering as signifi cant p<0.05. Results: The mean total score regarding the quality of nursing records presented signifi cant improvement (p = 0.003), and the dimensions "Nursing Diagnoses as Process", "Nursing Diagnoses as Product" and "Nursing Outcomes" presented improvement, but their scores remained low. Conclusion: The intervention was effective in improving the quality of nursing records, proving the need for educational programs for the implementation of standardized language systems in hospital practice, which should guide the diagnostic reasoning and the decision-making process of nurses. ResumoObjetivo: Verifi car o efeito de um programa educativo na qualidade dos registros do processo de enfermagem. Métodos: Estudo quase-experimental, que comparou a qualidade de registros nos prontuários considerando a versão adaptada para uso no Brasil do Quality of Nursing Diagnoses, Interventions and Outcomes antes e após quatro encontros educativos realizados com enfermeiros de unidad es de clínica médica de um hospital de grande porte, entre 2015 e 2016. A intervenção teve como base o uso de um instrumento com sistemas de linguagens padronizadas de diagnósticos, intervenções e resultados, discutido a partir de situações clínicas reais. Os dados foram organizados e analisados com auxílio do software Statistical Package for Social Science (SPSS), versão 20.0, considerando signifi cativo p< 0,05. Resultados: A média do escore total da qualidade dos registros de enfermagem melhorou signifi cativamente (p=0,003), e as dimensões "Diagnóstico de Enfermagem como Processo", "Diagnóstico de Enfermagem como Produto" e "Resultados de Enfermagem de Enfermagem", melhoraram suas médias, apesar de permanecerem baixas. Conclusão: A intervenção foi efetiva na melhora da qualidade dos registros de enfermeiros, comprovando a necessidade de programas educativos para implementação de sistemas de linguagens padronizadas na prática hospitalar, que direcionem o raciocínio diagnóstico e a tomada de decisões por enfermeiros. ResumenObjetivo: Verifi car el efecto de un programa educativo en la calidad de los registros del proceso de enfermería. Métodos: Estudio cuasi experimental, que comparó la calidad de los registros en las historias clínicas considerando la versión adaptada para Brasil del...

Aim: to identify educational strategies used in the training of nurses regarding the process of nursing involving standardized language systems. Method:  this is  an  integrative  review  of  the  relevant  literature,  performed  using the  following databases:  MEDLINE,  via  PUBMED;  CINAHL; SCOPUS;  and  LILACS.  Results: six  papers were  selected.  The  main  features  of  such  papers  were:  the  use  of  a  practical  guide, workshops,  study  groups,  recording  using  standardized  instruments,  discussion  of studies  based  on  fictitious  and  real  cases,  theoretical-practical  classes  using  clinical cases, and guided clinical reasoning. Discussion: the knowledge produced regarding the strategies used to train nurses about the nursing process – with or without standardized language  systems –  reinforced  the  importance  of  such  strategies  to  produce  clearer recorded  information,  as  seen  in  four  clinical  studies  and  two  descriptive  ones. Conclusion:  educational  strategies  involving  standardized  language  systems  in  the training of nurses promote development in the implementation of nursing processes.