Knowledge, attitudes and barriers of nurses on benefits of the quality of patient record-keeping at selected public district hospitals in Burundi

BACKGROUND Canadian nurses are at the forefront of patient care delivery. While the Canadian health care system is embracing digital health, nurses are bound to integrate virtual care into practice. In early 2020, more Canadian nurses delivered care virtually than three years before. OBJECTIVE This study sought to uncover the professional and care setting related characteristics of the nurses who delivered care virtually in 2020 and to investigate the factors driving the uptake of virtual care by nurses prior to the pandemic of COVID-19. METHODS We utilized data from the 2017 and 2020 National survey of Canadian nurses. This survey collected data on the use of digital health technologies in nursing practice. It concerned regulated nursing professionals working in different health care settings and from different domains of nursing practice. We combined Chi-square independence test and logistic regression analysis to uncover the main drivers of virtual care uptake by nurses in 2020. RESULTS In early 2020, prior to the pandemic of COVID-19, nurses who delivered care virtually were predominantly nurse practitioners (85%), more likely to work in a primary or community care setting (62%), or in an urban setting (62%). Factors like nursing designation (P < .01), perceived quality of care at the health facility where the nurses practiced (P < .01), and the type of patient record keeping system they had access to (P < .05) had a statistically significant effect on the probability for nurses to deliver care virtually in early 2020. Furthermore, nurses’ perception of the quality of care they delivered through virtual technologies was statistically associated with their perception of the skills (Chi-square=308.66, P < .01) and knowledge (Chi-square=283.39, P < .01) to use these technologies. CONCLUSIONS The study revealed some disparities in the uptake of virtual care by nurses across geographic regions. From an allocation standpoint, this finding should help decision-makers to pinpoint gaps in digital health utilization. Similarly, discrepancies in the use of virtual health across nursing designation have some implications for leadership at the care settings and for nurse educators in terms of competences and training for nurses at all levels of practice. Moreover, care settings are strongly encouraged to modernize their patient record keeping system as access to EMRs tended to influence the adoption of virtual care, which could foster interoperability. Finally, policy-related factors should not be overlooked when it comes to virtual care technologies integration in nursing practice.

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Quality of patient record keeping: an indicator of the quality of care?

BMJ Quality & Safety ◽

10.1136/bmjqs.2009.038976 ◽

2011 ◽

Vol 20 (4) ◽

pp. 314-318 ◽

Cited By ~ 50

Author(s):

M. Zegers ◽

M. C. de Bruijne ◽

P. Spreeuwenberg ◽

C. Wagner ◽

P. P. Groenewegen ◽

...

Keyword(s):

Quality Of Care ◽

Patient Record ◽

Record Keeping

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A Generic Model of Clinical Practice

Methods of Information in Medicine ◽

10.1055/s-0038-1634245 ◽

2003 ◽

Vol 42 (03) ◽

pp. 203-211 ◽

Cited By ~ 5

Author(s):

J. L. G. Dietz ◽

A. Hasman ◽

P. F. de Vries Robbé ◽

H. J. Tange

Keyword(s):

Clinical Practice ◽

Theoretical Model ◽

Action Theory ◽

Human Subjects ◽

Shared Care ◽

Patient Record ◽

Generic Model ◽

Problem Solver ◽

Record Keeping ◽

Process View

Summary Objectives: Many shared-care projects feel the need for electronic patient-record (EPR) systems. In absence of practical experiences from paper record keeping, a theoretical model is the only reference for the design of these systems. In this article, we review existing models of individual clinical practice and integrate their useful elements. We then present a generic model of clinical practice that is applicable to both individual and collaborative clinical practice. Methods: We followed the principles of the conversation-for-action theory and the DEMO method. According to these principles, information can only be generated by a conversation between two actors. An actor is a role that can be played by one or more human subjects, so the model does not distinguish between inter-individual and intra-individual conversations. Results: Clinical practice has been divided into four actors: service provider, problem solver, coordinator, and worker. Each actor represents a level of clinical responsibility. Any information in the patient record is the result of a conversation between two of these actors. Connecting different conversations to one another can create a process view with meta-information about the rationale of clinical practice. Such process view can be implemented as an extension to the EPR. Conclusions: The model has the potential to cover all professional activities, but needs to be further validated. The model can serve as a theoretical basis for the design of EPR-systems for shared care, but a successful EPR-system needs more than just a theoretical model.

