scholarly journals Informed Consent in Surgical Practice in Port Harcourt: How Informed are the Patients?

2021 ◽  
Vol 2 (3) ◽  
pp. 130-133
Author(s):  
Promise N. Wichendu ◽  
Rex Friday Ogoronte A. Ijah ◽  
Friday E. Aaron ◽  
Alexander A. Dimoko ◽  
Joy O. Dayi ◽  
...  

Aim: The aim of this study was to ascertain the opinion of patients on counselling of the surgical patient in tertiary healthcare facilities in Port Harcourt in the months of May and June 2020. Background: Counseling of the surgical patient is a dynamic process and its scope which is individualized should arm the patient with information on the purpose and nature of the disease and treatment, etc. Materials and Methods: Four hundred and twenty respondents were recruited for this cross-sectional descriptive study carried out in the wards and specialist surgical out-patient clinics of Teaching Hospitals in Port Harcourt, Nigeria between the months of May and June 2020 using semi-structured questionnaires. Data obtained was analysed using the Statistical Package for the Social Sciences (SPSS) version 20.0. Results: Two hundred and twenty-five (53.6%) respondents asserted that they had counselling sessions for the surgical operation, 108 (25.7%) respondents opined that they did not have counselling session, while 87 (20.7%) were not sure if they had or not. Forty-five (10.7%) respondents asserted that the surgeons carried out the counselling. Only, 227 (54.0%) of the respondents affirmed that they were satisfied with the counselling sessions, while 104 (24.8%) respondents asserted that there was no counselling session at all. Conclusion: The opinion of patients on the counselling service experience is not entirely satisfactory. There is need for closer attention to be paid to issues of counselling of the surgical patient in order to ensure the full benefits of the services rendered.

2021 ◽  
Vol 8 (3) ◽  
pp. 789
Author(s):  
Friday E. Aaron ◽  
Rex Friday Ogoronte A. Ijah ◽  
Tonye Obene

Background: Aim of the study was to ascertain the awareness on surgical limb amputation and establish the existence of traditional beliefs that impacts on acceptance of surgical limb amputation in tertiary healthcare facilities in Port Harcourt. Surgical limb amputation is a form of treatment recommended in conditions of dead, dying, dangerous limb or damn nuisance, in which the appendage is removed surgically and permanently from the rest of the body.Methods: A cross-sectional descriptive study was carried out among patients and patients’ relatives in the two government-owned tertiary health care facilities that offered orthopedic surgical services in Port Harcourt using self-administered questionnaires. Data obtained was analyzed using the Statistical Package for the Social Sciences (SPSS) version 20.0.Results: Safe removal of a disease limb from the rest of the body was considered by 217 respondents (93.1%) as the meaning of limb amputation. Some community beliefs on amputated limb were: risk of incomplete body in the “next world”, burying of persons with amputated limb in the evil forest when they die, stigmatization as outcasts in some communities. Eighty-two respondents (35.2%) opined that traditional bone setters should be encouraged to continue their work.Conclusions: There was high awareness on limb amputation among respondents. Though expressed by few respondents, the twin factors of patronage of traditional bone setters and the practice of community stigmatization of amputees / social isolation among others explains patients decline of offer of limb amputation in the care of orthopedic patients in our society.


Author(s):  
Joy O. Dayi ◽  
Bisola O. I. Onajin-Obembe ◽  
Rex F. O. A. Ijah

Background: There are reports of the spread of the novel COVID-19 to Africa, Nigeria, and some cases in Rivers State. The aim of this study was to investigate the knowledge, attitude and effects of the coronavirus disease pandemic on hospital staff in the month of May to June 2020. Methodology: The convenience sampling method was used to recruit 297 hospital staff in a cross-sectional descriptive study carried out using semi-structured questionnaires in a tertiary healthcare facility. Data obtained was analysed using the Statistical Package for the Social Sciences (SPSS) version 20.0. Results: Two hundred and sixty-two respondents (88.2%) had prior knowledge of coronavirus, and 228 (76.8%) got their information from Television/Radio/Newspapers. Two hundred and fifty-one (84.5%) respondents described COVID-19 pandemic as a disease caused by an imported germ. Regardless of the fear/panic of the COVID-19 pandemic, 230 (77.4%) of the respondents indicated that they would continue to visit their sick relative in the hospital. The COVID-19 pandemic moderately affected the family life of 110 (37.0%) respondents, while 68 (12.5%) were devastated by it. The means of livelihood was moderately affected in 76 (25.6%) respondents, and 43 (14.5%) devastated by it. Conclusion: The negative impact of the coronavirus pandemic was experienced significantly in varied proportions – moderately, severely, and in devastating manner.  


