scholarly journals Quality of Nursing Documentation and its Effect on Continuity of patients’ care

2021 ◽  
Vol 6 (2) ◽  
pp. 1-18
Author(s):  
Ahmed Abd El Rahman ◽  
Manal Ibrahim ◽  
Gehan Diab
Keyword(s):  
Nursing Documentation ◽  
Quality Of Nursing

scholarly journals Improvement Legal Aspects and Completeness of Documentation using Electronic Nursing Record: A Report Study

2019 ◽  
Vol 1 (2) ◽  
pp. 32-39
Author(s):  
Rr.Tutik Sri Hariyati ◽  
Krisna Yetti Malawat ◽  
Retno Purwandari ◽  
Effy Afifah
Keyword(s):  
Legal Aspect ◽  
Legal Aspects ◽  
Control Group ◽  
Nursing Documentation ◽  
Study Approach ◽  
Before And After ◽  
Post Test ◽  
Nursing Activity ◽  
Quality Of Nursing

Background: Completeness of documentation as a legal aspect and proof a nursing activity. Nothing documentation means nothing activity.Objective: The Purpose of research to identify the legal aspect and completeness of nursing documentation after applying electronic nursing documentation. Methods: Report study approach and using pre and post-test with the control group. Thirty Four documentation collected using consecutive sampling on one-week observation before and after using electronic nursing information. The research compared the legal aspect and completeness of data conducted before and after the implementation of the new system.Results: The study showed improvement of the legal aspects increased by 50% (4,40 to 8,00) and completeness documentation by 10.39%  (43,00 to 49,00) after used of a system.   Conclusion: Nursing Electronic Documentation improved legal aspect, completeness nursing and enhance the quality of nursing care. Recommendation: Electronic nursing documentation can be done to support and increase the quality of nursing.  

A ward-based writing coach program to improve the quality of nursing documentation

2012 ◽  
Vol 32 (6) ◽  
pp. 647-651 ◽  
Author(s):  
Diana Jefferies ◽  
Maree Johnson ◽  
Daniel Nicholls ◽  
Shushila Lad
Keyword(s):  
Nursing Documentation ◽  
Coach Program ◽  
Quality Of Nursing

Quality of Nursing Documentation at Bugando Medical Centre in tanzania: A retrospective Patients’ Medical records Audit

2018 ◽  
Vol 6 (2) ◽  
pp. 98
Author(s):  
Kija Malale ◽  
Dotto Hongera ◽  
esther rundu ◽  
Marco James Bhilananiye ◽  
Adam Mang’ Ombe ◽  
...  
Keyword(s):  
Medical Records ◽  
Medical Centre ◽  
Nursing Documentation ◽  
Bugando Medical ◽  
Bugando Medical Centre ◽  
Quality Of Nursing

scholarly journals Quality of nursing documentation before and after the Hospital Accreditation in a university hospital

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Aline Tsuma Gaedke Nomura ◽  
Marcos Barragan da Silva ◽  
Miriam de Abreu Almeida
Keyword(s):  
University Hospital ◽  
Nursing Documentation ◽  
Hospital Accreditation ◽  
Hospital Nursing ◽  
Brazilian Version ◽  
Before And After ◽  
Joint Commission International ◽  
Nursing Diagnoses ◽  
Quality Of Nursing

ABSTRACT Objective: to analyze the quality of nursing documentation by comparing the periods before and after the preparation for the hospital accreditation, using the Quality of Nursing Diagnoses, Interventions and Outcomes - Brazilian version (Q-DIO- Brazilian version). Method: observational study of interventions conducted in a university hospital. Nursing documentation of 112 medical records for the period before and 112 for the period after the hospital accreditation were compared using the Q-DIO instrument - Brazilian version. Data were statistically analyzed. Results: there was a significant improvement in the quality of nursing documentation. When the total score of the instrument was evaluated, a significant improvement was observed in 24 out of the 29 items (82.8%). Conclusion: there was commitment to the shift of culture by means of the interventions carried out, which resulted in the conquest of the quality seal ensured by the Joint Commission International.

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