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Quality of medical record keeping: significance difference between types of admissions

Endoscopy ◽

10.1055/s-2005-922868 ◽

2006 ◽

Vol 37 (12) ◽

Author(s):

D Debnath ◽

M Hutcheson ◽

JK Hussey

Keyword(s):

Medical Record ◽

Record Keeping

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964 Telemedicine: Speedy Triage Tool or Clinical Record?

British Journal of Surgery ◽

10.1093/bjs/znab134.515 ◽

2021 ◽

Vol 108 (Supplement_2) ◽

Author(s):

A Ghareib ◽

Z Vinnicombe ◽

G Visser ◽

A Ra ◽

M Mantella ◽

...

Keyword(s):

Plastic Surgery ◽

Compliance Rate ◽

Clinical Record ◽

Portal System ◽

Clinical Documentation ◽

University Hospitals ◽

Record Keeping ◽

Clinical Document ◽

National Guidance

Abstract Introduction St. George’s University Hospitals NHS Foundation Trust is a tertiary plastic surgery centre serving a population of 3.5 million in and around South West London. Telemedicine Referral Image Portal System (TRIPS) is integral to our service, allowing triage of patients in remote locations. During Covid, TRIPS helped in reducing footfall and streamlining out of hospital referrals to reduce unnecessary transfer. The aim of this project was to assess the quality of clinical documentation for emergency referrals to plastic surgery via TRIPS. Method We performed a retrospective review of all patients referred to plastic surgery via TRIPS during April 2020. Documentation standards were determined from national guidance. After introduction of a condensed guide, a second review was performed four months later. Results In April, 131 referrals were recorded on TRIPS. Only 22.9% of records met the standard. The most common omission was treatment advice. Following introduction of guidance, 215 TRIPS records were reviewed. The quality of clinical documentation improved in all aspects with a compliance rate of 89%. Conclusions Although TRIPS remains a useful tool for triage, it is a clinical document and must meet the standards of clinical record keeping. Introduction of clear guidelines improves overall compliance.

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A Sound of Silence in the Archives: On Eighteenth-Century Russian Diplomacy and the Historical Episteme of Central Asian Hostility

Itinerario ◽

10.1017/s0165115320000340 ◽

2020 ◽

Vol 44 (3) ◽

pp. 552-571

Author(s):

Paolo Sartori

Keyword(s):

Early Modern ◽

Early Modern Period ◽

Russian Enterprise ◽

Old Regime ◽

Early Modern History ◽

Record Keeping ◽

Central Asian ◽

Truth Claims ◽

European Colonialism

AbstractCui bono information and record keeping? In his most recent work devoted to the study of British and French imperialism in the Levant in early modern history, Cornel Zwierlein has argued that “empires are built on ignorance.” It is, of course, true that during the old regime Western knowledge of things “Oriental” was patently defective, marked as it was by blind spots and glaring gaps; and if observed in the broader context of European colonialism in Asia, the British and French cases are hardly exceptional. Sanjay Subrahmanyam's Europe's India has shown compellingly that the Portuguese, too, blindly forged ahead in their imperial expansion into South Asia, with a good dose of improvisation. By focusing on a mission to Khiva, Bukhara, and Balkh in 1732, I set out to show that the Russian venture in Asia too was premised upon ignorance, among other things. More specifically, I argue that diplomatic and commercial relations between Russia and Central Asia developed in parallel with the neglect of intelligence gathered and made available in imperial archives. Reflecting on the fact that the Russian enterprise in Asia was minimally dependent on information allows us to complicate the reductive equation of knowledge to power, which originates from the “archival turn.” Many today regard archives as reflective of projects of documentation, which granted epistemological virtue to the texts stored, ordered, and preserved therein. The archives generated truth claims, we are told, about hierarchies of knowledge produced by states and, by doing so, they effectively operated as a technological apparatus bolstering the state. However, not all the texts which we find in archives always retained their pristine epistemic force. To historicise the uses, misuses, and, more importantly, the practices of purposeful neglect of records invites us to revisit the quality of transregional connectivity across systems of signification in the early modern period.