2021 ◽  
Vol 3 (4) ◽  
pp. 125-128
Author(s):  
Rex Friday Ogoronte A. Ijah ◽  
Friday E. Aaron ◽  
Solomon N. Elenwo ◽  
Joy O. Dayi ◽  
Vitalis O. Ofuru ◽  
...  

Aim: To determine the opinion of patients on the use of operating theatre background music in tertiary health care facilities in Port Harcourt. Background: Music finds application in almost all spheres of society due to some beneficial effects. It has been used among patients in the intensive care setting, among hypertensives with associated lowering the systolic blood pressure, among endoscopy patients with significantly improved pain score and significantly reduced anxiety, for pain relief and relaxation, and also for expectant mothers in labour. Materials and Methods: The cross-sectional descriptive study was carried out among patients from March to June 2020 in two multispecialty tertiary healthcare facilities in Port Harcourt Nigeria. Using semi-structured questionnaires and convenience sampling method, 425 respondents were recruited. Data collected was analysed using the Statistical Package for the Social Sciences (SPSS) version 20.0. Results: Four hundred and two (94.6%) respondents loved listening to music at home. Two hundred and seventy-three (64.2%) respondents preferred to listen to music in operating theatre. Preference for timing of music usage in theatre was variable: before, during and after surgery. One hundred and forty-four (33.9%) respondents asserted that they would love to listen to music in theatre during surgery. Two hundred and thirty-three (55.5%) respondents asserted that there was no background music during their last surgery. Conclusion: Majority of patients were desirous of the use of music in the operating theatre, while a few others thought otherwise.


2019 ◽  
Vol 19 (1) ◽  
pp. 263-301
Author(s):  
Kellen Da Silva ◽  
Ariane Naidon Cattani ◽  
Maiara Carmosina Hirt ◽  
Anahlú Peserico ◽  
Rosângela Marion Da Silva ◽  
...  

Objetivo: Analizar la somnolencia diurna excesiva y los efectos del trabajo en la salud de trabajadores de enfermería actuantes em la Unidad de Recuperación Post-Anestésica.Método: Estudio transversal, realizado con 39 trabajadores de enfermería de una Unidad de Recuperación Post-Anestésica de un Hospital Universitario. Los instrumentos de recolección de datos fueron el cuestionario de caracterización sociolaboral, la Escala de Somnolencia de Epworth y la Escala de Evaluación de los Daños Relacionados al Trabajo. Los datos fueron analizados con ayuda de Predictive Analytics Software, de la SPSS (Statistical Package for the Social Sciences), a través de pruebas estadísticas.Resultados: Indican que los daños físicos presentaron mayor promedio (2,33 ± 1,15), predominando dolores en el cuerpo, espalda y piernas, dicho una clasificación grave, lo cual potencia el sufrimiento en el trabajo. En cuanto a la presencia de somnolencia diurna excesiva, el 41% de los trabajadores la presentaron. No se identificó asociación significativa entre la somnolencia diurna excesiva y los efectos del trabajo en la salud de trabajadores de enfermería.Conclusión: Este estudio podrá auxiliar en la planificación de acciones con el objetivo de minimizar los daños relacionados al trabajo y promover la salud del trabajador. Objective: To analyze excessive daytime sleepiness and the effects of work on the health of nursing workers working in the Post-Anesthetic Recovery Unit.Method: A cross-sectional study carried out with 39 nursing workers from a Post-Anesthetic Recovery Unit of a University Hospital. Data collection instruments were the socio-labor characterization questionnaire, the Epworth Sleepiness Scale and the Work-Related Damage Assessment Scale. The data were analyzed with the aid of Predictive Analytics Software, SPSS (Statistical Package for the Social Sciences), through statistical tests.Results: Indicate that physical damage presented a higher mean (2.33 ± 1.15), and pain in the body, back and legs predominated, a severe classification, which potentiates suffering at work. As to the presence of excessive daytime sleepiness, 41% of the workers presented. No significant association was identified between excessive daytime sleepiness and the effects of work on the health of nursing workers.Conclusion: This study may help in the planning of actions with the intention of minimizing the damages related to work and promoting the health of the worker. Objetivo: Analisar a sonolência diurna excessiva e os efeitos do trabalho na saúde de trabalhadores de enfermagem atuantes na Unidade de Recuperação Pós-Anestésica.Método: Estudo transversal, realizado com 39 trabalhadores de enfermagem de uma Unidade de Recuperação Pós-Anestésica de um Hospital Universitário. Os instrumentos de coleta de dados foram o questionário de caracterização sociolaboral, a Escala de Sonolência de Epworth e a Escala de Avaliação dos Danos Relacionados ao Trabalho. Os dados foram analisados com auxílio do Predictive Analytics Software, da SPSS (Statistical Package for the Social Sciences), por meio de testes estatísticos.Resultados: Indicam que os danos físicos apresentaram maior média (2,33±1,15), sendo que dores no corpo, costas e pernas predominaram, dito uma classificação grave, o qual potencializa o sofrimento no trabalho. Quanto à presença de sonolência diurna excessiva, 41% dos trabalhadores apresentaram. Não foi identificada associação significativa entre a sonolência diurna excessiva e os efeitos do trabalho na saúde de trabalhadores de enfermagem.Conclusão: Este estudo poderá auxiliar no planejamento de ações com o intuito de minimizar os danos relacionados ao trabalho e promover a saúde do trabalhador.


