scholarly journals Improving the quality of nursing documentation: An action research project

Curationis ◽  
2014 ◽  
Vol 38 (2) ◽  
Author(s):  
Elisha M. Okaisu ◽  
Florence Kalikwani ◽  
Grace Wanyana ◽  
Minette Coetzee
Curationis ◽  
2014 ◽  
Vol 37 (1) ◽  
Author(s):  
Elisha M. Okaisu ◽  
Florence Kalikwani ◽  
Grace Wanyana ◽  
Minette Coetzee

Curationis ◽  
2014 ◽  
Vol 37 (2) ◽  
Author(s):  
Elisha M. Okaisu ◽  
Florence Kalikwani ◽  
Grace Wanyana ◽  
Minette Coetzee

Background: Documentation is an important function of professional nursing practise. In spite of numerous improvement efforts globally, inadequate documentation continues to be reported as nurse authors investigate barriers and challenges. Objectives: The project aimed to improve nurses’ documentation of their patient assessments at the CURE Children’s Hospital of Uganda in order to enhance the quality of nursing practise. Method: An action research methodology, using repeated cycles of planning, intervention, reflection and modification, was used to establish best practise approaches in this context for improving nurses’ efficacy in documenting assessments in the patient record. The researchers gathered data from chart audits, literature reviews and key informant interviews. Through analysis and critical reflection, these data informed three cycles of systems and practise modifications to improve the quality of documentation. Results: The initial cycle revealed that staff training alone was insufficient to achievethe project goal. To achieve improved documentation, broader changes were necessary, including building a critical mass of competent staff, redesigned orientation and continuing education, documentation form redesign, changes in nurse skill mix, and continuous leadership support. Conclusion: Improving nursing documentation involved complex challenges in this setting and demanded multiple approaches. Evidence-based practise was the foundation of changes in systems required to produce visible improvement in practise. The involved role of leadership in these efforts was very important.


2016 ◽  
Vol 77 (2) ◽  
pp. 197-211 ◽  
Author(s):  
Phil Jones ◽  
Julia Bauder ◽  
Kevin Engel

Grinnell College participated in ACRL’s first cohort of Assessment in Action (AiA), undertaking a mixed-methods action research project to assess the effectiveness of librarian-led research literacy sessions in improving students’ research skills. The quantitative data showed that the quality of students’ sources did not markedly improve following a research literacy session, while the qualitative data indicated that many students were able to state and describe important research concepts they learned. This article profiles the development of Grinnell’s AiA project and discusses how Grinnell’s librarians responded when the initial results led to more questions rather than to satisfactory answers.


2017 ◽  
Vol 19 (1) ◽  
pp. 156-170
Author(s):  
Hannah Thomas

Formative assessment is known to have an impact on pupil attainment (Hattie, 2012; Black et al., 2004; Wiliam, 2011). As such it is frequently written about, and its importance was reiterated throughout my Initial Teacher Training (including a module on formative assessment) and subsequent professional development programmes. This article reports on an action research project working with my low-ability Year 8 class, many of whom have Additional Learning Needs (ALN). I developed, implemented and evaluated formative assessment strategies aimed at improving motivation, confidence and the quality of the work made by these pupils. As Bell (2010: 6) states, action research is 'carried out by practitioners who have themselves identified a need for change or improvement'. My particular concern was the gap in understanding, motivation and progress between the pupils in my low-ability Year 8 class and mainstream classes. In this article I will, first, briefly discuss my methodological approach and the key literature that informed the decisions I made. I will then discuss the findings, and give more detail on the process of the development of the intervention. In conclusion I consider the importance of practitioner research for teachers and teaching.


Author(s):  
Barend KLITSIE ◽  
Rebecca PRICE ◽  
Christine DE LILLE

Companies are organised to fulfil two distinctive functions: efficient and resilient exploitation of current business and parallel exploration of new possibilities. For the latter, companies require strong organisational infrastructure such as team compositions and functional structures to ensure exploration remains effective. This paper explores the potential for designing organisational infrastructure to be part of fourth order subject matter. In particular, it explores how organisational infrastructure could be designed in the context of an exploratory unit, operating in a large heritage airline. This paper leverages insights from a long-term action research project and finds that building trust and shared frames are crucial to designing infrastructure that affords the greater explorative agenda of an organisation.


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