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Service Quality Components and Inpatients Satisfaction at District Hospitals in Haryana: An Empirical Analysis

Journal of Health Management ◽

10.1177/09720634211050471 ◽

2021 ◽

pp. 097206342110504

Author(s):

Dalbir Singh ◽

Rajesh Kumar Aggarwal

Keyword(s):

Service Quality ◽

Food Services ◽

Treatment Services ◽

Laboratory Services ◽

Perceived Satisfaction ◽

Nursing Services ◽

District Hospitals ◽

Quality Of Health Services ◽

The Impact

Success of any health facility can be directly correlated with the perceived satisfaction of outpatients and inpatients availing treatment at these facilities. Therefore, patient satisfaction is a commonly used measure to assess the quality of services at various health facilities. The present article attempts to analyse the impact of service quality on inpatient satisfaction across all the district hospitals (DHs) of Haryana. Among other things, the article extracted eight factors, namely treatment services (TSs), food services (FSs), laboratory services (LSs), wards services (WSs), admission services (ASs), infrastructural services (ISs), medicine services (MSs) and nursing services (NSs) through exploratory factor analysis. Further, TSs were found to be the most important to predict the satisfaction of inpatients of DHs of Haryana followed by FSs, LSs, ISs, WSs, NSs, ASs and MSs. The article suggests the areas that require interventions to bring about overall course-correction and improve the overall quality of health services in the State and also contributes towards the existing literature on understanding service quality dynamics and measuring patients’ satisfaction for health care.

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Amendments to the Constitution of the Russian Federation of 2020 and the Content of Court Proceedings

RUSSIAN JUSTICE ◽

10.37399/issn2072-909x.2021.9.5-12 ◽

2021 ◽

pp. 5-12

Author(s):

Latysheva N. A. ◽

Keyword(s):

Russian Federation ◽

Organizational Support ◽

National Language ◽

Record Keeping ◽

Judicial Proceedings ◽

The Russian Federation ◽

Court Proceedings

Judicial record-keeping, which in its content refers to judicial activity of a security, auxiliary nature, received an impetus for its development in connection with the amendments to the 1993 Constitution of the Russian Federation that entered into force on July 4, 2020. The introduction of innovations, which will take place through the organizational, guiding activities of the bodies of the judicial community – the Council of Judges of the Russian Federation and the bodies of the judicial community in the constituent entities of the Russian Federation and the improvement of regulatory regulation by authorized entities will allow realizing the needs of society in a new quality of relations between the judiciary and citizens of the Russian Federation. The article substantively defines the problems of the development of normative regulation in the course of ensuring arbitration proceedings, organizing constitutional and legal judicial statistics, exercising the rights of citizens to use the national language in the process of conducting judicial proceedings. In connection with the findings, options are proposed for generating ideas in the field of organizational support of justice.

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Use of Analgesia in an Emergency Department

Journal of Nepal Medical Association ◽

10.31729/jnma.554 ◽

2013 ◽

Vol 52 (189) ◽

pp. 224-228 ◽

Cited By ~ 2

Author(s):

Rabin Bhandari ◽

Gyanendra Malla ◽

Indrajit Prasad Mahato ◽

Pramendra Gupta

Keyword(s):

Emergency Department ◽

Median Time ◽

Descriptive Statistics ◽

Emergency Ward ◽

Record Keeping ◽

Case File ◽

Common Presentation ◽

Pain Descriptor ◽

Set Up

Introduction: Pain is a common presentation to the emergency department but often overlooked with little research done on the topic in Nepal. We did an observational retrospective study on 301 patients in the emergency ward of BP Koirala Institute of Health Sciences with the objective of finding the practice of analgesia. The specific focus was on the time to analgesia, drugs for analgesia and method of pain assessment. Methods: Case file analysis of patients discharged home after presenting with pain was performed. Time to analgesia and other factors were analyzed with descriptive statistics. Results: Diclofenac injection intramuscular (80%) was the commonest analgesic used. Assessment methods and record keeping were poor. Pain in the abdomen was the commonest. The median time to analgesia from triage was 45 minutes (IQR 30 to 80) and the median time to analgesia from doctor evaluation was 40 minutes (IQR 20 to 70). Conclusions: Time to analgesia from triage and doctors assessment in our set up is comparable to others. The quality of documentation is poor. Problems with pain identification and assessment may lead to inadequate analgesia so reinforcing the use of pain descriptor at triage itself with pain score would be helpful in adopting a protocol based management of pain. Keywords: analgesia; emergency; Nepal.

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