2009 ◽  
Vol 3 (3) ◽  
pp. 609
Author(s):  
Mirela Borges ◽  
Sergio José Nicoletti

ABSTRACTObjectives: to describe, in the perception of nurses, the impact of a Nutritional Support training on the job and Identify the correlations between support organizational support to the transfer and characteristics of customers with the impact of training in the work of nurses. Method: it’s a nature quantitative research, a cross-sectional, correlacional and descriptive study. The data was collected by means a questionnaire asked to 114 nursing professionals. The data was stored and analyzed using the program Statistical Package for the Social Sciences, being carried out analyses descriptive and relevant to study. Results: more than 50% of trainees agreed have a positive impact of training support nutrition at work. The impact of training in nutritional therapy of nursing was significantly correlated with the support organizational (r=0,64, p=0,00). Conclusion: the higher the support of the Organization to training, the higher the positive impact on the work of trainees. Descriptors: organizational support; education; nursing; job training.RESUMOObjetivos: descrever, na percepção dos profissionais de enfermagem, o impacto do treinamento admissional em Suporte Nutricional no trabalho e identificar as correlações entre Suporte Organizacional, Suporte à Transferência e Características da Clientela com o impacto do treinamento no trabalho dos profissionais de enfermagem. Método: pesquisa de natureza quantitativa, onde se realizou um estudo transversal, correlacional e descritivo. Os dados foram obtidos mediante questionário aplicado a 114 profissionais de enfermagem, armazenados e analisados utilizando-se do programa Statistical Package for the Social Sciences (versão 13.0), cujas análises foram descritivas e inferenciais. Resultados: mais de 50% dos treinandos concordaram ter um impacto positivo do treinamento Suporte Nutricional no trabalho. O Impacto do treinamento em terapia nutricional no trabalho da equipe de enfermagem esteve significativamente correlacionado com o Suporte Organizacional (r=0,64, p=0,00). Conclusão: conclui-se que, quanto maior o Suporte de Transferência e o Suporte Organizacional maior foi o Impacto do treinamento no trabalho. Descritores: suporte organizacional; educação; enfermagem; capacitação profissional.RESUMENObjetivo: describir, en la percepción de las enfermerías, el impacto de la capacitación en apoyo nutricional en el lugar de trabajo y determinar las correlaciones entre el apoyo organizativo, apoyo del la transferencia y las características del cliente con el impacto de la capacitación en el trabajo de las enfermerías. Métodos: investigación de carácter cuantitativo, donde há sido hecho un estudio transversal, descriptivo y correlacional. Los datos fueron obtenidos mediante un cuestionario aplicado a 114 profesionales de enfermería. Los datos fueron almacenados y analizados utilizando el programa Statistical Package for the Social Sciences, y se lleva a cabo el análisis descriptivo e inferencial de interés para el estudio. Resultados: más del 50% de los alunos de acuerdo a tener un impacto positivo de apoyo nutricional de formación en el trabajo. El impacto de la formación en la terapia nutricional en el trabajo del personal de enfermería fue significativamente correlacionado con el apoyo organizativo (r=0,64, p=0,00). Conclusión: en conclusión, cuanto mayor sea el apoyo a la transferencia y el apoyo organizativo fue el mayor impacto de la formación en el trabajo. Descriptores: apoyo organizativo; educación; enfermería; capacitación profesional.


2016 ◽  
Vol 15 ◽  
pp. 518
Author(s):  
Clarissa Bandeira Bezerra ◽  
Milva Figueiredo De Martino

Aim:  to  check  stress  levels  and  the  presence  of  the  burnout syndrome  in  a  population  of  nurses  on  day  and  night  shifts  in  a  hospital.  Method: descriptive cross-sectional study with a quantitative approach, performed at the Hospital of  Federal  University  of  Rio  Grande  do  Norte.  Consists  in  applying  questionnaires  to nurses   to   obtain   data   through   the   form   of   socio-demographic   data,   then   the instruments: the Bianchi scale to quantify the level of stress, and the Maslach Burnout Inventory  (MBI) to  identify the  presence  of the  burnout syndrome.  The  organization  of data will involve the use of the Microsoft Windows Excel 2010 spreadsheets and will be analyzed using the Statistical Package for the Social Sciences version 20.0. The data will be organized in tables and charts, and analyzed according to descriptive and inferential statistics.


2022 ◽  
Vol 21 (1) ◽  
pp. 655-701
Author(s):  
Xênia Sheila Barbosa Aguiar Queiroz Xênia Sheila ◽  
Danielle Martins do Nascimento Oliveira ◽  
Matheus Araruna de Souza ◽  
Ester Lorrany dos Santos Gonzaga ◽  
Jacira dos Santos Oliveira ◽  
...  

Objective: To identify the empirical indicators of basic and social human needs found in nursing care for people treated in Burn Treatment Units. Materials and Method: Descriptive, cross-sectional and exploratory study of the integrative literature review type. After applying inclusion and exclusion criteria, 16 of the 265 articles identified made up the sample. The data collected were inserted in spreadsheets for descriptive statistical analysis and inferences, analyzed using the Microsoft Office Excel 2010 program and the Statistical Package for the Social Sciences (SPSS) version 20.0 software. The distribution of empirical indicators was carried out, which were later discussed based on scientific productions in the area.Results: The search resulted in the identification of 113 empirical indicators, 89 corresponding to psychobiological needs, 21 to psychosocial needs and 03 to psycho-spiritual needs. The needs that most presented empirical indicators were Need for Vascular Regulation (n=18) and Need for Oxygenation (n=16). However, the Need for Emotional Security showed more frequent indicators.Conclusion: The burn, in addition to affecting physical integrity, also affects emotional aspects, contributing to changes in mental integrity. The existence of few studies with the theme highlights the need for scientific production related to the theme, in order to contribute to human and holistic nursing practice. Objetivo: Identificar los indicadores empíricos de las necesidades humanas básicas y sociales que se encuentran en la atención de enfermería a las personas tratadas en las Unidades de Tratamiento de Quemaduras.Materiales y Método: Estudio descriptivo, transversal y exploratorio del tipo revisión integradora de literatura. Se identificaron 265 artículos, seleccionándose, tras el uso de los criterios de inclusión y exclusión, 16 estudios. Los datos recogidos se ingresaron en hojas de trabajo para el análisis estadístico descriptivo y de inferencia, analizándolos utilizando Microsoft Office Excel 2010 y el software Statistical Package for the Social Sciences (SPSS) versión 20.0. La distribución de indicadores empíricos se realizó, los cuales se discutieron basándose en producciones científicas en el área.Resultados: La búsqueda resultó en la identificación de 113 indicadores empíricos en total, 89 correspondientes a necesidades psicobiológicas, 21 a necesidades psicosociales y 03 a necesidades psico-espirituales. Las necesidades que más presentaron indicadores empíricos fueron Necesidad de regulación vascular (n=18) y Necesidad de oxigenación (n=16). Sin embargo, la necesidad de seguridad emocional mostró indicadores más frecuentes.Conclusión: Se encontró que la quemadura, además de afectar la integridad física, también afecta los aspectos emocionales, contribuyendo a los cambios en la integridad mental. La existencia de pocos estudios con el tema resalta la necesidad de producción científica relacionada con el tema, con el fin de contribuir a la práctica de la enfermería humana y holística. Objetivo: Identificar os indicadores empíricos das necessidades humanas básicas e sociais encontrados na assistência de enfermagem à pessoa atendida em Unidades de Tratamento ao Queimado. Materiais e Método: Estudo descritivo, transversal e exploratório do tipo revisão integrativa da literatura. Foram identificados 265 artigos, que após os critérios de inclusão e exclusão, 16 estudos compuseram a amostra. Os dados coletados foram inseridos em planilhas para análises estatísticas descritivas e inferências, analisados utilizando o programa Microsoft Office Excel 2010 e o software Statistical Package for Social Sciences (SPSS) versão 20.0. Foi realizada a distribuição dos indicadores empíricos e, posteriormente, discutidos a partir de produções científicas da área. Resultados: A busca resultou na identificação de 113 indicadores empíricos no total, sendo 89 correspondendo às necessidades psicobiológicas, 21 às necessidades psicossociais e 03, às necessidades psicoespirituais. As necessidades que mais apresentaram indicadores empíricos foram Necessidade de Regulação Vascular (n=18) e Necessidade de Oxigenação (n=16). No entanto, a Necessidade de Segurança Emocional apresentou indicadores mais frequentes. Conclusão: Constatou-se que a queimadura além de afetar a integridade física atinge, também, aspectos emocionais, contribuindo para alterações da sua integridade mental. A existência de poucos estudos com a temática evidencia a necessidade da produção científica relacionada ao tema, a fim de contribuir para a prática humana e holística de enfermagem.


2015 ◽  
Vol 04 (02) ◽  
pp. 065-067 ◽  
Author(s):  
Shailee Fotedar ◽  
Vinay Bhardwaj ◽  
Kavita Manchanda ◽  
Vikas Fotedar ◽  
Avishek De Sarkar ◽  
...  

Abstract Aim: The aim was to assess the knowledge, attitude and practices among undergraduate dental students about oral cancer. Materials and Methods: A cross-sectional questionnaire study was conducted among undergraduate dental students between the 3rd and 5th years in H.P Government Dental College, Shimla. The questionnaire consisted of 15 questions, five each on knowledge, attitudes and practices. The data were analyzed by Statistical Package for the Social Sciences (SPSS Inc., version 16 for Windows, Chicago, IL, USA). Results: The response rate of the study was 90.6%. There were 23 (21.5%) males and 84 (78.5%) females in the study. There was a predominance of females (78.5%). The average knowledge percentage for the entire population is 81.9% (excellent knowledge). Tobacco and alcohol were correctly identified by 63.5% of the subjects. Squamous cell carcinoma was described as the most common type of oral cancer by 105 (98.3%) of the students. 60.7% of the subjects strongly disagreed that their knowledge regarding the prevention and detection of oral cancer is current and adequate, and 99% agreed that there is a need for additional training/information regarding oral cancer. About 92.5% of the subjects used to educate their subjects about the harmful effects of tobacco and alcohol. Conclusion: The study implies that the knowledge, especially about the etiological factors of oral cancer needs to be reinforced throughout the undergraduate dental courses so that they can use the same in educating and motivating the masses to adapt healthy lifestyles.


Author(s):  
Ajediran I Bello ◽  
Love Kanebi ◽  
Fidelis T Iyor ◽  
Babatunde O A Adegoke

Background: The rehabilitation phase of patients with lower extremity fractures (LEF) is often hindered post-operatively by fear of moving (kinesiophobia) with consequent deconditioning and declining of functions. Profiling the prevalence of kinesiophobia and its association with demographic variables could become useful during the rehabilitation process. Objective: The study aimed to determine the prevalence of kinesiophobia and its correlation with lower limb functions among patients with LEF post-operatively. Methods: One-hundred and nine (n = 109) patients [male = 79 (72.50%)] with mean age of 41.83 ± 17.37 yr. participated in the cross-sectional study. Participants with LEF who had either undergone closed reduction and immobilization or open reduction with internal or external fixation were recruited into this study using convenience sampling during the rehabilitation phase at the orthopaedic wards of two tertiary healthcare facilities in Accra. Data collection was performed using the Tampa Scale of Kinesiophobia (TSK) and Lower Extremity Functional Scale. Data were analyzed using Spearman’s Rho correlation coefficient and Chi-square tests at p < 0.05.Results: Seventy-nine (72.50%) of the participants exhibited kinesiophobia based on their TSK scores (≥37). The TSK scores were significantly inversely correlated with participants’ lower limb function (r = -0.345; p < 0.001). Participants’ sex as well as the causes, types and sites of the fractures sustained had no significant association (p > 0.050) with the level of kinesiophobia. Conclusion: There was a high prevalence of kinesiophobia which negatively correlated with LEF but was not associated with the type, site, and cause of fracture as well as the participants’ sex. Mitigating kinesiophobia should always be considered an integral rehabilitation goal for in-patients with LEF.


2016 ◽  
Vol 7 (1) ◽  
pp. 52-55 ◽  
Author(s):  
Magda Guimarães de Araujo Faria ◽  
Sonia Acioli ◽  
Cristiane Helena Gallasch

Objetivo: analisar o perfil dos enfermeiros fluminenses atuantes na Estratégia de Saúde da Família on-line participantes de curso de especialização em saúde da família. Metodologia: estudo de abordagem quantitativa, com desenho transversal e observacional, não experimental e de tipo descritivo. A coleta de dados foi feita com 131 sujeitos que responderam ao questionário on-line. Para o tratamento dos dados foi utilizado o programa Statistical Package for the Social Sciences. Resultados: o perfil de enfermeiros fluminenses atuantes na ESF é composto por maioria de mulheres, com faixa etária inferior a 40 anos, oriundas de instituições particulares de ensino e com menos de 10 anos de conclusão da graduação. Conclusão: a ESF é grande empregador das novas gerações da Enfermagem, remetendo à necessidade da adequação das unidades de ensino à formação desses profissionais, considerando a ampliação dessa cobertura.Descritores: Estratégia Saúde da Família, Enfermagem em Saúde Comunitária, Enfermagem em Saúde Pública.PROFILE OF FLUMINENSE NURSES OF FAMILY HEALTH STRATEGY PARTICIPANTS OF SPECIALIZATION COURSEObjective: analyze the profile of Rio de Janeiro nurses who working in the Family Health Strategy on-line participants of the specialization course in family health. Methodology: quantitative approach study with cross-sectional and observational design, not experimental and descriptive type. Data collection was performed with 131 subjects who answered the online questionnaire. For data analysis was used Statistical Package for the Social Sciences Results: the profile of working fluminense nurses in the ESF consists of most women, aged under 40 years, coming from private institutions of education and less than 10 years of completed the undergraduation degree. Conclusion: the ESF is a large employer of the newer generation of nurses. There is a need to adequate the educational facilities for the training of nurses prepared to work in public health.Descriptors: Family Health Strategy, Community Health Nursing, Public Health Nursing.PERFIL DE ENFERMEROS FLUMINENSES DE LA ESTRATEGIA DE SALUD FAMILIAR PARTICIPANTES DE UN CURSO DE ESPECIALIZACIÓNObjetivo: analizar el perfil de las enfermeras de Río de Janeiro que trabajan en el Estregia de Salud Familiar on-line del curso de especialización en salud de la familia. Metodología: estudio cuantitativo con diseño transversal y observacional, no experimental y descriptivo. La recolección de datos se realizó con 131 sujetos que respondieron el cuestionario en línea. Para el tratamiento de los datos se utilizó el programa Statistical Package for the Social Sciences Resultados: se observó que el perfil de las enfermeras de Río de Janeiro que trabajan en la ESF consiste principalmente de mujeres con edades inferiores a 40 años, proveniente de instituciones privadas de educación, y menos de 10 años de la finalización de la graduación. Conclusión: el ESF es el principal empleador de las nuevas generaciones de enfermería, lo que lleva a la necesidad de adecuación de las instalaciones educativas para la formación de enfermeras preparadas para trabajar en la salud pública.Descriptors: Estrategia de Salud Familiar, Enfermería en Salud Comunitaria, Enfermería en Salud Pública.


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